Recombinant Human Angiotensin-converting Enzyme 2 (rhACE2) as a Treatment for Patients With COVID-19

NCT ID: NCT04335136

Last Updated: 2021-08-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

185 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-30

Study Completion Date

2020-12-26

Brief Summary

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Recombinant human angotensin-converting enzyme 2 (rhACE2) as a treatment for patients with COVID-19 to block viral entry and decrease viral replication.

Detailed Description

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Conditions

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COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group A (active) APN01

Recombinant human angiotensin-converting enzyme 2 (rhACE2) - APN01

Group Type ACTIVE_COMPARATOR

RhACE2 APN01

Intervention Type DRUG

Patients will be treated with APN01 intravenously twice daily (BID).

Group B (placebo control)

Group Type PLACEBO_COMPARATOR

Physiological saline solution

Intervention Type DRUG

Patients will be treated with placebo intravenously twice daily (BID).

Interventions

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RhACE2 APN01

Patients will be treated with APN01 intravenously twice daily (BID).

Intervention Type DRUG

Physiological saline solution

Patients will be treated with placebo intravenously twice daily (BID).

Intervention Type DRUG

Other Intervention Names

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APN01 Recombinant human angiotensin-converting enzyme 2

Eligibility Criteria

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Inclusion Criteria

1. Hospitalized male or female
2. Diagnosed to be COVID-19 POSITIV
3. Signed Inform Consent Form

Exclusion Criteria

1. Any patient whose clinical condition is deteriorating rapidly
2. Known history of positive Hepatitis B surface antigen, Hepatitis C antibody or HIV antibody
3. History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation
4. Pregnant females as determined by positive serum or urine hCG test prior to dosing
5. Lung transplantation
6. Pre-existing renal failure, i.e. requiring renal replacement therapy with hemodialysis or peritoneal dialysis
7. There are other uncontrolled co-morbidities that increase the risks associated with the study drug administration, that are assessed by the medical expert team as unsuitable
8. Patient in clinical trials for COVID-19 within 30 days before ICF
9. Immunocompromised patients (chemotherapy, HIV, organ transplants, stem cell transplants)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Apeiron Biologics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Henning Bundgaard, MD.

Role: PRINCIPAL_INVESTIGATOR

Cap. Region's Unit of Inherited Cardiac Diseases, Faculty Health&Medical

Locations

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Medizinische Universität Innsbruck

Innsbruck, , Austria

Site Status

Kaiser Franz Josef Spital, 4. Medizinische Abteilung mit Infektions- und Tropenmedizin

Vienna, , Austria

Site Status

Medizinische Universität Wien

Vienna, , Austria

Site Status

The National University Hospital, Rigshospitalet

Copenhagen, , Denmark

Site Status

Herlev Gentofte Hospital

Herlev, , Denmark

Site Status

Nordsjællands Hospital

Hillerød, , Denmark

Site Status

Hvidovre Hospital

Hvidovre, , Denmark

Site Status

Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status

Klinikum rechts der Isar, Technische Universität München

München, , Germany

Site Status

Regional State Budgetary Educational Institution "Clinical Hospital № 5, Barnaul"

Barnaul, , Russia

Site Status

State Healthcare Institution "State Clinical Hspital № 15 named after O.M. Filatov"

Moscow, , Russia

Site Status

Moscow State Budgetary Healthcare Institution "City Clinical Hospital №52 of Health Department of Moscow"

Moscow, , Russia

Site Status

Moscow State Budgetary Healthcare Institution "N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department of Moscow"

Moscow, , Russia

Site Status

Saint Petersburg SBHI City Hospital 38 named after N A Semashko

Pushkin, , Russia

Site Status

Federal State Budgetary Educational Institution of Higher Education "Ryazan State Medical University named after I.P. Pavlov" HD RF

Ryazan, , Russia

Site Status

Alexandrovskaya Hospital

Saint Petersburg, , Russia

Site Status

Saint-Petersburg State Budget Healthcare Institution City Hospital 15

Saint Petersburg, , Russia

Site Status

Federal State Budgetary Educational Institution of Higher Education " Saratov State Medical University named after V.I. Razumovsky" HD RF

Saratov, , Russia

Site Status

Regional State Budgetary Healthcare Institution "Clinical Hospital №1"

Smolensk, , Russia

Site Status

State budgetary institution of Healthcare of Tver region "Regional clinical hospital"

Tver', , Russia

Site Status

Yaroslavl Regional Clinical Hospital for Military Veterans - International Centre for Gerontological Problems "Healthy Ageing"

Yaroslavl, , Russia

Site Status

Cambridge University Hospitals NHS Trust/University of Cambridge

Cambridge, , United Kingdom

Site Status

Countries

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Austria Denmark Germany Russia United Kingdom

References

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Chene A, Desrames A, Tomlinson A, Ruffie C, Tangy F, Gamain B. An ACE2-Based Bimodular Fusion Protein Enables Reorientation of Endogenous Anti-Epstein-Barr Virus Antibodies Toward SARS-CoV-2 Spike. J Infect Dis. 2023 Dec 20;228(12):1675-1679. doi: 10.1093/infdis/jiad329.

Reference Type DERIVED
PMID: 37562051 (View on PubMed)

Morrell ED. Tipping the Balance of Ubiquitination toward a Therapy for COVID-19. Am J Respir Cell Mol Biol. 2023 May;68(5):480-481. doi: 10.1165/rcmb.2023-0020ED. No abstract available.

Reference Type DERIVED
PMID: 36796097 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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APN01-01-COVID19

Identifier Type: -

Identifier Source: org_study_id

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