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Study to Evaluate the Safety, Tolerability, and Efficacy of BGE-175 in Hospitalized Adults With Coronavirus Disease 2019 (COVID-19) That Are Not in Respiratory Failure

A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 2 Study to Investigate the Efficacy and Safety of BGE-175 in Hospitalized Adults With COVID-19

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04705597
Enrollment
194
Registered
2021-01-12
Start date
2021-03-18
Completion date
2022-05-19
Last updated
2023-07-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Covid19

Keywords

COVID-19, BGE-175, BioAge, Respiratory failure

Brief summary

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of BGE-175 in participants ≥ 50 years of age hospitalized with documented COVID-19.

Detailed description

This is a randomized, placebo-controlled, parallel-group, multicenter, double-blind study of BGE-175 administered PO or NG in participants ≥ 50 years of age and hospitalized with documented COVID-19 who are not yet in respiratory failure. After signing informed consent, participants will be screened upon presentation at the hospital. Screening will include full physical examination, vital signs, safety laboratory evaluation, oxygen saturation, pre-diagnostics to measure prostaglandin D2 (PGD2) status, and baseline assessment of World Health Organization (WHO) Ordinal Scale for COVID-19. If confirmed that the participant qualifies for this protocol according to listed inclusion and exclusion criteria, participants will receive the first dose of study medication, PO. The participant will then receive study medication PO or NG (if intubated or unable to swallow medication) once daily, at approximately the same time each day for up to 13 additional days. Study medication will be administered in addition to standard of care deemed appropriate by the treating physician(s). Participants will be randomized to receive BGE-175 or placebo. Participants will be monitored daily for all relevant efficacy outcomes, oxygen saturation, and adverse events. Blood will be drawn periodically for safety laboratory measurements, plasma kinetics, lymphocyte subsets, C-reactive protein, and cytokines. Nasopharyngeal swabs will be collected to measure viral load. Participants will be monitored for 14 days after administration of the last dose (Day 28) and followed through Day 57.

Interventions

DRUGBGE-175

Drug

OTHERPlacebo

Placebo

Sponsors

BioAge Labs, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Masking description

Double-blind

Intervention model description

Multicenter, Randomized, Double-blind, Placebo-controlled

Eligibility

Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Ability to voluntarily provide informed consent that is documented per local requirements * An understanding, ability, and willingness to fully comply with study procedures and restrictions * Hospitalized subjects with a confirmed SARS-CoV-2 infection * Laboratory (polymerase chain reaction \[PCR\]) confirmed infection with SARS-CoV-2 * Age ≥ 50 years * COVID-19 illness of any duration, and oxygen saturation measurements ≤ 94% over 5 minutes on room air (Note: low flow oxygen is permitted, but room air oxygen saturation must be ≤ 94%) * Not in respiratory failure as defined by at least one of the following: 1. Respiratory failure defined by requiring at least one of the following: * Endotracheal intubation and mechanical ventilation * Oxygen delivered by high-flow nasal cannula at flow rates \> 20 L/min with fraction of delivered oxygen ≥ 0.5) * NIPPV * ECMO * Clinical diagnosis of respiratory failure (i.e., need for one of the preceding therapies, but preceding therapies are not being administered because it is unavailable in the current setting) 2. Hemodynamic compromise (defined by systolic blood pressure \< 90 mm Hg, or diastolic blood pressure \< 60 mm Hg) or requiring vasopressors 3. Multi-organ dysfunction/failure * Females subjects of childbearing potential must have a negative pregnancy test at screening or pre-treatment on Day 1 * Male and female subjects of childbearing potential must agree to use methods of contraception that are consistent with local regulations for those participating in clinical studies

Exclusion criteria

* Participation in any other randomized, controlled clinical trial of an experimental treatment for COVID-19 (uncontrolled, compassionate use trials are allowed) * In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments * Currently participating in a vaccination trial for SARS-CoV-2 * Known positive test for influenza A or influenza B at the time of screening * Positive for human immunodeficiency virus (HIV) that is not controlled with current treatment * Hepatitis B surface antigen, or Hepatitis C positive at the time of screening. Subjects who are positive for Hepatitis C but have Hepatitis C virus (HCV) RNA below the limit of quantitation may be enrolled. Subjects with Hepatitis B, but with undetectable viral load, may be enrolled. * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 5 × the upper limit of normal (ULN) * Stage 4 severe chronic kidney disease (i.e., estimated glomerular filtration rate \[eGFR\] \< 30 mL/min) or acute renal failure resulting in eGFR \< 30 mL/min * Serious comorbidity, including: 1. Myocardial infarction (within the last month) 2. Moderate or severe heart failure (New York Heart Association \[NYHA\] class III or IV) 3. Acute stroke (within the last month) 4. Uncontrolled malignancy. Uncontrolled malignancy would include cancers that are not considered in remission, or solid tumor or hematological malignancies with evidence of disease progression in the past 3 months (i.e., there is evidence of disease progression by Response Evaluation Criteria in Solid Tumours \[RECIST\] or equivalent relevant criterion for the type of malignancy), and are not considered effectively managed with ongoing treatment as determined by the investigator 5. Recent severe thromboembolic disease or evidence of severe thromboembolic disease defined as a current large vessel thromboembolic event or a thromboembolic event within the past 3 months (e.g., deep vein thrombosis \[DVT\], pulmonary embolism, ischemic stroke, transient ischemic attack) requiring interventional treatment. This exclusion does not prohibit prophylaxis for thromboembolic events, including those considered possible with concurrent SARS-CoV-2 infection. * History of severe allergic or anaphylactic reactions or hypersensitivity to the study drug * Consideration by the investigator, for any reason, that the subject is an unsuitable candidate to receive study treatment

Design outcomes

Primary

MeasureTime frameDescription
Proportion of Participants Who Have Died or Progressed to Respiratory FailureFirst dose date up to Day 28Proportion of participants who have died or progressed to respiratory failure as defined by progressing to the need for high-flow nasal cannula O2 delivery, noninvasive ventilation, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) at Day 28. The proportion of participants is represented as a percentage.

Secondary

MeasureTime frameDescription
SurvivalBaseline through Day 57; at Day 14, Day 28 and Day 57Proportion of participants surviving at Day 14, Day 28, and Day 57. The proportion of participants is represented as a percentage.
Proportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28First dose of treatment through Day 14, Day 28Proportion of subjects who survive without progression to respiratory failure at Day 28. The proportion of participants is represented as a percentage.
Time to Two Successive Negative Viral Titers in Nasopharyngeal SwabsBaseline through Day 28Kaplan-Meier Estimate of Time to Two Successive Negative Viral Titers in Nasopharyngeal Swab (median)
Time to Clinical Worsening From Baseline Value (Defined by Time to ≥ 1-point Worsening on WHO Ordinal Scale for COVID-19)First dose date up to Day 57Kaplan-Meier Estimate of Time to Clinical Worsening from Baseline Value. Time to clinical worsening from baseline value (defined by time to ≥ 1-point worsening on World Health Organization (WHO) Ordinal Scale for COVID-19). The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.
Proportion of Patients Who Develop Critical COVID-19 IllnessFirst dose date up to Day 57Proportion of patients who develop critical COVID-19 illness as defined by at least one of the following: A. RF defined based on resource utilization requiring at least one of the following: Endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates \> 20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, ECMO, clinical diagnosis respiratory failure (i.e., clinical need for one of the preceding therapies, but preceding therapies not able to be administered in setting of resource limitation) B. Hemodynamic compromise (defined by systolic blood pressure \< 90 mm Hg, or diastolic blood pressure \< 60 mm Hg or requiring vasopressors) C. Multi-organ dysfunction/failure The proportion of participants is represented as a percentage.
Time to Clinical Improvement From Baseline Value (Defined by Time to ≥ 1-point Improvement on WHO Ordinal Scale for COVID-19 Score - Must be Maintained Through Day 28)First dose date up to Day 28Kaplan-Meier Estimate of Time to Clinical Improvement from Baseline Value. Time to clinical improvement defined by time to ≥ 1-point improvement on World Health Organization (WHO) Ordinal Scale for COVID-19 - must be maintained through Day 28. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.
Mean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreDay 14/End of Treatment, Day 28, Day 57Mean change from baseline in WHO Ordinal Scale for COVID-19 score World Health Organization (WHO) Ordinal Scale for COVID-19. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.
Number of Patients Who Had Intubation During the StudyFirst dose date up to Day 57Proportion of Patients who had Intubation during the study defined as proportion of patients who had any documented intubation during the study.
Duration of IntubationFirst dose date up to Day 57Duration of Intubation (first post-dosing intubation)
Time to Discharge From Hospital Intensive Care UnitFirst dose date up to Day 57Time from intensive care unit admission to the recorded time of intensive care unit discharge
Number of Patients Who Had Supplemental Oxygen AdministrationFirst dose date up to Day 57Proportion of patients who had any documented post-dosing supplemental O2 administration during the study.
Proportion of Participants Experiencing Treatment-emergent Adverse EventsFirst dose of treatment through study Day 57Proportion of participants experiencing treatment-emergent adverse events as measured by the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0. The proportion of participants is represented as a percentage.
Number of Patients Who Had Noninvasive Ventilation or High-flow Nasal Cannula O2 AdministrationFirst dose date up to Day 57Proportion of patients who had any documented post-dosing noninvasive ventilation or high-flow nasal cannula O2 administration.
Duration of Noninvasive Ventilation by Nonrebreather Mask or High-flow Nasal CannulaFirst dose date up to Day 57Duration of participants receiving noninvasive ventilation by nonrebreather mask or high-flow nasal cannula
Number of Patients Who Had Mechanical Ventilation.First dose date up to Day 57Proportion of patients who had any documented post-dosing mechanical ventilation.
Duration of Mechanical VentilationFirst dose date up to Day 57Duration of participants receiving mechanical ventilation
Number of Patients Who Had Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO.First dose date up to Day 57Proportion of patients who had any documented post-dosing mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO.
Duration of Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMOFirst dose date up to Day 57Duration of participants receiving mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO
Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)First dose date up to Day 28Daily ratio of participants' oxygen saturation (SpO2) to fractional inspired O2 (SpO2/FiO2)
Time to Discharge From the HospitalFirst dose date up to Day 57Length (in days) of the time of hospitalization until medical discharge
Number of Patients With Re-hospitalizationFirst dose date up to Day 57Proportion of patients who are hospitalized again after the discharge of first hospitalization.
Proportion of Participants Requiring Intensive Care Unit AdmissionFirst dose date up to Day 57Proportion of participants admitted to hospital intensive care unit post randomization. The proportion of participants is represented as a percentage.
Duration of Supplemental Oxygen AdministrationFirst dose date up to Day 57Duration of participants receiving supplemental oxygen

Countries

Argentina, Brazil, United States

Participant flow

Recruitment details

Participants were recruited across 3 countries (US, Brazil and Argentina). Participants were hospitalized with a confirmed lab PCR SARS-COV-2 infection. First Subject First Visit was on 26 May 2021 and Last Subject Last Visit was on 19May2022.

Pre-assignment details

There were 223 participants screened for the study. Of these, 194 participants were randomized to received either asapiprant or placebo.

Participants by arm

ArmCount
Asapiprant (BGE-175)
Participants received two 50 mg tablets of asapiprant once daily for 14 days
96
Placebo
Participants received two 50 mg tablets of matching placebo tablet daily for 14 days
98
Total194

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath169
Overall StudyLost to Follow-up10
Overall StudyWithdrawal by Subject12

Baseline characteristics

CharacteristicAsapiprant (BGE-175)TotalPlacebo
Age, Customized
Age 50 to less than 75
71 Participants142 Participants71 Participants
Age, Customized
Age greater or equal to 75
25 Participants52 Participants27 Participants
Baseline WHO ordinal scale
WHO ordinal scale score 3
12 Participants19 Participants7 Participants
Baseline WHO ordinal scale
WHO ordinal scale score 4
82 Participants173 Participants91 Participants
Baseline WHO ordinal scale
WHO ordinal scale score 5
2 Participants2 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
69 Participants137 Participants68 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants54 Participants30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants3 Participants0 Participants
Race/Ethnicity, Customized
Race
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Asian
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Black or African American
10 Participants17 Participants7 Participants
Race/Ethnicity, Customized
Race
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Race
Other
8 Participants14 Participants6 Participants
Race/Ethnicity, Customized
Race
White
78 Participants163 Participants85 Participants
Region of Enrollment
North America
21 Participants42 Participants21 Participants
Region of Enrollment
South America
75 Participants152 Participants77 Participants
Sex: Female, Male
Female
44 Participants87 Participants43 Participants
Sex: Female, Male
Male
52 Participants107 Participants55 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
16 / 9610 / 98
other
Total, other adverse events
34 / 9632 / 98
serious
Total, serious adverse events
34 / 9632 / 98

Outcome results

Primary

Proportion of Participants Who Have Died or Progressed to Respiratory Failure

Proportion of participants who have died or progressed to respiratory failure as defined by progressing to the need for high-flow nasal cannula O2 delivery, noninvasive ventilation, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) at Day 28. The proportion of participants is represented as a percentage.

Time frame: First dose date up to Day 28

Population: The Intent-to-Treat (ITT) Analysis Set was used for the primary efficacy analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Proportion of Participants Who Have Died or Progressed to Respiratory Failure31 Participants
PlaceboProportion of Participants Who Have Died or Progressed to Respiratory Failure26 Participants
p-value: 0.331295% CI: [0.728, 2.562]Regression, Logistic
Secondary

Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)

Daily ratio of participants' oxygen saturation (SpO2) to fractional inspired O2 (SpO2/FiO2)

Time frame: First dose date up to Day 28

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureGroupValue (MEAN)Dispersion
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Baseline2.9 Ratio SpO2/FiO2Standard Deviation 0.71
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 22.7 Ratio SpO2/FiO2Standard Deviation 0.81
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 32.5 Ratio SpO2/FiO2Standard Deviation 0.92
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 42.3 Ratio SpO2/FiO2Standard Deviation 0.92
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 52.3 Ratio SpO2/FiO2Standard Deviation 0.91
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 62.3 Ratio SpO2/FiO2Standard Deviation 0.89
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 72.5 Ratio SpO2/FiO2Standard Deviation 0.99
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 82.4 Ratio SpO2/FiO2Standard Deviation 0.88
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 92.3 Ratio SpO2/FiO2Standard Deviation 1.02
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 102.3 Ratio SpO2/FiO2Standard Deviation 1.11
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 112.4 Ratio SpO2/FiO2Standard Deviation 1.1
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 122.2 Ratio SpO2/FiO2Standard Deviation 0.93
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 132.2 Ratio SpO2/FiO2Standard Deviation 0.71
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 142.2 Ratio SpO2/FiO2Standard Deviation 0.77
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Time of Discharge Visit3.1 Ratio SpO2/FiO2Standard Deviation 0.36
Asapiprant (BGE-175)Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Follow up Day 283.2 Ratio SpO2/FiO2Standard Deviation 0.44
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Follow up Day 283.0 Ratio SpO2/FiO2Standard Deviation 0.85
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Baseline3.0 Ratio SpO2/FiO2Standard Deviation 0.63
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 92.8 Ratio SpO2/FiO2Standard Deviation 0.95
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 22.9 Ratio SpO2/FiO2Standard Deviation 0.73
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 132.8 Ratio SpO2/FiO2Standard Deviation 0.71
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 32.8 Ratio SpO2/FiO2Standard Deviation 0.75
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 102.9 Ratio SpO2/FiO2Standard Deviation 0.67
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 42.7 Ratio SpO2/FiO2Standard Deviation 0.86
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Time of Discharge Visit3.2 Ratio SpO2/FiO2Standard Deviation 0.42
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 52.6 Ratio SpO2/FiO2Standard Deviation 0.9
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 112.8 Ratio SpO2/FiO2Standard Deviation 0.64
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 62.5 Ratio SpO2/FiO2Standard Deviation 0.9
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 143.0 Ratio SpO2/FiO2Standard Deviation 0.73
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 72.6 Ratio SpO2/FiO2Standard Deviation 0.93
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 122.9 Ratio SpO2/FiO2Standard Deviation 0.72
PlaceboDaily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)Treatment Day 82.7 Ratio SpO2/FiO2Standard Deviation 0.95
Comparison: Baselinep-value: 0.191695% CI: [-0.35, 0.07]ANCOVA
Comparison: Treatment Day 2p-value: 0.109795% CI: [-0.44, 0.05]ANCOVA
Comparison: Treatment Day 3p-value: 0.027695% CI: [-0.63, -0.04]ANCOVA
Comparison: Treatment Day 4p-value: 0.046395% CI: [-0.71, -0.01]ANCOVA
Comparison: Treatment Day 5p-value: 0.096995% CI: [-0.71, 0.06]ANCOVA
Comparison: Treatment Day 6p-value: 0.436795% CI: [-0.57, 0.25]ANCOVA
Comparison: Treatment Day 7p-value: 0.668595% CI: [-0.54, 0.35]ANCOVA
Comparison: Treatment Day 8p-value: 0.228795% CI: [-0.73, 0.18]ANCOVA
Comparison: Treatment Day 9p-value: 0.106195% CI: [-0.96, 0.09]ANCOVA
Comparison: Treatment Day 10p-value: 0.041595% CI: [-1.06, -0.02]ANCOVA
Comparison: Treatment Day 11p-value: 0.123695% CI: [-1, 0.12]ANCOVA
Comparison: Treatment Day 12p-value: 0.009795% CI: [-1.23, -0.18]ANCOVA
Comparison: Treatment Day 13p-value: 0.015795% CI: [-1.02, -0.11]ANCOVA
Comparison: Treatment Day 14p-value: 0.00195% CI: [-1.32, -0.36]ANCOVA
Comparison: Time of Discharge Visitp-value: 0.64495% CI: [-0.4, 0.25]ANCOVA
Comparison: Follow up Day 28p-value: 0.986995% CI: [-0.6, 0.59]ANCOVA
Secondary

Duration of Intubation

Duration of Intubation (first post-dosing intubation)

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Duration of Intubation11.8 DaysStandard Deviation 5.32
PlaceboDuration of Intubation7.8 DaysStandard Deviation 7.96
p-value: 0.74995% CI: [-0.42, 8.08]ANCOVA
Secondary

Duration of Mechanical Ventilation

Duration of participants receiving mechanical ventilation

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Duration of Mechanical Ventilation10.9 daysStandard Deviation 4.99
PlaceboDuration of Mechanical Ventilation7.7 daysStandard Deviation 4.88
p-value: 0.199195% CI: [-1.86, 8.18]ANCOVA
Secondary

Duration of Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO

Duration of participants receiving mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Duration of Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO8.7 daysStandard Deviation 5.85
PlaceboDuration of Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO3 daysStandard Deviation 1.41
p-value: 0.129795% CI: [-1.51, 10.64]ANCOVA
Secondary

Duration of Noninvasive Ventilation by Nonrebreather Mask or High-flow Nasal Cannula

Duration of participants receiving noninvasive ventilation by nonrebreather mask or high-flow nasal cannula

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Duration of Noninvasive Ventilation by Nonrebreather Mask or High-flow Nasal Cannula11.1 daysStandard Deviation 13.27
PlaceboDuration of Noninvasive Ventilation by Nonrebreather Mask or High-flow Nasal Cannula5.4 daysStandard Deviation 7
p-value: 0.117295% CI: [-1.27, 11.05]ANCOVA
Secondary

Duration of Supplemental Oxygen Administration

Duration of participants receiving supplemental oxygen

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Duration of Supplemental Oxygen Administration14.7 daysStandard Deviation 17
PlaceboDuration of Supplemental Oxygen Administration11.7 daysStandard Deviation 14.81
p-value: 0.226595% CI: [-1.76, 7.37]ANCOVA
Secondary

Mean Change From Baseline in WHO Ordinal Scale for COVID-19 Score

Mean change from baseline in WHO Ordinal Scale for COVID-19 score World Health Organization (WHO) Ordinal Scale for COVID-19. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

Time frame: Day 14/End of Treatment, Day 28, Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureGroupValue (MEAN)Dispersion
Asapiprant (BGE-175)Mean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 14-1.2 score on a scaleStandard Deviation 2.17
Asapiprant (BGE-175)Mean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 28-1.2 score on a scaleStandard Deviation 2.51
Asapiprant (BGE-175)Mean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 57-2.7 score on a scaleStandard Deviation 0.58
PlaceboMean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 14-1.8 score on a scaleStandard Deviation 1.76
PlaceboMean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 28-1.7 score on a scaleStandard Deviation 2.11
PlaceboMean Change From Baseline in WHO Ordinal Scale for COVID-19 ScoreChange at Day 57-2.8 score on a scaleStandard Deviation 0.42
p-value: 0.025495% CI: [0.08, 1.2]ANCOVA
Comparison: Change at Day 28p-value: 0.110995% CI: [-0.12, 1.18]ANCOVA
Comparison: Change at Day 57p-value: 0.86495% CI: [-0.1, 0.12]ANCOVA
Secondary

Number of Patients Who Had Intubation During the Study

Proportion of Patients who had Intubation during the study defined as proportion of patients who had any documented intubation during the study.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients Who Had Intubation During the Study18 Participants
PlaceboNumber of Patients Who Had Intubation During the Study10 Participants
p-value: 0.091995% CI: [0.89, 4.706]Regression, Logistic
Secondary

Number of Patients Who Had Mechanical Ventilation.

Proportion of patients who had any documented post-dosing mechanical ventilation.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.~This outcome is based on subjects who had WHO ordinal scale score of 6. A subject can have either a score of 6 or 7 (see outcome measure: Duration of Mechanical Ventilation Plus Additional Organ Support) but not both. This is the reason for the differing numbers for outcome 17 and 19.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients Who Had Mechanical Ventilation.9 Participants
PlaceboNumber of Patients Who Had Mechanical Ventilation.10 Participants
p-value: 0.85395% CI: [0.353, 2.368]Regression, Logistic
Secondary

Number of Patients Who Had Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO.

Proportion of patients who had any documented post-dosing mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.~This outcome is based on subjects who had WHO ordinal scale score of 7. A subject can have either a score of 6 (see outcome measure: Duration of Mechanical Ventilation) or 7 but not both. This is the reason for the differing numbers for outcome 17 and 19.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients Who Had Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO.14 Participants
PlaceboNumber of Patients Who Had Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO.4 Participants
p-value: 0.016695% CI: [1.293, 13.027]Regression, Logistic
Secondary

Number of Patients Who Had Noninvasive Ventilation or High-flow Nasal Cannula O2 Administration

Proportion of patients who had any documented post-dosing noninvasive ventilation or high-flow nasal cannula O2 administration.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients Who Had Noninvasive Ventilation or High-flow Nasal Cannula O2 Administration26 Participants
PlaceboNumber of Patients Who Had Noninvasive Ventilation or High-flow Nasal Cannula O2 Administration23 Participants
p-value: 0.549795% CI: [0.633, 2.364]Regression, Logistic
Secondary

Number of Patients Who Had Supplemental Oxygen Administration

Proportion of patients who had any documented post-dosing supplemental O2 administration during the study.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients Who Had Supplemental Oxygen Administration86 Participants
PlaceboNumber of Patients Who Had Supplemental Oxygen Administration92 Participants
p-value: 0.262195% CI: [0.184, 1.586]Regression, Logistic
Secondary

Number of Patients With Re-hospitalization

Proportion of patients who are hospitalized again after the discharge of first hospitalization.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Number of Patients With Re-hospitalization6 Participants
PlaceboNumber of Patients With Re-hospitalization7 Participants
p-value: 0.808195% CI: [0.28, 2.695]Regression, Logistic
Secondary

Proportion of Participants Experiencing Treatment-emergent Adverse Events

Proportion of participants experiencing treatment-emergent adverse events as measured by the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0. The proportion of participants is represented as a percentage.

Time frame: First dose of treatment through study Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Proportion of Participants Experiencing Treatment-emergent Adverse Events73 Participants
PlaceboProportion of Participants Experiencing Treatment-emergent Adverse Events71 Participants
Secondary

Proportion of Participants Requiring Intensive Care Unit Admission

Proportion of participants admitted to hospital intensive care unit post randomization. The proportion of participants is represented as a percentage.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Proportion of Participants Requiring Intensive Care Unit Admission22 Participants
PlaceboProportion of Participants Requiring Intensive Care Unit Admission17 Participants
p-value: 0.319395% CI: [0.704, 2.929]Regression, Logistic
Secondary

Proportion of Patients Who Develop Critical COVID-19 Illness

Proportion of patients who develop critical COVID-19 illness as defined by at least one of the following: A. RF defined based on resource utilization requiring at least one of the following: Endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates \> 20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, ECMO, clinical diagnosis respiratory failure (i.e., clinical need for one of the preceding therapies, but preceding therapies not able to be administered in setting of resource limitation) B. Hemodynamic compromise (defined by systolic blood pressure \< 90 mm Hg, or diastolic blood pressure \< 60 mm Hg or requiring vasopressors) C. Multi-organ dysfunction/failure The proportion of participants is represented as a percentage.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)Proportion of Patients Who Develop Critical COVID-19 Illness34 Participants
PlaceboProportion of Patients Who Develop Critical COVID-19 Illness28 Participants
p-value: 0.294195% CI: [0.752, 2.561]Regression, Logistic
Secondary

Proportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28

Proportion of subjects who survive without progression to respiratory failure at Day 28. The proportion of participants is represented as a percentage.

Time frame: First dose of treatment through Day 14, Day 28

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureGroupValue (NUMBER)
Asapiprant (BGE-175)Proportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28Day 1469.5 percentage of participants
Asapiprant (BGE-175)Proportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28Day 2867.3 percentage of participants
PlaceboProportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28Day 1478.6 percentage of participants
PlaceboProportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28Day 2873.4 percentage of participants
Comparison: Statistical analysis was only performed for Day 28. This is timeframe used for the primary endpointp-value: 0.2687Log Rank
Secondary

Survival

Proportion of participants surviving at Day 14, Day 28, and Day 57. The proportion of participants is represented as a percentage.

Time frame: Baseline through Day 57; at Day 14, Day 28 and Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants. Subjects who discontinued the study prior to the timepoint are censored at the date of discontinuation and excluded from the analysis. At Day 57, the number participants analyzed were different because 9 participants were censored from the asapiprant arm and 15 participants from the placebo arm.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Asapiprant (BGE-175)SurvivalSurvival at Day 1489 Participants
Asapiprant (BGE-175)SurvivalSurvival at Day 2879 Participants
Asapiprant (BGE-175)SurvivalSurvival at Day 5769 Participants
PlaceboSurvivalSurvival at Day 1493 Participants
PlaceboSurvivalSurvival at Day 2887 Participants
PlaceboSurvivalSurvival at Day 5772 Participants
Comparison: Day 14p-value: 0.456195% CI: [0.133, 2.475]Regression, Logistic
Comparison: Day 28p-value: 0.155995% CI: [0.212, 1.282]Regression, Logistic
Comparison: Day 57p-value: 0.129395% CI: [0.203, 1.226]Regression, Logistic
Secondary

Time to Clinical Improvement From Baseline Value (Defined by Time to ≥ 1-point Improvement on WHO Ordinal Scale for COVID-19 Score - Must be Maintained Through Day 28)

Kaplan-Meier Estimate of Time to Clinical Improvement from Baseline Value. Time to clinical improvement defined by time to ≥ 1-point improvement on World Health Organization (WHO) Ordinal Scale for COVID-19 - must be maintained through Day 28. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

Time frame: First dose date up to Day 28

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEDIAN)
Asapiprant (BGE-175)Time to Clinical Improvement From Baseline Value (Defined by Time to ≥ 1-point Improvement on WHO Ordinal Scale for COVID-19 Score - Must be Maintained Through Day 28)8 days
PlaceboTime to Clinical Improvement From Baseline Value (Defined by Time to ≥ 1-point Improvement on WHO Ordinal Scale for COVID-19 Score - Must be Maintained Through Day 28)6 days
p-value: 0.3325Log Rank
Secondary

Time to Clinical Worsening From Baseline Value (Defined by Time to ≥ 1-point Worsening on WHO Ordinal Scale for COVID-19)

Kaplan-Meier Estimate of Time to Clinical Worsening from Baseline Value. Time to clinical worsening from baseline value (defined by time to ≥ 1-point worsening on World Health Organization (WHO) Ordinal Scale for COVID-19). The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEDIAN)
Asapiprant (BGE-175)Time to Clinical Worsening From Baseline Value (Defined by Time to ≥ 1-point Worsening on WHO Ordinal Scale for COVID-19)NA days
PlaceboTime to Clinical Worsening From Baseline Value (Defined by Time to ≥ 1-point Worsening on WHO Ordinal Scale for COVID-19)NA days
p-value: 0.2229Log Rank
Secondary

Time to Discharge From Hospital Intensive Care Unit

Time from intensive care unit admission to the recorded time of intensive care unit discharge

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Time to Discharge From Hospital Intensive Care Unit15.7 daysStandard Deviation 7.67
PlaceboTime to Discharge From Hospital Intensive Care Unit12.1 daysStandard Deviation 8.55
p-value: 0.176995% CI: [-1.75, 9.13]ANCOVA
Secondary

Time to Discharge From the Hospital

Length (in days) of the time of hospitalization until medical discharge

Time frame: First dose date up to Day 57

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEAN)Dispersion
Asapiprant (BGE-175)Time to Discharge From the Hospital10.8 daysStandard Deviation 10.73
PlaceboTime to Discharge From the Hospital9.1 daysStandard Deviation 9.09
p-value: 0.239995% CI: [-1.14, 4.52]ANCOVA
Secondary

Time to Two Successive Negative Viral Titers in Nasopharyngeal Swabs

Kaplan-Meier Estimate of Time to Two Successive Negative Viral Titers in Nasopharyngeal Swab (median)

Time frame: Baseline through Day 28

Population: The Intent-to-Treat (ITT) Analysis Set was used for the analysis and includes all randomized participants.

ArmMeasureValue (MEDIAN)
Asapiprant (BGE-175)Time to Two Successive Negative Viral Titers in Nasopharyngeal Swabs29 days
PlaceboTime to Two Successive Negative Viral Titers in Nasopharyngeal Swabs29 days
p-value: 0.3977Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026