RecruitingPhase 2NCT05218356

Phase IIa Randomized Placebo Controlled Clinical Study of Codivir in Hospitalized Patients with Moderate COVID-19


Sponsor

Code Pharma

Enrollment

130 participants

Start Date

Jan 20, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is a double-blind, multicentre, multinational study to evaluate the safety and collect preliminary efficacy data of Codivir drug product in 130 hospitalized adults with moderate COVID-19 symptoms. COVID-19 symptoms (fever, cough, myalgia and changes in smell or taste) onset must be within 7 days prior enrolment. Treatment will begin in the hospital, participants will be discharged according to medical decision and continue the treatment until to Day 7 at home and followed up to day 28.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria12

  • Age between 18 and 75 years
  • Male or female
  • SARS-CoV-2 infection indicated by confirmed RT-PCR test
  • Moderate hospitalized COVID-19 (at least two out of three criterias below):
  • Evidence of lower respiratory disease during clinical assessment (cough, fever, difficulty breathing) or imaging (X-rays)
  • Oxygen saturation (SpO2) in room air < 93%
  • <30 breaths per minute
  • No signs of hemodynamic decompensation
  • Absence of pregnancy in women of childbearing age
  • Ability to understand and comply with the requirements of the protocol
  • Consent to participate
  • Consent to use at least one highly effective contraception methods (condoms, IUD, oral contraceptives) since the ICF signature and at least 30 days after the study.

Exclusion Criteria10

  • Patients receiving oxygen supplementation except of nasal prongs, nasal intermittent positive pressure ventilation (NIPPV) or high flow nasal cannula (HFNC) that are allowed to be enrolled to the study).
  • Positive RT-PCR test more than 72 hours prior to enrolment.
  • Onset of symptoms more than 7 days prior to enrolment.
  • Participant using drugs that are under clinical investigation in last 30 days.
  • Body mass index less than 19.9 or greater than 35.
  • Comorbidities such as: other serious infections, active malignancies, autoimmune diseases, liver, kidney or heart failure; another systemic disease and / or laboratory abnormality, which, in the investigator's opinion, prevent the patient from participating in the study.
  • Concomitant HIV, HBV or HCV infection.
  • Pregnancy or lactation.
  • Vaccination for any other infection in the 4 weeks prior to enrolment.
  • Any condition that increases the risk of participating in the study, in the opinion of the investigator.

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Interventions

DRUGCovidir injections

administration of the investigational product CODIVIR/Placebo at a dose of 20 mg twice a day subcutaneously at visits Day0-Day6 (7 days total)

DIAGNOSTIC_TESTQuantitative PCR SARS-CoV-2

detection of viral RNA in nasopharyngeal and oropharyngeal samples by the Real Time Protein Chain Reaction technique.

DIAGNOSTIC_TESTIgM and IgG dosage

lood collection for dosage of Anti SARS-CoV-2 antibodies.

DIAGNOSTIC_TESTScreening Blood tests

omplete blood count, urea, creatinine, uric acid, sodium, potassium, chloride, calcium, glucose, glycated hemoglobin, alkaline phosphatase (FA), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubins and fractions ( BTF), total proteins and fractions (PTF), lipid profile (total cholesterol, fractions and triglycerides); coagulogram (TP, aPTT); D-dimer; C-reactive protein; HIV, HBV, HCV serology; Ferritin; troponin, fibrinogen,Coagulogram (TP, aPTT); D-dimer, Pregnancy test for non-sterile women.

DIAGNOSTIC_TESTElectrocardiogram

valuation by the principal investigator or assistant physician with a complete physical examination

OTHERNEWS-2 score

assessment of the participant by the NEWS-2 score.

OTHERWHO score

assessment of the participant by the score of the World Health Organization.

OTHERPhysical examination

evaluation by the principal investigator or assistant physician

OTHERCOVID-19-Related Symptoms assessment

will be completed by the study staff member based on patient status and answers.


Locations(5)

Hospital de Amor

Paulo Prata, Barretos/SP/BRA, Brazil

Infection Control

Prado, Belo Horizonte/MG/BRA, Brazil

Instituto Lobus

Casa de Pedra, Volta Redonda/RJ/BRA, Brazil

A2Z Clinical

Vila Martina, Volta Redonda/RJ/BRA, Brazil

Casa de Saude

Centro, Brazil

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