Covid19
Conditions
Keywords
antiviral, SARS-CoV-2, COVID19
Brief summary
This study is a randomized, double-blind, multicenter, placebo-controlled trial to evaluate the safety and efficacy of a novel therapeutic agent, Novaferon, in hospitalized adult patients diagnosed with COVID-19. The study is comprised of two cohorts: * Cohort A: This is a blinded safety lead-in comprising two arms. 40 patients will be randomized on a 1:1 basis to receive either Novaferon or matched placebo via a commercial nebulizer, plus Standard of Care (SOC) * Cohort B: This is the main portion of the study, which comprises two arms. Up to 874 patients will be randomized on a 1:1 basis to receive either Novaferon or matched placebo via a commercial nebulizer, plus SOC
Interventions
a novel recombinant antiviral protein drug
Formulation vehicle
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion Criteria: 1. Signed informed consent form by any patient capable of giving consent, or, when the patient is not capable of giving consent, by his or her legal/authorized representatives prior to initiation of any study procedures. 2. Men and women, ≥18 years of age at time of enrollment. 3. Laboratory-confirmed diagnosis of SARS-CoV-2 infection as determined by PCR, or other health authority-approved commercial assay or other validated public health assay in any specimen within 72 hours prior to randomization (point-of-care viral infection test allowable if RT-PCR test result not available only at the time of screening). 4. Less than or equal to 9 days from COVID-19 symptom onset to starting treatment. • Symptoms are defined as one or more of the following: cough, fever, shortness of breath, chest pain, abdominal pain, nausea/vomiting, diarrhea, body aches, weakness/fatigue, chills/sweating, headache, confusion, sore throat, runny nose/congestion, loss of taste or smell, or any other COVID-19 symptoms as determined by the Investigator. 5. Hospitalized and i) requiring supplemental oxygen by face mask or nasal prongs, or ii) non-invasive ventilation or iii) high-flow oxygen (WHO category 4 or 5) 6. Female patients participating in this study must agree to avoid becoming pregnant and have a negative pregnancy test prior to randomization. Male and female patients of reproductive potential must use a highly effective, protocol-specified method of contraception during the study and up to post 30 days after the last dose of study drug. For a list of protocol-specified contraceptive methods, and the definition of reproductive potential, refer to Appendix 1.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of clinical deterioration | From enrollment to Day 28 | Proportion of patients requiring mechanical ventilation or that die (defined as WHO categories 6, 7, or 8) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of recovery | From enrollment to Day 28 | Proportion of patients demonstrating clinical improvement (defined as WHO categories 0, 1, 2, or 3) |
| Hospital discharge rate | At Day 28 | Rate of non-hospitalized alive patients |
| Mortality rate | At Day 28 | Mortality rate |
| Duration of hospitalization | Up to Day 28 | Number of days hospitalized |
| Adverse events | From first dose to Day 56 | Adverse event incidence, type and severity |
Countries
Argentina, Brazil, Canada, Chile, Colombia, Indonesia, Kenya, Malaysia, Peru, South Africa, Turkey (Türkiye), Ukraine