The KIN-FAST Trial (KIN001 For Accelerated Symptoms Termination) in Non Hospitalized Patients Infected With SARS-CoV-2

Phase 2

Terminated

• Conditions: COVID-19
• Interventions: Drug: KIN001; Drug: KIN001-Placebo

• Registration Number: NCT05659459
• Lead Sponsor: Kinarus AG

Brief Summary

Clinical trial on safety and efficacy of KIN001 in non-hospitalized patients with COVID-19.

Detailed Description

This is a prospective, double-blind, randomized and placebo-controlled phase II trial to evaluate the safety and efficacy of KIN001 in non-hospitalized patients suffering from COVID-19. Randomization to one of two treatment arms (KIN001 versus Placebo) is at a ratio of 1:1.

Patients will receive treatment for 14 days and followed for another 14 days. The primary outcome is patient reported COVID-19 symptoms, using the FDA questionnaire developed for assessing COVID-19-related symptoms in outpatients.

The trial will be conducted in Switzerland and Germany.

Study Timeline

• Study Start: 2022-08-25
• Study First Submitted: 2022-12-02
• Study First Submitted QC: 2022-12-12
• Study First Posted: 2022-12-21
• Primary Completion: 2023-10-01
• Study Completion: 2023-10-01
• Status Verified: 2025-03
• Last Update Submitted: 2025-03-11
• Last Update Posted: 2025-03-14

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 17

Inclusion Criteria

1. Diagnosis of symptomatic COVID-19 of less than 5 days' duration, with at least 1 point in at least 4 items of the symptom evaluation table, and at least 2 points in at least 2 items, OR a minimum total score of 6 points
2. Diagnosis of COVID-19 confirmed in the last 48 hours by a positive test for SARS-CoV-2 RNA by RT PCR or a rapid validated antigen test (excluding self-test), in a specimen from the upper respiratory tract, the saliva (antigen test), the lower respiratory tract or an expectorated sputum
3. No indication that the patient will be hospitalized in the next 48 hours for COVID-19 related reasons
4. Adult male or female patients aged ≥ 18 years
5. Females must have a negative pregnancy test or must be post-menopausal
6. Able to understand and willing to sign an IRB/IEC approved written informed consent document.
7. Able to understand and be available for daily phone calls to evaluate symptoms.

Exclusion Criteria

1. Patients with an indication for hospitalization (e.g. SpO2 <92%)
2. Patients participating in another clinical trial with a new investigational drug or investigational non-drug treatment
3. Known allergy or intolerance to pamapimod or any other ingredient of the IMP or another P38 inhibitor
4. Known allergy or intolerance of clinical relevance to pioglitazone or any other ingredient of the IMP.
5. Patients where oral administration of pioglitazone is contraindicated (i.e. cardiac failure or history of cardiac failure (NYHA stages I to IV), with hepatic impairment, diabetic ketoacidosis, current bladder cancer or a history of bladder cancer, uninvestigated macroscopic haematuria
6. Any use of CYP450 2C8 inducers (e.g. rifampicin)
7. Known or suspected active viral (including HIV, hepatitis B, hepatitis C), bacterial, mycobacterial or fungal infection other than COVID-19. Virologic testing not required unless infection is suspected.
8. Pregnant or breastfeeding women
9. Any uncontrolled concurrent illness that would put the patient at a greater risk or limit compliance with the study requirements as determined at the discretion of the investigator
10. Liver enzyme elevation more than 3x above normal in the last 4 weeks or at inclusion
11. Patients who are detained or committed to an institution by a law court or by legal authorities (subject is vulnerable, such as deprived of freedom)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
KIN001	KIN001	75mg pamapimod oral tablet 5mg pioglitazone oral tablet twice daily for 14 days
Placebo	KIN001-Placebo	75mg pamapimod-placebo oral tablet 5mg pioglitazone-placebo oral tablet twice daily for 14 days

Primary Outcome Measures

Name	Time	Method
COVID-19 symptoms evaluation	28 days	Number of days alive with no score \> 1 in each of the symptoms and a maximum of 3 points in the total score\*, measured from inclusion to day 28; \*Assessing COVID-19-Related Symptoms in Outpatient Adult and Adolescent Subjects in Clinical Trials of Drugs and Biological Products for COVID-19 Prevention or Treatment Guidance for Industry https://www.fda.gov/drugs/guidance-compliance-regulatory-information/guidances-drugs

Secondary Outcome Measures

Name	Time	Method
COVID-19 time to recovery	28 days	Time to clinical recovery, based on patient-reported daily evaluation of symptoms, and defined as the number of days from start of administration of the investigational agent to the first of two consecutive days when any symptoms scored as 2 or 3 at study entry are scored as 0-1 AND any symptoms scored as 0-1 at study entry are scored as 0
COVID-19 related hospital admissions	28 days	All-cause unplanned COVID-19 related hospital admissions
Safety and tolerability assessing treatment emergent adverse events	28 days	Safety and tolerability of KIN001
Total evaluation of COVID-10 symptoms score	28 days	Total sum of daily scores\* of symptomes from inclusion to day 28; \*Assessing COVID-19-Related Symptoms in Outpatient Adult and Adolescent Subjects in Clinical Trials of Drugs and Biological Products for COVID-19 Prevention or Treatment Guidance for Industry https://www.fda.gov/drugs/guidance-compliance-regulatory-information/guidances-drugs

Trial Locations

Locations (8)

Cabinet Dr. Thanh; 🇨🇭 Nyon, Switzerland

Praxis am Ebertsplatz; 🇩🇪 Cologne, Germany

Velocity Clinical Research Hamburg; 🇩🇪 Hamburg, Germany

Praxis am Neckar; 🇩🇪 Heidelberg, Germany

Hôpital de la Tour; 🇨🇭 Meyrin, Switzerland

Cabinet Dr Clément; 🇨🇭 Nyon, Switzerland

Cabinet Dr. Dang; 🇨🇭 Onex, Switzerland

Cabinet Dr. Schaller; 🇨🇭 Onex, Switzerland