Peginterferon Lambda-1a for the Prevention and Treatment of SARS-CoV-2 (COVID-19) Infection

NCT ID: NCT04344600

Last Updated: 2022-07-14

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-29

Study Completion Date

2021-09-24

Brief Summary

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This is a phase 2b prospective, randomized, single-blind, controlled trial of a single subcutaneous injection of peginterferon lambda-1a versus placebo for prevention of SARS-CoV-2 infection in non-hospitalized participants at high risk for infection due to household exposure to an individual with coronavirus disease (COVID-19). The study will also evaluate the regimens participants with asymptomatic SARS-CoV-2 infection detected at study entry. All participants will be followed for up to 12 weeks.

Detailed Description

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Conditions

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Sars-CoV-2 Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, single-blind, controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Single-blinded study

Study Groups

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Peginterferon lambda alfa-1a

peginterferon lambda-1a (Lambda) 180 micrograms by subcutaneous injection for participants who are not infected with SARS-CoV-2

Group Type EXPERIMENTAL

Peginterferon lambda alfa-1a subcutaneous injection

Intervention Type DRUG

Peginterferon lambda-1a 180 micrograms by subcutaneous injection

Placebo

Placebo (saline) by subcutaneous injection for participants who are not infected with SARS-CoV-2

Group Type PLACEBO_COMPARATOR

Saline

Intervention Type OTHER

Saline subcutaneous injection

Interventions

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Peginterferon lambda alfa-1a subcutaneous injection

Peginterferon lambda-1a 180 micrograms by subcutaneous injection

Intervention Type DRUG

Saline

Saline subcutaneous injection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent
* Peripheral capillary oxygen saturation (SpO2) ≥ 95% on room air at screening
* Age ≥18 years

Exclusion Criteria

* Hospitalized or impending hospitalization at the time of screening
* Symptoms of cough, fever or shortness of breath within 72 hours
* Prior or current treatment with other experimental or approved agents targeting SARS-CoV-2 or SARS-CoV-1
* Positive pregnancy test
* Active autoimmune disease or sarcoidosis (with the exception of controlled thyroid disease)
* Active decompensated liver disease (ascites, encephalopathy)
* Active congestive heart failure
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eiger BioPharmaceuticals

INDUSTRY

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mark Sulkowski, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Hemann EA, Gale M Jr, Savan R. Interferon Lambda Genetics and Biology in Regulation of Viral Control. Front Immunol. 2017 Dec 6;8:1707. doi: 10.3389/fimmu.2017.01707. eCollection 2017.

Reference Type BACKGROUND
PMID: 29270173 (View on PubMed)

Mordstein M, Neugebauer E, Ditt V, Jessen B, Rieger T, Falcone V, Sorgeloos F, Ehl S, Mayer D, Kochs G, Schwemmle M, Gunther S, Drosten C, Michiels T, Staeheli P. Lambda interferon renders epithelial cells of the respiratory and gastrointestinal tracts resistant to viral infections. J Virol. 2010 Jun;84(11):5670-7. doi: 10.1128/JVI.00272-10. Epub 2010 Mar 24.

Reference Type BACKGROUND
PMID: 20335250 (View on PubMed)

Loutfy MR, Blatt LM, Siminovitch KA, Ward S, Wolff B, Lho H, Pham DH, Deif H, LaMere EA, Chang M, Kain KC, Farcas GA, Ferguson P, Latchford M, Levy G, Dennis JW, Lai EK, Fish EN. Interferon alfacon-1 plus corticosteroids in severe acute respiratory syndrome: a preliminary study. JAMA. 2003 Dec 24;290(24):3222-8. doi: 10.1001/jama.290.24.3222.

Reference Type BACKGROUND
PMID: 14693875 (View on PubMed)

Lee JS, Shin EC. The type I interferon response in COVID-19: implications for treatment. Nat Rev Immunol. 2020 Oct;20(10):585-586. doi: 10.1038/s41577-020-00429-3.

Reference Type DERIVED
PMID: 32788708 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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IRB00248163

Identifier Type: -

Identifier Source: org_study_id

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