E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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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 | 10084268 |
E.1.2 | Term | COVID-19 |
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 compare the proportion of participants alive and respiratory failure free during the 28 days after dosing with CPI-006 plus SOC versus placebo plus SOC in hospitalized participants with mild to moderately symptomatic Covid-19 infection |
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E.2.2 | Secondary objectives of the trial |
- To compare the time to recovery of CPI-006 plus SOC versus placebo plus SOC in hospitalized participants with mild to moderately symptomatic Covid-19 infection - To compare the time to clinical improvement of CPI-006 plus SOC versus placebo plus SOC in hospitalized participants with mild to moderately symptomatic Covid-19 infection - To compare the mortality rate due to any cause during the 28 days after dosing with CPI-006 plus SOC versus placebo plus SOC in hospitalized participants with mild to moderately symptomatic Covid-19 infection |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Participants must be ≥ 18 years of age at the time of signing the informed consent. 2. Confirmed positive by PCR or antigen test for SARS-CoV-2 with sample collection ≤ 10 days prior to the day of randomization. PCR is the preferred method; however other tests for SARS-CoV-2 are allowed if authorized for use in the country. 3. Covid-19 illness of any duration of symptoms. 4. Participant capable of understanding the study and giving informed consent. Participant capable of signing and dating the written ICF. Participant must understand and agree to comply with planned study procedures for the duration of the study. The study visits beyond Day 28 will be optional and require a separate consent. 5. Hospitalized for Covid-19 illness for ≤ 5 days with mild to moderate Covid-19 symptoms including: - Mild: Symptoms of Covid-19 including fever, rhinorrhea, mild cough, sore throat, headache, muscle pain, malaise but not requiring supplemental oxygen - Moderate: Lower respiratory symptoms: shortness of breath (SOB) or signs of pneumonia or lung infiltrates based on X-ray or computed tomography (CT) scan < 50% present And Meets the criteria for: - Category 4 - Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (Covid-19 related or otherwise) OR - Category 5 - Hospitalized, requiring supplemental oxygen, OR - Category 6 - Hospitalized, on non-invasive ventilation or high flow oxygen devices per 8-point ordinal scale. 6. Adequate organ function 7. Eligible participants of child-bearing age (male or female) must agree to use adequate contraception for a total of 6 weeks after study treatment administration. |
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E.4 | Principal exclusion criteria |
1. Signs of acute respiratory distress syndrome (ARDS) or respiratory failure necessitating mechanical ventilation at the time of screening (and randomization) or anticipated impending need for mechanical ventilation. 2. History of severe chronic respiratory disease and requirement for long-term oxygen therapy. 3. Any uncontrolled active systemic infection or hemodynamic instability requiring admission to an intensive care unit (ICU). 4. Participants with malignant tumor receiving treatment, or other serious systemic diseases affecting life expectancy within 29 days of Screening. 5. Receipt of cancer chemotherapy or immunomodulatory drugs including (but not limited to) biologics such as anti-CD20, anti-TNF, anti-IL6, anti-IL6 receptor; alkylating agents (e.g., cyclophosphamide); antimetabolites (e.g., azathioprine); or chronic corticosteroid use equivalent to prednisone >10 mg/day, during preceding 2 months. Note: Steroids for treatment of Covid-19 are acceptable. 6. Convalescent plasma (CCP) or anti-SARS-CoV-2 monoclonal antibodies administered less than 24 hours prior to randomization. Participants must have recovered from any adverse events related to CCP treatment. Received chloroquine or hydroxychloroquine within last 7 days or during the study. 7. Patients who are participating in other clinical trials including participants in an extended access program. 8. Active deep vein thrombosis or pulmonary embolism as confirmed by the investigator within last 6 months. 9. Anticipated discharge from the hospital or transfer to another hospital which is not a study site within 48 hours of admission as confirmed by the investigator. 10. Any active uncontrolled co-morbid disease that might interfere with study conduct or interpretation of findings. 11. Known to be positive for HIV or positive test for chronic HBV infection (defined as positive hepatitis B surface antigen [HbsAg]) or positive test for hepatitis C antibody. 12. Pregnancy or breast feeding. 13. Persons under legal protection or currently incarcerated. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary efficacy endpoint is the proportion of participants who are alive and free from respiratory deterioration during the 28 days after dosing defined as follows per the 8-point ordinal scale: - Deterioration to Categories 6, 7, or 8 for a participant who entered the trial at Categories 4 or 5 - Deterioration to Categories 7 or 8 for a participant who entered the trial at Category 6 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
The following endpoints will be compared between Treatments A, B and C: Key Secondary Endpoints: • Time to recovery during the 28 days after dosing. Day of recovery is defined as the first day on which the participant satisfies 1 of the following 3 categories from the 8-point ordinal scale: 1) Not hospitalized, no limitations on activities.; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care. • Time to clinical improvement determined by ≥ 2 points improvement inthe 8-point ordinal scale during the 28 days after dosing. • Proportion of participants who died during the 28 days after dosing. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- 7, 14, 21, and 28 days from baseline - 7, 14, 21, and 28 days from baseline - 28 days after dosing |
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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 | Yes |
E.6.7 | Pharmacodynamic | Yes |
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
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 | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
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 | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 3 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 31 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Brazil |
Canada |
Chile |
Colombia |
Israel |
Mexico |
Peru |
South Africa |
Ukraine |
United States |
Belgium |
Bulgaria |
France |
Germany |
Hungary |
Italy |
Poland |
Romania |
Spain |
United Kingdom |
Czechia |
Argentina |
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E.8.7 | Trial has a data monitoring committee | Yes |
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 | 1 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 1 |