A Dose Escalation and Dose Expansion Study of NOX66 in the Treatment of COVID-19 Infection (NOXCOVID)
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Sponsor
- Noxopharm Limited
- Enrollment
- 41
- Locations
- 1
- Primary Endpoint
- Incidence of Treatment-Emergent Adverse Events
Study Overview
Brief Summary
Phase Ib, open-label, multicenter, study of NOX66, given rectally to hospitalized patients with moderate systemic illness due to COVID-19 infection at high risk of developing severe sepsis / septic shock.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Hospitalized patient with clinically diagnosis of SARS-CoV-2 virus infection per World Health Organization criteria including positive nucleic acid test of any specimen (e.g., respiratory, blood, or other bodily fluid) within 2 weeks prior to screening.{Other confirmatory test results will be accepted upon approval from Sponsor/CRO Medical Monitor prior to enrolment}.
- •Symptoms suggestive of moderate systemic illness with COVID-19, which could include any of the following symptoms: fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, or shortness of breath at rest, or respiratory distress.
- •Clinical signs indicative of moderate systemic COVID-19 illness (with high risk of developing severe ARDS/septic shock) with an aggregate of NEWS-2 score of 4-6 or 3 in one single parameter.
Exclusion Criteria
- •Patients who meet any of the following criteria will be disqualified from entering the study:
- •Patients who require 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), non-invasive positive pressure ventilation, ECMO, or clinical diagnosis of respiratory failure.
- •Presence of any of the following abnormal laboratory values at screening: aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >5 x upper limit of normal (ULN), platelets <50,000/µL.
- •Treatment with anti-IL 6, anti-IL-6R antagonists, or with Janus kinase inhibitors in the past 30 days or plans to receive during the study period.
- •Current treatment with conventional synthetic disease-modifying antirheumatic drugs (DMARDs)/immunosuppressive agents.
- •Use of chronic oral corticosteroids for a non-COVID-19-related condition in a dose higher than prednisone 10 mg or equivalent per day.
- •History of, or current autoimmune or inflammatory systemic or localized disease(s) other than rheumatoid arthritis.
Arms & Interventions
Dose Escalation Cohort 1 - NOX66 400mg
NOX66 400 mg suppository OD
Intervention: NOX66 (Drug)
Dos Escalation Cohort 2 - NOX66 600mg
NOX66 600 mg suppository OD
Intervention: NOX66 (Drug)
Dose Escalation Cohort 3 - NOX66 800mg
NOX66 800 mg daily (400 mg suppository BID)
Intervention: NOX66 (Drug)
Dose Escalation Cohort 4 - NOX66 1200mg
NOX66 1200 mg daily (600 mg suppository BID)
Intervention: NOX66 (Drug)
Dose Escalation Cohort 5 - NOX66 1800mg
NOX66 1800 mg daily (600 mg suppository TID)
Intervention: NOX66 (Drug)
Dose Expansion - NOX66 Recommended Phase 2 Dose
Dose Expansion: NOX66 RP2D
Intervention: NOX66 (Drug)
Outcomes
Primary Outcomes
Incidence of Treatment-Emergent Adverse Events
Time Frame: 60 Days
Routine safety monitoring during the study period
Secondary Outcomes
- Change of National Early Warning Score 2 units from baseline(60 Days)
- Change in WHO-9 point ordinal scale(60 Days)
