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PneumoniaPhase 2NCT04345614

A Study of Auxora in Patients With Severe COVID-19 Pneumonia

A Phase 2 study testing Auxora (Part 1) and Auxora (Part 2) in people with Pneumonia, run by CalciMedica, Inc. at 17 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Part 1 of this trial enrolled 30 patients to receive Auxora (formerly CM4620) in a 2:1 randomized, open label trial of patients with severe and critical COVID-19 pneumonia. Part 2 of this study randomized 284 patients and was a randomized, double blind, placebo-controlled (RCT) study that evaluated the efficacy… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pneumonia
What is being tested?
Auxora (Part 1) and Auxora (Part 2)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
314 participants
Where
17 sitesUnited States
Study dates
8 Apr 2020to 30 Jul 2021
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. The diagnosis of COVID-19 established standard RT-PCR assay;
  • At least 1 of the following symptoms:
  • Fever, cough, sore throat, malaise, headache, muscle pain, dyspnea at rest or with exertion, confusion, or respiratory distress;
  • At least 1 of the following clinical signs:
  • Respiratory rate ≥30, heart rate ≥125, SpO2 <93% on room air or requires >2L oxygen by nasal cannula to maintain SpO2 ≥93%, or PaO2/FiO2 <300, estimated from pulse oximetry or determined by arterial blood gas;
  • The presence of a respiratory infiltrate or abnormality consistent with pneumonia that is documented by either a CXR or CT scan of the lungs;
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  • The patient is ≥18 years of age;
  • A female patient of childbearing potential must not attempt to become pregnant for 39 months, and if sexually active with a male partner, is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE;
  • A male patient who is sexually active with a female partner of childbearing potential is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE. A male patient must not donate sperm for 39 months;
  • The patient is willing and able to, or has a legal authorized representative (LAR) who is willing and able to, provide informed consent to participate, and to cooperate with all aspects of the protocol.
  • Has laboratory-confirmed SARS-CoV-2 infection as determined by polymerase chain reaction (PCR) or other commercial or public health assay in any specimen, as documented by either of the following:
  • PCR positive in sample collected < 72 hours prior to randomization;
  • PCR positive in sample collected ≥ 72 hours prior to randomization, with inability to obtain a repeat sample (e.g. due to lack of testing supplies, or limited testing capacity, or results taking >24 hours, etc.) or progressive disease suggestive of ongoing SARS-CoV-2 infection;
  • At least 1 of the following symptoms: Fever, cough, sore throat, malaise, headache, muscle pain, dyspnea at rest or with exertion, confusion, or respiratory distress;
  • At least 1 of the following signs at Screening or noted in the 24 hours before Screening:
  • PaO2/FiO2 ≤200 when receiving supplemental oxygen. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas;
  • If SpO2 ≥97%, must be receiving 10L or more of supplemental oxygen;
  • The presence of a respiratory infiltrate or abnormality consistent with pneumonia that is documented by either a chest X-ray or computerized tomography scan of the lungs;
  • The patient is ≥ 18 years of age;
  • A female patient of childbearing potential must not attempt to become pregnant for 39 months, and if sexually active with a male partner, is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE;
  • A male patient who is sexually active with a female partner of childbearing potential is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE. A male patient must not donate sperm for 39 months;
  • The patient is willing and able to, or has a legal authorized representative (LAR) who is willing and able to, provide informed consent to participate, and to cooperate with all aspects of the protocol.

Who cannot join

  • Expected survival or time to withdrawal of life-sustaining treatments expected to be <7 days.
  • Do Not Intubate order;
  • Home mechanical ventilation (noninvasive ventilation or via tracheotomy) except for continuous positive airway pressure or bi-level positive airway pressure (CPAP/BIPAP) used solely for sleep-disordered breathing;
  • PaO2/FiO2 ≤75 at the time of Screening. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas;
  • Noninvasive positive pressure ventilation;
  • Invasive mechanical ventilation via endotracheal intubation or tracheostomy;
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  • ECMO;
  • Shock defined by the use of vasopressors;
  • Multiple organ dysfunction or failure;
  • Positive Influenza A or B testing if tested as local standard of care;
  • The patient has a history any of the following: Organ or hematologic transplant;HIV; Active hepatitis B, or hepatitis C infection;
  • Current treatment with:Chemotherapy; Immunosuppressive medications or immunotherapy at the time of consent; Hemodialysis or Peritoneal Dialysis
  • Have a history of venous thromboembolism (VTE) (deep vein thrombosis [DVT] or pulmonary embolism [PE]) within 12 weeks prior to screening or have a history of recurrent (> 1) VTE;
  • The patient is known to be pregnant or is nursing;
  • Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent;
  • Allergy to eggs or any of the excipients in study drug.
  • Part 2:
  • Expected survival or time to withdrawal of life-sustaining treatments expected to be <7 days.
  • Do Not Intubate order;
  • Home mechanical ventilation (noninvasive ventilation or via tracheotomy) except for continuous positive airway pressure or bi-level positive airway pressure (CPAP/BIPAP) used solely for sleep-disordered breathing;
  • PaO2/FiO2 ≤75 at the time of Screening. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas;
  • Noninvasive positive pressure ventilation;
  • Invasive mechanical ventilation via endotracheal intubation or tracheostomy;
  • Extracorporeal membrane oxygenation (ECMO);
  • Shock defined by the use of vasopressors;
  • Multiple organ dysfunction or failure;
  • Positive Influenza A or B testing if tested as local standard of care;
  • The patient has a history of any of the following: Organ or hematologic transplant; HIV; Active hepatitis B, or hepatitis C infection;
  • Current treatment with:Chemotherapy;Immunosuppressive medications or immunotherapy at the time of consent; c. Hemodialysis or Peritoneal Dialysis;
  • Have a history of venous thromboembolism (VTE) (deep vein thrombosis [DVT] or pulmonary embolism [PE]) within 12 weeks prior to screening or have a history of recurrent (> 1) VTE;
  • The patient is known to be pregnant or is nursing;
  • Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent;
  • Allergy to eggs or any of the excipients in study drug.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • Baton Rouge General

    Baton Rouge, Louisiana, 70809

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Northwestern University

    Chicago, Illinois, 60611

  • National Jewish Health / St. Joseph's Hospital

    Denver, Colorado, 80220

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Sinai Grace

    Detroit, Michigan, 48235

  • Texas Tech University Medical Center

    El Paso, Texas, 79905

  • John Peter Smith Hospital

    Fort Worth, Texas, 76104

  • Aurora Baycare

    Green Bay, Wisconsin, 54311

  • Houston Methodist Hospital

    Houston, Texas, 77030

  • Long Beach Memorial

    Long Beach, California, 90806

  • University of Southern California / LA County

    Los Angeles, California, 90033

  • Maine Medical Center

    Portland, Maine, 04102

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Methodist Hospital

    Saint Louis Park, Minnesota, 55426

  • Regions Hospital

    Saint Paul, Minnesota, 55101

  • Sharp Memorial San Diego

    San Diego, California, 92123

Other trials in United States

About this study

Official title: Part 1: A Randomized Controlled Open-Label Study of CM4620 Injectable Emulsion (CM4620-IE) in Patients With Severe COVID-19 Pneumonia Part 2: A Randomized Double Blind, Placebo-Controlled Study of Auxora for the Treatment of Severe COVID-19 Pneumonia (CARDEA)

Part 1 of this trial enrolled 30 patients to receive Auxora (formerly CM4620) in a 2:1 randomized, open label trial of patients with severe and critical COVID-19 pneumonia. Part 2 of this study randomized 284 patients and was a randomized, double blind, placebo-controlled (RCT) study that evaluated the efficacy, safety, and the pharmacokinetic profile of Auxora in patients with severe COVID-19 pneumonia. The number of patients with an imputed PaO2/FiO2 >200 randomized into the study was capped at 26. Another 258 patients with a PaO2/FiO2 ≤200 were enrolled. Patients with an estimated PaO2/FiO2 of 75-200 were stratified to ensure balanced randomization between the Auxora and placebo arms. Subgroup analyses were performed to explore how time to recovery is influenced by baseline variables and to evaluate the treatment effect at different levels of each of these variables. The dose of Auxora was 2.0 mg/kg (1.25 mL/kg) administered at 0 hour, and then 1.6 mg/kg (1 mL/kg) at 24 hours and 1.6 mg/kg (1 mL/kg) at 48 hours from the SFISD. The dose of placebo was 1.25 mL/kg administered at 0 hour and then 1 mL/kg at 24 hours and 1 mL/kg at 48 hours from the SFISD. Remdesivir, corticosteroids and convalescent plasma were allowed. The infusion of Auxora / Placebo started within 12 hours from the time the patient or LAR provided informed consent. Efficacy analyses will be presented by treatment group (Auxora vs Placebo) based on the Efficacy Analysis Set of the imputed PaO2/FiO2 ≤200 subgroup, except where it is specified otherwise. The statistical analysis approach was designed to assess the significance of the primary and first secondary endpoint using the Benjamini and Hochberg method to control the overall trial level alpha level.

Conditions
Pneumonia
Being tested
Auxora (Part 1), Standard of Care (Part 1), Auxora (Part 2), Placebo (Part 2)
Keywords
COVID-19, Coronavirus, Pneumonia, Calcium release-activated calcium channel (CRAC) inhibitors, CM4620, Auxora
Medical subject headings
Pneumonia, COVID-19, Coronavirus Infections

What participants receive

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

  • Auxora (Part 1)Drug

    Also called CM4620-Injectable Emulsion (IE)

    Auxora will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Auxora will be administered intravenously (IV) over 4 hours.

  • Standard of Care (Part 1)Drug

    Also called Placebo-Injectable Emulsion

    Patients received standard of care

  • Auxora (Part 2)Drug

    Also called CM4620-Injectable Emulsion (IE)

    Auxora will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Auxora will be administered intravenously (IV) over 4 hours.

  • Placebo (Part 2)Drug

    Also called Placebo-Injectable Emulsion

    Placebo will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Placebo will be administered intravenously (IV) over 4 hours.

Study groups in NCT04345614
Study groupRoleWhat they receive
Auxora (Part 1)ExperimentalPatients were randomized 1:1 to receive either Auxora or standard of care
Receives: Drug: Auxora (Part 1)
Standard of Care (Part 1)OtherPatients were randomized 1:1 to receive either Auxora or standard of care
Receives: Drug: Standard of Care (Part 1)
Auxora (Part 2)ExperimentalPatients were randomized 1:1 to receive Auxora or Placebo
Receives: Drug: Auxora (Part 2)
Placebo (Part 2)Placebo comparatorPatients were randomized 1:1 to receive Auxora or Placebo
Receives: Drug: Placebo (Part 2)

What is being measured

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

  1. Number of Days From the Start of the First Infusion of Study Drug (SFISD) to Recovery

    Defined as the number of days hospitalized but not requiring supplemental oxygen or ongoing medical care, or; discharged and requiring supplemental oxygen, or; discharged, not requiring supplemental oxygen.

    Measured: From start of first infusion of study drug to day 60

Secondary outcomes (15)
  1. Number of Participants Who Have Died at Day 30 (Mortality)

    Measured: Day 30

  2. Number of Participants Who Have Died at Day 60 (Mortality)

    Measured: Day 60

  3. Number of Participants Requiring Invasive Mechanical Ventilation or Dying (Part 1)

    Measured: From start of first infusion of study drug and up to Day 28

  4. Proportion of Patients Requiring Invasive Mechanical Ventilation or Dying (Part 2)

    Measured: from start of first infusion of study drug and up to day day 60

  5. Proportion of Patients Requiring Invasive Mechanical Ventilation (Part 2)

    Measured: from start of first infusion of study drug and up to day Day 60

  6. Improvement in 8-point Ordinal Scale (Part 1)

    The ordinal scale is an assessment of the clinical status in a given day. The scale is as follows: 1. Death 2. Hospitalized, requiring invasive mechanical ventilation or ECMO 3. Hospitalized, requiring non-invasive ventilation or high flow supplemental oxygen 4. Hospitalized, requiring low flow supplemental oxygen 5. Hospitalized, not requiring supplemental oxygen, but requiring ongoing medical care 6. Hospitalized, not requiring supplemental oxygen or ongoing medical care 7. discharged, requiring supplemental oxygen 8. Discharged, not requiring supplemental oxygen

    Measured: from start of first infusion of study drug and up to day 28

  7. Differences in Outcomes as Measured by an 8-point Ordinal Scale (Part 2)

    The ordinal scale is an assessment of the clinical status in a given day. The scale is as follows: 1. Death 2. Hospitalized, requiring invasive mechanical ventilation or ECMO 3. Hospitalized, requiring non-invasive ventilation or high flow supplemental oxygen 4. Hospitalized, requiring low flow supplemental oxygen 5. Hospitalized, not requiring supplemental oxygen, but requiring ongoing medical care 6. Hospitalized, not requiring supplemental oxygen or ongoing medical care 7. discharged, requiring supplemental oxygen 8. Discharged, not requiring supplemental oxygen

    Measured: from start of first infusion of study drug hrough Day 60

  8. Change in PaO2/FiO2 (Part 1)

    Measures of PaO2/FiO2 ratio

    Measured: From start of first infusion of study drug through Day 28

  9. Number of Days in the Hospital(Part 1)

    Time to discharge alive from hospital

    Measured: From start of first infusion of study drug through Discharge up to 28 days

  10. Number of Days in the Hospital (Part 2)

    Measured: from admission into the hospital until discharge from the hospital up to 60 days

  11. Number of Days in the Intensive Care Unit (ICU) (Part 2)

    Measured: from admission into ICU until discharge from ICU up to 60 days

  12. Days Alive and Free of Mechanical Ventilation (Part 1)

    Measured: From randomization through Day 28

  13. Number of Participants Considered Recovered (Part 1)

    Recovery is defined as a 6, 7, or 8 on the 8 point ordinal scale

    Measured: From start of first infusion of study drug through Day 28

  14. CM4620-IE Plasma Concentration (Part 2)

    Concentration measured using a validated assay

    Measured: From start of first infusion of study drug through 72 hours

  15. Percentage of Patients With Treatment Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE)

    Measured: From start of first infusion of study drugand through day 60

Timeline

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

  1. First posted14 Apr 2020
  2. Study start8 Apr 2020
  3. Primary completion28 Jun 2021
  4. Study completion30 Jul 2021

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
314 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04345614
Sponsor's protocol ID
CM4620-204
Status last verified
Mar 2026
First submitted
7 Apr 2020
Last updated
30 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bruen C, Al-Saadi M, Michelson EA, Tanios M, Mendoza-Ayala R, Miller J, Zhang J, Stauderman K, Hebbar S, Hou PC. Auxora vs. placebo for the treatment of patients with severe COVID-19 pneumonia: a randomized-controlled clinical trial. Crit Care. 2022 Apr 8;26(1):101. doi: 10.1186/s13054-022-03964-8.

    PubMed 35395943
  • Miller J, Bruen C, Schnaus M, Zhang J, Ali S, Lind A, Stoecker Z, Stauderman K, Hebbar S. Auxora versus standard of care for the treatment of severe or critical COVID-19 pneumonia: results from a randomized controlled trial. Crit Care. 2020 Aug 14;24(1):502. doi: 10.1186/s13054-020-03220-x.

    PubMed 32795330

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Auxora (Part 1) and Auxora (Part 2) in people with Pneumonia, run by CalciMedica, Inc. at 17 sites in United States.

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 22 inclusion and 33 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: finished, as of the sponsor's last update on 30 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Days From the Start of the First Infusion of Study Drug (SFISD) to Recovery (time frame: From start of first infusion of study drug to day 60). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04345614, which also lists 2 linked publications.

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 30 Mar 2026.

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