NCT04533347

Brief Summary

A clinical study to assess the efficacy and safety of oral tafenoquine compared to placebo in patients with mild to moderate COVID 19 disease.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
86

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Feb 2021

Shorter than P25 for phase_2

Geographic Reach
1 country

10 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 28, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 31, 2020

Completed
6 months until next milestone

Study Start

First participant enrolled

February 19, 2021

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2022

Completed
2.5 years until next milestone

Results Posted

Study results publicly available

January 7, 2025

Completed
Last Updated

January 7, 2025

Status Verified

December 1, 2024

Enrollment Period

1.4 years

First QC Date

August 28, 2020

Results QC Date

December 13, 2024

Last Update Submit

December 13, 2024

Conditions

Keywords

mild to moderate COVID 19 diseaseSARS-CoV-2infectious diseasesevere acute respiratory syndrome coronavirus 2

Outcome Measures

Primary Outcomes (1)

  • Number of Patients With Clinical Recovery of COVID-19 Symptoms on Day 14

    Clinical recovery from COVID-19 symptoms was defined as: temperature \< or equal to 37.7 degrees Celsius (surface by infra-red or oral), respiratory rate \< or equal to 24/minute on room air, shortness of breath is absent on a patient-report scale, and cough is mild or absent on a patient-reported scale.

    Day 14 [± 1 day]

Secondary Outcomes (3)

  • Increases the Proportion of Patients With Absence of Clinical Symptoms by Individual Symptom at Day 14

    Day 14 [± 1 day]

  • Decreases the Hospitalization Rate Due to COVID-19 by Day 14

    Day 14 [± 1 day]

  • Decreases the Number of Medical Follow-up Visits by Day 14.

    Day 14 [± 1 day]

Other Outcomes (1)

  • Planned Interim Analysis and Data Monitoring

    100 patients randomized

Study Arms (2)

Tafenoquine

ACTIVE COMPARATOR

Tafenoquine two 100 mg oral tablets 1x/day on Days 1,2,3 and 10

Drug: Tafenoquine Oral Tablet

Placebo

PLACEBO COMPARATOR

Placebo two tablets 1x/day on Days 1,2,3 and 10

Drug: Placebo

Interventions

Patients will be randomized and will receive and self-administer 200 mg Tafenoquine or matching placebo on Days 1, 2, 3, and 10.

Also known as: ARAKODA™, KODATEF™
Tafenoquine

Patients will be randomized and will receive and self-administer 200 mg Tafenoquine or matching placebo on Days 1, 2, 3, and 10.

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female, aged ≥18 years of age;
  • Laboratory confirmed infection with COVID-19 virus by an FDA-authorized SARS-Cov-2 RT-PCR;
  • Able and willing to give written informed consent.
  • Willing to keep an electronic diary from Study Day 1 to Study Day 13 (± 1 day) and Study Day 15 (± 1 day) to Study Day 28 (± 1 day)
  • Willing to have daily phone or videoconferences with study team personnel from Study Day 1 to Day 13 (± 1 day) and Day 28
  • At least one of the following clinical symptoms of COVID-19 infection within the 4 days prior to and inclusive of the day of screening:
  • Respiratory rate ≥ 24/min
  • New cough or shortness of breath that has presented within the last 4 days
  • Fever - temperature 37.7°C \[oral or skin surface\]
  • Must agree not to enroll in another study of an investigational agent prior to completion of Day 28 of the study.
  • Able to take ARAKODA or KODATEF according to Prescribing Information
  • Have been symptomatic no longer than 7 days when the first dose of study medication is administered.
  • If female, agree to use an acceptable method of birth control from the time of consent through 56 days after the last dose of study drug.

You may not qualify if:

  • Have one of the contraindications for ARAKODA or KODATEF in the prescribing information (section 16.1) including:
  • G6PD deficiency
  • Breastfeeding
  • Psychotic disorder or current psychotic symptoms
  • Known hypersensitivity reaction to TQ
  • Evidence of severe or critical illness, defined by at least one of the following:
  • Clinical signs indicative of severe systemic illness with COVID-19, such as respiratory rate ≥30 breaths per minute, heart rate ≥ 125 beats per minute, SpO2 ≤93% on room air
  • Respiratory failure defined based on resource utilization requiring at least one of the following:
  • i. Endotracheal intubation and mechanical ventilation, oxygen delivered by high flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates \> 20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, extracorporeal membrane oxygenation (ECMO), or clinical diagnosis of respiratory failure (i.e., clinical need for one of the preceding therapies, but preceding therapies not able to be administered in setting of resource limitation) ii. Shock (defined by systolic blood pressure \< 90 mmHg, or diastolic blood pressure \<60 mmHg or requiring vasopressors) iii. Multi-organ dysfunction/failure
  • Any other clinically significant acute illness unrelated to COVID-19 within seven days prior to first study drug administration
  • Receipt of any experimental treatment for COVID-19 (off-label, compassionate use, or study-related) within the 30 days prior to the time of the screening evaluation
  • Any COVID-19 symptoms which, in the opinion of the investigator, is suggestive of possible requirement to hospitalize within 48 hours of enrollment
  • Positive pregnancy test
  • Have been symptomatic for more than seven days when the first dose would be administered

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (10)

Deluxe Health Center LLC

Miami, Florida, 33014, United States

Location

Hope Clinical Trials

Miami, Florida, 33165, United States

Location

F&T Medical Research, Inc.

Miami, Florida, 33184, United States

Location

Kendall South Medical Center, Inc.

Miami, Florida, 33185, United States

Location

Skyline Medical Center

Elkhorn, Nebraska, 68022, United States

Location

Burke Primary Care

Morgantown, North Carolina, 28655, United States

Location

AFC Urgent Care

Easley, South Carolina, 29640, United States

Location

Centex Studies

Brownsville, Texas, 78526, United States

Location

Care United

Forney, Texas, 75126, United States

Location

Clinical Trial Network

Houston, Texas, 77074, United States

Location

Related Publications (13)

  • Geleris J, Sun Y, Platt J, Zucker J, Baldwin M, Hripcsak G, Labella A, Manson DK, Kubin C, Barr RG, Sobieszczyk ME, Schluger NW. Observational Study of Hydroxychloroquine in Hospitalized Patients with Covid-19. N Engl J Med. 2020 Jun 18;382(25):2411-2418. doi: 10.1056/NEJMoa2012410. Epub 2020 May 7.

    PMID: 32379955BACKGROUND
  • Xiao F, Tang M, Zheng X, Liu Y, Li X, Shan H. Evidence for Gastrointestinal Infection of SARS-CoV-2. Gastroenterology. 2020 May;158(6):1831-1833.e3. doi: 10.1053/j.gastro.2020.02.055. Epub 2020 Mar 3. No abstract available.

    PMID: 32142773BACKGROUND
  • Center for Disease Control. CDC Covid-19 data tracker. https://www.cdc.gov/covid-data-tracker/index.html#cases. Accessed March 7, 2020.

    BACKGROUND
  • Beigel JH, Tomashek KM, Dodd LE, Mehta AK, Zingman BS, Kalil AC, Hohmann E, Chu HY, Luetkemeyer A, Kline S, Lopez de Castilla D, Finberg RW, Dierberg K, Tapson V, Hsieh L, Patterson TF, Paredes R, Sweeney DA, Short WR, Touloumi G, Lye DC, Ohmagari N, Oh MD, Ruiz-Palacios GM, Benfield T, Fatkenheuer G, Kortepeter MG, Atmar RL, Creech CB, Lundgren J, Babiker AG, Pett S, Neaton JD, Burgess TH, Bonnett T, Green M, Makowski M, Osinusi A, Nayak S, Lane HC; ACTT-1 Study Group Members. Remdesivir for the Treatment of Covid-19 - Final Report. N Engl J Med. 2020 Nov 5;383(19):1813-1826. doi: 10.1056/NEJMoa2007764. Epub 2020 Oct 8.

  • Brueckner RP, Lasseter KC, Lin ET, Schuster BG. First-time-in-humans safety and pharmacokinetics of WR 238605, a new antimalarial. Am J Trop Med Hyg. 1998 May;58(5):645-9. doi: 10.4269/ajtmh.1998.58.645.

  • Crisafulli E, Clini EM. Measures of dyspnea in pulmonary rehabilitation. Multidiscip Respir Med. 2010 Jun 30;5(3):202-10. doi: 10.1186/2049-6958-5-3-202.

  • Dow GS, Luttick A, Fenner J, Wesche D, Yeo KR, Rayner C. Tafenoquine inhibits replication of SARS-Cov-2 at pharmacologically relevant concentrations in vitro. bioRxiv. January 2020:2020.07.12.199059. doi:10.1101/2020.07.12.199059

    RESULT
  • Jia HP, Look DC, Shi L, Hickey M, Pewe L, Netland J, Farzan M, Wohlford-Lenane C, Perlman S, McCray PB Jr. ACE2 receptor expression and severe acute respiratory syndrome coronavirus infection depend on differentiation of human airway epithelia. J Virol. 2005 Dec;79(23):14614-21. doi: 10.1128/JVI.79.23.14614-14621.2005.

  • Skipper CP, Pastick KA, Engen NW, Bangdiwala AS, Abassi M, Lofgren SM, Williams DA, Okafor EC, Pullen MF, Nicol MR, Nascene AA, Hullsiek KH, Cheng MP, Luke D, Lother SA, MacKenzie LJ, Drobot G, Kelly LE, Schwartz IS, Zarychanski R, McDonald EG, Lee TC, Rajasingham R, Boulware DR. Hydroxychloroquine in Nonhospitalized Adults With Early COVID-19 : A Randomized Trial. Ann Intern Med. 2020 Oct 20;173(8):623-631. doi: 10.7326/M20-4207. Epub 2020 Jul 16.

  • Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020 Mar;25(3):278-280. doi: 10.1111/tmi.13383. Epub 2020 Feb 16. No abstract available.

  • Wang Y, Zhang D, Du G, Du R, Zhao J, Jin Y, Fu S, Gao L, Cheng Z, Lu Q, Hu Y, Luo G, Wang K, Lu Y, Li H, Wang S, Ruan S, Yang C, Mei C, Wang Y, Ding D, Wu F, Tang X, Ye X, Ye Y, Liu B, Yang J, Yin W, Wang A, Fan G, Zhou F, Liu Z, Gu X, Xu J, Shang L, Zhang Y, Cao L, Guo T, Wan Y, Qin H, Jiang Y, Jaki T, Hayden FG, Horby PW, Cao B, Wang C. Remdesivir in adults with severe COVID-19: a randomised, double-blind, placebo-controlled, multicentre trial. Lancet. 2020 May 16;395(10236):1569-1578. doi: 10.1016/S0140-6736(20)31022-9. Epub 2020 Apr 29.

  • Worldometer. Coronavirus Update (Live). https://www.worldometers.info/coronavirus/. Accessed March 7, 2020.

    RESULT
  • Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, Si HR, Zhu Y, Li B, Huang CL, Chen HD, Chen J, Luo Y, Guo H, Jiang RD, Liu MQ, Chen Y, Shen XR, Wang X, Zheng XS, Zhao K, Chen QJ, Deng F, Liu LL, Yan B, Zhan FX, Wang YY, Xiao GF, Shi ZL. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020 Mar;579(7798):270-273. doi: 10.1038/s41586-020-2012-7. Epub 2020 Feb 3.

MeSH Terms

Conditions

Communicable Diseases

Interventions

tafenoquine

Condition Hierarchy (Ancestors)

InfectionsDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Bernadette Tock
Organization
Fast-Track Drugs and Biologics, LLC

Study Officials

  • Akila Chandrasekar, MD

    Peachtree BioResearch Solutions Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 28, 2020

First Posted

August 31, 2020

Study Start

February 19, 2021

Primary Completion

June 30, 2022

Study Completion

June 30, 2022

Last Updated

January 7, 2025

Results First Posted

January 7, 2025

Record last verified: 2024-12

Data Sharing

IPD Sharing
Will not share

Locations