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SARS-CoV-2Phase 2NCT04385095

Trial of Inhaled Anti-viral (SNG001) for SARS-CoV-2 (COVID-19) Infection

A Phase 2 study testing SNG001 in people with SARS-CoV-2, run by Synairgen Research Ltd. at 13 sites in United Kingdom.

Completed

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

Official record
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Trial summary

SNG001 is an inhaled drug that contains a antiviral protein called interferon beta (IFN-β). IFN-β in produced in the lungs during viral lung infections. It has been shown that older people and people with some chronic diseases have an IFN-β deficiency. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
SARS-CoV-2
What is being tested?
SNG001
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
221 participants
Where
13 sitesUnited Kingdom
Study dates
16 Mar 2020to 16 Nov 2021
Phase
Phase 2
Are there results?
None posted in the registry

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

  • A. Hospital setting: positive virus test for SARS-CoV-2 using RT-PCR, or positive point-of-care viral infection test in the presence of strong clinical suspicion of SARS-CoV-2 infection.
  • Home setting: positive virus test for SARS-CoV-2 using a molecular assay e.g. RT-PCR in the presence of strong clinical suspicion of SARS-CoV-2 infection.
  • Male or female, ≥18 years of age (hospital setting) or ≥50 years of age (home setting) at the time of consent.
  • A. Hospital setting: patients admitted to hospital due to the severity of their COVID 19 disease OR
  • Home setting: non-hospitalised patients from high-risk groups, defined as ≥65-years of age, or ≥50 years of age and with any of the following risk factors:
  • Arterial hypertension
Show all 21Show fewer
  • Cardiovascular disease
  • Diabetes mellitus
  • Chronic lung disease
  • Chronic kidney disease (eGFR <60 mL/min/1.73m2)
  • Chronic liver disease
  • Immunodeficiency due to a serious illness or medication
  • Cerebrovascular disease
  • Malignancy (except basal cell carcinoma) diagnosed in the last 5 years
  • Body Mass Index ≥30 who present with clinical symptoms consistent with COVID-19:
  • High temperature and/or
  • New, continuous cough.
  • Loss or change to sense of smell and/or taste
  • Provide informed consent.
  • A. Hospital setting: hospitalised female patients must be ≥1 year post-menopausal, surgically sterile, or using an acceptable method of contraception.
  • Home setting: non-hospitalised female patients must be ≥1 year post-menopausal or surgically sterile.

Who cannot join

  • > 24 hours after confirmation of SARS-CoV-2 infection by a molecular assay e.g. RT-PCR test (hospital and home settings) or >24 hours after a positive point-of-care viral infection test (hospital setting only). This criterion does not apply to patients in the hospital setting who had their positive RT-PCR test for SARS-CoV-2 performed prior to hospitalisation.
  • ≥ 8 days from onset of COVID-19 symptoms (cough and/or fever and/or loss or change to sense of smell and/or taste; home setting only).
  • Any condition, including findings in the patients' medical history or in the pre-randomisation study assessments that in the opinion of the Investigator, constitute a risk or a contraindication for the participation of the patient into the study or that could interfere with the study objectives, conduct or evaluation.
  • Current or previous participation in another clinical trial where the patient has received a dose of an Investigational Medicinal Product (IMP) containing small molecules within 30 days or 5 half-lives (whichever is longer) prior to entry into this study or containing biologicals within 3 months prior to entry into this study.
  • Ventilated or in intensive care.
  • Inability to use a nebuliser with a mouthpiece.
  • History of hypersensitivity to natural or recombinant IFN-β or to any of the excipients in the drug preparation.
  • Females who are breast-feeding, lactating, pregnant or intending to become pregnant.

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

United Kingdom13 sites
  • Belfast City Hospital

    Belfast, BT9 7AB

  • Queen Elizabeth Hospital,

    Birmingham, B15 2GW

  • Bradford Royal Infirmary

    Bradford, BD9 6RJ

  • Park and St Francis Surgery

    Chandler's Ford, SO53 4ST

  • Hull and East Yorkshire NHS Trust, Castle Hill Hospital,

    Hull, HU16 5JQ

  • Glenfield Hospital,

    Leicester, LE3 9QP

  • Wythenshawe Hospital

    Manchester, M23 9LT

  • City Campus of Nottingham University

    Nottingham, NG5 1PB

  • John Radcliffe Hospital

    Oxford, OX3 9DU

  • The Adam Practice

    Poole, BH15 2HX

  • The Virtual Team

    Southampton, SO16 6YD

  • University Hospital Southampton Nhs Foundation Trust

    Southampton, SO16 6YD

  • Oaks Healthcare

    Waterlooville, PO8 8DL

Other trials in United Kingdom

About this study

Official title: A Randomised Double-blind Placebo-controlled Trial to Determine the Safety and Efficacy of Inhaled SNG001 (IFN-β1a for Nebulisation) for the Treatment of Patients With Confirmed SARS-CoV-2 Infection

SNG001 is an inhaled drug that contains a antiviral protein called interferon beta (IFN-β). IFN-β in produced in the lungs during viral lung infections. It has been shown that older people and people with some chronic diseases have an IFN-β deficiency. Many viruses inhibit IFN-β as part of their strategy to evade the immune system.

Addition of IFN-β in vitro protects lung cells from viral infection. IFN-β protects cells against the MERS and SARS coronaviruses (close relatives of SARS-CoV-2, the virus that causes COVID-19).

Read more

SNG001 is an inhaled formulation of interferon beta-1a it is currently in Phase II clinical trials for COPD patients.

Synairgen has conducted randomised placebo controlled clinical trials of SNG001 involving >200 asthma and COPD patients. These trials have shown that SNG001 has:

  • been well tolerated during virus infections
  • enhanced antiviral activity in the lungs (measured in sputum and blood samples)
  • provided significant lung function benefit over placebo in asthma in two Phase II trials.

Synairgen believes SNG001 could help prevent worsening or accelerate recovery of severe lower respiratory tract illness in COVID-19 patients.

Patients who are in hospital or non-hospitalised but are a high risk groups (e.g. elderly or diabetics) will be invited to take part in the trial. The patient would receive either SNG001 or placebo once daily for 14 days. The severity of the patients condition would be recorded on a scale developed by the World Health Organisation and the patient would be asked questions about their breathlessness, cough and sputum every day, as well as assess their general medical condition and safety.

The study will start as a Pilot phase where 100 patients will be randomised in the hospital setting and a 120 patients randomised in the home setting.

Once each of the Pilot phases are complete, a Pivotal phase will be conducted. It is estimated that the size of each of the Pivotal phases (hospital and home) will be around 100 to 300 patients per arm. The actual number will be determined after the data review at the end of each of the Pilot phases.

If SNG001 proves to be beneficial it would be a major breakthrough for the treatment of COVID-19.

Conditions
SARS-CoV-2
Being tested
SNG001, Placebo
Keywords
COVID-19
Medical subject headings
COVID-19

What participants receive

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

  • SNG001Drug

    SNG001 via inhalation

  • PlaceboDrug

    Placebo via inhalation

Study groups in NCT04385095
Study groupRoleWhat they receive
SNG001Active comparatorinhalation using the I-neb device.
Receives: Drug: SNG001
PlaceboPlacebo comparatorinhalation using the I-neb device.
Receives: Drug: Placebo

What is being measured

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

  1. Ordinal Scale for Clinical Improvement

    Change in condition measured using the Ordinal Scale for Clinical Improvement during the dosing period - minimum of 0 (patient is well) to a maximum of 8 (death)

    Measured: Day 1 to Days 15 and 28

Secondary outcomes (25)
  1. Progression to pneumonia (hospital setting only)

    Progression to pneumonia as diagnosed by chest x-ray, if no pneumonia is present at time of enrolment

    Measured: Day 2 to Day 28

  2. Progression to pneumonia (hospital setting only)

    Evolution of pneumonia, as diagnosed by chest x-ray, if pneumonia is present at time of enrolment

    Measured: Day 1 to Day 28

  3. Time to clinical improvement (hospital setting only)

    Time to clinical improvement

    Measured: Time to hospital discharge OR Time to NEWS2 of ≤ 2 maintained for 24 hours

  4. National Early Warning Score 2 (NEWS2) assessment of acute-illness severity (hospital setting only)

    NEWS2 assessment of acute-illness severity on a scale of 0 ( being well) up to 24 (requiring emergency response)

    Measured: Day 1 to Day 28

  5. Changes in daily breathlessness, cough and sputum scale (BCSS)

    Changes in daily breathlessness, cough and sputum scale (BCSS) on a scale of 0 (no symptoms) up to 4 (severe symptoms)

    Measured: Day 1 to Day 28 (and Day 60 and 90 home setting only)

  6. Safety and tolerability - blood pressure (hospital setting only)

    Looking at blood pressure measured in mmHg

    Measured: Day 1 to Day 15

  7. Safety and tolerability - heart rate

    Looking at heart rate measured in beats per minute

    Measured: Day 1 to Day 15

  8. Safety and tolerability - temperature

    Looking at temperature measured in degrees Celsius

    Measured: Day 1 to Day 15

  9. Safety and tolerability - respiratory rate (hospital setting only)

    Looking at respiratory rate measure in breaths per minute

    Measured: Day 1 to Day 15

  10. Safety and tolerability - oxygen saturation

    Looking at oxygen levels measured in a %

    Measured: Day 1 to Day 15

  11. Safety and tolerability - adverse events

    Looking at adverse events (numbers and terms)

    Measured: Day 1 to Day 28

  12. Safety and tolerability - concomitant medications

    Looking at concomitant medications given during treatment

    Measured: Day 1 to Day 28

  13. Time to clinical improvement (home setting only)

    Temperature ≤37.8 °C AND COVID-19 symptoms (breathing, cough, sputum, muscle aches, headache, fatigue, sore throat, loss or change to sense of smell and taste, rhinorrhoea and anorexia) all rated as absent or mild

    Measured: Day 1 to Day 15

  14. Time to improvement of COVID-19 symptoms (home setting only).

    Time to improvement of COVID-19 symptoms (fever, breathing, cough, sputum, muscle aches, headache, fatigue, sore throat, loss or change to sense of smell and/or taste, rhinorrhoea and anorexia)

    Measured: Day 1 to Day 28 and Day 60 and 90

  15. Time to self-reported recovery (home setting only)

    Time to self-reported recover

    Measured: Day 2 to Day 15 and Day 28, 60 and 90

  16. Self-reported daily rating of overall feeling of wellness (home setting only).

    Self-reported daily rating of overall feeling of wellness scale from 1 (the worst you can imagine) to 10 (the best you can imagine)

    Measured: Day 1 to Day 28 and Day 60 and 90

  17. Quality of life measured using EQ-5D-5L (home setting only).

    Quality of life measured using EQ-5D-5L - 5 questions where minimum score is 1 (best outcome) to 5 (worst outcome), visual analogue scale is also included for this 100 is best health you can imagine to 0 worst health you can imagine

    Measured: Day 1 to Day 28 and Day 60 and 90

  18. Virus clearance/load (if samples are available)

    Time to virus clearance and viral load

    Measured: Day 1 to Day 28

  19. Blood and sputum biomarkers (if samples are available).

    Blood and sputum biomarkers

    Measured: Day 1 to Day 28

  20. Contact with health services (home setting only)

    Contact with health services

    Measured: Day 1 to Day 28

  21. Consumption of antibiotics (home setting only)

    Consumption of antibiotics

    Measured: Day 1 to Day 28

  22. General Anxiety Disorder 7 (home setting only)

    Assessment of anxiety - score of 0 (best) to 3 (worst)

    Measured: Day 60 and 90

  23. Patient Health Questionnaire - 9

    Assessment of mental health - score of 0 (best) to 3 (worst)

    Measured: Day 60 and 90

  24. FACIT Fatigue Scale

    Assessment of Fatigue - score of 0 (best) to 4 (worst)

    Measured: Day 60 and 90

  25. Nottingham Extended Activities of Daily Living Scale

    Assessment of activities of daily living - no score just tick the box that applies; 'Not at all', 'With help', 'On your own with difficulty' and 'On your own'

    Measured: Day 60 and 90

Timeline

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

  1. First posted12 May 2020
  2. Study start16 Mar 2020
  3. Primary completion17 Feb 2021
  4. Study completion16 Nov 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
Model description
Randomised double-blind placebo-controlled Pilot phase - 100 patients randomised in the hospital setting, 120 patients randomised in the home setting. Pivotal phase - estimated at an additional 100 to 300 patients per arm, but the actual number will be determined after the data review at the end of the Pilot phase
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
221 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04385095
Sponsor's protocol ID
SG016
Status last verified
Jan 2023
First submitted
24 Apr 2020
Last updated
4 Jan 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No plan to share data

Publications

  • Monk PD, Marsden RJ, Tear VJ, Brookes J, Batten TN, Mankowski M, Gabbay FJ, Davies DE, Holgate ST, Ho LP, Clark T, Djukanovic R, Wilkinson TMA; Inhaled Interferon Beta COVID-19 Study Group. Safety and efficacy of inhaled nebulised interferon beta-1a (SNG001) for treatment of SARS-CoV-2 infection: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Respir Med. 2021 Feb;9(2):196-206. doi: 10.1016/S2213-2600(20)30511-7. Epub 2020 Nov 12.

    PubMed 33189161
  • Lee JS, Shin EC. The type I interferon response in COVID-19: implications for treatment. Nat Rev Immunol. 2020 Oct;20(10):585-586. doi: 10.1038/s41577-020-00429-3.

    PubMed 32788708

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing SNG001 in people with SARS-CoV-2, run by Synairgen Research Ltd. at 13 sites in United Kingdom.

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 21 inclusion and 8 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 4 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in United Kingdom. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Ordinal Scale for Clinical Improvement (time frame: Day 1 to Days 15 and 28). 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 NCT04385095, 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 4 Jan 2023.

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