Covid19Phase 1CodivirNCT04930861
Study of Codivir in Patients With COVID-19
A Phase 1 study testing Covidir injections, One Step Test and IgM and IgG dosage in people with Covid19, run by Code Pharma at 1 site in Brazil.
Trial summary
This is an open-label study to evaluate the safety and preliminary efficacy of Codivir in 12 mild or moderate COVID-19 patients and onset of symptoms within 72h prior to their inclusion. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Covid19
- What is being tested?
- Covidir injections, One Step Test and IgM and IgG dosage
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- 1 siteBrazil
- Study dates
- 29 Mar 2021to 9 Aug 2021
- Phase
- Phase 1
- 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 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Age between 18 and 60 years;
- Male or female;
- SARS-CoV-2 infection indicated by rapid test and confirmed by RT-PCR.
- Mild or moderate COVID-19:
- The oxygen saturation in room air >93%;
- <30 breaths per minute;
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- No signs of hemodynamic decompensation.
- Absence of pregnancy in women of childbearing age.
- Able to understand and comply with the requirements of the protocol.
- Consent to participate
Who cannot join
- Participants in need of O2 supplementation by catheter or mask, invasive mechanical ventilation, or vasopressors.
- Onset of symptoms or rapid test or positive RT-PCR for more than 72 hours of inclusion.
- Participants in use or expected to use within 24 hours prior to the inclusion of drugs that are under clinical investigation as a therapeutic option for the treatment of COVID-19 (eg hydroxychloroquine, chloroquine, ivermectin, nitazoxanide, among others) during the study period;
- Body mass index less than 19.9 or greater than 35;
- Comorbidities such as: other serious infections, active malignancies, autoimmune diseases, liver, kidney or heart failure; another systemic disease and / or laboratory abnormality, which, in the investigator's opinion, prevent the patient from participating in the study;
- Concomitant HIV, HBV or HCV infection.
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- Pregnancy or lactation;
- Participation in another clinical trial in the 12 months preceding inclusion;
- Anti-COVID-19 vaccination at any time;
- Vaccination for any other infection in the 4 weeks prior to inclusion;
- Any condition that increases the risk of participating in the study, in the opinion of the investigator.
Trial locations and contacts
1 site in 1 country.
Brazil1 site
Hospital Vera Cruz S A (Campinas-SP)
Campinas, State of São Paulo, 13092-108
About this study
Official title: Phase 1 Clinical Study of Codivir in Outpatients With COVID-19
This is an open-label study to evaluate the safety and preliminary efficacy of Codivir in 12 mild or moderate COVID-19 patients and onset of symptoms within 72h prior to their inclusion. Treatment will begin in the hospital, participants will be discharged at Day 4 and continue the treatment up to Day 10 at home and followed up to day 28.
Read the detailed description
Eligible participants who agree to participate will be submitted to safety assessments, an RT-PCR and a quick test for COVID-19. Everyone will receive the treatments indicated for their case, except for other investigational medications. Codivir will be administered in addition to these treatments at a dose of 20 mg SC twice daily for 10 days. Participants will remain hospitalized for the first 3 days.
If they have progressed well, they will continue the treatment up to Day 10 at home, receiving a nurse's home visit twice a day to administer Codivir and collect vital signs. Participants will be followed up to Day 28 by telemedicine. A doctor will call them periodically to monitor the clinical evolution, collect adverse events, concomitant medication and instruct the participants. In case of unfavorable evolution, the participants will remain hospitalized receiving the appropriate care. The investigator will decide whether or not the investigational medication will continue, considering the participant's health and well-being.
- Conditions
- Covid19
- Being tested
- Covidir injections, One Step Test, IgM and IgG dosage, RT-PCR SARS-CoV-2, Screening blood test
- Keywords
- Corona, Coronavirus, COVID-19, SARS-CoV-2
- Medical subject headings
- COVID-19, Coronavirus Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Covidir injectionsDrug
Also called Experimental drug administration
administration of the investigational product CODIVIR at a dose of 20 mg twice a day subcutaneously.
One Step TestDiagnostic test
Also called Covid-19 test
rapid test for the diagnosis of COVID-19 based on the detection of anti-SARS-CoV-2 in the blood.
IgM and IgG dosageDiagnostic test
Also called Blood test
blood collection for dosage of Anti SARS-CoV-2 antibodies.
RT-PCR SARS-CoV-2Diagnostic test
Also called Covid-19 test
detection of viral RNA in nasopharyngeal and oropharyngeal samples by the Real Time Protein Chain Reaction technique.
Screening blood testDiagnostic test
Also called Blood test
complete blood count, urea, creatinine, uric acid, sodium, potassium, chloride, calcium, glucose, glycated hemoglobin, alkaline phosphatase (FA), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubins and fractions ( BTF), total proteins and fractions (PTF), lipid profile (total cholesterol, fractions and triglycerides); coagulogram (TP, aPTT); D-dimer; C-reactive protein; HIV, HBV, HCV serology; Ferritin; fibrinogen, Pregnancy test for non-sterile women.
ECGDiagnostic test
Also called Electrocardiogram
12-lead electrocardiogram with report.
Medical evaluationDiagnostic test
Also called Physical examination
evaluation by the principal investigator or assistant physician with a complete physical examination.
NEWS-2 scoreDiagnostic test
assessment of the participant by the NEWS-2 score.
WHO scoreDiagnostic test
assessment of the participant by the score of the World Health Organization.
| Study group | Role | What they receive |
|---|---|---|
| Covidir | Experimental | Patient (adults aged ≥18 years) with mild or moderate COVID-19 and flu-symptoms onset within 72 hours prior to inclusion. Treatment begins at the hospital. On the 4th day, participants who are well will be discharged and continue treatment up to Day 10 at home. All participants will receive Codivir 20 mg SC 2 x daily. Receives: Drug: Covidir injections; Diagnostic Test: One Step Test; Diagnostic Test: IgM and IgG dosage; Diagnostic Test: RT-PCR SARS-CoV-2; Diagnostic Test: Screening blood test; Diagnostic Test: ECG; Diagnostic Test: Medical evaluation; Diagnostic Test: NEWS-2 score; Diagnostic Test: WHO score |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence and severity of adverse events related to the investigational product.
Measured: 28 days
Secondary outcomes (4)
Clinical evolution according to the score of the World Health Organization between admission and days 10 and 28.
Measured: up to 28 days
Clinical evolution according to NEWS2 score between admission and days 10 and 28.
Measured: up to 28 days
RT-PCR negative.
Measured: up to 28 days
Evolution of IgM & IgG Anti-SARS-CoV-2.
Measured: up to 28 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2021
- Study start29 Mar 2021
- Primary completion27 May 2021
- Study completion9 Aug 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Covid19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- This is an open label study to evaluate the safety and preliminary efficacy of Codivir in 12 mild or moderate COVID-19 patients and onset of symptoms within 72h prior to their inclusion. Treatment will begin in the hospital, participants will be discharged at Day 4 and continue the treatment up to Day 10 at home.
- Masking
- None (open label)
- Enrolment
- 12 participants (actual)
Sponsor and investigators
- Lead sponsor
- Code Pharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Eynat Finkelshtein, Study director, Code Pharma
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04930861
- Sponsor's protocol ID
- 20-01-ZM
- Acronym
- Codivir
- Status last verified
- Nov 2021
- First submitted
- 16 Jun 2021
- Last updated
- 2 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1 Clinical Study of Codivir in Outpatients With COVID-19
- ClinicalTrials.gov ID
- NCT04930861
- Acronym / sponsor ID
- Codivir / 20-01-ZM
- Conditions
- Covid19
- Keywords
- Corona, Coronavirus, COVID-19, SARS-CoV-2
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 12 participants (actual)
- Lead sponsor
- Code PharmaIndustry (pharma, biotech, devices)
- Study start
- 29 Mar 2021 (actual)
- Primary completion
- 27 May 2021 (actual)
- Study completion
- 9 Aug 2021 (actual)
- First posted
- 18 Jun 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is an open-label study to evaluate the safety and preliminary efficacy of Codivir in 12 mild or moderate COVID-19 patients and onset of symptoms within 72h prior to their inclusion. Treatment will begin in the hospital, participants will be discharged at Day 4 and continue the treatment up to Day 10 at home and followed up to day 28.
Detailed description
Eligible participants who agree to participate will be submitted to safety assessments, an RT-PCR and a quick test for COVID-19. Everyone will receive the treatments indicated for their case, except for other investigational medications. Codivir will be administered in addition to these treatments at a dose of 20 mg SC twice daily for 10 days. Participants will remain hospitalized for the first 3 days.
If they have progressed well, they will continue the treatment up to Day 10 at home, receiving a nurse's home visit twice a day to administer Codivir and collect vital signs. Participants will be followed up to Day 28 by telemedicine. A doctor will call them periodically to monitor the clinical evolution, collect adverse events, concomitant medication and instruct the participants. In case of unfavorable evolution, the participants will remain hospitalized receiving the appropriate care. The investigator will decide whether or not the investigational medication will continue, considering the participant's health and well-being.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- This is an open label study to evaluate the safety and preliminary efficacy of Codivir in 12 mild or moderate COVID-19 patients and onset of symptoms within 72h prior to their inclusion. Treatment will begin in the hospital, participants will be discharged at Day 4 and continue the treatment up to Day 10 at home.
| Arm | Type | Receives |
|---|---|---|
| Covidir | Experimental | Drug: Covidir injections, Diagnostic Test: One Step Test, Diagnostic Test: IgM and IgG dosage, Diagnostic Test: RT-PCR SARS-CoV-2, Diagnostic Test: Screening blood test, Diagnostic Test: ECG, Diagnostic Test: Medical evaluation, Diagnostic Test: NEWS-2 score, Diagnostic Test: WHO scorePatient (adults aged ≥18 years) with mild or moderate COVID-19 and flu-symptoms onset within 72 hours prior to inclusion. Treatment begins at the hospital. On the 4th day, participants who are well will be discharged and continue treatment up to Day 10 at home. All participants will receive Codivir 20 mg SC 2 x daily. |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Age between 18 and 60 years;
- Male or female;
- SARS-CoV-2 infection indicated by rapid test and confirmed by RT-PCR.
- Mild or moderate COVID-19:
- No signs of hemodynamic decompensation.
Key exclusion criteria (11 listed)
- Participants in need of O2 supplementation by catheter or mask, invasive mechanical ventilation, or vasopressors.
- Onset of symptoms or rapid test or positive RT-PCR for more than 72 hours of inclusion.
- Participants in use or expected to use within 24 hours prior to the inclusion of drugs that are under clinical investigation as a therapeutic option for the treatment of COVID-19 (eg hydroxychloroquine, chloroquine, ivermectin, nitazoxanide, among others) during the study period;
- Body mass index less than 19.9 or greater than 35;
- Comorbidities such as: other serious infections, active malignancies, autoimmune diseases, liver, kidney or heart failure; another systemic disease and / or laboratory abnormality, which, in the investigator's opinion, prevent the patient from participating in the study;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Covidir injectionsAlso: Experimental drug administrationadministration of the investigational product CODIVIR at a dose of 20 mg twice a day subcutaneously. | Drug | Covidir |
| One Step TestAlso: Covid-19 testrapid test for the diagnosis of COVID-19 based on the detection of anti-SARS-CoV-2 in the blood. | Diagnostic test | Covidir |
| IgM and IgG dosageAlso: Blood testblood collection for dosage of Anti SARS-CoV-2 antibodies. | Diagnostic test | Covidir |
| RT-PCR SARS-CoV-2Also: Covid-19 testdetection of viral RNA in nasopharyngeal and oropharyngeal samples by the Real Time Protein Chain Reaction technique. | Diagnostic test | Covidir |
| Screening blood testAlso: Blood testcomplete blood count, urea, creatinine, uric acid, sodium, potassium, chloride, calcium, glucose, glycated hemoglobin, alkaline phosphatase (FA), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubins and fractions ( BTF), total proteins and fractions (PTF), lipid profile (total cholesterol, fractions and triglycerides); coagulogram (TP, aPTT); D-dimer; C-reactive protein; HIV, HBV, HCV serology; Ferritin; fibrinogen, Pregnancy test for non-sterile women. | Diagnostic test | Covidir |
| ECGAlso: Electrocardiogram12-lead electrocardiogram with report. | Diagnostic test | Covidir |
| Medical evaluationAlso: Physical examinationevaluation by the principal investigator or assistant physician with a complete physical examination. | Diagnostic test | Covidir |
| NEWS-2 scoreassessment of the participant by the NEWS-2 score. | Diagnostic test | Covidir |
| WHO scoreassessment of the participant by the score of the World Health Organization. | Diagnostic test | Covidir |
Primary outcome
Incidence and severity of adverse events related to the investigational product.
Time frame: 28 days
4 secondary outcomes
Clinical evolution according to the score of the World Health Organization between admission and days 10 and 28.
Time frame: up to 28 days
Clinical evolution according to NEWS2 score between admission and days 10 and 28.
Time frame: up to 28 days
RT-PCR negative.
Time frame: up to 28 days
Evolution of IgM & IgG Anti-SARS-CoV-2.
Time frame: up to 28 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Eynat Finkelshtein study director
Code Pharma
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Covidir injections, One Step Test and IgM and IgG dosage in people with Covid19, run by Code Pharma at 1 site in Brazil.
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 10 inclusion and 11 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 2 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Brazil. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
Incidence and severity of adverse events related to the investigational product. (time frame: 28 days). 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 2 Nov 2021.