Trial Outcomes & Findings for A Study to Evaluate the Effect of RBT-9 on Progression of COVID-19 in High-Risk Individuals (The PREVENT Study) (NCT NCT04364763)

NCT ID: NCT04364763

Last Updated: 2023-03-29

Results Overview

Determining severity of COVID-19 in patients measured using the 8-point World Health Organization (WHO) Ordinal Clinical Scale which measures the clinical status of a subject at the first assessment of a given day with category 1, most favorable, and category 8, least favorable (1. Ambulatory, no limitation of activities; 2. Ambulatory, limitation of activities; 3. Hospitalized, no oxygen therapy; 4. Hospitalized, oxygen by mask or nasal prongs; 5. Hospitalized, non-invasive ventilation or high-flow oxygen; 6. Hospitalized, intubation and mechanical ventilation; 7. Hospitalized, ventilation plus additional organ support - pressors, renal replacement therapy \[RRT\], extracorporeal membrane oxygenation \[ECMO\]; 8. Death)

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

42 participants

Primary outcome timeframe

baseline and 7 days, baseline and 28 days

Results posted on

2023-03-29

Participant Flow

Participant milestones

Participant milestones
Measure
RBT-9 (90 mg)
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Overall Study
STARTED
28
14
Overall Study
COMPLETED
26
12
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
RBT-9 (90 mg)
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Overall Study
Death
1
2
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

A Study to Evaluate the Effect of RBT-9 on Progression of COVID-19 in High-Risk Individuals (The PREVENT Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RBT-9 (90 mg)
n=28 Participants
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
n=14 Participants
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Total
n=42 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
7 Participants
n=7 Participants
27 Participants
n=5 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Age, Continuous
53.6 Years
STANDARD_DEVIATION 16.59 • n=5 Participants
57.6 Years
STANDARD_DEVIATION 17.11 • n=7 Participants
55 Years
STANDARD_DEVIATION 16.66 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
9 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
5 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=5 Participants
2 Participants
n=7 Participants
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
6 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Region of Enrollment
United States
28 participants
n=5 Participants
14 participants
n=7 Participants
42 participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline and 7 days, baseline and 28 days

Determining severity of COVID-19 in patients measured using the 8-point World Health Organization (WHO) Ordinal Clinical Scale which measures the clinical status of a subject at the first assessment of a given day with category 1, most favorable, and category 8, least favorable (1. Ambulatory, no limitation of activities; 2. Ambulatory, limitation of activities; 3. Hospitalized, no oxygen therapy; 4. Hospitalized, oxygen by mask or nasal prongs; 5. Hospitalized, non-invasive ventilation or high-flow oxygen; 6. Hospitalized, intubation and mechanical ventilation; 7. Hospitalized, ventilation plus additional organ support - pressors, renal replacement therapy \[RRT\], extracorporeal membrane oxygenation \[ECMO\]; 8. Death)

Outcome measures

Outcome measures
Measure
RBT-9 (90 mg)
n=28 Participants
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
n=14 Participants
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Evaluate the Effect of RBT-9 Versus Placebo on Clinical Status of COVID-19 Patients as Measured Using the 8-point World Health Organization (WHO) Ordinal Clinical Scale
Day 7
-1.0 units on a scale
Interval -1.6 to -0.5
-0.0 units on a scale
Interval -0.8 to 0.8
Evaluate the Effect of RBT-9 Versus Placebo on Clinical Status of COVID-19 Patients as Measured Using the 8-point World Health Organization (WHO) Ordinal Clinical Scale
Day 28
-1.2 units on a scale
Interval -1.8 to -0.7
-0.6 units on a scale
Interval -1.5 to 0.4

Adverse Events

RBT-9 (90 mg)

Serious events: 3 serious events
Other events: 6 other events
Deaths: 1 deaths

Placebo

Serious events: 1 serious events
Other events: 4 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
RBT-9 (90 mg)
n=28 participants at risk
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
n=14 participants at risk
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Cardiac disorders
Myocardial Infarction
0.00%
0/28 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Nervous system disorders
Cerebral Infarct
3.6%
1/28 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
0.00%
0/14 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Respiratory, thoracic and mediastinal disorders
Pneumonia
3.6%
1/28 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
0.00%
0/14 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Respiratory, thoracic and mediastinal disorders
Lung mass
3.6%
1/28 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
0.00%
0/14 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.

Other adverse events

Other adverse events
Measure
RBT-9 (90 mg)
n=28 participants at risk
RBT-9 (90mg) will be administered intravenously over a 120-minute period on Day 1. RBT-9 (90 mg): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Placebo
n=14 participants at risk
0.9% sodium chloride (normal saline) will be administered intravenously over a 120-minute period on Day 1. 0.9% sodium chloride (normal saline): Subjects will receive a single dose and study duration will be approximately 60 days per subject.
Skin and subcutaneous tissue disorders
Erythema
7.1%
2/28 • Number of events 2 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
0.00%
0/14 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Skin and subcutaneous tissue disorders
Rash
3.6%
1/28 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Psychiatric disorders
Insomnia
3.6%
1/28 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Infections and infestations
Onychomycosis
0.00%
0/28 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Infections and infestations
Tinea cruris
0.00%
0/28 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Nervous system disorders
Paresthesia
100.0%
2/2 • Number of events 2 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
0.00%
0/14 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
Cardiac disorders
Tachycardia
0.00%
0/28 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.
7.1%
1/14 • Number of events 1 • Subjects will receive a single dose of RBT-9 or placebo and study duration will be approximately 56 +/- 4 days per subject.
AEs and SAEs determined to be related to COVID-19 were not reportable under the requirements of this protocol. Rather, they were reported as complications or signs/symptoms of COVID.

Additional Information

Stacey Ruiz

Renibus Therapeutics

Phone: 682-285-1711

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60