Safety and Efficacy of Trans Sodium Crocetinate (TSC) in SARS-CoV-2 (COVID-19) Infected Subjects
Open-label, Pharmacokinetic, Pharmacodynamic, Ascending Dose Safety lead-in Followed by a Single-center, Placebo-controlled, Double-blind, Adaptive, Safety and Efficacy, Pilot Study of Trans Sodium Crocetinate (TSC) in SARS-CoV-2 Infected Subjects
Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
Lead-in phase: Overall summary of subjects with TEAEs
Up to 70 days post-study drug administration
Time to Recovery Through Day 28
Lead-in phase: Time to achieve (and maintain through Day 28) a World Health Organization (WHO) ordinal COVID-19 severity scale score of 1, 2 or 3 with a minimum 1-point improvement from baseline. The scale assesses clinical status and the range is 0-8, as follows:
0\. Uninfected - No clinical or virological evidence of infection
1. Ambulatory - No limitation of activities
2. Ambulatory - Limitation of activities
3. Hospitalized, Mild Disease - Hospitalized, no oxygen therapy
4. Hospitalized, Mild Disease - Oxygen by mask or nasal prongs
5. Hospitalized Severe Disease - Non-invasive ventilation or high-low oxygen
6. Hospitalized Severe Disease - Intubation and mechanical ventilation
7. Hospitalized Severe Disease - Ventilation + additional organ support (pressors, Renal Replacement Therapy (RRT), Extracorporeal Membrane Oxygenation (ECMO)
8. Dead - Death
28 days
Secondary Outcomes (5)
Change From Baseline in WHO Ordinal Severity Scale as a Categorical Improvement or Worsening
7 days
Oxygenation - Ventilator Free Days
28 days
Hospital Length of Stay
28 days
Oxygenation - Time to Return to Baseline
28 days
Oxygenation - Pulse Oximetry
Baseline through Day 10
Study Arms (6)
Lead-in 0.25 mg/kg
EXPERIMENTAL
0.25 mg/kg TSC, administered via IV bolus every 6 hours for up to 15 days
Drug: Trans Sodium Crocetinate
Lead-in 0.50 mg/kg
EXPERIMENTAL
0.50 mg/kg TSC, administered via IV bolus every 6 hours for up to 15 days
Drug: Trans Sodium Crocetinate
Lead-in 1.0 mg/kg
EXPERIMENTAL
1.0 mg/kg TSC, administered via IV bolus every 6 hours for up to 15 days
Drug: Trans Sodium Crocetinate
Interventions
Trans Sodium CrocetinateDrug
TSC, at the optimum safe and tolerable dose determined in the lead-in phase, administered via IV bolus every 6 hours for up to 15 days
Hospitalized subjects with confirmed SARS-CoV-2 infection and hypoxemia, defined as SpO2 \< 94% on room air or requiring supplemental oxygen
Laboratory-confirmed SARS-CoV-2 infection as determined by PCR, or other commercial or public health assay in any specimen \< 72 hours prior to enrollment.
National Institute of Infectious Diseases, Bucharest, Romania
PRINCIPAL INVESTIGATOR
Publication Agreements
PI is Sponsor Employee
No
Restrictive Agreement
No
Enrollment
25 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 1 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Lead-in: no masking. Randomized pilot: The participants, care providers, investigators, and outcomes assessors are masked. The pharmacist, unblinded clinical research associate, and unblinded study drug administrator are not masked.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Open-label, pharmacokinetic, pharmacodynamic, ascending dose, safety and tolerability lead-in Single-center, randomized, placebo-controlled, double-blind, adaptive, safety and efficacy pilot
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Study Record Dates
First Submitted
September 29, 2020
First Posted
October 5, 2020
NCT05667116
eVusheld Assessment reaL wORld Effectiveness at UPMC
1.5 mg/kg TSC, administered via IV bolus every 6 hours for up to 15 days
Drug: Trans Sodium Crocetinate
Randomized Active TSC
EXPERIMENTAL
TSC, at the optimum safe and tolerable dose determined in the lead-in phase, administered via IV bolus every 6 hours for up to 15 days
Drug: Trans Sodium Crocetinate
Randomized Placebo
PLACEBO COMPARATOR
Normal Saline, in an equivalent volume by participant body weight, administered via IV bolus every 6 hours for up to 15 days
Drug: Normal saline
Drug
Normal Saline, in an equivalent volume by participant body weight, administered via IV bolus every 6 hours for up to 15 days
Also known as: 0.9% Sodium Chloride (NaCl)
Randomized Placebo
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
WHO ordinal scale score of 3, 4 or 5 at baseline
Male or non-pregnant female adult ≥18 years of age at time of enrolment.
Subject (or legally authorized representative (LAR)) provides written informed consent prior to initiation of any study procedures.
Understands and agrees to comply with planned study procedures.
Illness of any duration
Women of childbearing potential must have a negative blood pregnancy test at the screening/baseline visit (Day 1) and agree to use a double method of birth control through 30 days after the last dose of study drug.
You may not qualify if:
Intubated and mechanically ventilated at baseline
Receiving extracorporeal membrane oxygenation (ECMO) at baseline
Severe organ dysfunction (SOFA score \> 10)
Patient or LAR unable to provide written informed consent
ALT/AST \> 3 times the upper limit of normal or serum bilirubin \> 1.5 times the upper limit of normal
Estimated glomerular filtration rate (eGFR) by Modification of Diet in Renal Disease (MDRD) formula \< 30 mL/min/1.73 m\^2 or on dialysis
Pregnancy or breast feeding.
Anticipated transfer to another hospital which is not a study site within 72 hours.
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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