- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04417257
Study of LAU-7b for the Treatment of Coronavirus Disease 2019 (COVID-19) Disease in Adults (RESOLUTION)
RESOLUTION: A Double-blind, Randomized, Placebo-controlled, Phase II/III Study of the Efficacy and Safety of LAU-7b in the Treatment of Adult Hospitalized Patients With COVID-19 Disease
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
RESOLUTION is a multicenter, randomized, double-blind, placebo-controlled Phase 2/3 study of LAU-7b for the treatment of COVID-19 Disease in participants at a higher risk than the general COVID-19 Disease population to develop complications while hospitalized.
The goal of the study is to evaluate the efficacy of LAU-7b therapy + standard-of-care relative to placebo + standard-of-care in participants with COVID-19 Disease with confirmed SARS-CoV-2 infection. SARS is "severe acute respiratory syndrome". CoV is " Coronavirus".
The purpose of the treatment with LAU-7b is to prevent the worsening of the health of hospitalized participants including aggravation such as recourse to mechanical ventilation and death.
The means are the direct effects of LAU-7b on the resolution of inflammation, interference with viral proliferation and protection from excessive pro-inflammatory response.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
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Quebec
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Chicoutimi, Quebec, Canada, G7H 5H6
- Centre d'études cliniques CIUSS SLJ, Hôpital Chicoutimi
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Montreal, Quebec, Canada, H3T 1E2
- Jewish General Hospital
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Montreal, Quebec, Canada, H4A 3J1
- McGill University Health Centre
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Montreal, Quebec, Canada, H1T 2M4
- CIUSSSS de l'Est-de-l'Ile-de-Montréal, Hôpital Maisonneuve-Rosemont
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Montreal, Quebec, Canada, H2X2P1
- Centre Hospitalier de l'Universite de Montreal
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Saint-Jérôme, Quebec, Canada, J7Z 5T3
- CISSS des Laurentides
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Arizona
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Chandler, Arizona, United States, 85224
- Chandler Regional Medical Center / Mercy Gilbert Medical Center
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California
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Newport Beach, California, United States, 92663
- Hoag Memorial Hospital Presbyterian
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Sacramento, California, United States, 95817
- University of California Davis Medical Center
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Connecticut
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Danbury, Connecticut, United States, 06810
- Nuvance Health - Danbury Hospital
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District of Columbia
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Washington D.C., District of Columbia, United States, 20010
- Medstar Washington Hospital Center
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Florida
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Jacksonville Beach, Florida, United States, 32250
- Baptist Medical Center Beaches
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Idaho
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Boise, Idaho, United States, 83702
- St Lukes Hospital
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Illinois
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Chicago, Illinois, United States, 60625
- NorthShore University Health System - Swedish Hospital
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Glenview, Illinois, United States, 60026
- NorthShore University Health System - Glenbrook Hospital
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospitals and Clinics
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Maryland
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Annapolis, Maryland, United States, 21401
- Anne Arundel Medical Center, 2001 Medical Parkway, Belcher Pavillion
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Health System
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Detroit, Michigan, United States, 48201
- Wayne State University, Harper University Hospital and Detroit Receiving Hospital
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Nevada
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Las Vegas, Nevada, United States, 89102
- University Medical Center of Southern Nevada
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New York
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Staten Island, New York, United States, 10305
- Staten Island University Hospital North
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North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest University Health Science
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Ohio
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Columbus, Ohio, United States, 43214
- OhioHealth Riverside Methodist Hospital
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Kettering, Ohio, United States, 45429
- Kettering Health
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Pennsylvania
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Sayre, Pennsylvania, United States, 18840
- Robert Packer Hospital
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Texas
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Dallas, Texas, United States, 75390
- University of Texas Southwestern
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Houston, Texas, United States, 77030
- Houston Methodist Hospital
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Mesquite, Texas, United States, 75149
- PRX Research /Dallas Regional Medical Center
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Utah
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Salt Lake City, Utah, United States, 84112
- University of Utah Health
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant exhibited symptoms [Extension Phase 3 study only: (including at least one lower respiratory symptom such as shortness of breath or dyspnea)] of COVID-19 disease at screening and/or since the start of their hospitalization (may have included treated symptoms)
- Participant was 18 years and older, of either gender
Participant must have had at least one of the following factors/co-morbidities:
- Controlled or uncontrolled diabetes
- Pre-existing cardiovascular disease, including hypertension
- Pre-existing respiratory disease such as chronic obstructive pulmonary disease(COPD), asthma, emphysema
- Active [Extension Phase 3 study only: or a former smoker] with 20 pack-years of smoking history
- Obesity as depicted by BMI ≥30 kg/m2
- Laboratory tests indicative of a higher risk of COVID-19-related complications, such as troponin >1.5 the upper limit of normal (ULN), [Extension Phase 3 study only: D-dimer >3.0 ULN] and/or C reactive protein (CRP) >1.5 ULN
- Aged 70 years and older who, based on the judgment of the investigator, was at a higher risk of developing complications
- Participant had a documented positive test for the SARS-CoV-2 virus [Pilot Phase 2 study only: or was suspected to be positive and with a test result pending]. [Extension Phase 3 study only: Co-infection with other viral respiratory infections was allowed and had to be documented in medical history]
- Participant was under observation by, or admitted to, a controlled facility or hospital [Extension Phase 3 study only: for no more than 48 hours (72 hours from amendment 3 onwards) before screening, including any prior stay in another hospital] to receive standard of care (SoC) for COVID-19 disease
- [Pilot Phase 2 study only: Participant's hs was 3, 4, or 5 on the WHO ordinal scale and not previously a "6"] [Extension Phase 3 study only: 3 or 4 on the World Health Organization (WHO) ordinal scale and not previously a "5 or a 6"]
- If female, participant was either post-menopausal (one year or greater without menses), surgically sterile, or, for female subjects of child-bearing potential who were capable of conception had to be practicing a highly effective method of birth control (acceptable methods included intrauterine device, complete abstinence, spermicide + barrier, male partner surgical sterilization, or hormonal contraception) during the study and through 30 days after the last dose of the study medication. Periodical abstinence was not classified as an effective method of birth control. A pregnancy test had to be negative at the Screening Visit
- Participant had the ability to understand and give informed consent, which could have been verbal with a witness, according to local requirements
- Participant was deemed capable of adequate compliance including attending scheduled visits for the duration of the study
- Participant was able to swallow the study drug capsules
Exclusion Criteria:
- Pregnancy or breastfeeding
Health condition deemed to possibly interfere with the study endpoints and/or the safety of the participants. For example, the following conditions were considered contraindicated for participation in the study, but this was not an exhaustive list. In case of doubt, the investigator was to consult with the Sponsor's medical representative:
- Presence of inherited retinitis pigmentosa
- Presence or history of liver failure (Child-Pugh B or C)
- Presence or history of stage 4 severe chronic kidney disease or dialysis requirement
- Febrile neutropenia
- [Pilot Phase 2 study: Presence of active cancer treated with systemic chemotherapy or radiotherapy][Extension Phase 3 study: Presence of end-stage cancer]
- Known history of a severe allergy or sensitivity to retinoids, or with known allergies to excipients in the oral capsule formulation used in the study
- Participation in another drug clinical trial within 30 days (or a minimum of 5 t½) prior to screening, except ongoing participation in non-interventional studies
- Calculated creatinine clearance (CrCl), using the Cockroft-Gault equation for example [Pilot Phase 2 study: <60 mL/min] [Extension Phase 3 study: <30 mL/min)]
- Presence of total bilirubin >1.5 x ULN (in the absence of demonstrated Gilbert's syndrome), alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >2.5 x ULN
- [Extension Phase 3 study only: Subject expected to be transferred to ICU or die in the next 24 hours]
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: LAU-7b
Active drug as LAU-7b capsules
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LAU-7b will be administered orally once-a-day with the main meal of the day, if possible, for a total of up to 14 days.
Other Names:
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Placebo Comparator: Placebo
Placebo oral capsule (as inactive capsules identical to active arm)
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Placebo will be administered orally once-a-day with the main meal of the day, if possible, for a total of up to 14 days.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Primary Outcome for Phase 2: Proportion of Participants Alive and Free of Respiratory Failure by Day 29 (Ordinal Scale Scores 1-4, Inclusively)
Time Frame: On Day 29
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This will be assessed through health status scoring using the WHO 7-point Ordinal Scale, a higher score is worse than a low score.
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On Day 29
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Primary Outcome for Phase 3: Proportion of Participants Requiring Mechanical Ventilation (Includes Extra-corporeal Membrane Oxygenation - ECMO) AND/OR Deceased (All Causes) by Day 60 (Ordinal Scale Scores 1-4, Inclusively)
Time Frame: By Day 60
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This will be assessed through health status scoring using the WHO 7-point Ordinal Scale, a higher score is worse than a low score.
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By Day 60
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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The Safety of LAU-7b Therapy, Overview.
Time Frame: From baseline to Day 60
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This will be assessed through monitoring of treatment emergent adverse events and serious adverse events, vital signs including oxygen saturation and body temperature, symptom-directed physical examinations and safety laboratory tests.
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From baseline to Day 60
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The Safety of LAU-7b Therapy, Display of TEAEs With Incidence Equal or Greater Than 10% in Either Treatment Group
Time Frame: From baseline to Day 60
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This will be assessed through monitoring of treatment emergent adverse events and serious adverse events, vital signs including oxygen saturation and body temperature, symptom-directed physical examinations and safety laboratory tests.
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From baseline to Day 60
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Health Status of the Participant on the 7-point Ordinal Scale on Days 14 and 29, Compared Between Active and Placebo Groups.
Time Frame: On Days 14 and 29
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The health status was graded using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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On Days 14 and 29
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For Phase 2 Portion: Rate of All-causes Death by Day 29, Depicted by a Change From Baseline in the Ordinal Scale Score to Category 7
Time Frame: On Day 29
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This was assessed with Day 29 (and Day 60, presented separately) Health Status grading using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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On Day 29
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For Phase 3 Portion: Rate of All-causes Death by Day 29, Depicted by a Change From Baseline in the Ordinal Scale Score to Category 7
Time Frame: On Day 29
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This was assessed with Day 29 (and Day 60, presented separately) Health Status grading using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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On Day 29
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For Phase 2 Portion: Rate of All-causes Death By Day 60, Depicted by a Change From Baseline in the Ordinal Scale Score to Category 7
Time Frame: On Day 60
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This was assessed with Day 60 (and Day 29, presented separately) Health Status grading using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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On Day 60
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For Phase 3 Portion: Rate of All-causes Death By Day 60, Depicted by a Change From Baseline in the Ordinal Scale Score to Category 7
Time Frame: On Day 60
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This was assessed with Day 60 (and Day 29, presented separately) Health Status grading using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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On Day 60
|
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Proportion of Participants Alive and Free of Respiratory Failure by Day 29 (Ordinal Scale Scores 1-4, Inclusively)
Time Frame: Day 29
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This will be assessed through health status scoring using the WHO 7-point Ordinal Scale, a higher score is worse than a low score.
|
Day 29
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For Phase 2 Portion: Rate of COVID-19 Disease-related Aggravation, Depicted by a Change From Baseline in the Ordinal Scale Score of at Least One Category
Time Frame: From baseline to Day 60
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This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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From baseline to Day 60
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For Phase 3 Portion: Rate of COVID-19 Disease-related Aggravation, Depicted by a Change From Baseline in the Ordinal Scale Score of at Least One Category
Time Frame: From baseline to Day 60
|
This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
|
From baseline to Day 60
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For Phase 2 Only: Rate of COVID-19 Disease-related Transfer to Intensive Care Unit, Depicted by a Change From Baseline in the Ordinal Scale Score to Categories 5 or 6.
Time Frame: From baseline to Day 60
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This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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From baseline to Day 60
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For Phase 2 Only: Rate of COVID-19 Disease-related Transfer to Mechanical Ventilation, Depicted by a Change From Baseline in the Ordinal Scale Score to Category 6
Time Frame: From baseline to Day 60
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This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale, a higher score is worse than a low score.
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From baseline to Day 60
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For Phase 2 Only: Mean Change From Baseline of the Ordinal Scale Patient Health Status as a Function of Assessment Time.
Time Frame: From baseline to Day 60
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This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. Outcome measure data are counts of participants with a given change from baseline in number of categories, by treatment group. The mean change from baseline is compared between treatment groups.
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From baseline to Day 60
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For Phase 2 Only: Time to a Participant's Improvement of at Least One Category on the Ordinal Scale Health Status.
Time Frame: From baseline to Day 60
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This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. If health status was not improved (remains stable or aggravates) by Day 60, it was censored at Day 60.
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From baseline to Day 60
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For Phase 2 Portion: Time to Recovery, Defined as the Time to Reach Categories 2 or 1 on the Ordinal Scale Participant Health Status (First Occurrence if More Than Once).
Time Frame: From baseline to Day 60
|
This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. If health status did not reach categories 2 or 1 by Day 60, it was censored at Day 60.
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From baseline to Day 60
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For Phase 3 Portion: Time to Recovery, Defined as the Time to Reach Categories 2 or 1 on the Ordinal Scale Participant Health Status (First Occurrence if More Than Once).
Time Frame: From baseline to Day 60
|
This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. If health status did not reach categories 2 or 1 by Day 60, it was censored at Day 60.
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From baseline to Day 60
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For Phase 2 Only: Time to Mechanical Ventilation, Defined Here as Time to Reach Category 6 on the Ordinal Scale Participant Health Status.
Time Frame: From baseline to Day 60
|
This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. If category 6 was skipped and the subject died (category 7), it was considered an event. Subjects with missing observations were censored at their last available assessment if they did not need mechanical ventilation while on study.
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From baseline to Day 60
|
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For Phase 2 Only: Time to Death, Defined Here as a Time to Reach Category 7 on the Ordinal Scale Participant Health Status, Censored to Day 60 if it Happens Later Than Day 60
Time Frame: From baseline to Day 60
|
This was assessed through daily health status scoring using the World Health Organization 7-point Ordinal Scale (below), a higher score is worse than a low score. It was censored to Day 60 if it happened later than Day 60, or at the last available visit where the subject was alive if no further ordinal scale health status.
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From baseline to Day 60
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For Phase 2 Portion: Duration of Hospitalization (Days) Within the Study Period Days 1-60
Time Frame: From baseline to Day 60
|
Monitoring of the hospitalization.
In case of re-hospitalization within Day 60 for a given participant, the additional hospitalization time was included.
Hospitalization for more than 60 days was considered 60 days in the calculation.
|
From baseline to Day 60
|
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For Phase 3 Portion: Duration of Hospitalization (Days) Within the Study Period Days 1-60
Time Frame: From baseline to Day 60
|
Monitoring of the hospitalization.
In case of re-hospitalization within Day 60 for a given participant, the additional hospitalization time was included.
Hospitalization for more than 60 days was considered 60 days in the calculation.
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From baseline to Day 60
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For Phase 2 Only: Time to Attain an Undetectable Viral Load in Oropharyngeal Swabs.
Time Frame: Until discharge of participants, up to Day 60
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Intent was to compare median time to undetectable viral load between treatment groups, through oropharyngeal swabs done at specified times while hospitalized.
However, almost all sites were unable to obtain serial samples until discharge of participants.
Therefore, with only a handful of results (reported herein), it was not possible to estimate the time to undetectable viral load.
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Until discharge of participants, up to Day 60
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The Change From Baseline in the Score Obtained on the EuroQol Five-dimensions Five-level (EQ-5D-5L) Quality-of-life Survey
Time Frame: On Days 1, 14, 29, 45 and 60
|
This will be assessed in person or remotely, in participants reaching Days 14, 29, 45 and 60 and able to fill the questionnaire.
EQ-5D-5L value was calculated based on the EQ-5D-5L user guide, and a higher value indicated better health status.
The upper anchor point, full health, was 1.0 and the minimum value was 0.0.
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On Days 1, 14, 29, 45 and 60
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Jean-Marie Houle, PhD, Laurent Pharmaceuticals Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Pathological Conditions, Signs and Symptoms
- Inflammation
- Organic Chemicals
- Retinoids
- Carotenoids
- Polyenes
- Alkenes
- Hydrocarbons, Acyclic
- Hydrocarbons
- Cyclohexenes
- Cyclohexanes
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Pigments, Biological
- Biological Factors
- Fenretinide
Other Study ID Numbers
- LAU-20-01
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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