E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
SARS-Cov-2 infection (COVID-19) |
Infezione da SARS-Cov-2 (COVID-19) |
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E.1.1.1 | Medical condition in easily understood language |
SARS-Cov-2 infection (COVID-19) |
Infezione da SARS-Cov-2 (COVID-19) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 23.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10051905 |
E.1.2 | Term | Coronavirus infection |
E.1.2 | System Organ Class | 10021881 - Infections and infestations |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine the efficacy of IFNß-1a as time to negative conversion of SARS-Cov-2 nasopharyngeal swab in hospitalized COVID-19 patients |
Valutare l’efficacia di IFNß-1a nel ridurre il tempo alla negativizzazione di tamponi nasofaringei per infezione da SARS-CoV-2 in pazienti Covid-19. |
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E.2.2 | Secondary objectives of the trial |
I. To determine the efficacy of IFNß-1a to improve the clinical status and respiratory functions in hospitalized COVID-19 patients. II. To determine the efficacy of IFNß-1a to reduce mortality in COVID-19 patients III. To determine the efficacy of IFNß-1a to improve the chest CT scan picture in hospitalized COVID-19 patients. IV. To determine the efficacy of IFNß-1a to reduce the time of hospitalization in hospitalized COVID-19 patients. V. To determine the efficacy of IFNß-1a to reduce the viral load of SARS-CoV-2 measured on plasma VI. To determine the safety of the use of IFNß-1a in hospitalized COVID-19 patients. |
I. Valutare la efficacia di IFNß-1a nel migliorare lo stato clinico e la funzionalità respiratoria in pazienti ospedalizzati per COVID-19 II. Valutare la efficacia di IFNß-1a nel ridurre la mortalità in pazienti ospedalizzati per COVID-19 III. Valutare l’efficacia di IFNß-1a nel migliorare il quadro radiologico TC dei pazienti ospedalizzati per COVID-19 IV. Valutare l’efficacia di IFNß-1a nel ridurre la durata dell’ospedalizzazione dei pazienti ospedalizzati per COVID-19 V. Valutare l’efficacia di IFNß-1a nel ridurre la carica virale di SARS-CoV-2 nel plasma VI. Valutare la sicurezza dell’uso di IFNß-1a in pazienti ospedalizzati per COVID-19 |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
a. Informed consent signed b. Patients hospitalized with confirmed swab RT-PCR detection of SARS-CoV-2 c. X-ray and/or TC diagnosed pneumonia d. Age >=18 years e. Clinical status defined as 3, 4 or 5 on the 7-point ordinal scale |
a. Consenso informato firmato b. Pazienti ospedalizzati con tampone nasofaringeo positivo a SARS-CoV-2 confermato tramite test su acido nucleico (RT-PCR) c. Diagnosi di polmonite tramite radiografia tradizionale e/o TC d. Età >=18 anni e. Stato clinico definito come 3, 4, o 5 secondo la scala a sette punti |
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E.4 | Principal exclusion criteria |
a. Known allergy or hypersensitivity to IFNß-1a or IFNß-1b b. Presence of severe concomitant illnesses/medical conditions that in the physician opinion do not allow participation to the stud c. Pregnant or lactating females d. History of major depression disorder or suicidal attempt or suicidal ideation e. Spontaneous blood ALT/AST levels > 5 times the upper limit of normal f. Clinical status defined as 1, 2, or 6 on the 7-point ordinal scale |
a. Allergia o ipersensibilità nota a IFNß-1a o IFNß-1b. b. Presenza malattie o condizioni mediche concomitanti che secondo l’opinione del medico non permettono l’inclusione c. Gravidanza o allattamento d. Anamnesi indicativa di disturbo depressivo maggiore, tentativo di suicido o ideazione suicidaria e. Livelli basali di ALT o AST cinque volte il limite superiore di normalità. f. Stato clinico definito come 1, 2 o 6 nella scala a sette punti |
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E.5 End points |
E.5.1 | Primary end point(s) |
Time to negative conversion of SARS-CoV-2 nasopharyngeal swab. Viral load will be measured by RT-PCR. |
Tempo alla negativizzazione per infezione da SARS-CoV-2 nei tamponi nasofaringei. La carica virale viene misurata tramite real-time PCR. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Baseline, days 3, 5, 7, 9, 11, 13, 15, 21, 29 |
Baseline, giorni 3, 5, 7, 9, 11, 13, 15, 21, 29 |
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E.5.2 | Secondary end point(s) |
Changes from baseline in pulmonary TC; a. Improvement in clinical severity score, defined as percentage of subjects reporting each severity rating on a 7-point ordinal scale b. Improvement in clinical severity score, defined as the time to clinical improvement of two points from the time of randomization on a 7-category ordinal scale or live discharge from the hospital c. Incidence of new oxygen use, non-invasive ventilation, or high flow oxygen devices d. Oxygenation free days e. Ventilator free days f. Incidence of new mechanical ventilation use g. Number of patients transferred to Intensive Care Unit; Mortality rate; Duration of hospital stay expressed in days; Viral load measured on plasma with RT-PCR; a. Number of Serious adverse events and Adverse Drug Reaction (expected and un-expected) b. Changes from baseline in Hematological and biochemical blood parameters |
Cambiamenti rispetto al baseline nella scala di gravità di malattia polmonare alla TC; a. Miglioramento dello stato clinico, definito come percentuale di soggetti appartenenti a ciascuna delle categorie di una scala ordinale a sette punti b. Miglioramento dello stato clinico, definito come tempo al miglioramento di due punti sulla scala ordinale a sette punti, oppure tempo alla dimissione ospedaliera c. Incidenza di nuovo utilizzo di ossigeno, ventilazione non invasiva, o ossigeno ad alto flusso d. Numero di giorni liberi da ossigeno e. Numero di giorni liberi da ventilazione meccanica f. Incidenza di nuova ventilazione meccanica g. Numero di pazienti trasferiti ad unità di terapia; Mortalità totale; Durata della ospedalizzazione espressa in giorni; Misurazione del numero di copie del virus nel plasma mediante RT PCR; a. Numero di eventi avversi gravi e reazioni avverse al farmaco (attese e non-attese) fino alla dimissione ospedaliera per qualunque causa b. Variazione dei valori ematologici/biochimici rispetto al baseline |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Baseline, day 21; extra follow up at 90 days; From baseline to day 29; From baseline to day 29; From baseline to day 29; Baseline, days 3, 5, 7, 9, 11, 13, 15, 21, 29; From baseline to day 29 |
Baseline, giorno 21 e giorno 90 (extra-followup); Da baseline al giorno 29; Da baseline al giorno 29; Da baseline al giorno 29; Baseline, giorni 3, 5, 7, 9, 11, 13, 15, 21, 29; Da baseline al giorno 29 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Standard di cura |
Standard of Care |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 9 |
E.8.9.2 | In all countries concerned by the trial days | 0 |