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Inhaled Interferon α2b for the Treatment of Coronavirus Disease 19 (COVID-19) (IN2COVID)

2022年8月3日 更新者:Pontificia Universidad Catolica de Chile

A Phase I/II Randomized, Double-blind, Placebo-controlled Study of Inhaled Interferon α2b for the Treatment of Coronavirus Disease 19 (COVID-19)

The IN2COVID Study is a 2-staged phase I/II double-blind, randomized, placebo-controlled trial to evaluate the efficacy and safety of AP-003 (Interferon α2b) when administered via inhalation twice daily for 10 days. Participants will have a final visit at Day 11.

A lead-in phase 1 substudy will be performed with at least 18 healthy adult male subjects to assess safety and tolerability of inhaled AP-003 compared to placebo for 10 days. Two cohorts of 9 subjects will be randomly assigned to receive two doses of inhaled AP-003 or placebo with an allocation ratio of 2:1. The first cohort will assess a dose of 2.5 MIU of inhaled AP-003. If no adverse events are observed, the second cohort will be conducted using a dose of 5 MIU of inhaled AP-003. Maximum tolerated dose will be determined in this phase 1 substudy.

After the completion of phase 1, the study will continue with a phase 2 treatment RCT in patients with COVID-19. In this phase, 150 adults with mild or moderate COVID-19 demonstrated by SARS-CoV-2 positive polymerase chain reaction (PCR) ≤ 5 days at enrollment will be randomized 1:1 (75 in each arm) to receive nebulized AP-003 or identical placebo twice daily during 10 days.

調査の概要

研究の種類

介入

入学 (実際)

173

段階

  • フェーズ2
  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • RM
      • Santiago、RM、チリ、8330033
        • Red de Salud UC Christus

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Phase 1 stage:

Inclusion criteria:

  1. Male subjects aged 18-50 years;
  2. In good state of health, determined by medical history, physical exam, and normal laboratory tests at screening;
  3. Are able to provide informed consent for participation;
  4. Are able and willing to comply with the study schedule and procedures.

Exclusion Criteria

  1. Active SARS-CoV-2 infection demonstrated by positive polymerase chain reaction (PCR) at enrollment;
  2. Requiring CPAP for sleep apnea;
  3. Pre-existing pulmonary disease;
  4. Have any serious acute concomitant illness that, in the opinion of the investigator, would interfere with evaluation of safety of AP-003, or put the participant at risk of harm from study participation;
  5. Are currently receiving an investigational agent, have participated in another study of an investigational agent within 30 days of enrollment, or were previously enrolled in the current study;
  6. Are legally incompetent and unable to understand the study's purpose, significance, and consequences, and to make decisions accordingly;
  7. Have known hypersensitivity to interferon alpha or any component of the study drug or placebo control.

Phase 2 stage:

Inclusion criteria:

  1. Active SARS-CoV-2 infection demonstrated by positive polymerase chain reaction (PCR) ≤ 5 days at enrollment;
  2. Symptomatic of mild or moderate COVID-19 for ≤ 5 days at enrollment. Symptoms can include fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, chest pain, with or without shortness of breath on exertion/dyspnea;
  3. Age ≥ 18 years;
  4. Are able to provide informed consent for participation;
  5. Are able and willing to comply with the study schedule and procedures.

Exclusion Criteria

  1. Patients requiring CPAP for sleep apnea.
  2. Patients with pre-existing pulmonary disease requiring chronic O2 supplementation.
  3. Patients with known infection with Influenza A or B;
  4. In the opinion of the Investigator, should undergo ventilatory (CPAP, mechanical ventilation, etc.) or circulatory support within 24 hours of study enrollment;
  5. Have any serious acute concomitant illness that, in the opinion of the Investigator, would interfere with evaluation of safety or efficacy, or put the participant at risk of harm from study participation;
  6. Are currently receiving an investigational agent, have participated in another study of an investigational agent within 30 days of enrollment, or were previously enrolled in the current study;
  7. Are legally incompetent and unable to understand the study's purpose, significance, and consequences, and to make decisions accordingly;
  8. Women who are pregnant or breast-feeding, or planning to conceive in the next 30 days;
  9. Have known hypersensitivity to interferon alpha or any component of the study drug or placebo control.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:4倍

武器と介入

参加者グループ / アーム
介入・治療
実験的:Part 1a: Interferon alpha 2b 2.5 MIU
Nebulized interferon alpha 2b 2.5 MIU every 12 hours during 10 days (20 doses total)
Nebulized interferon alpha 2B
他の名前:
  • AP-003
実験的:Part 1b: Interferon alpha 2b 5 MIU
Nebulized interferon alpha 2b 5 MIU every 12 hours during 10 days (20 doses total)
Nebulized interferon alpha 2B
他の名前:
  • AP-003
プラセボコンパレーター:Part 1: Placebo
Nebulized placebo every 12 hours during 10 days (20 doses total)
噴霧プラセボ
実験的:Part 2: Interferon alpha 2b 5 MIU (or maximum tolerated dose from part 1)
Nebulized interferon alpha 2b 5 MIU (or maximum tolerated dose from part 1) every 12 hours during 10 days (20 doses total)
Nebulized interferon alpha 2B
他の名前:
  • AP-003
プラセボコンパレーター:Part 2: Placebo
Nebulized placebo every 12 hours during 10 days (20 doses total)
噴霧プラセボ

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Treatment-emergent adverse events in healthy subjects
時間枠:At the end of Phase 1 (Phase 1 is 11 days)
Safety and tolerability of AP-003 as measured by subject incidence of treatment-emergent adverse events.
At the end of Phase 1 (Phase 1 is 11 days)
Change in perception of health status measured by EQ VAS in COVID-19 patients
時間枠:At Day 5 of Phase 2 (Phase 2 is 28 days)
Changes from baseline evaluation in COVID-19(+) participants' perception of health status at Day 5 as measured by EQ VAS in AP-003 treated patients compared to placebo.
At Day 5 of Phase 2 (Phase 2 is 28 days)

二次結果の測定

結果測定
メジャーの説明
時間枠
Serum levels of interferon alpha 2b
時間枠:Up to Day 11 of Phase 1 (Phase 1 is 11 days)
Pharmacokinetics of nebulized AP-003 in healthy adults assessed by serial serum quantification of interferon alpha 2b
Up to Day 11 of Phase 1 (Phase 1 is 11 days)
Expression of interferon-induced genes in blood sputum samples
時間枠:Up to Day 11 of Phase 1 (Phase 1 is 11 days)
Evaluation of interferon-induced biomarkers after treatment with AP-003 in blood and sputum of healthy adults to assess biological effect of Interferon
Up to Day 11 of Phase 1 (Phase 1 is 11 days)
Change in perception of health status measured by EQ VAS
時間枠:Day 10 of Phase 2 (Phase 2 is 28 days)
Changes in participants' perception of health status from baseline to Day 10 as measured by EQ VAS in AP-003 treated patients compared to placebo.
Day 10 of Phase 2 (Phase 2 is 28 days)
Change in perception of health status measured by EQ VAS
時間枠:Day 28 of Phase 2 (Phase 2 is 28 days)
Changes in participants' perception of health status from baseline to Day 28 as measured by EQ VAS in AP-003 treated patients compared to placebo.
Day 28 of Phase 2 (Phase 2 is 28 days)
Change in EuroQoL Quality of Life instrument (EQ-5D-5L)
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Changes in participants' perception of health status from baseline to Day 5, from baseline to Day 10, and from baseline to Day 28 as measured by EuroQoL Quality of Life instrument (EQ-5D-5L).
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Change in Ordinal Scale for Clinical Improvement
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Changes in participants' overall health from baseline to Day 5, from baseline to Day 10, and from baseline to Day 28 as measured by Ordinal Scale for Clinical Improvement in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Improvement in clinical symptoms
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Changes in participant's improvement in clinical symptoms from baseline to Day 5, from baseline to Day 10, and from baseline to Day 28 as measured by a daily symptom diary in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Emergency department visits
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
The proportion of participants attending an emergency department for COVID-19 by Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Hospitalizations
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
The proportion of participants hospitalized for COVID-19 by Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Duration of hospitalization
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
For hospitalized participants, duration of hospitalization in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Time from consent to clinical deterioration
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Time from consent to clinical deterioration defined as requiring or recommended for ventilatory support (continuous positive airway pressure [CPAP] or ventilator), shock requiring vasopressor support, and/or heart failure (defined as left ventricular ejection fraction [LVEF] < 30%) in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Change in SARS CoV-2 viral load
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
SARS CoV-2 viral load by quantitative PCR from baseline to Day 5, from baseline to Day 10, and from baseline to Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Change in inflammatory parameters
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Changes in D dimer, CRP, Ferritin, Troponin, creatine phosphokinase (CPK), LDH, IL-6 from baseline through Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Organ failure rate
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Organ failure, any organ, from consent through Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)
Death rate
時間枠:Up to day 28 of Phase 2 (Phase 2 is 28 days)
Death, any cause, from consent through Day 28 in AP-003 treated patients compared to placebo.
Up to day 28 of Phase 2 (Phase 2 is 28 days)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

捜査官

  • スタディディレクター:Arturo Borzutzky, M.D.、Pontificia Universidad Católica de Chile
  • 主任研究者:Diego García-Huidobro, M.D., Ph.D.、Pontificia Universidad Católica de Chile
  • 主任研究者:Carolina Iturriaga, R.N.、Pontificia Universidad Católica de Chile
  • 主任研究者:Jose A Castro-Rodríguez, M.D., Ph.D.、Pontificia Universidad Católica de Chile
  • 主任研究者:Eleanor Fish, Ph.D.、University Health Network, Toronto, Canada

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2021年9月15日

一次修了 (実際)

2022年4月15日

研究の完了 (実際)

2022年7月28日

試験登録日

最初に提出

2021年7月22日

QC基準を満たした最初の提出物

2021年8月1日

最初の投稿 (実際)

2021年8月3日

学習記録の更新

投稿された最後の更新 (実際)

2022年8月5日

QC基準を満たした最後の更新が送信されました

2022年8月3日

最終確認日

2022年4月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

Available upon reasonable request.

IPD 共有時間枠

Data will become available 1 year after study completion during 5 years upon reasonable request.

IPD 共有アクセス基準

Available upon reasonable request.

IPD 共有サポート情報タイプ

  • 研究プロトコル
  • 統計分析計画 (SAP)
  • インフォームド コンセント フォーム (ICF)
  • 臨床試験報告書(CSR)

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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