An Open-Label Study to Assess the Safety and Effect on Clinical Course and Key Biomarkers of Oral Apabetalone in Hospitalized Subjects With Covid-19 Infection in Addition to Standard of Care (SOC)
Overview
- Phase
- Phase 2
- Intervention
- Standard of care
- Conditions
- COVID-19 Infection
- Sponsor
- Resverlogix Corp
- Enrollment
- 1
- Locations
- 1
- Primary Endpoint
- The primary endpoint of the study is the change in WHO Ordinal Scale for Clinical Improvement at Day 14
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
The primary objective of the study is to evaluate the safety and effect on clinical course of oral apabetalone in hospitalized subjects with Covid-19 infection
Detailed Description
Primary Objective: The primary objective of the study is to evaluate the safety and effect on clinical course of oral apabetalone in hospitalized subjects with Covid-19 infection Secondary Objectives: To evaluate the effect of apabetalone on biomarkers of inflammation (interleukin \[IL\]-6, IL-8, tumor necrosis factor \[TNF\]-α and C-reactive protein \[CRP\]) To evaluate the effect of apabetalone on key virus-related biomarkers including ACE2, serine protease inhibitor Clade A Member 8 (SERPINA8), angiotension (Ang) II and Ang (1-7) and others within the renin-angiotensin system (RAS) To evaluate the effect of apabetalone on clinical laboratory parameters including white blood cell (WBC) count, platelet count, D-Dimer, ferritin and clotting time in hospitalized subjects with Covid-19 infection To evaluate the effect of apabetalone cardiac and renal biomarkers including N-terminal pro B-type natriuretic peptide (NT-proBNP), troponin and Cystatin C To evaluate changes in viral levels measured via oropharyngeal or nasopharyngeal swabs To evaluate the effect of apabetalone on rate of admission to ICU, need for mechanical ventilation/ECMO, and death To evaluate the safety of apabetalone in hospitalized subjects with Covid-19 Infection
Investigators
Eligibility Criteria
Inclusion Criteria
- •Provide informed consent before participation in the study.
- •Aged ≥18 years
- •Hospital admission with symptoms suggestive of COVID-19 infection
- •Ten days or less since the onset of symptoms
- •Virological confirmation of SARS-CoV2 infection by reverse transcriptase PCR (RT- PCR) according to Center for Disease Control and Prevention (CDC) guidelines within the previous 72 hours
- •Subjects showing bilateral pulmonary infiltrates on chest imaging
- •Saturation of oxygen (SpO2) by pulse oximetry \<94% on room air at sea level.
- •Female subjects must meet one of the following:
- •If of childbearing potential, female subjects must have a negative urine pregnancy test at screening and must also be willing to practice total abstinence or to use an approved (non-hormonal) form of birth-control throughout the study treatment phase and up to 28 days after the last study drug dose if randomized to apabetalone." -OR-
- •Meet at least one of the following criteria:
Exclusion Criteria
- •Subjects with SpO2 \>94% on room air using pulse oximetry and without bilateral infiltrates on chest imaging
- •Subjects requiring mechanical ventilation or extracorporeal membrane oxygenation
- •Patients with Stage 5 CKD receiving renal replacement therapy with either hemodialysis or peritoneal dialysis, renal transplant or with eGFR \<15 mL/min/1.73 m
- •Patients with prior transplantations of organs or bone marrow.
- •Patients with unstable cardiac condition including heart attack, stroke, uncontrolled atrial fibrillation or a major cardiac procedure within 3 months as assessed by the investigator.
- •New York Heart Association Class IV congestive heart failure.
- •Evidence of cirrhosis from liver imaging or biopsy, a history of hepatic encephalopathy, esophageal or gastric varices, active hepatitis, or prior porta-caval shunt procedure.
- •ALT or AST \>5 x ULN on admission laboratory assessment.
- •Total bilirubin \>2 x ULN on admission laboratory assessment.
- •Have received any live attenuated vaccine within 90 days at dosing.
Arms & Interventions
Standard of Care
All subjects will receive SOC during their hospital admission. This will include daily vital signs, WHO Ordinal Scale assessment and adverse events. On Days 3, 5, 7 and 11, hematology, chemistry, oropharyngeal or nasopharyngeal swabs for Covid-19 viral levels and biomarkers samples the same as at the screening visit will be taken if the patient remains in hospital.
Intervention: Standard of care
Standard of Care plus apabetalone
All subjects will receive SOC during their hospital admission. This will include daily vital signs, WHO Ordinal Scale assessment and adverse events. On Days 3, 5, 7 and 11, hematology, chemistry, oropharyngeal or nasopharyngeal swabs for Covid-19 viral levels and biomarkers samples the same as at the screening visit will be taken if the patient remains in hospital. For the apabetalone cohort, treatment will be administered BID with meals.
Intervention: Apabetalone
Standard of Care plus apabetalone
All subjects will receive SOC during their hospital admission. This will include daily vital signs, WHO Ordinal Scale assessment and adverse events. On Days 3, 5, 7 and 11, hematology, chemistry, oropharyngeal or nasopharyngeal swabs for Covid-19 viral levels and biomarkers samples the same as at the screening visit will be taken if the patient remains in hospital. For the apabetalone cohort, treatment will be administered BID with meals.
Intervention: Standard of care
Outcomes
Primary Outcomes
The primary endpoint of the study is the change in WHO Ordinal Scale for Clinical Improvement at Day 14
Time Frame: Change in WHO Ordinal Scale for Clinical Improvement at Day 14
WHO Ordinal Scale for Clinical Improvement, 8 point scale, 0 = no clinical or virological evidence of infection
Secondary Outcomes
- Change in WHO Ordinal Scale for Clinical Improvement at Day 28(Study Day 28)
- Biomarkers of inflammation Tumor Necrosis Factor alpha(Study Day 28)
- Biomarkers of inflammation Interleukin-6(Study Day 28)
- Total time of hospitalization(through study completion, an average of 28 days)
- Biomarkers of inflammation Interleukin-8(Study Day 28)