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Coronavirus Disease 2019Phase 2NCT04911777

Proof of Principle Study to Evaluate the Safety, PK, Viral Shedding and Efficacy of Pentarlandir™ UPPTA for Patients With Early COVID-19

A Phase 2 study testing Pentarlandir™ UPPTA in people with Coronavirus Disease 2019, run by SyneuRx International (Taiwan) Corp at 12 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a clinical trial to evaluate the safety, PK, viral shedding and clinical effects of Pentarlandir™ UPPTA in patients with early COVID-19. Approximately 90 ambulatory subjects with mildly symptomatic early COVID-19, who have been diagnosed with COVID-19 within the prior 4 days will be enrolled. Read more about this study

Who is it for?
Ages 18 to 64 years
Conditions the study is for
Coronavirus Disease 2019
What is being tested?
Pentarlandir™ UPPTA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
90 participants
Where
12 sitesUnited States
Study dates
24 Aug 2021to Mar 2022
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 to 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Men and women 18 years of age or older.
  • Able and willing to provide informed consent.
  • Able and willing to sufficiently operate smart phones and study-provided monitoring devices per the Investigator.
  • Early COVID-19 diagnosis with mild severity defined as meeting all of the below:
  • Confirmation of COVID-19 by a PCR-based diagnostic within 4 days of randomization.
  • COVID-19 with mild symptoms, defined as a score of 8 or higher on the clinical symptom score.
Show all 14Show fewer
  • Clinical symptom score includes 9 items in fever or chills, myalgia, cough, headache, sore throat, new loss of test or smell, gastrointestinal symptoms (nausea, vomiting, diarrhea or abdominal pain), congestion or running nose, and fatigue (malaise) as assessed and recorded by the investigator.
  • Note: The total score per patient ranges from 0 to 27 points. Each symptom is rated from 0 to 3. [0 = none, 1 = mild, 2 = moderate, and 3 = severe]
  • No signs of a more serious lower airway disease per clinical exam, chest X-ray or chest CT.
  • Resting RR ≤ 20, HR ≤ 90, oxygen saturation (pulse oximetry) ≥ 95% on room air.
  • For women of childbearing potential (women who are not permanently sterile [documented hysterectomy, bilateral tubal ligation, salpingectomy, or oophorectomy] or postmenopausal [12 months with no menses without an alternative medical cause]):
  • Negative urine pregnancy test at screening.
  • Willingness to practice a highly effective method of contraception that includes, but is not limited to, abstinence, sex only with persons of the same sex, monogamous relationship with a postmenopausal partner, monogamous relationship with vasectomize partner, vasectomy, licensed hormonal methods, intrauterine device, or consistent use of a barrier method (e.g., condom, diaphragm) with spermicide for 28 days after the last dose of study medication.
  • Ability and willingness to comply with all aspects of the study through the entire study period.

Who cannot join

  • Patient is either asymptomatic or with baseline severity of moderate, sever, or critical COVID-19.
  • Pregnant or lactating women.
  • Patients with shortness of breath at rest.
  • Findings on physical examination or available imaging studies suggesting rapid disease progression of COVID-19.
  • Signs or symptoms indicative of pneumonia or any other lower respiratory tract disorders, or clinically significant findings in available lung imaging studies suggestive of such disorders.
  • Need for immediate hospitalization, oxygen supplementation or mechanical ventilation.
Show all 27Show fewer
  • Obstructive airway diseases, including chronic obstructive pulmonary disease (COPD) and asthma, or other respiratory disease that could exacerbate independent of COVID-19.
  • Use of remdesivir, chloroquine, hydroxychloroquine, convalescent plasma, other monoclonal antibody therapies, include REGEN-COV (casirivimab and imdevimab), bamlanivimab (plus etesevimab), dexamethasone, ivermectin, baricitinib, and other Janus kinase inhibitors, Bruton's tyrosine kinase inhibitors, tocilizumab (and other interleukin-6 inhibitors) and any other therapy with EUA or approval and other investigational agents for COVID-19.
  • Patients who are participating in other clinical trials.
  • History of conditions associated with immunocompromise, or treatments known to affect the immune system, including but not limited to oral or intravenous corticosteroids, alkylating drugs, antimetabolites, cytotoxic drugs, other chemotherapy, radiation, immune-modulating biologics, within 30 days of screening.
  • Barium enemas within the last 30 days.
  • Taking OTC or prescribed medicine which has compound as active ingredient.
  • Any unstable or uncontrolled medical illnesses such as neurological disorders, cardiovascular disorders, diabetes, hepatic or renal disorders that per the Investigator would intervene with the study conduct or study results interpretation.
  • Any other medical, psychiatric, or social condition or occupational or other responsibility that in the judgment of the Investigator would interfere with or serve as a contraindication to protocol adherence, assessment of safety, or a patient's ability to give informed consent or respond to the study procedures or questions during the personal visits or the video calls.
  • High-risk individuals are those who meet at least one of the following criteria:
  • Aged ≥ 65 years
  • Body mass index (BMI) > 30
  • Pregnancy
  • Chronic kidney disease
  • Diabetes
  • Immunosuppressive disease or immunosuppressive treatment
  • Cardiovascular disease (including congenital heart disease) or hypertension
  • Chronic lung diseases (for example, chronic obstructive pulmonary disease, asthma [moderate-to-severe], interstitial lung disease, cystic fibrosis and pulmonary hypertension)
  • Sickle cell disease
  • Neurodevelopmental disorders (for example, cerebral palsy) or other conditions that confer medical complexity (for example, genetic or metabolic syndromes and severe congenital anomalies)
  • Having a medical-related technological dependence (for example, tracheostomy, gastrostomy, or positive pressure ventilation [not related to COVID-19]
  • Exclusion is not limited to the medical conditions or factors listed above. The investigators have to consider the benefit-risk for an individual patient to determine other medical conditions or factors (for example, overweight, race or ethnicity) may also place individual patients at high risk for progression to severe COVID-19 and be excluded.

Trial locations and contacts

12 sites in 1 country.

Emil Tsai, MD, PhD contact

+1-818-696-8800

emil.tsai@syneurx.com

12 sites in 1 country

United States12 sites, 12 recruiting
  • Synergy Healthcare

    Bradenton, Florida, 34208

    Linda Mora, 941-896-4948, lmora@synergyhealthcorp.com

    Patrick Weston, MD

    Recruiting
  • Cullman Clinical Trials

    Cullman, Alabama, 35055

    Cheryl Hargrove, 256-303-3071, cheryl@cullmanclinicaltrials.com

    Jana Swindle, 256-339-3137, jana@cullmanclinicaltrials.com

    Recruiting
  • Elite Medical Research

    Dallas, Texas, 75230

    Hanney Musa, 682-367-5187, hmusa@medct.net

    Kaothar Hashim, 4694900832, khashim@medct.net

    Recruiting
  • Cactus Clinical Research, Inc.

    Gilbert, Arizona, 85233

    Regina Almaraz, 602-370-4691, ralmaraz@cactusclinicalresearch.com

    Anthony A Aghenta, MD

    Recruiting
  • Diversified Medical Practices

    Houston, Texas, 77057

    Denise Rodriguez, 832-229-2622, denise@biopharmainfo.net

    Patricia D Salvato, MD

    Recruiting
  • Accurate Clinical Research

    Houston, Texas, 77065

    Ana Batista, 713-377-6433, abatista@accurateclinicalresearch.com

    Adianez Diaz, 7133776433, adiaz@accurateclinicalmanagement.com

    Recruiting
  • 1960 Family Practice

    Houston, Texas, 77090

    Alice Mouton, 281-501-5658, alice@biopharmainfo.net

    Gambo Dangwaran, 2815015658, gambo@biopharmainfo.net

    Recruiting
  • Ayinde Clinical Research

    Irving, Texas, 75038

    Udeme Ebong, 469-248-6362, uebong@medct.net

    Adila Siddiqi, Doctor

    Recruiting
  • Columbus Clinical Services

    Miami, Florida, 33125

    Sara Llerena, 305-631-6991, sara.llerena@columbusclinical.net

    Bertha Cano, 305-631-6991, b.cano@columbusclinical.net

    Recruiting
  • C'A Research, LLC

    Miami, Florida, 33174

    Mario Llobet, 786-542-6933, caresearch.llobet@gmail.com

    Giralt Yanez, MD

    Recruiting
  • CTMD Research

    Palm Springs, Florida, 33406

    Doris Rodriguez, 561-408-0613, DRODRIGUEZ@CTMDRESEARCH.COM

    Martha Alcantara, 5614696704, MALCANTARA@CTMDRESEARCH.COM

    Recruiting
  • Eminat Research Group

    Plantation, Florida, 33317

    Daniel Perez, MD

    Recruiting

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled, Proof of Principle Study of Pentarlandir™ UPPTA for the Treatment of Patients With Early COVID-19

This is a clinical trial to evaluate the safety, PK, viral shedding and clinical effects of Pentarlandir™ UPPTA in patients with early COVID-19. Approximately 90 ambulatory subjects with mildly symptomatic early COVID-19, who have been diagnosed with COVID-19 within the prior 4 days will be enrolled.

Read the detailed description

This is a clinical trial to evaluate the safety, PK, viral shedding and efficacy of PentarlandirTM UPPTA as a treatment for patients with early COVID-19. Approximately 90 ambulatory subjects with mildly symptomatic early COVID-19, who have been diagnosed with COVID-19 within the prior 48 hours, will be enrolled in the proof of principle study.

Upon signing informed consent and evaluating medical history, concomitant medications, oxygen saturation (SaO2) at room air and vital signs, a focused physical examination of the heart and lungs will be performed. Subjects will be randomized into High-Dose, Low-Dose, and Placebo group in a 1:1:1 ratio at the final sample, but the enrollment will be staggered. In the first phase, 45 study subjects will be randomized at 2:1 ratio to Pentarlandir™ UPPTA low dose or placebo. After all the forty-five (45) subjects have completed the Day 21 assessment or early terminated (14-day dosing and 7 days of followed-up), DSMB will review the safety from the cohort and provide concurrence with proceeding with the higher dose cohort. If DSMB deems that the study is safe to proceed, another 45 subjects will be randomized at 2:1 ratio to Pentarlandir™ UPPTA high dose or placebo in the second phase. Both staggered cohorts will have the same stopping rules.

During both phases of study, specimens for quantification of the viral genome, inflammatory markers, and safety laboratory tests will be collected. The IP will be dispensed to the study subjects and the subject will take the first dose of the study treatment at the clinic. Study subjects will be instructed (and provided) to use a device for ePRO for how to complete the patient-reported diary.

The subjects will take the IP orally. Subjects in the low-dose group will take from each bottle of the active drug and placebo every 8 hours (q8h); for the high-dose group, from each of the two bottles of active drug; and for the placebo group, from each of the two bottles of placebo for 14 days. The first treatment dose should be taken within 4 days of COVID-19 diagnosis. Physical examination, specimen collection, laboratory evaluations and urine pregnancy test, vital signs, pulse oxygen saturation and clinical symptom and status determination will be conducted.

Subjects who meet the eligibility criteria will be randomized. All subjects who fail to meet eligibility criteria are considered screen failures and are exited from the study without further evaluation.

Screening and Randomization (V1, Day 1):

After determining the eligibility, the study subjects will be randomized 2:1 to Pentarlandir™ UPPTA (either low or high dose) or placebo. The IP for treatment period will be dispensed to the study subjects and the subject will take the first dose of the study treatment at the study site. Study subjects will be instructed (and provided) how to complete the electronic patient reported outcome (ePRO) on a device.

Treatment Period (V2 - V14 (EOT), Day 2 - Day 14):

The subjects will continue to document the daily diary of ePRO. Total 13 visits are included in this period. Except 4 in-persons visits (V3, V7, V10, and V14), no in-person visit is expected during the study. Subjects will return to the clinical study sites to collect specimens for quantification of viral genome, inflammatory markers, pharmacokinetic and safety laboratory tests as well as record the SaO2, oral temperature, heart and respiratory rate, blood pressure, symptoms and concomitant medications, to document clinical status and adverse events (AEs), and IP accountability will be monitored. In addition, clinical symptom assessments and 7-category ordinal scale will be evaluated as well along with safety laboratory evaluations to determine whether the subject will continue to take the IP or stop the clinical trial. The subject will return the study treatment bottles at EOT visit.

Except for the in-person visits, subjects will be phone-called once every day between 8:00 AM and 7:00 PM on the visits to record concomitant medications and to document clinical status and 7-category ordinal scale as well as adverse events (AEs) to determine whether the subject will be taken of the IP and/or stop the clinical trial.

Weekly Follow-Up Period (V15 - V20, Day 15 - Day 56):

Between Day 15 to 28, subjects will perform the ePRO diary daily. In addition to ePRO, study subjects will be called every 7±2 days after EOT visit to document final outcome and AEs up to Day 56. AE/SAEs, hospital and ICU lengths of stays, and mortality in hospitalized subjects will be documented.

Being tested
Pentarlandir™ UPPTA, Placebo
Keywords
COVID-19, Pentarlandir™ UPPTA, UPPTA
Medical subject headings
COVID-19

What participants receive

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

  • Pentarlandir™ UPPTADrug

    Pentarlandir™ UPPTA is a white oral capsule (with 188 mg of UPPTA)

  • PlaceboDrug

    The placebo of Pentarlandir™ UPPTA is a white oral capsule (without UPPTA)

Study groups in NCT04911777
Study groupRoleWhat they receive
Pentarlandir™ UPPTA - High DoseExperimentalHigh dose of Pentarlandir™ UPPTA, q8h (over 3 hours postprandially)
Receives: Drug: Pentarlandir™ UPPTA
Pentarlandir™ UPPTA - Low DoseExperimentalLow dose of Pentarlandir™ UPPTA and placebo, q8h (over 3 hours postprandially)
Receives: Drug: Pentarlandir™ UPPTA; Drug: Placebo
PlaceboPlacebo comparatorPacebo, q8h (over 3 hours postprandially)
Receives: Drug: Placebo

What is being measured

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

  1. Change from baseline in viral genome up to Day 14

    Measured: Baseline and Day14

Secondary outcomes (10)
  1. Pharmacokinetics: Mean Concentration of Pentarlandir™ UPPTA on Days 3, 7, 10, 14.

    Measured: Day 3, 7, 10, and 14

  2. Change from baseline in daily COVID-19-related symptom severity score through Day 28

    A set of common COVID-19-related symptoms (see patient diary template for electronic Patient Report Outcome (ePRO)) will be evaluated daily by the patient regardless of which symptoms he/she had at baseline, as new symptoms may appear following the baseline assessment. (A Likert symptom scale will be developed using the (The 24 items reported in the ePRO, with potentially each item being normalized to 0 to 3 and the total score ranging from ranged 0 to 72))

    Measured: Baseline to Day 28

  3. Number of days with substantial COVID-19-associated symptoms from start of study treatment (Day 1) based on self-assessment using daily symptom diary.

    Substantial COVID-19-associated symptom days are defined as number of days when any symptoms score as moderate or sever in ePRO through Day 28

    Measured: 28 days

  4. Number of days without COVID-19-associated symptoms in ePRO from Day 1-28 based on self- assessment using daily ePRO symptom diary.

    Symptom-free days are defined as number of days when all the symptoms score as absent (or none) in ePRO through Day 28.

    Measured: 28 days

  5. Number of days with limited COVID-19-associated symptoms in ePRO from Day 1-28 based on self- assessment using daily ePRO symptom diary.

    Days with limited COVID-19-associated symptoms are defined as number of days when up to two symptoms score as mild or absent while the rest score as absent (or none) in ePRO through Day 28.

    Measured: 28 days

  6. Number of days with progression (or worsening) of COVID-19-associated symptoms in ePRO through Day 28 compared to baseline.

    Progression or symptom worsening is defined as number of days when any symptoms scored as:

    1. moderate at baseline but score as severe on any day through Day28.
    2. mild at baseline but score as moderate or severe on any day through Day 28.
    3. absent at baseline but score as mild, moderate or worse on any day through Day 28.

    Measured: Baseline to Day 28

  7. Time to resolution, where resolution is defined as when a subject has scored absent (or none) on all COVID-19-associated symptoms for two consecutive days

    Measured: 28 days

  8. Patient-reported global impression in ePRO

    Patient-reported global impression in ePRO includes the following "In general, would you say that your health is excellent, very good, fair, or poor?" (The scores will be ranged between 1-5; excellent to poor)

    Measured: 28 days

  9. Change from baseline in the patient's health status on a 7-category ordinal scale at up to Day 14

    A 7-category ordinal scale of patient health status ranges from 1) Death; 2) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen; 6) Not hospitalized, limitation on activities; 7) Not hospitalized, no limitations on activities.

    Measured: Baseline to Day 14

  10. Change from baseline in pulse oxygen saturation up to Day 14

    Measured: Baseline to Day 14

Timeline

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

  1. First posted3 Jun 2021
  2. Study start24 Aug 2021
  3. Primary completionDec 2021 (estimated)
  4. Study completionMar 2022 (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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
In the first phase, 45 subjects will be randomized at 2:1 ratio to Pentarlandir™ UPPTA low dose or placebo. After interim analysis and evaluate by DSMB, 45 subjects will be randomized to 2:1 ratio to Pentarlandir™ UPPTA high dose or placebo in second phase. The final sample will be high-dose, low-dose, and placebo group at 1:1:1 ratio.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04911777
Sponsor's protocol ID
SNR08-Covid19
Status last verified
Dec 2021
First submitted
1 Jun 2021
Last updated
17 Dec 2021
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 2 study testing Pentarlandir™ UPPTA in people with Coronavirus Disease 2019, run by SyneuRx International (Taiwan) Corp at 12 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 14 inclusion and 27 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: status not confirmed, as of the sponsor's last update on 17 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 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?

Results are not available in the source record.

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

Contact Emil Tsai, MD, PhD (+1-818-696-8800, emil.tsai@syneurx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in viral genome up to Day 14 (time frame: Baseline and Day14). 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 17 Dec 2021; AzTrials last refreshed its copy on 7 Nov 2026.

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