Covid19, SARS-CoV-2 Infection
Conditions
Keywords
COVID19, SARS-CoV-2 Infection
Brief summary
A Trial of GC4419 in Patients with Critical Illness due to COVID-19
Interventions
180 Minute IV Infusion
180 Minute IV Infusion
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or female subjects at least 18 years of age. 2. Ability to understand and the willingness to sign a written informed consent. 3. Laboratory-confirmed SARS-CoV-2 infection as determined by a positive PCR test documented prior to randomization 4. Requirement for intensive inpatient hospital care 5. Acute hypoxemic respiratory failure typifying ARDS 6. Adequate liver function 7. Use of effective contraception
Exclusion criteria
1. Expected survival for less than 48 hours after randomization 2. Child-Pugh stage C hepatic impairment and/or portal hypertension secondary to cirrhosis 3. Stage IV chronic kidney disease or end-stage kidney disease on maintenance hemodialysis 4. Requirement for extra-corporeal membrane oxygenation (ECMO) 5. Acute Myocardial Infarction (AMI) 6. Active bleeding requiring transfusion 7. Concurrent participation in another clinical trial of experimental treatment for SARSCoV-2 8. Female patients who are pregnant or breastfeeding 9. Requirement for concurrent treatment with nitrates
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 28 Day All-cause Mortality | 28 days | Death rate of patients with critical illness due to COVID-19 28 days after initiation of therapy. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Active GC4419 Arm A
GC4419: 180 Minute IV Infusion | 9 |
| Placebo Arm B
Placebo: 180 Minute IV Infusion | 7 |
| Total | 16 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 4 | 4 |
| Overall Study | Other | 0 | 1 |
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | Active GC4419 | Total | Placebo |
|---|---|---|---|
| Age, Continuous | 62.7 years STANDARD_DEVIATION 6.89 | 63.3 years STANDARD_DEVIATION 61.5 | 64.0 years STANDARD_DEVIATION 11.28 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 2 Participants | 2 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 7 Participants | 14 Participants | 7 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants | 3 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 2 Participants | 3 Participants | 1 Participants |
| Race (NIH/OMB) White | 5 Participants | 10 Participants | 5 Participants |
| Region of Enrollment United States | 9 participants | 16 participants | 7 participants |
| Sex: Female, Male Female | 1 Participants | 4 Participants | 3 Participants |
| Sex: Female, Male Male | 8 Participants | 12 Participants | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 4 / 9 | 4 / 7 |
| other Total, other adverse events | 8 / 9 | 7 / 7 |
| serious Total, serious adverse events | 5 / 9 | 4 / 7 |
Outcome results
28 Day All-cause Mortality
Death rate of patients with critical illness due to COVID-19 28 days after initiation of therapy.
Time frame: 28 days
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Active GC4419 | 28 Day All-cause Mortality | Alive | 5 Participants |
| Active GC4419 | 28 Day All-cause Mortality | Death | 4 Participants |
| Placebo | 28 Day All-cause Mortality | Alive | 3 Participants |
| Placebo | 28 Day All-cause Mortality | Death | 4 Participants |