RecruitingPhase 2NCT06577558

Efficacy and Safety of SR1375 in Adult Patients With CAP

A Randomized, Double-blind, Placebo-controlled Phase II Study to Evaluate the Efficacy and Safety of SR1375 in Hospitalized Adult Patients With Community-acquired Pneumonia


Sponsor

Shanghai SIMR Biotechnology Co., Ltd.

Enrollment

240 participants

Start Date

Sep 10, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a phase 2 study to evaluate the efficacy and safety of SR1375 in hospitalized adult patients with CAP. Patients will receive SR1375 or placebo for 8 weeks. The study duration for each patient is up to 10 weeks.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Inclusion Criteria9

  • The subject or their legally acceptable representative (LAR) has voluntarily signed the informed consent form (ICF) prior to any study-related procedures, and the subject is willing and able to comply with all study requirements, restrictions, and procedures. If consent is provided by an LAR for a subject with limited or no capacity to consent, re-consenting may be performed if the subject regains capacity.
  • Aged 18 to 85 years.
  • Diagnosis of CAP
  • Prior to screening, the subject has been receiving standard-of-care treatment for pneumonia in a medical institution, including at least 3 days of intravenous (IV) anti-infective therapy, with no clinical improvement.
  • Chest CT showing multi-lobar infiltrates, and for subjects not receiving invasive mechanical ventilation, an oxygenation index (PaO2/FiO2 ratio) between 100 and 300 mmHg.
  • Expected to require continued hospitalization for at least 7 days from the time of signing the ICF.
  • Baseline NIAID-OS 8-point scale score of 5 points and transcutaneous oxygen saturation ≤ 93% without oxygen inhalation, 6 points or 7points. (5 points refer to hospitalization with oxygen therapy; 6 points refer to hospitalization with high flow oxygen therapy or non-invasive mechanical ventilation. 7 points refer to hospitalization with invasive mechanical ventilation).High oxygen flow refers to ≥ 4 L/min.)
  • With ≥ 1 high risk factors including chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, type 2 diabetes, chronic kidney disease, coronary heart disease, age ≥ 65 years, moderate obesity (body mass index>32.5kg/m2), etc.
  • Participants of women of childbearing potential(WOCBP) and male participants with WOCBP partners must agree to use one or more effective contraceptive methods during the treatment period and until 90 days after the last administration.

Exclusion Criteria11

  • Patients who are currently receiving or are expected to require ECMO treatment within 24 hours.
  • Presence of active tuberculosis (TB) or severe asthma.
  • History of unstable angina or acute myocardial infarction within 3 months prior to screening, or stroke within 4 weeks prior to screening.
  • Received chemotherapy and/or immunotherapy for a malignant tumor within 4 weeks prior to randomization, or are planned to receive such treatment during the study period; presence of a hematological malignancy not in complete remission; or a lung tumor with concurrent obstructive pneumonia.
  • Presence of any concomitant disease that is expected to result in death within 12 weeks after randomization.
  • Prior use of JAK inhibitors (e.g., Baricitinib), interleukin receptor inhibitors (e.g., Tocilizumab), or any investigational drug in another clinical trial, where the last dose was administered less than 5 half-lives before the first dose of the study drug in this trial.
  • ALT) or AST > 3 times the upper limit of normal (ULN).
  • eGFR < 30 mL/min/1.73 m² (calculated using the Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\] formula); however, patients undergoing dialysis may be included upon the investigator's assessment of their suitability for the trial.
  • Presence of clinically significant abnormalities on ECG that may seriously affect subject safety, e.g., QTcF > 480 ms.
  • Female subjects who are pregnant, lactating, or have a positive serum β-HCG pregnancy test.
  • Presence of any severe systemic disease or clinical condition that, in the investigator's judgment, makes the subject unsuitable for participation in this study.

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Interventions

DRUGSR1375 capsule 3mg+regular treatments

SR1375 capsule 3mg QD orally+CAP regular treatments

DRUGSR1375 capsule 1mg+regular treatments

SR1375 capsule 1mg QD orally+CAP regular treatments

DRUGSR1375 capsule 0.3mg+regular treatments

SR1375 capsule 0.3mg QD orally+CAP regular treatments

DRUGPlacebo capsule+regular treatments

Placebo capsule QD orally+CAP regular treatments


Locations(29)

Fuyang People's Hospital

Fuyang, Anhui, China

Peking University Third Hospital

Beijing, Beijing Municipality, China

Zhangzhou Hospital

Zhangzhou, Fujian, China

Gaozhou People's Hospital

Gaozhou, Guangdong, China

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, Guangdong, China

The Third Affiliated Hospital of Southern Medical University

Guangzhou, Guangdong, China

Nanfang Hospital

Guangzhou, Guangdong, China

The First Affiliated Hospital of Shantou University Medical College

Shantou, Guangdong, China

Yulin First People's Hospital

Yulin, Guangxi, China

The First Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Daqing Longnan Hospital

Daqing, Heilongjiang, China

Daqing People's Hospital

Daqing, Heilongjiang, China

Shangqiu People's Hospital

Shangqiu, Henan, China

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Yueyang Central Hospital

Yueyang, Hunan, China

Nanjing First Hospital

Nanjing, Jiangsu, China

Jiangxi Provincial People's Hospital

Nanchang, Jiangxi, China

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Yanbian University Affiliated Hospital

Yanbian, Jilin, China

Dalian Central Hospital

Dalian, Liaoning, China

The Second Hospital of Dalian Medical University

Dalian, Liaoning, China

Weifang Second People's Hospital

Weifang, Shandong, China

Zibo Municipal Hospital

Zibo, Shandong, China

Zhongshan Hospital

Shanghai, Shanghai Municipality, China

Shanghai Tongren Hospital

Shanghai, Shanghai Municipality, China

Shanghai Pulmonary Hospital

Shanghai, Shanghai Municipality, China

West China Hospital of Sichuan University

Chengdu, Sichuan, China

The First Affiliated Hospital of Chengdu Medical College

Chengdu, Sichuan, China

Lishui Central Hospital

Lishui, Zhejiang, China

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NCT06577558


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