An Open-Label Study of Apabetalone in Covid Infection

NCT ID: NCT04894266

Last Updated: 2023-11-18

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2/PHASE3
• Total Enrollment: 1 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-01-14
• Study Completion Date: 2022-06-22

Brief Summary

The primary objective of the study is to evaluate the safety and effect on clinical course of oral apabetalone in hospitalized subjects with Covid-19 infection

Detailed Description

Primary Objective:

The primary objective of the study is to evaluate the safety and effect on clinical course of oral apabetalone in hospitalized subjects with Covid-19 infection

Secondary Objectives:

To evaluate the effect of apabetalone on biomarkers of inflammation (interleukin [IL]-6, IL-8, tumor necrosis factor [TNF]-α and C-reactive protein [CRP]) To evaluate the effect of apabetalone on key virus-related biomarkers including ACE2, serine protease inhibitor Clade A Member 8 (SERPINA8), angiotension (Ang) II and Ang (1-7) and others within the renin-angiotensin system (RAS) To evaluate the effect of apabetalone on clinical laboratory parameters including white blood cell (WBC) count, platelet count, D-Dimer, ferritin and clotting time in hospitalized subjects with Covid-19 infection To evaluate the effect of apabetalone cardiac and renal biomarkers including N-terminal pro B-type natriuretic peptide (NT-proBNP), troponin and Cystatin C To evaluate changes in viral levels measured via oropharyngeal or nasopharyngeal swabs To evaluate the effect of apabetalone on rate of admission to ICU, need for mechanical ventilation/ECMO, and death To evaluate the safety of apabetalone in hospitalized subjects with Covid-19 Infection

Conditions

COVID-19 Infection

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Standard of Care

All subjects will receive SOC during their hospital admission. This will include daily vital signs, WHO Ordinal Scale assessment and adverse events. On Days 3, 5, 7 and 11, hematology, chemistry, oropharyngeal or nasopharyngeal swabs for Covid-19 viral levels and biomarkers samples the same as at the screening visit will be taken if the patient remains in hospital.

Group Type: OTHER

Standard of care

Intervention Type: OTHER

Standard of Care

Standard of Care plus apabetalone

All subjects will receive SOC during their hospital admission. This will include daily vital signs, WHO Ordinal Scale assessment and adverse events. On Days 3, 5, 7 and 11, hematology, chemistry, oropharyngeal or nasopharyngeal swabs for Covid-19 viral levels and biomarkers samples the same as at the screening visit will be taken if the patient remains in hospital. For the apabetalone cohort, treatment will be administered BID with meals.

Group Type: EXPERIMENTAL

Apabetalone

Intervention Type: DRUG

Apabetalone 100mg BID

Standard of care

Intervention Type: OTHER

Standard of Care

Interventions

Apabetalone

Apabetalone 100mg BID

Intervention Type: DRUG

Standard of care

Standard of Care

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Provide informed consent before participation in the study.

2. Aged ≥18 years

3. Hospital admission with symptoms suggestive of COVID-19 infection

4. Ten days or less since the onset of symptoms

5. Virological confirmation of SARS-CoV2 infection by reverse transcriptase PCR (RT- PCR) according to Center for Disease Control and Prevention (CDC) guidelines within the previous 72 hours

6. Subjects showing bilateral pulmonary infiltrates on chest imaging

7. Saturation of oxygen (SpO2) by pulse oximetry <94% on room air at sea level.

8. Female subjects must meet one of the following:

• If of childbearing potential, female subjects must have a negative urine pregnancy test at screening and must also be willing to practice total abstinence or to use an approved (non-hormonal) form of birth-control throughout the study treatment phase and up to 28 days after the last study drug dose if randomized to apabetalone." -OR-
• Meet at least one of the following criteria:
• Be postmenopausal, defined as having been amenorrheic for at least 2 years
• Have had a hysterectomy or a bilateral oophorectomy

Exclusion Criteria

1. Subjects with SpO2 >94% on room air using pulse oximetry and without bilateral infiltrates on chest imaging

2. Subjects requiring mechanical ventilation or extracorporeal membrane oxygenation

3. Patients with Stage 5 CKD receiving renal replacement therapy with either hemodialysis or peritoneal dialysis, renal transplant or with eGFR <15 mL/min/1.73 m2.

4. Patients with prior transplantations of organs or bone marrow.

5. Patients with unstable cardiac condition including heart attack, stroke, uncontrolled atrial fibrillation or a major cardiac procedure within 3 months as assessed by the investigator.

6. New York Heart Association Class IV congestive heart failure.

7. Evidence of cirrhosis from liver imaging or biopsy, a history of hepatic encephalopathy, esophageal or gastric varices, active hepatitis, or prior porta-caval shunt procedure.

8. ALT or AST >5 x ULN on admission laboratory assessment.

9. Total bilirubin >2 x ULN on admission laboratory assessment.

10. Have received any live attenuated vaccine within 90 days at dosing.

11. Known human immunodeficiency virus positive patients.

12. Chronic use of oxygen therapy at home

13. Have participated in a clinical study and received any investigational medication within the last 30 days preceding Visit 1 (Screening).

14. Subjects whose safety may be compromised by study participation

15. Are not, in the opinion of the investigator, able or willing to comply with the protocol.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Resverlogix Corp

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

University of Alberta

Edmonton, Alberta, Canada

Countries

Canada

Other Identifiers

RVX222-CS-023

Identifier Type: -

Identifier Source: org_study_id