Clinical Trial Results:
Senicapoc in COVID-19 Patients with Severe Respiratory Insufficiency – A Randomized, Open-Label, Phase II Trial
Summary
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EudraCT number |
2020-001420-34 |
Trial protocol |
DK |
Global end of trial date |
28 Dec 2020
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Results information
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Results version number |
v1(current) |
This version publication date |
21 Jan 2022
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First version publication date |
21 Jan 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
0001
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04594668 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Aarhus University
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Sponsor organisation address |
Ole Worms Allé 4, Building 1160, Aarhus C, Denmark, 8000
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Public contact |
www.Clinicaltrials.gov, Aarhus University, +45 60202613, us@biomed.au.dk
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Scientific contact |
www.Clinicaltrials.gov, Aarhus University, +45 60202613, us@biomed.au.dk
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
30 Sep 2021
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
28 Dec 2020
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Global end of trial reached? |
Yes
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Global end of trial date |
28 Dec 2020
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To treat respiratory insufficiency due to COVID19
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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
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
28 Apr 2020
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Denmark: 46
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Worldwide total number of subjects |
46
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EEA total number of subjects |
46
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
21
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From 65 to 84 years |
25
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85 years and over |
0
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Recruitment
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Recruitment details |
- | |||||||||
Pre-assignment
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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
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Period 1 title |
Entire study (overall period)
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Not blinded | |||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Control group | |||||||||
Arm description |
Control group | |||||||||
Arm type |
No intervention | |||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
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Arm title
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Senicapoc group | |||||||||
Arm description |
Senicapoc group | |||||||||
Arm type |
Experimental | |||||||||
Investigational medicinal product name |
Senicapoc
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Intragastric use
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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.
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Baseline characteristics reporting groups
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Reporting group title |
Control group
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Reporting group description |
Control group | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Senicapoc group
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Reporting group description |
Senicapoc group | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Control group
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Reporting group description |
Control group | ||
Reporting group title |
Senicapoc group
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Reporting group description |
Senicapoc group |
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End point title |
The PaO2/FiO2 ratio | ||||||||||||
End point description |
The PaO2/FiO2 ratio at 72 hours
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End point type |
Primary
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End point timeframe |
at 72 hours
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Statistical analysis title |
Primary outcome | ||||||||||||
Comparison groups |
Control group v Senicapoc group
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Number of subjects included in analysis |
46
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Analysis specification |
Pre-specified
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Analysis type |
superiority [1] | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
Regression, Linear | ||||||||||||
Parameter type |
Mean difference (final values) | ||||||||||||
Point estimate |
-5.1
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Confidence interval |
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level |
95% | ||||||||||||
sides |
2-sided
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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 |
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End point title |
Mortality | |||||||||
End point description |
Mortality
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End point type |
Secondary
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End point timeframe |
28 days
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No statistical analyses for this end point |
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End point title |
Ventilator free hours | ||||||||||||
End point description |
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End point type |
Secondary
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End point timeframe |
ventilator-free days within 28 days
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Statistical analysis title |
Ventilator free hours | ||||||||||||
Comparison groups |
Senicapoc group v Control group
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Number of subjects included in analysis |
46
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Analysis specification |
Pre-specified
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Analysis type |
superiority | ||||||||||||
P-value |
< 0.05 | ||||||||||||
Method |
Wilcoxon (Mann-Whitney) | ||||||||||||
Confidence interval |
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Adverse events information
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Timeframe for reporting adverse events |
Sutdy period
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
Specific adverse | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
1
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Reporting groups
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Reporting group title |
Control group
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Reporting group description |
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Reporting group title |
Senicapoc
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |