Vadadustat for the Prevention and Treatment of Acute Respiratory Distress Syndrome (ARDS) in Hospitalized Patients With Coronavirus Disease 2019 (COVID-19)

NCT ID: NCT04478071

Last Updated: 2025-03-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

448 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-22

Study Completion Date

2022-03-25

Brief Summary

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The purpose of this study is to evaluate the efficacy of vadadustat for the prevention and treatment of acute respiratory distress syndrome (ARDS) in hospitalized patients with Coronavirus Disease 2019 (COVID-19).

Detailed Description

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Conditions

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Acute Respiratory Distress Syndrome Coronavirus Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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vadadustat

Group Type EXPERIMENTAL

vadadustat

Intervention Type DRUG

Participants will receive vadadustat once daily for 14 days.

placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Participants will receive matching placebo once daily for 14 days.

Interventions

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vadadustat

Participants will receive vadadustat once daily for 14 days.

Intervention Type DRUG

placebo

Participants will receive matching placebo once daily for 14 days.

Intervention Type DRUG

Other Intervention Names

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AKB-6548

Eligibility Criteria

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Inclusion Criteria

* Laboratory-confirmed diagnosis of COVID-19 by detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA by Reverse transcription polymerase chain reaction (RT-PCR) from any specimen respiratory
* Admitted to the hospital within 36 hours
* Oxygen saturation of hemoglobin by pulse oximetry at room air ≤94%
* For patients admitted WITH respiratory symptoms, enrollment must occur within 36 hours of hospital admission. If the patient is admitted to the hospital with normal saturations, but develops respiratory symptoms DURING their hospital stay, enrollment may occur within 24 hours of desaturation to 94% or less on room air
* Understands the procedures and requirements of the study and provides written informed consent and authorization for protected health information disclosure

Exclusion Criteria

* Hypersensitivity to vadadustat or any of its excipients
* Placed on mechanical ventilation before randomization
* Hemoglobin above the gender-specific upper limit of normal (ULN) at randomization: 16 g/dL for females and 18 g/dL for males
* Patients who have erythrocytosis or polycythemia vera
* Patient taking Probenecid, lopinavir or ritonavir
* Women who are pregnant or breastfeeding, or positive pregnancy test before randomization
* Patients not on maintenance dialysis with eGFC \< 31 ml/min
* Patients who have received a solid organ transplant, heart, kidney, liver or lung
* Patients who are prisoners
* Patients who are currently Do Not Resuscitate (DNR) or Do Not Intubate (DNI)
* Patients with modified Rankin scale of 3 or greater
* Patient who are currently enrolled in any other interventional clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Akebia Therapeutics Inc.

UNKNOWN

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Bentley J. Bobrow

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bentley J. Bobrow, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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W81XWH-21-10032

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HSC-MS-20-0395

Identifier Type: -

Identifier Source: org_study_id

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