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COVID-19Phase 2NCT05195749

A Prospective, Phase II Study to Evaluate Safety of 101-PGC-005 ('005) for Moderate to Severe COVID-19 Disease Along With Standard of Care

A Phase 2 study testing 101-PGC-005 ('005) + SOC in people with COVID-19, run by 101 Therapeutics at 1 site in Israel.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

In December 2019, a novel pneumonia caused by a previously unknown pathogen emerged in Wuhan, China. The pathogen was soon identified as a novel coronavirus (SARS-CoV-2), which is closely related to severe acute respiratory syndrome CoV (SARS-CoV) COVID-19, caused by the SARS-CoV-2 virus, leading to a major global… 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?
101-PGC-005 ('005) + SOC
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
3 participants
Where
1 siteIsrael
Study dates
13 Jan 2022to 14 Feb 2023
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

  • Patients willing and able to provide voluntary written informed consent and to follow the protocol specific requirements.
  • Male or female patients over 18 years old.
  • Patients with positive RT-PCR test for SARS-CoV-2 in nasopharyngeal or oropharyngeal swabs (sample collected within 7 days prior to enrollment) who are admitted or being admitted to the hospital for a primary diagnosis of COVID-19.
  • In the case of female patients of child-bearing potential, a negative blood pregnancy test prior to beginning the therapy.
  • Patients intended to be hospitalized to receive SOC including dexamethasone treatment for COVID-19.

Who cannot join

  • Patients with evidence of other serious infections.
  • Malignancy.
  • Background disease which, in the opinion of the investigator prevents the patient from participating in the study such as:
  • Presence of serious chronic infectious.
  • A condition resulting in immunodeficiency.
  • Participants with glucose levels upon admission ≥ 250 mg/dL
Show all 11Show fewer
  • Acute psychosis
  • Patients in a critical stage of COVID-19 disease that require mechanical ventilation.
  • Pregnant and lactating women.
  • Patients that are currently or have participated in other clinical studies with investigational drug, biological agent, or device within 1 month or within 5 half-lives (of the drug/biologic) prior to enrollment (whichever is longer).
  • Patient currently receiving chemotherapy or immunosuppressive agents not including dexamethasone within 30 days before the screening.

Trial locations and contacts

1 site in 1 country.

Israel1 site
  • The COVID-19 Unit, Rambam Health Care Campus

    Haifa, 3109601

Other trials in Israel

About this study

In December 2019, a novel pneumonia caused by a previously unknown pathogen emerged in Wuhan, China. The pathogen was soon identified as a novel coronavirus (SARS-CoV-2), which is closely related to severe acute respiratory syndrome CoV (SARS-CoV) COVID-19, caused by the SARS-CoV-2 virus, leading to a major global public health threat. Many COVID-19 patients develop acute respiratory distress syndrome (ARDS) leading to death. The recent RECOVERY Trial demonstrated the success of dexamethasone in treating late-stage COVID-19 patients. However, use of dexamethasone increases mortality in the early stage of the disease, and dexamethasone is further limited because the therapeutic dose and duration is insufficient to safely and effectively treat most COVID-19 patients. As the majority of cells have glucocorticoid receptors to which dexamethasone binds, highly toxic doses would be needed to effectively treat COVID-19, which results in increased mortality as well as decreased natural immunity (via T-cell and other immune cell modulation). The investigational product 101-PGC-005 ('005) - a prodrug of dexamethasone that is targeted to only activated macrophages - will address the many safety and efficacy issues that limit dexamethasone. '005 can achieve much higher anti-inflammatory doses and avoid all undesirable immunosuppressive activities caused by standard dexamethasone administration, resulting in an even greater reduction in mortality among hospitalized patients and significantly reducing long term morbidity in patients who survive.

Read the detailed description

This prospective Phase IIa study will evaluate the safety of '005 for moderate to severe COVID-19 disease along with Standard of Care (SOC) treatment. The Nineteen (19) eligible patients will be enrolled to receive '005 + SOC, 10 additional patients will be enrolled to a control group receiving the SOC together with placebo.

At the first open-label stage, 3+3+3 design will be implemented. Three (3) patients will be enrolled to receive 10mg '005 together with SOC, three (3) patients will receive 20mg'005 together with SOC, and three (3) patients will receive 30mg '005 together with SOC if no safety concerns are identified the second stage will be initiated.

At the second double blind stage neither the participants nor the investigator will know which treatment participants are receiving until the clinical trial is over [20 patients will be enrolled and randomly allocated in a 1:1 ratio to the treatment (SOC +'005) or placebo group (SOC + placebo)]. The treatment dose will be chosen based on the first stage safety results.

NOTE: '005 will be administered daily for three (3) consecutive days starting from the day of enrollment.

Standard of Care will be administered as long as required, per Investigator's judgment, institutional practice, or local, national, or international guidelines for COVID-19 management.

A screening period of up to 7 days (Day-7 to Day-1) prior to enrollment will be followed by a study period of 28 days. Patients will be administered '005 daily from Day-1 to Day 3.

Total duration of study participation will not exceed 35 days.

Conditions
COVID-19
Being tested
101-PGC-005 ('005) + SOC, Placebo + SOC
Keywords
Glucocorticoids, Corticosteroids, Dexamethasone, Infectious disease, Cytokine storm
Medical subject headings
COVID-19, Communicable Diseases, Cytokine Release Syndrome

What participants receive

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

  • 101-PGC-005 ('005) + SOCDrug

    Three consecutive days of '005 administration

  • Placebo + SOCDrug

    Three consecutive days of placebo administration

Study groups in NCT05195749
Study groupRoleWhat they receive
COVID-19 PatientsExperimentalModerate to severe COVID-19 patients receiving SOC and '005.
Receives: Drug: 101-PGC-005 ('005) + SOC
ControlPlacebo comparatorModerate to severe COVID-19 patients receiving SOC and placebo.
Receives: Drug: Placebo + SOC

What is being measured

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

  1. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 2.

    Evaluate the incidence of steroid-induced hyperglycemia Fasting Plasma Glucose (FPG).

    Measured: At day 2

  2. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 3.

    Evaluate the incidence of steroid-induced hyperglycemia Fasting Plasma Glucose (FPG).

    Measured: At day 3

  3. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 4.

    Evaluate the incidence of steroid-induced hyperglycemia Fasting Plasma Glucose (FPG).

    Measured: At day 4

  4. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 10.

    Evaluate the incidence of steroid-induced hyperglycemia Fasting Plasma Glucose (FPG).

    Measured: At day 10

Secondary outcomes (26)
  1. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 2.

    Evaluate the incidence of vital signs abnormality (i.e., pulse, oxygen saturation and blood pressure).

    Measured: At day 2

  2. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 3.

    Evaluate the incidence of vital signs abnormality (i.e., pulse, oxygen saturation and blood pressure).

    Measured: At day 3

  3. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 4.

    Evaluate the incidence of vital signs abnormality (i.e., pulse, oxygen saturation and blood pressure).

    Measured: At day 4

  4. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 10.

    Evaluate the incidence of vital signs abnormality (i.e., pulse, oxygen saturation and blood pressure).

    Measured: At day 10

  5. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of vital signs abnormality (i.e., pulse, oxygen saturation and blood pressure).

    Measured: At day 28

  6. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of clinically significant changes in the blood CBC, and biochemistry.

    Measured: At day 2

  7. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of clinically significant changes in the blood CBC, and biochemistry.

    Measured: At day 3

  8. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of clinically significant changes in the blood CBC, and biochemistry.

    Measured: At day 4

  9. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of clinically significant changes in the blood CBC, and biochemistry.

    Measured: At day 10

  10. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate the incidence of clinically significant changes in the blood CBC, and biochemistry.

    Measured: At day 28

  11. To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment.

    Evaluate incidence of Adverse Events/Serious Adverse Events (AEs/SAEs) according to the Common Terminology Criteria for Adverse Events (CTCAE) thru the study.

    Measured: At 28 days

  12. The 28 days discharge rate.

    Comparison of 28 days discharge rate.

    Measured: At 28 days

  13. COVID-19 severity improvement by MOH COVID-19 severity scale while in hospital, and at days 10 and 28 if discharged.

    COVID-19 severity improvement by MOH COVID-19 severity scale while in hospital, and at days 10 and 28 if discharged .

    Measured: At 10 days

  14. COVID-19 severity improvement by MOH COVID-19 severity scale while in hospital, and at days 10 and 28 if discharged.

    COVID-19 severity improvement by MOH COVID-19 severity scale while in hospital, and at days 10 and 28 if discharged .

    Measured: At 28 days

  15. Reduction in inflammatory blood markers.

    Reduction in CRP, or Ferritin levels at days 10 and 28.

    Measured: At 10 days

  16. Reduction in inflammatory blood markers.

    Reduction in CRP, or Ferritin levels at days 10 and 28.

    Measured: At 28 days

  17. Improvement of COVID-19 symptoms.

    Improvement in 1 or more COVID-19 symptoms severity from baseline (temperature, rate PaO2/FiO2, Mechanical ventilation or not mechanical ventilation) at days 10 or 28.

    Measured: At day 28

  18. Improvement of COVID-19 symptoms.

    Improvement in 1 or more COVID-19 symptoms severity from baseline (temperature, rate PaO2/FiO2, Mechanical ventilation or not mechanical ventilation) at days 10 or 28.

    Measured: At day 10

  19. Time to Saturation ≥94% on Room Air

    Time to Saturation ≥94% on Room Air at day 10

    Measured: At day 10

  20. Time to Saturation ≥94% on Room Air

    Time to Saturation ≥94% on Room Air at day 28.

    Measured: At day 28

  21. Blood evaluation for '005 PK.

    Evaluation of '005 kinetics in the blood at Day 1: at baseline 30 min, 1, 2, 4, 5, 6, 8 and 24hr post dose

    Measured: At day 1: at baseline 30 min, 1, 2, 4, 5, 6, 8 and 24hr post dose

  22. Blood evaluation for '005 PK.

    Evaluation of '005 kinetics in the blood at Day 3: at baseline 30 min, 1, 2, 4, 5, 6, 8 and 24hr post dose

    Measured: At day 3: at baseline 30 min, 1, 2, 4, 5, 6, 8 and 24hr post dose

  23. Changes from baseline in pro-inflammatory cytokines and Lymphocyte subtypes.

    Changes from baseline in pro-inflammatory cytokines and Lymphocyte subtypes at Day 4 and 10.

    Measured: At day 4

  24. Changes from baseline in pro-inflammatory cytokines and Lymphocyte subtypes.

    Changes from baseline in pro-inflammatory cytokines and Lymphocyte subtypes at Day 4 and 10.

    Measured: At day 10

  25. Correlation with pro-inflammatory cytokines and change in COVID-19 symptoms

    Correlation with pro-inflammatory cytokines and change in COVID-19 symptoms at Day 4.

    Measured: At day 4

  26. Correlation with pro-inflammatory cytokines and change in COVID-19 symptoms

    Correlation with pro-inflammatory cytokines and change in COVID-19 symptoms at Day 10.

    Measured: At day 10

Timeline

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

  1. First posted19 Jan 2022
  2. Study start13 Jan 2022
  3. Primary completion14 Feb 2023
  4. Study completion14 Feb 2023

Why it stopped: Low Enrollment

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
19 eligible patients will be enrolled to receive '005 + Standard of Care (SOC) and 10 patients will be enrolled to a control group receiving the SOC + placebo. The 1st open-label stage a 3+3+3 design will be implemented. 3 patients will receive 10mg '005 + SOC, 3 patients will receive 20mg '005 + SOC, and 3 patients will receive 30mg '005 + SOC. If no safety concerns are identified the 2nd stage will be initiated. All dose-escalation decisions will be based on previous cohort safety data, and doses will not be escalated unless 2 patients receiving the highest current dose have been observed for 24 hours post the 3rd dose. At the 2nd double blind stage neither the participants nor the investigator will know which treatment participants are receiving until the clinical trial is over. 20 patients will be enrolled and randomly allocated in a 1:1 ratio to the treatment (SOC + '005) or placebo group (SOC + placebo). The treatment dose will be chosen based on the 1st stage safety results.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05195749
Sponsor's protocol ID
PGC-005-CP-101
Status last verified
Feb 2023
First submitted
11 Jan 2022
Last updated
24 Feb 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 101-PGC-005 ('005) + SOC in people with COVID-19, run by 101 Therapeutics at 1 site in Israel.

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 5 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: stopped early, as of the sponsor's last update on 24 Feb 2023. 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 Israel. 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 was stopped early (reason given: Low Enrollment). Results are not available in the source record.

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?

To assess the safety of '005 in moderate to severe COVID-19 patients with Standard of Care treatment at day 2. (time frame: At day 2). The study lists 4 primary outcomes in all. 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 24 Feb 2023.

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