The Efficacy and Safety of Pyramax in Mild to Moderate COVID-19 Patients (Phase3)

Phase 3

Completed

• Conditions: COVID-19
• Interventions: Drug: Placebo; Drug: Pyramax

• Registration Number: NCT05084911
• Lead Sponsor: Shin Poong Pharmaceutical Co. Ltd.

Brief Summary

This study is a multi-center, randomized, double-blind, parallel, placebo-controlled, phase III clinical trial to evaluate efficacy and safety of pyramax in mild to moderate COVID-19 patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-10-18
• Study First Submitted: 2021-10-19
• Study First Submitted QC: 2021-10-19
• Study First Posted: 2021-10-20
• Primary Completion: 2023-03-24
• Study Completion: 2023-03-24
• Status Verified: 2023-06
• Last Update Submitted: 2023-06-16
• Last Update Posted: 2023-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1807

Inclusion Criteria

1. Adult males and females aged 19 years or older (or minimum age for adulthood or for informed consent below 19 years for each country)
2. Patients with body weight ≥45 kg at screening
3. Patients with COVID-19 confirmed by RT-PCR before randomization
4. Patients confirmed with mild or moderate COVID-19, along with one or more symptoms in association with COVID-19 within 5 days before randomization, who do not need adjunctive oxygen therapy
5. Patients who are fully informed of this study, voluntarily decide to participate in this study and provide written consent to comply with requirements for this study

Exclusion Criteria

1. Patients with severe or critical* COVID-19

2. Patients requiring hospitalization for therapeutic purposes for COVID-19 such as oxygen therapy with a decrease of oxygen saturation (<94%) at screening or higher level of care, or who may be potentially transferred to another hospital other than the clinical trial institution within 72 hours.

3. Patients who have received or who have planned to receive any anti-viral drugs to treat COVID-19 infection or medications that may affect the course of treatment within 28 days before participating in this study or before a sufficient wash-out period [more than five times the half-life of the drug, etc.] (the longer period between the two is chosen).

4. Patients with one or more of the following infections in the past or present

   1. Infection with need for systemic anti-infection treatment other than Corona virus (SARS-CoV-2)
   2. Major infection with need for oral antibiotics or hospitalization within 30 days before administration of the investigational product by discretion of the investigator.

5. Patients with a known clinically significant anemia (Hemoglobin <8.0 g/dL)

6. Patients with a known severe renal impairment (eGFR ≤ 30 mL/min/1.73 m2)

7. Patients with a known severe hepatic dysfunction

8. Patients with a known allergic reaction to the active ingredients (pyronaridine tetraphosphate, artesunate) and other ingredients of the investigational product

9. Patients with a gastrointestinal disease or who underwent a surgery that can affect the absorption, distribution, metabolism and excretion of the drug, or who have active gastritis, gastrointestinal tract/rectal bleeding, gastric ulcer, and pancreatitis or pancreatic function abnormalities (excluding general appendectomy or hernia repair surgery)

10. Patients who cannot be orally administered with the Investigational Product

11. Pregnant, breast-feeding or females with positive pregnancy test at screening

12. Females and males who have child-bearing plan or who are unwilling to commit to the use of the following methods of contraception* during study period and for 3 months after the study period

13. Patients who have participated in another clinical study/device study and received the investigational product/device within 28 days from signing the informed consent

14. Patients with Co-morbidity requiring surgery within 7 days before administration of the investigational product, or life-threatening co-morbidity within 30 days before administration of the investigational product

15. Patients with history of alcohol or drug abuse within 12 months before administration of the investigational product

16. Patients whom the investigator considers inappropriate for the study due to chronic underlying disease or other reasons

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control	Placebo	Placebo tablet
Test	Pyramax	Pyramax tablet

Primary Outcome Measures

Name	Time	Method
Percentage of subjects who require hospitalization or have died due to COVID-19 infection until post-dose D29.	follow up to Day29

Secondary Outcome Measures

Name	Time	Method
Percentage of subjects requiring acute therapy for more than 24 hours in a hospital or acute treatment facility or who have died due to COVID-19 until D29 after administration	follow up to Day29
Change from baseline in COVID-19 viral load at D2, D3, D5, D7, and D14	Day2, Day3, Day5, Day7, Day14
Time to sustained recovery (discharge) in hospitalized subjects (days)	follow up to Day29
NEWS at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline	Day3, Day7, Day14, Day21, Day29
11-point WHO clinical progression scale for clinical symptoms at D3, D7, D14, D21, and D29 after administration of the IP and changes compared to baseline	Day3, Day7, Day14, Day21, Day29
29-day mortality after the first dose of the investigational product	Day29
Percentage of subjects who have newly diagnosed with pneumonia or aggravated pneumonia* according to baseline pneumonia criteria until D29 after administration of the IP	follow up to Day29
Percentage of subjects in the high-risk group** who require hospitalization or have died due to COVID-19 until post-dose D29	follow up to Day29

Trial Locations

Locations (66)

Instituto Medico Platense; 🇦🇷 Buenos Aires, Argentina

Seoul Red Cross Hospital; 🇰🇷 Seoul, Korea, Republic of

IPS Centro Cientifico Asisitencial S.A.S; 🇨🇴 Barranquilla, Colombia

Centro de Investigacion en Reumatología y Especialidades Médicas-CIREEM S.A.S; 🇨🇴 Bogotá, Colombia

Healthy Medical Center S.A.S.; 🇨🇴 Manizales, Colombia

Instituto Médico Río Cuarto; 🇦🇷 Córdoba, Argentina

Clinica Privada Independencia; 🇦🇷 Munro, Argentina

Centro Médico IPAM; 🇦🇷 Santa Fe, Argentina

Clínica Universidad de los Andes; 🇨🇱 Las Condes, Metropolitana, Chile

Icegclinic; 🇨🇱 La Florida, Santiago, Chile

Hospital Regional Dr. Leonardo Guzman de Antofagasta; 🇨🇱 Antofagasta, Chile

IntegraMédica Las Condes; 🇨🇱 Santiago, Chile

Corazon IPS S.A.S; 🇨🇴 Barranquilla, Colombia

Centro de Estudios e Investigación en salud-CEIS; 🇨🇴 Bogotá, Colombia

Fundación Valle del Lili; 🇨🇴 Cali, Colombia

Institución Prestadora de servicios de salud Centro Medico Julian Coronel S.A.S; 🇨🇴 Cali, Colombia

Clinica Universidad de la Sabana; 🇨🇴 Chía, Colombia

Asociación IPS Médicos Internistas de Caldas S.A.S; 🇨🇴 Manizales, Colombia

Programa de Estudio y Control de Enfermedades Tropicales PECET. Universidad de Antoquia; 🇨🇴 Medellín, Colombia

The Catholic University of Korea, Bucheon ST. Mary's Hospital; 🇰🇷 Bucheon, Korea, Republic of

Busan Medical Center; 🇰🇷 Busan, Korea, Republic of

Keimyung University Dongsan Medical Center; 🇰🇷 Daegu, Korea, Republic of

KyungPook National University Chilgok Hospital; 🇰🇷 Daegu, Korea, Republic of

Kyungpook National University Hospital; 🇰🇷 Daegu, Korea, Republic of

Chungnam national University Hospital; 🇰🇷 Daejeon, Korea, Republic of

Chungnam National University Sejong Hospital; 🇰🇷 Daejeon, Korea, Republic of

Chonnam National University Bitgoeul Hospital; 🇰🇷 Gwangju, Korea, Republic of

Gyeonggi Medical Center An-sung Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Gyeonggi Medical Center Paju Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Gyeonggi Medical Center Icheon Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Gyeonggi Medical Center Pocheon Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Gyeonggi Medical Center Suwon Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Gyeonggi Medical Center Uijeongbu Hospital; 🇰🇷 Gyeonggi-do, Korea, Republic of

Inje University Ilsan Paik Hospital; 🇰🇷 Ilsan, Korea, Republic of

Inha University Hospital; 🇰🇷 Incheon, Korea, Republic of

Incheon Sejong Hospital; 🇰🇷 Incheon, Korea, Republic of

Boramae Medical Center; 🇰🇷 Seoul, Korea, Republic of

Jeonbuk National University Hospital; 🇰🇷 Jeonju, Korea, Republic of

Pusan National University Hospital; 🇰🇷 Pusan, Korea, Republic of

Eunpyeong St. Marys' Hospital; 🇰🇷 Seoul, Korea, Republic of

Korea University Guro Hospital; 🇰🇷 Seoul, Korea, Republic of

National Medical Center; 🇰🇷 Seoul, Korea, Republic of

Kyung Hee University Medical Center; 🇰🇷 Seoul, Korea, Republic of

Yongin Severance Hospital; 🇰🇷 Yongin, Korea, Republic of

Ajou University Hospital; 🇰🇷 Suwon, Korea, Republic of

MEDICOME - Oświęcimskie Centrum Medyczne; 🇵🇱 Oświęcim, Poland

Przychodnia Lekarska Eskulap; 🇵🇱 Skierniewice, Poland

Krakowskie Centrum Medyczne; 🇵🇱 Kraków, Poland

FutureMeds Warszawa Centrum; 🇵🇱 Warszawa, Poland

CMS Sp. z o.o.; 🇵🇱 Wysokie Mazowieckie, Poland

Centrum Medyczne AMED Oddział w Łodzi; 🇵🇱 Łódź, Poland

NZOZ Le Med; 🇵🇱 Łódź, Poland

Bridle Road Clinic (Liverpool); 🇬🇧 Birkenhead, United Kingdom

Soho Road Health Centre; 🇬🇧 Birmingham, United Kingdom

Gimpo Woori Hospital; 🇰🇷 Gimpo-si, Korea, Republic of

Myongji Hospital; 🇰🇷 Goyang-si, Korea, Republic of

Chosun University Hospital; 🇰🇷 Seoul, Korea, Republic of

Chung-Ang University Hospital; 🇰🇷 Seoul, Korea, Republic of

Sahmyook medical Center; 🇰🇷 Seoul, Korea, Republic of

Ciprec - Centro de Investigación Y Prevención Cardiovascular; 🇦🇷 Caba, Argentina

Fundación Cardiovascular de Colombia; 🇨🇴 Floridablanca, Colombia

Clinisalud del Sur S.A.S; 🇨🇴 Sabaneta, Colombia

Hospital de Agudos "Dr. Ignacio Pirovano"; 🇦🇷 Caba, Argentina

Clínica de la Costa Ltda; 🇨🇴 Barranquilla, Colombia

Centro de Estudios Clínicos e Investigaciones Médicas - CECIM; 🇨🇱 Santiago, Chile

Seoul Medical Center; 🇰🇷 Seoul, Korea, Republic of