Frespaciguat (MK-5475) in Participants With Hypoxemia Due to COVID-19 Pneumonia (MK-5475-009)

NCT ID: NCT04425733

Last Updated: 2025-05-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-07

Study Completion Date

2020-11-10

Brief Summary

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The purpose of this study is to evaluate safety, tolerability, and pharmacodynamics of frespaciguat after administration of multiple doses to participants with COVID-19 pneumonia. The primary hypothesis is that frespaciguat when administered to participants with COVID-19 pneumonia and hypoxemia improves arterial oxygenation as measured by the ratio of blood oxygen saturation to fraction of inspired oxygen (SpO2/FiO2 ratio) compared to placebo.

Detailed Description

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Conditions

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Coronavirus Disease 2019 (COVID-19) Pneumonia Hypoxemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Panel A Frespaciguat 180 µg

Participants receive 180 µg of frespaciguat once daily (QD) via inhalation from Days 1-7.

Group Type EXPERIMENTAL

Frespaciguat

Intervention Type DRUG

Frespaciguat administered at a dose of 180 µg or ≤360 µg QD via inhalation

Panel A Placebo

Participants receive frespaciguat-matching placebo QD via inhalation from Days 1-7.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Frespaciguat-matching placebo administered QD via inhalation

Panel B Frespaciguat 360 µg

Participants receive 360 µg of frespaciguat QD via inhalation from Days 1-7.

Group Type EXPERIMENTAL

Frespaciguat

Intervention Type DRUG

Frespaciguat administered at a dose of 180 µg or ≤360 µg QD via inhalation

Panel B Placebo

Participants receive frespaciguat-matching placebo QD via inhalation from Days 1-7.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Frespaciguat-matching placebo administered QD via inhalation

Panel C Frespaciguat ≤360 µg

Participants receive ≤360 µg of frespaciguat QD via inhalation from Days 1-7.

Group Type EXPERIMENTAL

Frespaciguat

Intervention Type DRUG

Frespaciguat administered at a dose of 180 µg or ≤360 µg QD via inhalation

Panel C Placebo

Participants receive frespaciguat-matching placebo QD via inhalation from Days 1-7.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Frespaciguat-matching placebo administered QD via inhalation

Interventions

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Frespaciguat

Frespaciguat administered at a dose of 180 µg or ≤360 µg QD via inhalation

Intervention Type DRUG

Placebo

Frespaciguat-matching placebo administered QD via inhalation

Intervention Type DRUG

Other Intervention Names

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MK-5475

Eligibility Criteria

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Inclusion Criteria

* Has virologically confirmed COVID-19 requiring hospital admission.
* Has respiratory symptoms including cough and dyspnea
* Requires supplemental oxygen therapy
* Male participant is abstinent from heterosexual intercourse or agrees to use contraception during the intervention period and for at least 14 days, corresponding to time needed to eliminate study intervention(s) (example, 5 terminal half-lives after the last dose of study intervention)
* Female participant is not a woman of childbearing potential (WOCBP) or is a WOCBP who is abstinent from heterosexual intercourse or using contraception during the intervention period and for at least 14 days, corresponding to time needed to eliminate study intervention(s) (example, 5 terminal half-lives after the last dose of study intervention)

Exclusion Criteria

* Has pre-existing medical conditions of any nature which are immediately pre-terminal such as death or limitation of life-sustaining therapy is expected to be imminent
* Requires or is expected to require invasive mechanical ventilation
* Requires or is expected to require noninvasive mechanical ventilation
* Has any issue which would prohibit them from effective use of the frespaciguat inhaler
* Hypoxemia which is explained by any condition other than COVID-19, example, preexisting cardiac or pulmonary disease
* Has severe hepatic impairment (meets Child-Pugh Class C criteria)
* Has severe renal impairment and/or requirement for renal dialysis
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Other Identifiers

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MK-5475-009

Identifier Type: OTHER

Identifier Source: secondary_id

2020-002062-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

5475-009

Identifier Type: -

Identifier Source: org_study_id

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