PUL-042 Treatment in Patients With Parainfluenza Virus (PIV), Human Metapneumovirus (hMPV) or Respiratory Syncytial Virus (RSV)

NCT ID: NCT06665100

Last Updated: 2025-09-15

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-27

Study Completion Date

2026-05-31

Brief Summary

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The purpose of this research study is to try to see whether an experimental drug, PUL 042 Inhalation Solution (PUL 042), is effective in reducing the severity of lung infections in patients with hematologic malignancies and recipients of hematopoietic stem cell transplantation with documented viral infections due to PIV, hMPV, or RSV. PUL-042 or a placebo will be administered 3 times over a 6-day period. The total duration of the study will be approximately 30 days.

Detailed Description

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A total of up to 100 participants will be enrolled in this research study, at up to 15 centers. Participants in the study will receive either PUL-042 or a placebo (an inactive agent that appears identical to PUL-042). Patients will be randomized 1:1 for PUL-042 or placebo.

The first 50 patients will either be low dose PUL-042 or placebo. After review of the safety data from the initial patients, the PUL-042 dose may be increased. Subjects will be evaluated by chest x-ray and clinical status for respiratory complications.

Conditions

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Hematologic Malignancies Hematopoietic Stem Cell Transplant (HSCT)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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PUL-042

PUL-042 Inhalation Solution

Group Type EXPERIMENTAL

PUL-042

Intervention Type DRUG

Pam2 : ODN (PUL-042) PUL-042 Inhalation Solution

Sterile Saline for Inhalation

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Sterile Saline for Inhalation

Interventions

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PUL-042

Pam2 : ODN (PUL-042) PUL-042 Inhalation Solution

Intervention Type DRUG

Placebo

Sterile Saline for Inhalation

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subjects with hematologic malignancies (i.e., leukemia, lymphoma, or multiple myeloma) or recipients of an allogeneic or autologous hematopoietic stem cell transplantation for one of the following diagnoses: leukemia, lymphoma, Hodgkin's lymphoma, non-Hodgkin's lymphoma, multiple myeloma, and myelodysplastic and myeloproliferative disorder.
2. Subjects who have undergone active cytotoxic chemotherapy within 6 months or subjects who are on an immunosuppressive therapy (e.g., alemtuzumab, ibrutinib, mycophenolate mofetil, corticosteroids ≥1mg/kg prednisone equivalent).
3. Subjects who are recipients of an allogeneic hematopoietic stem cell transplant (HSCT) must be deemed high risk with an Immunodeficiency Scoring Index (ISI) , of greater or equal to 4.
4. Subjects who are recipients of an autologous HSCT must be within 3 months of the transplant procedure.
5. Subjects must be symptomatic with upper or lower respiratory tract symptoms such as rhinorrhea, sore throat or cough and must be dosed within 6 days from the onset of symptoms.
6. Chest X-ray with a Radiologic Severity Index (RSI) score of 6 or lower.
7. Subjects must have pulse oximetry of hemoglobin saturation ≥ 93% on room air.
8. Spirometry (forced expiratory volume in one second \[FEV1\] and forced vital capacity \[FVC\]) ≥70% of predicted value.
9. Adult (≥ 18 years of age).
10. If female, must be either post-menopausal (one year or greater without menses), surgically sterile, or, for female subjects of child-bearing potential who are capable of conception must be: practicing two effective methods of birth control (acceptable methods include intrauterine device, spermicide, barrier, male partner surgical sterilization, and hormonal contraception) during the study and through 30 days after completion of the study. Abstinence is not classified as an effective method of birth control.
11. If female, must not be pregnant, plan to become pregnant, or nurse a child during the study and through 30 days after completion of the study. A pregnancy test must be negative at the Screening Visit, prior to dosing on Day 1.
12. If male, must be surgically sterile or willing to practice two effective methods of birth control (acceptable methods include barrier, spermicide, or female partner surgical sterilization) during the study and through 30 days after completion of the study. Abstinence is not classified as an effective method of birth control.
13. Ability to understand and give informed consent.

Exclusion Criteria

1. Patients with a pulse oximetry of hemoglobin saturation less than 93% on room air.
2. Known history of chronic pulmonary disease (e.g., asthma \[including atopic asthma, exercise-induced asthma, or asthma triggered by respiratory infection\], chronic pulmonary disease, pulmonary fibrosis, COPD), pulmonary hypertension, or heart failure.
3. Subjects treated for fungal, viral, or bacterial pneumonia in the previous 30 days.
4. Exposure to any investigational agent (defined as any non-FDA-approved agent) within 30 days, or 5 half-lives of the investigational agent, whichever is longer, prior to the Screening Visit.
5. Allogeneic HSCT recipients with an ISI of 3 or less.
6. Autologous HSCT recipients more than 3 months after the transplant procedure.
7. Patients with a relapsed and/or refractory underlying hematologic malignancy with a life expectancy of less than 2 months.
8. HSCT recipients in the pre-engraftment period.
9. Chest X-ray with an RSI of \>6.
10. Patients documented to be positive for other respiratory viruses (limited to influenza, SARS-CoV-2, adenovirus, or coronavirus) within 7 days prior to the Screening Visit, as determined by local testing (additional screening testing is not required).
11. Clinically significant bacteremia or fungemia within 7 days prior to the Screening Visit that has not been adequately treated, as determined by the Principal Investigator.
12. Any condition which, in the opinion of the Principal Investigator, would prevent full participation in this trial or would interfere with the evaluation of the trial endpoints.
13. Previous exposure to PUL-042 Inhalation Solution.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cancer Prevention Research Institute of Texas

OTHER

Sponsor Role collaborator

Pulmotect, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Colin Broom, MD

Role: PRINCIPAL_INVESTIGATOR

Pulmotect, Inc.

Locations

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City of Hope National Medical Center

Duarte, California, United States

Site Status RECRUITING

Northside Hospital

Atlanta, Georgia, United States

Site Status RECRUITING

Johns Hopkins Hospital

Baltimore, Maryland, United States

Site Status RECRUITING

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

University of Minnesota

Minneapolis, Minnesota, United States

Site Status RECRUITING

John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status RECRUITING

Lineberger Cancer

Chapel Hill, North Carolina, United States

Site Status NOT_YET_RECRUITING

OU Health Physicians - Infectious Disease Clinic

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

University of Texas MD Anderson MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Colin Broom, MD

Role: CONTACT

484 354 0615

Brenton Scott, Ph D

Role: CONTACT

713 579 9226

Facility Contacts

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Sanjeet Dadwal, MD

Role: primary

(855) 952-3335

Gowri Satyanarayana, MD

Role: primary

404-531-0044

Maria Veronica Dioverti-Prono, MD

Role: primary

410-955-8964

Sophia Koo, MD

Role: primary

617-732-8881

Joseph Uberti, MD, PhD

Role: primary

800-527-6266

Jo-Anne Young, MD

Role: primary

612-624-9996

Michele Donato, MD

Role: primary

551-996-8297

Paul Armistead, MD, PhD

Role: primary

(919) 843-6847

Joseph Sassine, MD

Role: primary

(405) 271-6434

Amy Spallone, MD

Role: primary

713 792 2121

Michael Boeckh, MD, PhD

Role: primary

206-667-4411

Other Identifiers

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CP120014

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

PUL-042-207

Identifier Type: -

Identifier Source: org_study_id

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