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Clinical Trials/NCT04555213
NCT04555213CompletedPhase 1

A Dose Escalation and Dose Expansion Study of NOX66 in the Treatment of COVID-19 Infection (NOXCOVID)

Noxopharm Limited1 site in 1 country41 target enrollmentStarted: September 30, 2020Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
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

Experimental

NOX66 400 mg suppository OD

Intervention: NOX66 (Drug)

Dos Escalation Cohort 2 - NOX66 600mg

Experimental

NOX66 600 mg suppository OD

Intervention: NOX66 (Drug)

Dose Escalation Cohort 3 - NOX66 800mg

Experimental

NOX66 800 mg daily (400 mg suppository BID)

Intervention: NOX66 (Drug)

Dose Escalation Cohort 4 - NOX66 1200mg

Experimental

NOX66 1200 mg daily (600 mg suppository BID)

Intervention: NOX66 (Drug)

Dose Escalation Cohort 5 - NOX66 1800mg

Experimental

NOX66 1800 mg daily (600 mg suppository TID)

Intervention: NOX66 (Drug)

Dose Expansion - NOX66 Recommended Phase 2 Dose

Experimental

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)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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