Effect of Dalcetrapib in Patients With Confirmed Mild to Moderate COVID-19

NCT ID: NCT04676867

Last Updated: 2022-12-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

227 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-11

Study Completion Date

2021-05-17

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study is a placebo-controlled, Phase 2a proof-of-concept clinical study which will evaluate efficacy and safety of dalcetrapib in outpatients patients with mild to moderate, symptomatic, confirmed COVID 19.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Covid19

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized, double blind, multicenter, Phase 2a proof-of-concept study in outpatients with confirmed, mild to moderate, symptomatic COVID-19.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
This is a double blind study.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

900 mg dose

Patients will receive Dalcetrapib 900 mg for 10 days

Group Type ACTIVE_COMPARATOR

Dalcetrapib

Intervention Type DRUG

Dalcetrapib 300 mg Film-Coated Tablets

1800 mg dose

Patients will receive Dalcetrapib 1800 mg for 10 days

Group Type ACTIVE_COMPARATOR

Dalcetrapib

Intervention Type DRUG

Dalcetrapib 300 mg Film-Coated Tablets

3600 mg dose

Patients will receive Dalcetrapib 3600 mg for 10 days

Group Type ACTIVE_COMPARATOR

Dalcetrapib

Intervention Type DRUG

Dalcetrapib 300 mg Film-Coated Tablets

Placebo tablets

Patients will receive Placebo for 10 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo Tablets

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Dalcetrapib

Dalcetrapib 300 mg Film-Coated Tablets

Intervention Type DRUG

Placebo

Placebo Tablets

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients must satisfy all of the following criteria unless otherwise stated:

1. Willing and able to provide informed consent
2. Male or female patients \> 18 years of age on the day of informed consent
3. Have received a confirmed diagnosis of COVID-19 (positive for SARS CoV 2), as assessed by PCR or point-of-care within 72 hours of first dose on Day 1
4. Have mild to moderate signs or symptoms of COVID-19 with onset within 5 days of first dose on Day 1, at least two of the following symptoms:

* stuffy or runny nose
* sore throat
* shortness of breath
* cough
* fatigue
* myalgia
* headache
* chills or shivering
* feeling hot or feverish
* nausea
* vomiting
* diarrhea
* anosmia
* ageusia
5. Outpatient with COVID-19 disease (not requiring oxygen therapy \[WHO COVID-19 Clinical Improvement Ordinal Scale, score of 3\])
6. Patient is aware of the investigational nature of this study and willing to comply with protocol treatments, blood tests, and other evaluations listed in the informed consent form (ICF).

Exclusion Criteria

* Patients will be excluded from the study if they satisfy any of the following criteria unless otherwise stated:

1. Females who are pregnant (negative pregnancy test required for all women of child bearing potential at Screening) or breast-feeding
2. Male patients and women of childbearing potential (women who are not surgically sterile or postmenopausal defined as amenorrhea for \>12 months) who are not using at least one protocol specified method of contraception
3. Severe COVID-19 disease as defined by the WHO COVID-19 Clinical Improvement Ordinal Scale, scores of 5 (non invasive ventilation or high-flow oxygen), 6 (intubation and mechanical ventilation), or 7 (ventilation + additional organ support pressors, renal replacement therapy \[RRT\], extracorporeal membrane oxygenation \[ECMO\])
4. Expected survival less than 72 hours
5. Peripheral capillary oxygen saturation (SpO2) \<90% while breathing room air
6. Treatment with other drugs thought to possibly have activity against SARS CoV 2 infection like remdesivir, favipiravir, within 7 days prior to enrollment or concurrently
7. History of abuse of drugs or alcohol that could interfere with adherence to study requirements as judged by the Investigator
8. Use of any other concurrent investigational drugs while participating in the present study
9. Patient requires frequent or prolonged use of systemic corticosteroids (≥20 mg of prednisone/day or equivalent for \>4 weeks) or other immunosuppressive drugs (e.g., for organ transplantation or autoimmune conditions)
10. Known renal disease with an estimated glomerular filtration rate (eGFR) \<50 mL/min based on local laboratory results
11. Patients with clinically apparent liver disease, e.g., jaundice, cholestasis, hepatic synthetic impairment, or active hepatitis
12. Alanine transaminase (ALT) or aspartate transaminase (AST) \>3 × upper limit of normal (ULN) or alkaline phosphatase or bilirubin levels \> 2 × ULN based on local laboratory results
13. Co administration of clinical doses of orlistat with dalcetrapib
14. Inability to swallow oral medications or a gastrointestinal disorder with diarrhea (e.g., Crohn's disease) or malabsorption at Screening
15. Any other clinically significant medical condition or laboratory abnormality that, in the opinion of the Investigator, would jeopardize the safety of the patient or potentially impact patient compliance or the safety/efficacy observations in the study
16. History of an allergic reaction or hypersensitivity to the study drug or any component of the study drug formulation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

The Montreal Health Innovations Coordinating Center (MHICC)

OTHER

Sponsor Role collaborator

Covance

INDUSTRY

Sponsor Role collaborator

DalCor Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

David Kallend

Role: STUDY_DIRECTOR

DalCor Pharmaceuticals

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Institut de Cardiologie de Montréal

Montreal, Quebec, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Canada

References

Explore related publications, articles, or registry entries linked to this study.

U.S. Department of Health and Human Services, Determination of a Public Health Emergency and Declaration that Circumstances Exist Justifying Authorizations Pursuant to Section 564(b) of the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. § 360bbb-3. February 4, 2020.

Reference Type BACKGROUND

Schwartz GG, Olsson AG, Abt M, Ballantyne CM, Barter PJ, Brumm J, Chaitman BR, Holme IM, Kallend D, Leiter LA, Leitersdorf E, McMurray JJ, Mundl H, Nicholls SJ, Shah PK, Tardif JC, Wright RS; dal-OUTCOMES Investigators. Effects of dalcetrapib in patients with a recent acute coronary syndrome. N Engl J Med. 2012 Nov 29;367(22):2089-99. doi: 10.1056/NEJMoa1206797. Epub 2012 Nov 5.

Reference Type BACKGROUND
PMID: 23126252 (View on PubMed)

Dai W, Zhang B, Jiang XM, Su H, Li J, Zhao Y, Xie X, Jin Z, Peng J, Liu F, Li C, Li Y, Bai F, Wang H, Cheng X, Cen X, Hu S, Yang X, Wang J, Liu X, Xiao G, Jiang H, Rao Z, Zhang LK, Xu Y, Yang H, Liu H. Structure-based design of antiviral drug candidates targeting the SARS-CoV-2 main protease. Science. 2020 Jun 19;368(6497):1331-1335. doi: 10.1126/science.abb4489. Epub 2020 Apr 22.

Reference Type BACKGROUND
PMID: 32321856 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

Access external resources that provide additional context or updates about the study.

https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020.

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

DAL-401

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Piclidenoson for Treatment of COVID-19
NCT04333472 COMPLETED PHASE2
DAS181 for STOP COVID-19
NCT04354389 WITHDRAWN PHASE2/PHASE3
Duvelisib to Combat COVID-19
NCT04372602 COMPLETED PHASE2