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    Clinical Trial Results:
    Senicapoc in COVID-19 Patients with Severe Respiratory Insufficiency – A Randomized, Open-Label, Phase II Trial

    Summary
    EudraCT number
    2020-001420-34
    Trial protocol
    DK  
    Global end of trial date
    28 Dec 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Jan 2022
    First version publication date
    21 Jan 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    0001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04594668
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Aarhus University
    Sponsor organisation address
    Ole Worms Allé 4, Building 1160, Aarhus C, Denmark, 8000
    Public contact
    www.Clinicaltrials.gov, Aarhus University, +45 60202613, us@biomed.au.dk
    Scientific contact
    www.Clinicaltrials.gov, Aarhus University, +45 60202613, us@biomed.au.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    30 Sep 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    28 Dec 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Dec 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To treat respiratory insufficiency due to COVID19
    Protection of trial subjects
    The study was IDMC monitored. Patients were admitted to the ICU and the intervention did not include additional stress or pain
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 Apr 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 46
    Worldwide total number of subjects
    46
    EEA total number of subjects
    46
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    21
    From 65 to 84 years
    25
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Patients were included if they were aged ≥ 18 years and admitted to an ICU with severe respiratory insufficiency due to COVID-19. COVID-19 was defined as a positive polymerase chain reaction (PCR) test for SARS-CoV-2, within 14 days prior to ICU admission. Severe respiratory insufficiency was defined as requiring supplemental oxygen ≥ 10 L/min or m

    Period 1
    Period 1 title
    Entire study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Control group
    Arm description
    Control group
    Arm type
    No intervention

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Senicapoc group
    Arm description
    Senicapoc group
    Arm type
    Experimental

    Investigational medicinal product name
    Senicapoc
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Intragastric use
    Dosage and administration details
    The intervention consisted of 50 mg enteral senicapoc (5 x 10 mg tablets) administered as soon as possible after randomization and again after 24 hours.

    Number of subjects in period 1
    Control group Senicapoc group
    Started
    26
    20
    Completed
    26
    20

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Control group
    Reporting group description
    Control group

    Reporting group title
    Senicapoc group
    Reporting group description
    Senicapoc group

    Reporting group values
    Control group Senicapoc group Total
    Number of subjects
    26 20 46
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Age
    Units: years
        median (inter-quartile range (Q1-Q3))
    66 (56 to 74) 66 (58 to 70) -
    Gender categorical
    Gender
    Units: Subjects
        Female
    6 10 16
        Male
    20 10 30

    End points

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    End points reporting groups
    Reporting group title
    Control group
    Reporting group description
    Control group

    Reporting group title
    Senicapoc group
    Reporting group description
    Senicapoc group

    Primary: The PaO2/FiO2 ratio

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    End point title
    The PaO2/FiO2 ratio
    End point description
    The PaO2/FiO2 ratio at 72 hours
    End point type
    Primary
    End point timeframe
    at 72 hours
    End point values
    Control group Senicapoc group
    Number of subjects analysed
    26
    20
    Units: mmHg
        arithmetic mean (standard deviation)
    24.4 ± 9.6
    19.5 ± 6.6
    Statistical analysis title
    Primary outcome
    Comparison groups
    Control group v Senicapoc group
    Number of subjects included in analysis
    46
    Analysis specification
    Pre-specified
    Analysis type
    superiority [1]
    P-value
    < 0.05
    Method
    Regression, Linear
    Parameter type
    Mean difference (final values)
    Point estimate
    -5.1
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -10.2
         upper limit
    0.04
    Notes
    [1] - linear regression adjusting for the two stratification variables (baseline PaO2/FiO2 ratio and site) as fixed effects

    Secondary: Mortality

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    End point title
    Mortality
    End point description
    Mortality
    End point type
    Secondary
    End point timeframe
    28 days
    End point values
    Control group Senicapoc group
    Number of subjects analysed
    26
    20
    Units: %
    6
    2
    No statistical analyses for this end point

    Secondary: Ventilator free hours

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    End point title
    Ventilator free hours
    End point description
    End point type
    Secondary
    End point timeframe
    ventilator-free days within 28 days
    End point values
    Control group Senicapoc group
    Number of subjects analysed
    26
    20
    Units: day
        median (inter-quartile range (Q1-Q3))
    486 (0 to 672)
    607 (398 to 672)
    Statistical analysis title
    Ventilator free hours
    Comparison groups
    Senicapoc group v Control group
    Number of subjects included in analysis
    46
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.05
    Method
    Wilcoxon (Mann-Whitney)
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Sutdy period
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    Specific adverse
    Dictionary version
    1
    Reporting groups
    Reporting group title
    Control group
    Reporting group description
    -

    Reporting group title
    Senicapoc
    Reporting group description
    -

    Serious adverse events
    Control group Senicapoc
    Total subjects affected by serious adverse events
         subjects affected / exposed
    22 / 26 (84.62%)
    10 / 20 (50.00%)
         number of deaths (all causes)
    6
    2
         number of deaths resulting from adverse events
    0
    0
    Cardiac disorders
    arrythmias
         subjects affected / exposed
    6 / 26 (23.08%)
    2 / 20 (10.00%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Shock
         subjects affected / exposed
    4 / 26 (15.38%)
    1 / 20 (5.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endocrine disorders
    Hyperglycaemia
         subjects affected / exposed
    7 / 26 (26.92%)
    5 / 20 (25.00%)
         occurrences causally related to treatment / all
    0 / 7
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Control group Senicapoc
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 26 (11.54%)
    1 / 20 (5.00%)
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    3 / 26 (11.54%)
    1 / 20 (5.00%)
         occurrences all number
    3
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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