Health Condition 1: U071- COVID 19 virus identified Health Condition 2: J988- Other specified respiratory disorders
Conditions
Interventions
Intervention1: 01-PGC-005: 101-PGC-005 20 mg inj. once daily for 3 days + SOC
Control Intervention1: Dexamethasone: Dexamethasone 6mg inj once daily for min 5 days and max. 10 days + SOC
Sponsors
Laxai Life Sciences Pvt Ltd
One O One Therapeutics
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male or female patients of age 18 to 65 years (both inclusive) who have been hospitalized for treatment of moderate COVID-19 disease. 2. Patients with moderate COVID-19 disease severity, as defined by Comprehensive Guidelines for Management of COVID-19 patients, Directorate General of Health Services, MoHFW, GOI, AND having any of the following symptoms and signs prior to randomization a. Fever, cough, with or without sore throat, throat irritation, body ache, headache, malaise, weakness, diarrhoea or gastrointestinal upset, with or without anorexia, nausea, vomiting, with or without loss of smell and or taste, shortness of breath, breathlessness and difficulty in breathing b. Respiratory rate of 24 to 30 breaths per min, c. SpO2 90 – 93 percent on room air 3. Patients with positive RT-PCR test for SARS-CoV-2 in nasopharyngeal or oropharyngeal swabs (first RT-PCR positive sample collected within 7 days prior to randomization) 4. Elevated CRP, ESR or Ferritin levels 5. In case of female patients of child-bearing potential, a negative urine pregnancy test prior to beginning the therapy. 6. Willing to sign voluntary informed consent for participation in the study and willing to adhere to all protocol procedures. In case the subject is unable to provide informed consent than the same should be obtained from legally acceptable representative (LAR).
Exclusion criteria
Exclusion criteria: 1. Patients with mild or severe COVID-19 disease severity, as defined by latest Comprehensive Guidelines for Management of COVID-19 patients, Directorate General of Health Services, MoHFW, GOI at the time of randomization. This includes any one or more of the following a. Peripheral Blood oxygen saturation 94 percent or 90 percent b. Respiratory Rate or less than 24 or more than 30 breaths per minute 2. First positive RT-PCR more than 7 days prior to treatment administration 3. Patients with evidence of other serious infectious, malignant, autoimmune, kidney, hepatic, cardiovascular or other systemic disease and or laboratory abnormality, which, in the opinion of the investigator, prevent the patient from participating in the study 4. Subjects with Chronic liver disease (Child Pugh class B or C) and chronic renal disease (GFR less than 30ml per min). 5. Renal dysfunction [Serum Creatinine more than 2.5 times of ULN or calculated creatinine clearance less than 30ml per min], Liver Dysfunction [Total Bilirubin more than 3 times ULN & AST, ALT more than 5 times ULN]. 6. Chronic systemic glucocorticoid treatment or any immunosuppressive treatment 7. History of human immunodeficiency virus (HIV) or active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV) 8. Pregnant and Lactating patients. 9. Patients who require IL-6 inhibitors for management of inflammation at the time of study entry. 10. Subject has a psychiatric disease that is not well controlled where controlled is defined as stable on a regimen for more than one year. 11. Hospital discharge is anticipated in less than 24 hours or anticipated transfer to another hospital which is not a study site within 72 hours. 12. Patients that are currently or have participated in such studies participating in other clinical studies with investigational drug, biological agent or device within 1 month or within 5 half-lives (of the drug or biologic) prior to randomization (whichever is longer).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical improvement or shift in WHO 11-point ordinal scale ratingTimepoint: Baseline through Day 10, Day 14 and Day 28 | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in COVID-19 Symptoms such as Fever, Heart Rate and Oxygen Saturation (SpO2Timepoint: Baseline through Day 10, Day 14 and Day 28;Improvement biochemical inflammatory markers such as CRP, Neutrophil Lymphocyte ratio, D-Dimer, Serum Ferritin, IL-6, TNF alphaTimepoint: Baseline, End of Treatment, Day 5 or Discharge, Day 10, 14 and 28;Requirement of auxiliary oxygen therapyTimepoint: 28 Days;Discharge Rate from hospitalTimepoint: 28 Days;Rate of ICU Admission , Mechanical VentilationTimepoint: 28 Days;Time to respiratory viral clearanceTimepoint: Day 3, 7, 10 and 14;Improvement in lung injury on Chest HRCTTimepoint: Baseline, 28 Days;All-cause mortalityTimepoint: 28 Days | — |
Countries
India
Contacts
Public ContactKartik Sahni
Insignia Clinical Services Pvt. Ltd.
Outcome results
None listed