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Safety, Tolerability, and Treatment Effect of Belnacasan in Patients With COVID-19

A Proof of Concept, Randomized, Double-blind, Placebo-controlled Trial of Orally Administered Belnacasan Tablets for the Treatment of Mild to Moderate COVID-19

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05164120
Enrollment
40
Registered
2021-12-20
Start date
2021-12-14
Completion date
2022-10-11
Last updated
2024-09-19

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

Conditions

COVID-19

Brief summary

The purpose of this trial is to assess the safety, tolerability and treatment effect of the orally administered Caspase-1 inhibitor, belnacasan, for the treatment of patients with mild to moderate COVID-19 and to generate proof of concept for future trials.

Detailed description

COVID-19 is an acute respiratory disease caused by the SARS-CoV-2 virus which has impacted the lives of millions of patients. Though vaccines and preventive treatments such as monoclonal antibodies, steroids, and anti-virals have been established, they do not specifically target the resulting inflammatory response and complications the virus causes. This study aims to evaluate how safe and effective a particular oral medication, Belnacasan, is in diminishing your body's inflammatory response, which may go into overdrive when infected with the virus. This overly activated immune response can become uncontrolled resulting in cell death and the release of damaging proteins which can cause major harm to all organs throughout the body. Belnacasan prevents the activation of a particular enzyme, Caspase-1, which plays a major role in activating this damaging immune response brought on by COVID-19. The goal of this medication being a more targeted treatment that aims to prevent the devastating immune response.

Interventions

DRUGBelnacasan

Oral administration

DRUGPlacebo

Tablet containing 0mg of API

Sponsors

MedStar Health
Lead SponsorOTHER

Study design

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

Masking description

Randomizations, assigned 1:1

Eligibility

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

Inclusion criteria

1. Subject (or legally authorized representative) provides written informed consent prior to the initiation of any study procedures 2. Subject understands and agrees to comply with planned study procedures, including using the diary 3. Subject agrees to the collection of nasopharyngeal swabs and venous blood per protocol 4. Subject is male or non-pregnant female adult ≥18 years of age at time of consent a. Women with a history of menstruation must agree to use two methods of contraception, at least one of which is highly effective, for the duration of the study as well as to undergo additional pregnancy testing during the study 5. Subject has a laboratory confirmed SARS-CoV-2 infection as determined by RT-PCR assay prior to enrollment 6. Subject has evidence of either mild or moderate COVID-19 illness of less than 7 days from first onset, with minimal baseline symptom severity based on patient-reported FDA scoring system defined as follows: 1. Subject presents with at least two common symptoms of COVID-19 from the following list: Stuffy or runny nose, sore throat, cough, low energy or tiredness, muscle or body ache, headache, chills or shivering, feeling hot or feverish, nausea, vomiting, diarrhea, shortness of breath with exertion (without supplemental oxygen requirement) with a score of 2 or higher, impairment in sense of smell or taste with a score of 1 or higher OR 2. Subject presents with any (i.e., at least one) symptom of COVID-19 as defined above AND clinical evidence of moderate COVID-19 as defined by FDA guidance for industry (such as respiratory rate \>20 breaths per minute, heart rate \>90 beats per minute, with oxygen saturation \>93% on room air at sea level) 7. Subject presents with high-risk for COVID-19-related inflammation determined by at least one comorbidity, including obesity, diabetes, hypertension, stable heart disease, respiratory disease, and/or non-severe fatty liver disease 8. Subject's overall health condition is deemed as suitable to fully and safely participate in this trial as determined by the investigator

Exclusion criteria

1. Any clinical signs indicative of severe or critical COVID-19 as defined by FDA guidance for Industry at the time, including SpO2 \<93% and/or oxygen requirement 2. Hospitalization for COVID-19, or consideration thereof 3. ICU level of care and/or non-mechanical/mechanical ventilation and/or oxygen supplementation at time of enrollment 4. Pregnant or breast-feeding subjects 5. Subjects who cannot swallow tablets 6. History of any pre-existing organ impairment, such as: 1. Severe kidney disease (known or estimated GFR \<30 mL/minute) or on dialysis 2. Uncontrolled, clinically significant heart diseases such as arrhythmias, angina or heart failure as defined by AHA/ACC Grade C and D 3. Chronic respiratory disease requiring supplemental oxygen 4. Moderate and severe hepatic impairment as defined by Child-Pugh scoring Class B and Class C 7. Elevated liver function test (determined by ALT, AST, GGT, or ALP \>2x upper limit of normal, and/or total Bilirubin \> upper limit of normal) 8. History of malignancy or immunodeficiency within the prior 5 years 9. Acute respiratory illness other than COVID-19 10. Acute bacterial, viral or fungal infection (including HIV, hepatitis B, hepatitis C) 11. While dosed with IP, the taking of prohibited concomitant medication or the ingestion of food that interferes with the IP, including: 1. Non-COVID19-related anti-viral medication such as lopinavir, ritonavir, ribavirin, or interferon-1β 2. Systemically administered immunosuppressive and anti-inflammatory agents, other than background standard of care for COVID-19 at the time 3. Drugs and foods that are potent inhibitors or inducers of CYP3A4 and/or P-gp, as listed in FDA Drug Development and Drug Interactions: Table of Substrates, Inhibitors and Inducers, including herbal medications such as St. John's Wort within 30 days or 5 half-lives (whichever is longer) prior to the first dose of study drug 12. Any other diseases or medical conditions or concomitant medications that are deemed as not compatible or appropriate for the subject's ability to fully and safely participate in this trial as determined by the investigator

Design outcomes

Primary

MeasureTime frameDescription
Safety and Tolerability of BelnacasanThrough 60 days post enrollmentNumber of adverse events and serious adverse events

Secondary

MeasureTime frameDescription
G-CSFBaseline and Days 7, 14, 21, and 28Plasma levels of G-CSF
Sustained Recovery and Resolution Rates of Common COVID-19 SymptomsBaseline and Days 4, 7, 10, 14, 21, 28, 42, and 60 post randomizationProportion of subjects in treatment group versus placebo group, respectively, who, per symptom questionnaire, rate stuffy or runny nose, sore throat, cough, low energy or tiredness, muscle or body ache, headache, chills or shivering, feeling hot or feverish, nausea, vomiting, diarrhea, shortness of breath at rest, shortness of breath with exertion, or impairment in sense of smell or taste as mild, moderate or severe.
Oxygenation LevelsOver 60 days post randomizationAverage change from baseline over 60 days in percentage of blood saturation
Sustained Improvement of Global Impression RatesDays 4, 7, 10, 14, 21, 28, 42, and 60 post randomizationProportion of subjects in treatment group versus placebo group, respectively, who per symptom questionnaire have answered for two consecutive days: YES to In the past 24 hours, have you returned to your usual health (before your COVID-19 illness)?; YES to In the past 24 hours, have you returned to your usual activities (before your COVID-19 illness)?
Time to Sustained Recovery or Resolution of Common COVID-19 SymptomsOver 60 days post randomizationComparison in treatment group versus placebo group, respectively, of the number of days from randomization to the first day of achieving sustained recovery and resolution rates of common COVID-19 symptoms.
Time to Sustained Improvement of Global ImpressionOver 60 days post randomizationComparison in treatment group versus placebo group, respectively, of the mean number of days from randomization to the first day of achieving sustained improvement of global impression rates.
Rates of FeverDays between enrollment and day 2 post randomizationProportion of subjects in treatment group versus placebo group, respectively, who, per thermometer, experienced fever at any point between enrollment and day 2 post randomization.
Time in Days to Normalization of Fever and Oxygenation Levels.28 DaysComparison in treatment group versus placebo group, respectively, of the number of days from randomization to the first day of achieving sustained (i.e., at least 2 days) resolution of fever for subjects who presented with fever at any point between enrollment and day 2 post randomization; with temperature \<38C or \>=38C experienced in total during the first 28 days post randomization; from randomization to the first day post randomization of achieving oxygenation of SpO2\>=96% in room air when resting for subjects who presented with SpO2\>93% and \<96% in room air, when resting, at enrollment; with oxygenation of SpO2\>= 96% or SpO2\>93% in room air, when resting, in total during the first 28 days post randomization.
Experiences of COVID-19 Related Deterioration and MortalityDays 14, 28 and 60 post randomizationProportion of treatment group, versus placebo group, respectively, who per subject reporting or medical records had experienced an emergency department visit, other than at study enrollment or study visits; hospitalization for COVID-19; hospitalization for COVID-19 requiring oxygen; hospitalization for COVID-19 requiring ICU; hospitalization for COVID-19 requiring ventilation; COVID-19 related death; death; hospitalization or death on Days 14, 28, and 60.
TNF-alphaBaseline and Days 7, 14, 21, and 28Plasma levels of TNF-alpha
Caspase-1Baseline and Days 7, 14, 21, and 28Plasma levels of caspase-1
The Number of Subjects With COVID-19 Related Deterioration and Mortality ExperiencesOver 28 daysComparison of treatment group versus placebo group, respectively, in the number of subjects who following randomization experienced hospitalization for COVID-19 related deterioration: requiring oxygen, requiring ICU admission, requiring ventilation.
Changes on the WHO 9-Point Ordinal ScaleDays 4, 7, 10, 14, 21, 28, 42, and 60 post randomizationThe counts of participants in the treatment group versus placebo group, respectively, who per questionnaire on WHO 9-point ordinal scale \[0: Uninfected or no clinical or virological evidence of infection; 1: Not hospitalized, no limitations on activities; 2: Not hospitalized, limitation on activities; 3: Hospitalized, not requiring supplemental oxygen; 4: Hospitalized, requiring supplemental oxygen; 5: Hospitalized, on non-invasive ventilation or high flow oxygen devices; 6: Hospitalized, intubated; 7: Hospitalized, advanced life support including invasive mechanical ventilation or ECMO; 8: Death\] had experienced an improvement from scale 2 to scale 1 or 0; an improvement from scale 1 to scale 0 ; a sustainment from scale 1 to scale 1; any improvement of the scale; any worsening of the scale; scale 4 or higher; scale 6 or higher.
Gasdermin DBaseline and Days 7, 14, 21, and 28Plasma levels of gasdermin D
Values on the WHO 9-Point Ordinal ScaleDays 14, 28, and 60 post randomizationComparison of treatment group versus placebo group, respectively, in the average of daily scale value (0-8) on Days 14, 28, and 60 with respect to the number of subjects who reported as uninfected (scale value of 0), had no limitations (scale value of 1), or were experiencing limitations (scale value of 2). All patients had a score ranging between 0-2. A description of the WHO 9-Point Ordinal Scale follows: 0\. Uninfected or no clinical or virological evidence of infection * defined as subject answering Yes to In the past 24 hours, have you returned to your usual health (before your COVID-19 illness)? 1\. Not hospitalized, no limitations on activities * defined as subject answering Yes to In the past 24 hours, have you returned to your usual activities (before your COVID-19 illness)? 2. Not hospitalized, limitation on activities * defined as subject answering No to In the past 24 hours, have you returned to your usual act
Time to Improvement on the WHO 9-Point Ordinal ScalePost treatment to Day 60Comparison of treatment group versus placebo group, respectively, in the mean number of days from enrollment to reporting no limitations or uninfected. The discrepancy in patient numbers (enrolled versus analyzed) is due to patients who either dropped out or have missing data.
Mean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesPost treatment through Day 60Comparison of treatment group versus placebo group, respectively, in the mean number of days on which subjects experienced limitations, no limitations, and uninfected post treatment (60 Days).
IL-6Baseline and Days 7, 14, 21, 28Plasma levels of IL-6
IL-1raBaseline and Days 7, 14, 21, 28Measurement of plasma IL-1ra levels
IL-18Baseline and Days 7, 14, 21, and 28Measurement of plasma levels of IL-18

Countries

United States

Participant flow

Participants by arm

ArmCount
Interventional
900mg dose TID Administration Total: 2700mg Belnacasan: Oral administration
20
Placebo
0 mg dose TID Administration Total: 0 mg Placebo: Tablet containing 0mg of API
20
Total40

Baseline characteristics

CharacteristicInterventionalPlaceboTotal
Age, Continuous45.1 years
STANDARD_DEVIATION 11.9
41.6 years
STANDARD_DEVIATION 12.1
43.4 years
STANDARD_DEVIATION 12
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
4 Participants3 Participants7 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants6 Participants9 Participants
Race (NIH/OMB)
White
13 Participants11 Participants24 Participants
Region of Enrollment
United States
20 participants20 participants40 participants
Sex: Female, Male
Female
11 Participants11 Participants22 Participants
Sex: Female, Male
Male
9 Participants9 Participants18 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 200 / 20
other
Total, other adverse events
2 / 200 / 20
serious
Total, serious adverse events
0 / 200 / 20

Outcome results

Primary

Safety and Tolerability of Belnacasan

Number of adverse events and serious adverse events

Time frame: Through 60 days post enrollment

Population: Patients reporting AEs and SAEs from the time of enrollment through Day 60

ArmMeasureGroupValue (NUMBER)
InterventionalSafety and Tolerability of BelnacasanNumber of adverse events11 Number of AEs and SAEs
InterventionalSafety and Tolerability of BelnacasanNumber of serious adverse events0 Number of AEs and SAEs
PlaceboSafety and Tolerability of BelnacasanNumber of adverse events10 Number of AEs and SAEs
PlaceboSafety and Tolerability of BelnacasanNumber of serious adverse events0 Number of AEs and SAEs
Secondary

Caspase-1

Plasma levels of caspase-1

Time frame: Baseline and Days 7, 14, 21, and 28

Population: Number of patients who had plasma caspase-1 levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalCaspase-1Day 784.7 pg/mLStandard Deviation 95.2
InterventionalCaspase-1Day 2198.7 pg/mLStandard Deviation 120
InterventionalCaspase-1Day 1469.5 pg/mLStandard Deviation 74.8
InterventionalCaspase-1Day 28101.6 pg/mLStandard Deviation 150.9
InterventionalCaspase-1Baseline97.2 pg/mLStandard Deviation 77.6
PlaceboCaspase-1Day 2883.4 pg/mLStandard Deviation 66.4
PlaceboCaspase-1Baseline115.5 pg/mLStandard Deviation 110
PlaceboCaspase-1Day 7104.4 pg/mLStandard Deviation 92
PlaceboCaspase-1Day 1496.4 pg/mLStandard Deviation 105.8
PlaceboCaspase-1Day 2196.4 pg/mLStandard Deviation 105.8
Secondary

Changes on the WHO 9-Point Ordinal Scale

The counts of participants in the treatment group versus placebo group, respectively, who per questionnaire on WHO 9-point ordinal scale \[0: Uninfected or no clinical or virological evidence of infection; 1: Not hospitalized, no limitations on activities; 2: Not hospitalized, limitation on activities; 3: Hospitalized, not requiring supplemental oxygen; 4: Hospitalized, requiring supplemental oxygen; 5: Hospitalized, on non-invasive ventilation or high flow oxygen devices; 6: Hospitalized, intubated; 7: Hospitalized, advanced life support including invasive mechanical ventilation or ECMO; 8: Death\] had experienced an improvement from scale 2 to scale 1 or 0; an improvement from scale 1 to scale 0 ; a sustainment from scale 1 to scale 1; any improvement of the scale; any worsening of the scale; scale 4 or higher; scale 6 or higher.

Time frame: Days 4, 7, 10, 14, 21, 28, 42, and 60 post randomization

Population: Patients reported WHO 9-point scale status from baseline to scale 1 or 0 at Days 4, 7, 10, 14, 21, 28, 42, and 60

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 2115 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 4216 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 43 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 78 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 1014 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 1414 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 2816 Participants
InterventionalChanges on the WHO 9-Point Ordinal ScaleDay 6017 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 4216 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 1411 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 2115 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 46 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 6015 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 78 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 2816 Participants
PlaceboChanges on the WHO 9-Point Ordinal ScaleDay 1013 Participants
Secondary

Experiences of COVID-19 Related Deterioration and Mortality

Proportion of treatment group, versus placebo group, respectively, who per subject reporting or medical records had experienced an emergency department visit, other than at study enrollment or study visits; hospitalization for COVID-19; hospitalization for COVID-19 requiring oxygen; hospitalization for COVID-19 requiring ICU; hospitalization for COVID-19 requiring ventilation; COVID-19 related death; death; hospitalization or death on Days 14, 28, and 60.

Time frame: Days 14, 28 and 60 post randomization

Population: The number of treatment group, versus placebo group, respectively, who had COVID-related: emergency department visit, hospitalization, required oxygen, required an ICU visit, required ventilation, or died as of Days 14, 28, and 60.

ArmMeasureGroupValue (NUMBER)
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 280 Number of subjects
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 140 Number of subjects
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 280 Number of subjects
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 14.0 Number of subjects
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 600 Number of subjects
InterventionalExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 600 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 600 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 140 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 280 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 600 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who required oxygen or ventilation by Day 280 Number of subjects
PlaceboExperiences of COVID-19 Related Deterioration and MortalitySubjects who had COVID-related: ER visit, hospitalization, ICU visit, or died by Day 14.0 Number of subjects
Secondary

Gasdermin D

Plasma levels of gasdermin D

Time frame: Baseline and Days 7, 14, 21, and 28

Population: Number of patients who had plasma gasdermin D levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalGasdermin DBaseline2.5 pg/mLStandard Deviation 1.9
InterventionalGasdermin DDay 145.0 pg/mLStandard Deviation 3.1
InterventionalGasdermin DDay 285.4 pg/mLStandard Deviation 3.3
InterventionalGasdermin DDay 216.2 pg/mLStandard Deviation 3.1
InterventionalGasdermin DDay 74.0 pg/mLStandard Deviation 2.5
PlaceboGasdermin DDay 285.4 pg/mLStandard Deviation 2.7
PlaceboGasdermin DBaseline3.5 pg/mLStandard Deviation 2.9
PlaceboGasdermin DDay 74.9 pg/mLStandard Deviation 4
PlaceboGasdermin DDay 145.2 pg/mLStandard Deviation 3.6
PlaceboGasdermin DDay 217.2 pg/mLStandard Deviation 4
Secondary

G-CSF

Plasma levels of G-CSF

Time frame: Baseline and Days 7, 14, 21, and 28

Population: Number of patients who had plasma G-CSF levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalG-CSFBaseline137.2 pg/mLStandard Deviation 34.2
InterventionalG-CSFDay 21114.5 pg/mLStandard Deviation 34.9
InterventionalG-CSFDay 14121.4 pg/mLStandard Deviation 41.2
InterventionalG-CSFDay 28122.5 pg/mLStandard Deviation 45.3
InterventionalG-CSFDay 7125.0 pg/mLStandard Deviation 29.1
PlaceboG-CSFDay 28102.9 pg/mLStandard Deviation 24.1
PlaceboG-CSFBaseline147.0 pg/mLStandard Deviation 56.9
PlaceboG-CSFDay 7106.6 pg/mLStandard Deviation 36.4
PlaceboG-CSFDay 14100.2 pg/mLStandard Deviation 20.8
PlaceboG-CSFDay 21103.8 pg/mLStandard Deviation 21.3
Secondary

IL-18

Measurement of plasma levels of IL-18

Time frame: Baseline and Days 7, 14, 21, and 28

Population: Number of patients who had plasma IL-18 levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalIL-18Day 782.0 pg/mLStandard Deviation 60.4
InterventionalIL-18Day 2175.1 pg/mLStandard Deviation 58.9
InterventionalIL-18Day 1477.0 pg/mLStandard Deviation 58.8
InterventionalIL-18Day 2873.7 pg/mLStandard Deviation 56
InterventionalIL-18Baseline120.1 pg/mLStandard Deviation 69.6
PlaceboIL-18Day 2874.4 pg/mLStandard Deviation 36.6
PlaceboIL-18Baseline116.0 pg/mLStandard Deviation 65.9
PlaceboIL-18Day 788.6 pg/mLStandard Deviation 47.6
PlaceboIL-18Day 1481.7 pg/mLStandard Deviation 38.6
PlaceboIL-18Day 2180.7 pg/mLStandard Deviation 43.6
Secondary

IL-1ra

Measurement of plasma IL-1ra levels

Time frame: Baseline and Days 7, 14, 21, 28

Population: Number of patients who had plasma IL-1ra levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalIL-1raDay 731.2 pg/mLStandard Deviation 18.1
InterventionalIL-1raDay 2140.2 pg/mLStandard Deviation 14.5
InterventionalIL-1raDay 1434.0 pg/mLStandard Deviation 13.6
InterventionalIL-1raDay 2837.1 pg/mLStandard Deviation 15.8
InterventionalIL-1raBaseline37.2 pg/mLStandard Deviation 19
PlaceboIL-1raDay 2825.4 pg/mLStandard Deviation 7.6
PlaceboIL-1raBaseline32.5 pg/mLStandard Deviation 14.4
PlaceboIL-1raDay 726.6 pg/mLStandard Deviation 11.4
PlaceboIL-1raDay 1423.2 pg/mLStandard Deviation 7.7
PlaceboIL-1raDay 2123.7 pg/mLStandard Deviation 11.2
Secondary

IL-6

Plasma levels of IL-6

Time frame: Baseline and Days 7, 14, 21, 28

Population: Number of patients who had plasma IL-6 levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalIL-6Day 715.1 pg/mLStandard Deviation 12.1
InterventionalIL-6Day 2116.0 pg/mLStandard Deviation 15.1
InterventionalIL-6Day 1416.9 pg/mLStandard Deviation 13.4
InterventionalIL-6Day 2813.9 pg/mLStandard Deviation 10.8
InterventionalIL-6Baseline17.4 pg/mLStandard Deviation 13.6
PlaceboIL-6Day 289.7 pg/mLStandard Deviation 3.7
PlaceboIL-6Baseline14.6 pg/mLStandard Deviation 10
PlaceboIL-6Day 711.1 pg/mLStandard Deviation 8.4
PlaceboIL-6Day 149.7 pg/mLStandard Deviation 2.7
PlaceboIL-6Day 2110.2 pg/mLStandard Deviation 2.1
Secondary

Mean Number of Days of Experiencing WHO 9-Point Ordinal Scale Values

Comparison of treatment group versus placebo group, respectively, in the mean number of days on which subjects experienced limitations, no limitations, and uninfected post treatment (60 Days).

Time frame: Post treatment through Day 60

Population: Mean number of days in which patients experienced limitations, no limitations and uninfected

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesLimitations2.9 DaysStandard Deviation 1.8
InterventionalMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesNo limitations2.2 DaysStandard Deviation 1.9
InterventionalMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesUninfected3.0 DaysStandard Deviation 1.7
PlaceboMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesLimitations2.8 DaysStandard Deviation 1.7
PlaceboMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesNo limitations1.7 DaysStandard Deviation 1.4
PlaceboMean Number of Days of Experiencing WHO 9-Point Ordinal Scale ValuesUninfected3.8 DaysStandard Deviation 2.1
Secondary

Oxygenation Levels

Average change from baseline over 60 days in percentage of blood saturation

Time frame: Over 60 days post randomization

Population: Patient reported oxygenation levels over 60 days.

ArmMeasureValue (MEAN)
InterventionalOxygenation Levels-0.01 percentage of blood saturation
PlaceboOxygenation Levels-0.01 percentage of blood saturation
Secondary

Rates of Fever

Proportion of subjects in treatment group versus placebo group, respectively, who, per thermometer, experienced fever at any point between enrollment and day 2 post randomization.

Time frame: Days between enrollment and day 2 post randomization

Population: Patients who reported fever

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
InterventionalRates of Fever1 Participants
PlaceboRates of Fever0 Participants
Secondary

Sustained Improvement of Global Impression Rates

Proportion of subjects in treatment group versus placebo group, respectively, who per symptom questionnaire have answered for two consecutive days: YES to In the past 24 hours, have you returned to your usual health (before your COVID-19 illness)?; YES to In the past 24 hours, have you returned to your usual activities (before your COVID-19 illness)?

Time frame: Days 4, 7, 10, 14, 21, 28, 42, and 60 post randomization

Population: Patients reporting sustained improvement of global impression at Days 4, 7, 10, 14, 21, 28, 42, and 60

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
InterventionalSustained Improvement of Global Impression RatesDay 42 Returned to usual health16 Participants
InterventionalSustained Improvement of Global Impression RatesDay 4 Returned to usual health0 Participants
InterventionalSustained Improvement of Global Impression RatesDay 60 Returned to usual health16 Participants
InterventionalSustained Improvement of Global Impression RatesDay 7 Returned to usual activity9 Participants
InterventionalSustained Improvement of Global Impression RatesDay 21 Returned to usual health11 Participants
InterventionalSustained Improvement of Global Impression RatesDay 7 Returned to usual health5 Participants
InterventionalSustained Improvement of Global Impression RatesDay 14 Returned to usual activity15 Participants
InterventionalSustained Improvement of Global Impression RatesDay 4 Returned to usual activity0 Participants
InterventionalSustained Improvement of Global Impression RatesDay 21 Returned to usual activity15 Participants
InterventionalSustained Improvement of Global Impression RatesDay 14 Returned to usual health11 Participants
InterventionalSustained Improvement of Global Impression RatesDay 28 Returned to usual activity14 Participants
InterventionalSustained Improvement of Global Impression RatesDay 10 Returned to usual health5 Participants
InterventionalSustained Improvement of Global Impression RatesDay 42 Returned to usual activity16 Participants
InterventionalSustained Improvement of Global Impression RatesDay 28 Returned to usual health12 Participants
InterventionalSustained Improvement of Global Impression RatesDay 60 Returned to usual activity17 Participants
InterventionalSustained Improvement of Global Impression RatesDay 10 Returned to usual activity11 Participants
PlaceboSustained Improvement of Global Impression RatesDay 60 Returned to usual activity15 Participants
PlaceboSustained Improvement of Global Impression RatesDay 21 Returned to usual health16 Participants
PlaceboSustained Improvement of Global Impression RatesDay 60 Returned to usual health15 Participants
PlaceboSustained Improvement of Global Impression RatesDay 4 Returned to usual activity4 Participants
PlaceboSustained Improvement of Global Impression RatesDay 4 Returned to usual health0 Participants
PlaceboSustained Improvement of Global Impression RatesDay 10 Returned to usual health6 Participants
PlaceboSustained Improvement of Global Impression RatesDay 14 Returned to usual health12 Participants
PlaceboSustained Improvement of Global Impression RatesDay 28 Returned to usual health12 Participants
PlaceboSustained Improvement of Global Impression RatesDay 42 Returned to usual health16 Participants
PlaceboSustained Improvement of Global Impression RatesDay 7 Returned to usual activity9 Participants
PlaceboSustained Improvement of Global Impression RatesDay 10 Returned to usual activity15 Participants
PlaceboSustained Improvement of Global Impression RatesDay 14 Returned to usual activity17 Participants
PlaceboSustained Improvement of Global Impression RatesDay 21 Returned to usual activity17 Participants
PlaceboSustained Improvement of Global Impression RatesDay 28 Returned to usual activity13 Participants
PlaceboSustained Improvement of Global Impression RatesDay 42 Returned to usual activity17 Participants
PlaceboSustained Improvement of Global Impression RatesDay 7 Returned to usual health5 Participants
Secondary

Sustained Recovery and Resolution Rates of Common COVID-19 Symptoms

Proportion of subjects in treatment group versus placebo group, respectively, who, per symptom questionnaire, rate stuffy or runny nose, sore throat, cough, low energy or tiredness, muscle or body ache, headache, chills or shivering, feeling hot or feverish, nausea, vomiting, diarrhea, shortness of breath at rest, shortness of breath with exertion, or impairment in sense of smell or taste as mild, moderate or severe.

Time frame: Baseline and Days 4, 7, 10, 14, 21, 28, 42, and 60 post randomization

Population: Proportion of subjects in treatment group versus placebo group, respectively, who, per symptom questionnaire, rate stuffy or runny nose, sore throat, cough, low energy or tiredness, muscle or body ache, headache, chills or shivering, feeling hot or feverish, nausea, vomiting, diarrhea, shortness of breath at rest, shortness of breath with exertion, or impairment in sense of smell or taste ranging from mild to moderate.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 283 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Baseline3 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Baseline13 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 214 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 421 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 44 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Baseline7 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 413 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 45 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 714 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 215 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 105 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Baseline10 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 148 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 716 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 214 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 45 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Baseline17 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 715 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Baseline4 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 44 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 44 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 104 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 75 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 410 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 101 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 145 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 141 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 106 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 211 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 213 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 280 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 718 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 285 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 714 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Baseline6 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 41 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 45 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 106 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 76 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 76 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 102 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 285 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 141 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 100 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 280 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 1411 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day1 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 101 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 46 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 211 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 710 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 216 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 103 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 147 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 717 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 285 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 287 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 144 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Baseline6 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 210 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 70 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 421 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 102 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 144 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 421 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 212 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 282 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 102 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 210 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 143 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 282 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 Symptoms1Shortness of breath with exertion at Day 421 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Baseline13 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 210 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 210 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 1412 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 282 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Baseline17 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 107 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 47 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 1411 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 217 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 281 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 286 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 713 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 421 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Baseline0 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 601 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 601 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 40 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 422 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 102 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 70 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Baseline7 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 282 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Baseline8 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 100 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 43 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 710 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 146 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 100 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 140 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 141 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 413 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 281 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 210 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 600 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 280 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Baseline6 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 213 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 42 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 420 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 77 Participants
InterventionalSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Baseline14 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Baseline19 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 413 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 717 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 104 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 1410 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 213 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 281 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsRunny/stuffy nose at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Baseline14 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 43 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 79 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 142 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Baseline18 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 412 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Baseline14 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 47 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 717 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 101 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 144 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 213 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 281 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsLow energy or tiredness at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Baseline11 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 41 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 713 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 141 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 212 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsMuscle or body aches at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Baseline12 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 42 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 711 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 101 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 145 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 211 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Baseline4 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 41 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 77 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day1 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 40 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 73 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 141 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 212 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Baseline0 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 40 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 70 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 140 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsVomiting at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 143 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Baseline1 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Baseline5 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 44 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 710 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 103 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 142 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 212 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 281 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath with exertion at Day 601 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Baseline3 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 43 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 75 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 101 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 142 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 211 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of smell at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Baseline6 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 45 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 76 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 101 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 142 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Baseline1 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 44 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 76 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 213 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 282 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsDiarrhea at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 42 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 70 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 141 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsShortness of breath at rest at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 Symptoms1Shortness of breath with exertion at Day 421 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 210 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsImpairment of sense of taste at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsSore throat at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 718 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 109 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 1415 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 216 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 283 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsCough at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 282 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 420 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsHeadache at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsChills or shivering at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Baseline8 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 710 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 100 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 141 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 280 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsFeeling hot or feverish at Day 600 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Baseline1 Participants
PlaceboSustained Recovery and Resolution Rates of Common COVID-19 SymptomsNausea at Day 41 Participants
Secondary

The Number of Subjects With COVID-19 Related Deterioration and Mortality Experiences

Comparison of treatment group versus placebo group, respectively, in the number of subjects who following randomization experienced hospitalization for COVID-19 related deterioration: requiring oxygen, requiring ICU admission, requiring ventilation.

Time frame: Over 28 days

ArmMeasureValue (NUMBER)
InterventionalThe Number of Subjects With COVID-19 Related Deterioration and Mortality Experiences0 participants
PlaceboThe Number of Subjects With COVID-19 Related Deterioration and Mortality Experiences0 participants
Secondary

Time in Days to Normalization of Fever and Oxygenation Levels.

Comparison in treatment group versus placebo group, respectively, of the number of days from randomization to the first day of achieving sustained (i.e., at least 2 days) resolution of fever for subjects who presented with fever at any point between enrollment and day 2 post randomization; with temperature \<38C or \>=38C experienced in total during the first 28 days post randomization; from randomization to the first day post randomization of achieving oxygenation of SpO2\>=96% in room air when resting for subjects who presented with SpO2\>93% and \<96% in room air, when resting, at enrollment; with oxygenation of SpO2\>= 96% or SpO2\>93% in room air, when resting, in total during the first 28 days post randomization.

Time frame: 28 Days

Population: NOTE: One belnacasan participant had a fever (see outcome measure 6) which resolved on Day 4 an no placebo participants had a fever above 38C.~NOTE: 2 placebo participants had oxygen saturation between 93 and 96% which increased to \>96% on Day 7 and no belnacasan participants had an oxygen saturation below 96%.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalTime in Days to Normalization of Fever and Oxygenation Levels.Time in days to normalization of fever4 DaysStandard Deviation 0
PlaceboTime in Days to Normalization of Fever and Oxygenation Levels.Time in days to normalization of oxygenation level7 DaysStandard Deviation 0
Secondary

Time to Improvement on the WHO 9-Point Ordinal Scale

Comparison of treatment group versus placebo group, respectively, in the mean number of days from enrollment to reporting no limitations or uninfected. The discrepancy in patient numbers (enrolled versus analyzed) is due to patients who either dropped out or have missing data.

Time frame: Post treatment to Day 60

Population: Patients for whom there are data for reporting no limitations or uninfected

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalTime to Improvement on the WHO 9-Point Ordinal ScaleDays to no limitations9.3 DaysStandard Deviation 6.1
InterventionalTime to Improvement on the WHO 9-Point Ordinal ScaleDays to uninfected27.2 DaysStandard Deviation 14.3
PlaceboTime to Improvement on the WHO 9-Point Ordinal ScaleDays to no limitations7.1 DaysStandard Deviation 5
PlaceboTime to Improvement on the WHO 9-Point Ordinal ScaleDays to uninfected19.0 DaysStandard Deviation 8.9
Secondary

Time to Sustained Improvement of Global Impression

Comparison in treatment group versus placebo group, respectively, of the mean number of days from randomization to the first day of achieving sustained improvement of global impression rates.

Time frame: Over 60 days post randomization

Population: The discrepancy in patient numbers (enrolled versus analyzed) is due to patients who either dropped out or have missing data.

ArmMeasureValue (MEAN)Dispersion
InterventionalTime to Sustained Improvement of Global Impression10.5 DaysStandard Deviation 1.5
PlaceboTime to Sustained Improvement of Global Impression13.5 DaysStandard Deviation 2.9
Secondary

Time to Sustained Recovery or Resolution of Common COVID-19 Symptoms

Comparison in treatment group versus placebo group, respectively, of the number of days from randomization to the first day of achieving sustained recovery and resolution rates of common COVID-19 symptoms.

Time frame: Over 60 days post randomization

Population: The discrepancy in patient numbers (enrolled versus analyzed) is due to patients who either dropped out or have missing data.

ArmMeasureValue (MEAN)Dispersion
InterventionalTime to Sustained Recovery or Resolution of Common COVID-19 Symptoms20.6 DaysStandard Deviation 18.1
PlaceboTime to Sustained Recovery or Resolution of Common COVID-19 Symptoms15.4 DaysStandard Deviation 7.8
Secondary

TNF-alpha

Plasma levels of TNF-alpha

Time frame: Baseline and Days 7, 14, 21, and 28

Population: Number of patients who had plasma TNF-alpha levels measured Baseline and Days 7, 14, 21, 28.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalTNF-alphaDay 7124.5 pg/mLStandard Deviation 104.2
InterventionalTNF-alphaDay 21121.4 pg/mLStandard Deviation 112.6
InterventionalTNF-alphaDay 14137.1 pg/mLStandard Deviation 123.7
InterventionalTNF-alphaDay 28128.4 pg/mLStandard Deviation 140.8
InterventionalTNF-alphaBaseline131.1 pg/mLStandard Deviation 99.9
PlaceboTNF-alphaDay 2889.9 pg/mLStandard Deviation 42.3
PlaceboTNF-alphaBaseline97.0 pg/mLStandard Deviation 46.8
PlaceboTNF-alphaDay 797.8 pg/mLStandard Deviation 38.9
PlaceboTNF-alphaDay 1497.8 pg/mLStandard Deviation 51.4
PlaceboTNF-alphaDay 2184.0 pg/mLStandard Deviation 46.5
Secondary

Values on the WHO 9-Point Ordinal Scale

Comparison of treatment group versus placebo group, respectively, in the average of daily scale value (0-8) on Days 14, 28, and 60 with respect to the number of subjects who reported as uninfected (scale value of 0), had no limitations (scale value of 1), or were experiencing limitations (scale value of 2). All patients had a score ranging between 0-2. A description of the WHO 9-Point Ordinal Scale follows: 0\. Uninfected or no clinical or virological evidence of infection * defined as subject answering Yes to In the past 24 hours, have you returned to your usual health (before your COVID-19 illness)? 1\. Not hospitalized, no limitations on activities * defined as subject answering Yes to In the past 24 hours, have you returned to your usual activities (before your COVID-19 illness)? 2. Not hospitalized, limitation on activities * defined as subject answering No to In the past 24 hours, have you returned to your usual act

Time frame: Days 14, 28, and 60 post randomization

Population: Subjects who reported a value from 0-2 on Days 14, 28, and 60.

ArmMeasureGroupValue (MEAN)Dispersion
InterventionalValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 141.00 units on a scaleStandard Deviation 0.69
InterventionalValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 280.33 units on a scaleStandard Deviation 0.69
InterventionalValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 600.00 units on a scaleStandard Deviation 0
PlaceboValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 140.94 units on a scaleStandard Deviation 0.87
PlaceboValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 280.17 units on a scaleStandard Deviation 0.51
PlaceboValues on the WHO 9-Point Ordinal ScaleAverage WHO-9 point scale value at Day 600.12 units on a scaleStandard Deviation 0.48

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