AzTrials
AzTrials

COVID-19 InfectionPhase 1/2E-APLICOV-PCNCT05121740

Extension Study in a Cohort of Adult Patients With COVID-19 Infection

A Phase 1/2 study testing Plitidepsin 1.5 mg / day, Plitidepsin 2.0 mg / day and Plitidepsin 2.5 mg / day in people with COVID-19 Infection, run by PharmaMar at 10 sites in Spain.

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

The main objective of this study is to evaluate the incidence of post-COVID morbidity and characterize the complications profile in patients who participated in the APLICOV-PC study. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID-19 Infection
What is being tested?
Plitidepsin 1.5 mg / day, Plitidepsin 2.0 mg / day and Plitidepsin 2.5 mg / day
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
10 sitesSpain
Study dates
25 Jan 2022to 16 Mar 2022
Phase
Phase 1/2
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

  • Patient who participated in the APLICOV-PC study receiving treatment with plitidepsin and who gives consent.

Who cannot join

  • There are no exclusion criteria for this study.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

Spain10 sites
  • Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona, 08916

  • Hospital Universitario HM Montepríncipe

    Boadilla del Monte, Madrid, 28660

  • Hospital General de Ciudad Real

    Ciudad Real, 13005

  • Hospital Universitario de Getafe

    Getafe, 280989

  • Hospital Universitario de Guadalajara

    Guadalajara, 19002

  • Hospital Universitario Ramón y Cajal

    Madrid, 280029

  • Hospital General Universitario Gregorio Marañón

    Madrid, 28009

  • Hospital Universitario La Princesa

    Madrid, 280127

  • Hospital Universitario Clínico San Carlos

    Madrid, 28040

  • Hospital Universitario Quironsalud Madrid

    Pozuelo de Alarcón, Madrid, 28223

Other trials in Spain

About this study

Official title: Extension Study in a Cohort of Adult Patients With SARS-CoV-2 Infection Requiring Hospital Admission and Received Treatment With Plitidepsin in the APLICOV-PC Study

The main objective of this study is to evaluate the incidence of post-COVID morbidity and characterize the complications profile in patients who participated in the APLICOV-PC study. APLICOV-PC study was a multicenter, randomized, proof-of-concept clinical trial to assess the safety profile of 3 different dose levels of plitidepsin (1,5 mg, 2,0 mg and 2,5 mg) administered three consecutive days, in adult patients with confirmed diagnosis of COVID-19 who require hospital admission.

Read the detailed description

The APLICOV-PC proof of concept study demonstrated the antiviral activity of plitidepsin in terms of reducing viral load, inducing recovery, and impact on lymphocyte reconstitution and other inflammatory parameters.

A percentage of patients, which varies between 10 and 25%, continue to show symptoms at 3 months after contracting the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection: For some of them this significantly restricts their life, requiring them to take long-term sickness leave from work, and leaving them with sequelae that may continue for more than one year.

With this study, Pharmamar intends to evaluate whether the treatment with plitidepsin, by attaining a reduction in the viral load and a faster recovery of the patient, could have a relevant impact on the emergence of sequelae resulting from the SARS-CoV-2 infection.

Being tested
Plitidepsin 1.5 mg / day, Plitidepsin 2.0 mg / day, Plitidepsin 2.5 mg / day
Keywords
Plitidepsin, COVID-19, Post-COVID morbidity
Medical subject headings
COVID-19

What participants receive

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

  • Plitidepsin 1.5 mg / dayDrug

    Plitidepsin 1.5 mg/day infused through a pump device over 1 hour and 30 minutes, 3 consecutive days (total dose 4.5 mg).

  • Plitidepsin 2.0 mg / dayDrug

    Plitidepsin 2.0 mg/day infused through a pump device over 1 hour and 30 minutes, 3 consecutive days (total dose 6.0 mg).

  • Plitidepsin 2.5 mg / dayDrug

    Plitidepsin 2.5 mg/day infused through a pump device over 1 hour and 30 minutes, 3 consecutive days (total dose 7.5 mg).

Study groups in NCT05121740
Study groupRoleWhat they receive
Arm A: Experimental 1ExperimentalIn the APLICOV-PC study, patients of arm A received 1.5 mg of plitidepsin / day for 3 consecutive days (total dose 4.5 mg).
Receives: Drug: Plitidepsin 1.5 mg / day
Arm B: Experimental 2ExperimentalIn the APLICOV-PC study, patients of arm B received 2.0 mg of plitidepsin / day for 3 consecutive days (total dose 6.0 mg).
Receives: Drug: Plitidepsin 2.0 mg / day
Arm C: Experimental 3ExperimentalIn the APLICOV-PC study, patients of arm C received 2.5 mg of plitidepsin / day for 3 consecutive days (total dose 7.5 mg).
Receives: Drug: Plitidepsin 2.5 mg / day

What is being measured

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

  1. Number and Percentage of Participants With Complications Related to Post COVID-19 Infection

    Number and percentage of patients who developed complications related to post COVID-19 infection

    Measured: Since last visit of APLICOV-PC study until the end of this extension study, an average of 12 months.

Secondary outcomes (18)
  1. Patients Requiring Oxygen Therapy

    Percentage of patients requiring oxygen therapy

    Measured: Since last visit of APLICOV-PC study until the end of this extension study, an average of 12 months.

  2. Patients With Complications Post COVID-19 Infection (Regardless Relationship, i.e. Related to COVID-19 Infection or Not).

    Percentage of patients with complications Post COVID-19 Infection (Regardless Relationship, i.e. Related to COVID-19 Infection or Not).

    Measured: Since last visit of APLICOV-PC study until the end of this extension study, an average of 12 months..

  3. Ratio of Partial Pressure Arterial Oxygen (PaO2) and Fraction of Inspired Oxygen (FiO2)

    PaO2/FiO2 (Ratio of partial pressure arterial oxygen and fraction of inspired oxygen) mean, standard deviation.

    PaO2/FiO2 ratio to evaluate disease severity and discriminate between 'Moderate' and 'Severe' categories according to FDA guidance.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  4. Forced Expiratory Volume 1 (FEV1)

    FEV1 (Forced expiratory volume 1) mean, standard deviation.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  5. Lung Diffusion Testing

    Lung difussion testing: mean and standard deviation. Unit of measure: % reference theoretical value

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  6. Patients With Alterations in Chest Radiography

    Percentage of patients with alterations in chest radiography

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  7. Patients With Electrocardiogram Alterations

    Percentage of patients with electrocardiogram alterations

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  8. Patients With ≥Grade 2 Alterations in Laboratory Parameters

    Percentage of patients with ≥grade 2 alterations in laboratory parameters Grade measured according to NCI-CTCAE v5.0 (National Cancer Institute - Common Terminology Criteria for Adverse Events version 5.0) where Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated.

    Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL* Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  9. Modified Medical Research Council (mMRC) Dyspnea Scale

    Percentage of patients in each category of the Modified Medical Research Council (mMRC) dyspnea scale.

    The mMRC scale is a self-rating tool to measure the degree of disability that breathlessness poses on day-to-day activities on a scale from 0 to 4:

    0, no breathlessness except on strenuous exercise;

    1. shortness of breath when hurrying on the level or walking up a slight hill;
    2. walks slower than people of same age on the level because of breathlessness or has to stop to catch breath when walking at their own pace on the level;
    3. stops for breath after walking ∼100 m or after few minutes on the level; and
    4. too breathless to leave the house, or breathless when dressing or undressing.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  10. FEV1/FVC

    FEV1/FVC mean, standard deviation.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  11. Forced Vital Capacity (FVC)

    FVC mean, standard deviation.

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  12. Arterial Oxygen Saturation (SaO2)

    SaO2 (Arterial oxygen saturation) mean, standard deviation. Unit of measure: percentage of oxygen saturation

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  13. Barthel Index

    The Barthel index measures the extent to which somebody can function independently and has mobility in their activities of daily living (ADL) i.e. feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing.

    Percentage of patients at each category according to the score obtained: 0-20: Total dependence; 21-60: Severe dependence; 61-90: Moderate dependence; 91-99: Low dependence; 100: Independence

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  14. Patients Requiring Hospital Readmission

    Percentage of patients requiring hospital readmission

    Measured: Since last visit of APLICOV-PC study until the end of this extension study, an average of 12 months.

  15. 6 Minute Walking Test (Total Distance)

    minute walking test mean, standard deviation. Total distance measured in meters (m)

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  16. 6 Minute Walking Test (Expected Distance)

    minute walking test mean, standard deviation. Expected distance (the predicted distance that a patient could walk) measured in meters (m)

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  17. 6 Minute Walking Test (Percentage of Predicted Distance)

    6 minute walking test mean, standard deviation. Unit of measure: Percentage of predicted distance

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

  18. 6 Minute Walking Test (Number of Laps of 60 m)

    6 minute walking test mean, standard deviation. Unit of measure: Number of laps of 60 m

    Measured: At study inclusion, an average of 12 months after end of APLICOV-PC study.

Timeline

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

  1. First posted16 Nov 2021
  2. Study start25 Jan 2022
  3. Primary completion16 Mar 2022
  4. Study completion16 Mar 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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Model description
Follow up Multicentric extension study of APLICOV-PC clinical trial.
Masking
None (open label)
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05121740
Sponsor's protocol ID
AV-APL-A-003-21
Other IDs
2021-004966-37
Acronym
E-APLICOV-PC
Status last verified
Dec 2024
First submitted
8 Nov 2021
Last updated
31 Dec 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Varona JF, Landete P, Paredes R, Vates R, Torralba M, Guisado-Vasco P, Porras L, Munoz P, Gijon P, Ancochea J, Saiz E, Meira F, Jimeno JM, Lopez-Martin JA, Estrada V. Plitidepsin in adult patients with COVID-19 requiring hospital admission: A long-term follow-up analysis. Front Cell Infect Microbiol. 2023 Feb 22;13:1097809. doi: 10.3389/fcimb.2023.1097809. eCollection 2023.

    PubMed 36909731

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Plitidepsin 1.5 mg / day, Plitidepsin 2.0 mg / day and Plitidepsin 2.5 mg / day in people with COVID-19 Infection, run by PharmaMar at 10 sites in Spain.

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 1 inclusion and 1 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 31 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Spain. 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 combined 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.

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 12 Dec 2024). 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 and Percentage of Participants With Complications Related to Post COVID-19 Infection (time frame: Since last visit of APLICOV-PC study until the end of this extension study, an average of 12 months.). 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 NCT05121740, which also lists 1 linked publication.

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 31 Dec 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in