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Lower Respiratory Tract InfectionPhase 3NCT03808922

Phase III DAS181 Lower Tract PIV Infection in Immunocompromised Subjects (Substudy: DAS181 for COVID-19): RCT Study

A Phase 3 study testing DAS181, DAS181 COVID-19 and DAS181 OL in people with Lower Respiratory Tract Infection and Parainfluenza, run by Ansun Biopharma, Inc. at 28 sites in 5 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study will seek to enroll immunocompromised patients with Lower Tract parainfluenza infection. It also contains a sub-study to enroll patients with severe COVID-19. Read more about this study

Who is it for?
Any age
What is being tested?
DAS181, DAS181 COVID-19 and DAS181 OL
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
274 participants
Where
28 sitesin 5 countries
Study dates
23 May 2019to 1 Sep 2028
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • At the time of randomization, requires supplemental oxygen ≥2 LPM due to hypoxemia.
  • Immunocompromised, as defined by one or more of the following:
  • Received an autologous or allogeneic hematopoietic stem cell transplantation (HSCT) at any time in the past
  • Received a solid organ transplant at any time in the past
  • Has been or is currently being treated with chemotherapy for hematologic malignancies (e.g., leukemia, myeloma, lymphoma) and/or solid tumor malignancies (e.g., lung, breast, brain cancer) at any time in the past
  • Has an immunodeficiency due to congenital abnormality (only applicable to subjects age < 18 years old) or pre-term birth (only applicable to subjects age ≤ 2 years old)
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  • Has, within 3 days prior to randomization, a confirmed LRTI with a sialic acid dependent respiratory virus
  • If female, subject must meet one of the following conditions:
  • Not be of childbearing potential or
  • Be of childbearing potential and have a negative urine/serum pregnancy test and agrees to practice an acceptable method of contraception
  • Non-vasectomized males are required to practice effective birth control methods
  • Capable of understanding and complying with procedures as outlined in the protocol
  • Provides signed informed consent prior to the initiation of any screening or study-specific procedures
  • For COVID-19 sub study:
  • Be ≥18 years of age
  • Provide adequate medical history to permit accurate stratification (but health status may be healthy, high-risk conditions, or immunocompromised).
  • Prior to SARS CoV 2 infection, has the ability to carry out self-care activities of daily living (basic ADL)
  • Have lower respiratory tract infection (LRTI) confirmed by CT imaging, with or without contrast, to involve at least 2 lobes of the lung.
  • Has laboratory-confirmation of the presence of SARS CoV 2 in the respiratory tract by at least one of the following samples
  • Satisfy inclusion criteria #1, 4, 5, 6, 7 of the main study

Who cannot join

  • Subjects may not be on hospice care or, in the opinion of the investigator, have a low chance of survival during the first 10 days of treatment
  • Subjects with Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), or Alkaline Phosphatase (ALP) ≥3x ULN and Total Bilirubin (TBILI) ≥2x ULN Note: Subjects with ALT/AST/ALP ≥ 3x ULN AND TB ≥2x ULN that have been chronically stable (for >1 year on more than one assessments) due to known liver pathology including malignancy (primary or metastasis), chronic medications, transplantation, or chronic infection will not be excluded
  • Female subjects breastfeeding or planning to breastfeed at any time through 30 days after the last dose of study drug
  • Subjects taking any other investigational drug used to treat pulmonary infection.
  • Psychiatric or cognitive illness or recreational drug/alcohol use that, in the opinion of the principal investigator, would affect subject safety and/or compliance
  • Subjects with known hypersensitivity to DAS181 and/or any of its components
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  • Subjects with severe sepsis due to either their baseline SAD-RV infection or a concurrent viral, bacterial, or fungal infection and meet at least one of the following criteria:
  • Has evidence of vital organ failure outside of the lung (e.g., liver, kidney)
  • Requires vasopressors to maintain blood pressure
  • For COVID-19 sub study:
  • Subjects requiring invasive mechanical, Bi-PAP or CPAP ventilation at randomization.
  • Subjects receiving any other investigational or empiric treatment for SARS-2-CoV (either as part of a clinical trial or under emergency approval (approved agents for the management of symptoms, e.g., fever, are permitted).
  • Subjects who are known HIV-positive (and not undetectable at most recent HIV RNA assessment)
  • Subjects who are currently taking immunomodulating biologics (e.g, interferons, interleukin)
  • Subjects with severe sepsis due to either their SARS-CoV-2 infection or a concurrent viral, bacterial, or fungal infection and meeting at least one of the following criteria:
  • Have evidence of vital organ failure outside of the lung (e.g., liver, kidney)
  • Require vasopressors to maintain blood pressure
  • Subjects meeting exclusion criteria #2, 3, 5 and 6 of the main study

Trial locations and contacts

28 sites in 5 countries. Contact the study team or a site near you to ask about taking part.

28 sites in 5 countries

United States23 sites, 19 recruiting
  • The Johns Hopkins Hospital

    Baltimore, Maryland, 21205

    Withdrawn
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

    Recruiting
  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

    Recruiting
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45267

    Recruiting
  • UT Southwestern Medical Center

    Dallas, Texas, 75390

    Recruiting
  • City of Hope cancer Center

    Duarte, California, 91010

    Recruiting
  • Duke University

    Durham, North Carolina, 27710

    Cameron Wolfe, MD

    Cameron Wolfe, MD

    Recruiting
  • University of Kansas Medical Center

    Fairway, Kansas, 66205

    Recruiting
  • Baylor College of Medicine

    Houston, Texas, 77030

    Puneet Garcha

    Recruiting
  • MD Anderson

    Houston, Texas, 77030

    Recruiting
  • University of Iowa Health Care

    Iowa City, Iowa, 52242

    Recruiting
  • Froedtert Medical College Pulmonary Clinic

    Milwaukee, Wisconsin, 53266

    Completed
  • Weill Cornell Medical College

    New York, New York, 10065

    Rosypriya Kodiyanplakkal, MD

    Rosypriya Kodiyanplakkal, MD

    Recruiting
  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

    Recruiting
  • University of Pittsburgh Medical Center Health System

    Pittsburgh, Pennsylvania, 15213

    Recruiting
  • Oregon Health & Science University

    Portland, Oregon, 97239

    Withdrawn
  • VCU Health System

    Richmond, Virginia, 23298

    Kristin Miller, MD, 804-828-9041, kristin.miller@vcuhealth.org

    Kristin Miller, MD

    Recruiting
  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

    Paschalis Vergidis, MD

    Recruiting
  • University of California Davis Health System

    Sacramento, California, 95817

    Stuart Cohen, MD

    Stuart Cohen, MD

    Recruiting
  • Seattle Children's Hospital

    Seattle, Washington, 98105

    Recruiting
  • Fred Hutchinson Cancer Center

    Seattle, Washington, 98109

    Recruiting
  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

    Recruiting
  • Washington University

    St Louis, Missouri, 63112

    Withdrawn

Other trials in United States

South Korea2 sites
  • Seoul National University Hospital

    Seoul, Gyeonggi-do, 03080

    Terminated
  • Samsung Medical Center

    Seoul, Gyeonggi-do, 06351

    Terminated

Other trials in South Korea

Australia1 site
  • Westmead Hospital

    Sydney, New South Wales, 2145

    Terminated

Other trials in Australia

China1 site
  • Shanghai Pulmonary Hospital

    Yangpu, Shanghai Municipality, 200433

    Terminated

Other trials in China

Taiwan1 site
  • National Cheng Kung University Hospital

    Tainan, Tainan

    Terminated

Other trials in Taiwan

About this study

Official title: A Phase III Randomized Placebo-Controlled Study to Examine the Efficacy and Safety of DAS181 for the Treatment of Lower Respiratory Tract Parainfluenza Infection in Immunocompromised Subjects

This study will seek to enroll immunocompromised patients with Lower Tract parainfluenza infection.

It also contains a sub-study to enroll patients with severe COVID-19.

Read the detailed description

Eligible subjects (i.e., those meeting the Inclusion / Exclusion criteria) will be enrolled in one of four cohorts based on the following criteria:

Cohort 1:

All eligible subjects in the PoI who are ≥18 year old subjects with a PIV infection and meet all of the following criteria:

1.1 Meet criteria for being severely immunocompromised 1.2 Prior to the onset of PIV infection, had no ongoing need for oxygen therapy due to a chronic respiratory condition (e.g., COPD, sleep apnea) and are assessed as acutely hypoxemic due to their PIV infection 1.3 At the time of randomization are not on mechanical, bi-level or continuous positive airway pressure (Bi-PAP or CPAP) ventilation 1.4 Have no known concurrent respiratory viral coinfection(s)

Cohort 2:

All eligible subjects in the PoI who are ≥18 year old with a PIV infection (including those with PIV and another SAD-RV) who do not meet one or more of the listed criteria for Cohort 1.

Cohort 3:

All eligible subjects in the PoI who are <18 year old subjects with a PIV infection (including those with PIV and another concurrent SAD-RV). There is no lower age limit for this cohort.

Cohort 4:

All eligible subjects in the PoI with a respiratory infection due to any SAD-RV infection except PIV. Eligible subjects with both PIV and an additional concurrent SAD-RV, will be enrolled for either Cohorts 2 or 3 depending on their age. There is no lower age limit for this cohort.

Sub-Study:

Patients with Severe COVID-19

Being tested
DAS181, Placebo, DAS181 COVID-19, DAS181 OL
Keywords
Parainfluenza, PIV, Immunocompromised, Lower Respiratory Tract Infection, LRTI, COVID19, SARS-CoV-2, Coronavirus, Ansun
Medical subject headings
Paramyxoviridae Infections, COVID-19, Coronavirus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DAS181Drug

    DAS181 4.5mg nebulized qd x 7 OR 10 days

  • PlaceboDrug

    Placebo nebulized qd x 7 OR 10 days

  • DAS181 COVID-19Drug

    DAS181 4.5mg nebulized q12h/day x 7 OR 10 days

  • DAS181 OLDrug

    DAS181 4.5mg nebulized qd x 7 OR 10 days ≥ 40kg DAS181 2.5mg nebulized qd x 7 OR 10 days < 40kg

Study groups in NCT03808922
Study groupRoleWhat they receive
Cohort 1 and Cohort 2 TreatmentExperimentalDAS181 4.5mg qd x 7 OR 10 days
Receives: Drug: DAS181
Cohort 1 and Cohort 2 PlaceboPlacebo comparatorPlacebo qd x 7 OR 10 days
Receives: Drug: Placebo
Cohort 3ExperimentalDAS181 4.5mg qd x 7 OR 10 days (≥ 40 kg) DAS181 2.5mg qd x 7 OR 10 days (< 40kg)
Receives: Drug: DAS181 OL
Cohort 4ExperimentalDAS181 4.5mg qd x 7 OR 10 days
Receives: Drug: DAS181 OL
DAS181 COVID-19 TreatmentExperimentalDAS181 4.5mg q12h x 7 OR 10 days
Receives: Drug: DAS181 COVID-19
DAS181 COVID-19 PlaceboPlacebo comparatorPlacebo q12h x 7 OR 10 days
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percent of subjects who Return to Room Air (RTRA) (main study)

    Removal of all oxygen support (with stable SpO2)

    Measured: by Day 28

  2. Percent of subjects with improved COVID-19 Clinical Status Scale (sub-study)

    Measured: Day 14

Secondary outcomes (18)
  1. All-cause mortality rate (main study)

    Measured: at Day 28

  2. Percent of subjects who Return to Room Air (RTRA) (main study)

    Measured: by Day 21

  3. Time (in days) to RTRA (main study)

    Measured: Days 10, 14, 21, 28

  4. Percent of subjects who achieve clinical stability (main study)

    Measured: by Day 28

  5. Percent of subjects discharged (without mortality and hospice) (main study)

    Measured: by Days 14, 21, 28 and 35

  6. Time (in days) to first hospital discharge (without hospice) (main study)

    Measured: through Day 35

  7. Total number of inpatient days (main study)

    Measured: up to Day 35

  8. Baseline SAD-RV infection-related mortality rate (main study)

    Measured: at Day 28

  9. Baseline SAD-RV infection-related mortality rate (main study)

    Measured: at Day 35

  10. All-cause mortality rate (main study)

    Measured: at Day 35

  11. Change in pulmonary function (FEV1% predicted) (main study)

    Measured: Day 1, Day 7, Day 14, Day 28

  12. Time to improved COVID19 clinical status (Sub-study)

    Measured: Day 5, Day 10, Day 21, Day 28

  13. Time to RTRA

    Measured: Day 10, Day 14, Day 21, Day 28

  14. Time to Clinical stability

    Measured: Day 14, Day 21, Day 28

  15. Time to SARS-CoV-2 RNA in the respiratory specimens being undetectable

    Measured: Day 5, Day 10, Day 14, Day 21, Day 28

  16. Time to Clinical deterioration

    Measured: Day 5, Day 10, Day 14, Day 21, Day 28

  17. Time to Discharge from hospital (without readmission before Day 28).

    Measured: Day 14, Day 21, Day 28

  18. Time to Death (all causes)

    Measured: Day 14, Day 21, Day 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jan 2019
  2. Study start23 May 2019
  3. Primary completion1 Sep 2028 (estimated)
  4. Study completion1 Sep 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
274 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03808922
Sponsor's protocol ID
DAS181-3-01
Other IDs
2018-004318-16, 2018
Status last verified
Jun 2026
First submitted
16 Jan 2019
Last updated
23 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DAS181, DAS181 COVID-19 and DAS181 OL in people with Lower Respiratory Tract Infection and Parainfluenza, run by Ansun Biopharma, Inc. at 28 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 20 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 23 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in United States, South Korea, Australia, China, Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Courtney Alcaraz (619-988-2417, cburke@ansunbiopharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percent of subjects who Return to Room Air (RTRA) (main study) (time frame: by Day 28). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jun 2026.

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