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COVID-19Phase 2NCT04932941

MP1032 Treatment in Patients With Moderate to Severe COVID-19

A Phase 2 study testing MP1032 in people with COVID-19, run by MetrioPharm AG at 31 sites in 7 countries.

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

The purpose of this study is to evaluate the efficacy and safety of MP1032 with standard of care (SoC) verses placebo with SoC in hospitalized adults participants with moderate to severe coronavirus disease 2019 (COVID-19). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID-19
What is being tested?
MP1032
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
132 participants
Where
31 sitesin 7 countries
Study dates
19 Oct 2021to 5 Sep 2022
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

  • Participant is admitted to hospital and has a positive severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) test by standard reverse transcription-polymerase chain reaction (RT-PCR) assay or equivalent test
  • Participant has the presence of any symptom(s) suggestive of moderate or severe systemic illness with COVID-19

Who cannot join

  • Participant, in opinion of the investigator, is not likely to survive >=48 hours beyond Day 1
  • Participant has a diagnosis of asymptomatic COVID-19, mild COVID-19, or critical COVID-19 on Day 1
  • Participant has a documented medical history of infection with hepatitis A, B, C, or with human immunodeficiency virus (with a detectable viral load and CD4 count <500 cells per micro liter), or a documented active infection with tuberculosis.
  • The Participant has clinically significant electrocardiogram (ECG) abnormalities at screening
  • Other protocol defined inclusion/exclusion criteria may apply

Trial locations and contacts

31 sites in 7 countries.

31 sites in 7 countries

Bulgaria7 sites
  • MHAT Blagoevgrad AD

    Blagoevgrad

  • MHAT Sv. Ivan Rilski Kozloduy

    Kozloduy

  • MHAT Dr. Stamen Iliev AD

    Montana

  • SHATPD Pernik EOOD

    Pernik

  • MHAT Dr. Ivan Seliminski AD

    Sliven

  • Umhatem"N.I.Pirogov"

    Sofia

  • SHATPPD Sata Zagora EOOD

    Stara Zagora

Other trials in Bulgaria

Italy7 sites
  • Ospedale GB Morgagni

    Forlì

  • Ospedale SM Goretti

    Latina

  • ASST-FBF-SACCO - Ospedale Luigi Sacco

    Milan

  • IRCCS Ospedale San Raffaele

    Milan

  • Policlinico di Napoli

    Naples

  • Ospedale "Santo Spirito! Pescara

    Pescara

  • Policlinico Agostino Gemelli

    Roma

Other trials in Italy

Spain6 sites
  • Hospital Clinic de Barcelona Hospital Clinic i Provincial

    Barcelona

  • Hospital Ramon y Cajal, Edificio Central

    Madrid

  • Hospital Clínico Universitario de Salamanca

    Salamanca

  • Hospital Universitario Marqués de Valdecilla/IDIVAL

    Santander

  • Hospital Universitario de Valme

    Seville

  • Hospital Álvaro Cunqueiro

    Vigo

Other trials in Spain

Romania4 sites
  • Spitalul Clinic de Boli Infectioase si Tropicale "Dr. Victor Babes"

    Bucharest

  • Spitalul Municipal Caracal

    Caracal

  • Spitalul Clinic de Boli Infectioase "Sfanta Parascheva"

    Iași

  • Clinica Anestezie si Terapie Intensiva

    Timișoara

Other trials in Romania

France3 sites
  • Centre Hospitalier Victor Dupouy

    Argenteuil

  • CHU de Grenoble Alpes

    Grenoble

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite

Other trials in France

United States2 sites
  • Snake River Research PLLC

    Idaho Falls, Idaho, 83404

  • Richmond University Medical Center

    Staten Island, New York, 10310

Other trials in United States

Hungary2 sites
  • DE KK Infektológiai Klinika

    Debrecen

  • Flor Ferenc Hospital of Pest County

    Kistarcsa

Other trials in Hungary

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter, Proof-of-concept, Phase IIA Study of MP1032 Plus Standard of Care vs Standard of Care in the Treatment of Hospitalized Participants With Moderate to Severe COVID-19

The purpose of this study is to evaluate the efficacy and safety of MP1032 with standard of care (SoC) verses placebo with SoC in hospitalized adults participants with moderate to severe coronavirus disease 2019 (COVID-19).

Conditions
COVID-19
Being tested
MP1032, Placebo
Keywords
COVID-19, MP1032
Medical subject headings
COVID-19

What participants receive

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

  • MP1032Drug

    Hard gelatin capsules for oral administration.

  • PlaceboDrug

    Placebo capsules matched to MP1032 for oral administration.

Study groups in NCT04932941
Study groupRoleWhat they receive
MP1032ExperimentalParticipants will receive MP1032 300 milligrams (mg) twice daily (BID) with hospital selected SoC for 28 days.
Receives: Drug: MP1032
PlaceboPlacebo comparatorParticipants will receive placebo matched to MP1032 with hospital selected SoC for 28 days.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants With Disease Progression Using National Institute of Allergy and Infectious Diseases (NIAID) 8-point Ordinal Scale at Day 14

    Disease progression was defined as the percentage of participants who were not alive or who had respiratory failure. Respiratory failure was defined as participants who had a score of 2, 3 or 4 on the NIAID 8-point ordinal scale: The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 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 - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: At Day 14

Secondary outcomes (24)
  1. Percentage of Participants With Disease Progression Using NIAID 8-point Ordinal Scale at Day 28

    Disease progression was defined as the percentage of participants who were not alive or who had respiratory failure. Respiratory failure was defined as participants who had a score of 2, 3 or 4 on the NIAID 8-point ordinal scale: The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: At Day 28

  2. Percentage of Participants With Disease Resolution at Day 28

    Disease resolution was defined as participants who were alive and had a score of 6, 7, or 8 on the NIAID 8-point ordinal scale. The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: At Day 28

  3. All-cause Mortality Rate up to Day 28

    All-cause mortality rate was the percentage of participants in each treatment group who died by Day 28 were reported.

    Measured: Up to Day 28

  4. Change From Baseline in Clinical Status Score Related to COVID-19 According to the NIAID 8-point Ordinal Scale at Day 28

    The NIAID 8-point Ordinal Scale is an assessment of the clinical status on a given study day and the scale was defined as follows: 1=Death, 2=Hospitalized, on invasive ventilation (mechanical ventilator and/or ECMO), 3=Hospitalized, on non-invasive ventilation or high-flow oxygen devices, 4=Hospitalized, requiring supplemental oxygen, 5=Hospitalized, not requiring supplemental oxygen, but requiring ongoing medical care (COVID-19 related or otherwise), 6=Hospitalized, not requiring supplemental oxygen and no longer requires ongoing medical care (used if hospitalization was extended for infection-control reasons), 7=Not hospitalized, limitation on activities, and/or requiring home oxygen, 8=Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: Baseline, Day 28

  5. Percentage of Participants With Disease Resolution at Day 14

    Disease resolution was defined as participants who were alive and had a score of 6, 7, or 8 on the NIAID 8-point ordinal scale. The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: At Day 14

  6. All-cause Mortality Rate up to Day 14 and Day 60

    The percentage of participants who died by Day 14 and Day 60 were reported.

    Measured: Up to Day 14 and Day 60

  7. Change From Baseline in Clinical Status Score Related to COVID-19 According to the NIAID 8-point Ordinal Scale at Day 14

    The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status. The change from baseline in NIAID clinical status score related to COVID-19 at Day 14 were reported.

    Measured: Baseline, Day 14

  8. Percentage of Participants Who Required Invasive Ventilation (Mechanical Ventilator and/ ECMO), or Who Died at Day 14 and Day 28

    Percentage of participants who required invasive mechanical ventilation/ECMO or who died by Day 14 and Day 28 were reported.

    Measured: At Day 14 and Day 28

  9. Change From Baseline in Clinical Status Score of the NIAID 8-point Ordinal Scale at Each Visit

    The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status. The change from baseline in NIAID clinical status score at each visit were reported.

    Measured: Baseline up to Day 60

  10. Time to (First) Improvement of at Least 1 Category on the NIAID 8-point Ordinal Scale

    The NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. Participants who did not improve at least 1 category on the NIAID scale or died before Day 28 were censored at Day 28. The total score range was 1 to 8 where, higher score indicates improvement in the clinical status.

    Measured: Baseline up to Day 28

  11. Percentage of Participants With Clinical Status Improvement of at Least 1 Category From Baseline on the NIAID 8-point Ordinal Scale at Day 14 and Day 28

    NIAID scale is an assessment of clinical status on a given study day and was defined as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or ECMO; 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7) Not hospitalized, limitation on activities and/or requiring home oxygen; 8) Not hospitalized, no limitations on activities. Higher score = improvement in clinical status. Percentage of Participants with Clinical Status Improvement of at least 1 category from baseline on the NIAID 8-point Ordinal Scale at Day 14 and Day 28 were reported.

    Measured: Baseline, Day 14 and Day 28

  12. Time to Discharge by Day 28 and Day 60

    Time to discharge i.e., the total duration of participant hospitalization from baseline to discharge at Day 28 and Day 60 was reported.

    Measured: Baseline, Day 28 and Day 60

  13. Percentage of Participants Who Were Alive and Tested Negative for COVID-19 at Day 14, Day 28, and Day 60

    Percentage of participants who were alive and tested negative for COVID-19 at Day 14, Day 28, and Day 60 were reported.

    Measured: At Day 14, Day 28 and Day 60

  14. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

    An Adverse Event (AE) was any symptom, physical sign, syndrome, or disease that either emerges during the study or, if present at screening, worsens during the study, regardless of the suspected cause of the event. TEAE was defined as any adverse event which starts or worsens at any time after initiation of study drug until the end of the follow-up period at Day 60. An SAE was any untoward medical occurrence that at any dose met one, more of the following criteria: results in death, life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent, significant disability/incapacity, a congenital abnormality/birth defect, an important medical event. Number of participants with TEAEs and Serious TEAEs were reported.

    Measured: Day 1 up to Day 60

  15. Number of Participants With Clinically Significant Change in Vital Sign

    Vital sign parameters included of systolic and diastolic blood pressure, heart rate, respiration rate, oxygen saturation (SpO2), and body temperature. Any clinically significant change in vital signs were judged by the investigator. Number of participants with clinically significant change in vital sign values were reported.

    Measured: Day 1 up to Day 60

  16. Number of Participants With Clinically Significant Abnormalities in Physical Examinations

    Physical examination included examination of respiratory, cardiovascular, dermatological, neurological, and gastrointestinal system. Any clinically significant abnormalities in physical examination were judged by the investigator. Number of participants with clinically significant abnormalities in physical examinations findings were reported.

    Measured: Baseline up to Day 60

  17. Number of Participants With Clinically Significant Abnormalities in Clinical Laboratory Results

    Clinical laboratory tests included biochemistry, hematology and urinalysis. Any clinically significant abnormalities in clinical laboratory results were judged by the investigator. Number of participants with clinically significant abnormalities in laboratory results were reported.

    Measured: Baseline up to Day 60

  18. Maximum Observed Plasma Concentration (Cmax) of MP1032

    Cmax of MP1032 in plasma were reported. Geometric mean and geometric coefficient of variation percent (CV%) was reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1 and Day 7

  19. Area Under the Plasma Concentration-time Curve From Time Zero to Last Non-zero Concentration (AUC0-t) of MP1032

    AUC0-t of MP1032 in plasma were reported. Geometric mean and geometric coefficient of variation percent (CV%) was reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1 and Day 7

  20. Apparent Elimination Rate Constant (Kel) of MP1032

    Kel was calculated using negative of the estimated slope of the linear regression of the ln-transformed plasma concentration versus time profile in the terminal elimination phase. Kel of MP1032 in plasma were reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1

  21. Apparent Body Clearance (CL/F) of MP1032

    Cl/F was estimated as Dose/AUC0-inf. CL/F of MP1032 in plasma was reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1

  22. Apparent Volume of Distribution (Vz/F) of MP1032

    Vz/F was estimated as Dose/(Kel x AUC0-inf). Vz/F of MP1032 in plasma was reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1

  23. Plasma Concentration Prior to the Next Dose (Ctrough) of MP1032

    Ctrough of MP1032 in plasma was reported.

    Measured: Pre-dose concentration (Day 2, Day 7, and Day 8).

  24. Average Observed Plasma Concentration at Steady State of MP1032

    Average observed plasma concentration at steady state of MP1032 was reported.

    Measured: Pre-dose, 0.16, 0.33, 0.5, 1, 2, 8 and 24 hours post-dose at Day 1 and Day 7

Timeline

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

  1. First posted21 Jun 2021
  2. Study start19 Oct 2021
  3. Primary completion28 Jul 2022
  4. Study completion5 Sep 2022

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
132 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04932941
Sponsor's protocol ID
MP1032-CT05
Other IDs
2021-000344-21
Status last verified
Jun 2023
First submitted
18 Jun 2021
Last updated
29 Jun 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MP1032 in people with COVID-19, run by MetrioPharm AG at 31 sites in 7 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 2 inclusion and 5 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 29 Jun 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 31 sites in Bulgaria, Italy, Spain, Romania, France and 2 more countries. 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 29 Jun 2023). 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?

Percentage of Participants With Disease Progression Using National Institute of Allergy and Infectious Diseases (NIAID) 8-point Ordinal Scale at Day 14 (time frame: At Day 14). 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 29 Jun 2023.

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