Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of AIC649 in the treatment of otherwise healthy subjects with asymptomatic or mildly symptomatic SARS-CoV-2 infection

    Summary
    EudraCT number
    2021-000167-69
    Trial protocol
    DE  
    Global end of trial date
    06 May 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    22 May 2023
    First version publication date
    22 May 2023
    Other versions
    Summary report(s)
    AIC649-02-II-01_Clinical trial report Synopsis

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    AIC649-02-II-01
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    AiCuris Anti-infective Cures AG
    Sponsor organisation address
    Friedrich-Ebert-Straße 475, Wuppertal, Germany, 42117
    Public contact
    Company Itself, AiCuris Anti-Infective Cures AG, +49 202317630, info@aicuris.com
    Scientific contact
    Company Itself, AiCuris Anti-Infective Cures AG, +49 202317630, info@aicuris.com
    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
    29 Nov 2022
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    06 May 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    06 May 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To investigate the safety and tolerability of multiple dosing of AIC649
    Protection of trial subjects
    The trial has been conducted in compliance with GCP standards which provides public assurance that safety and well-being of trial subjects as well as the rights, integrity, and confidentiality of trial subjects are protected.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    06 Feb 2022
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 8
    Worldwide total number of subjects
    8
    EEA total number of subjects
    8
    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)
    8
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    Adults m/f subjects, 18-55 years age inclusive for SARS-CoV-2 nonvaccinated- or not fully vaccinated subjects and 18-65 years-of-age inclusive for SARS-CoV-2 fully vaccinated subjects, of any ethnic origin, with RT-PCR/qRT-PCR positive, asymptomatic or with at most mild COVID-19 symptoms (Exclude: Fever defined as ≥38.5°C/ Moderate or severe cough)

    Pre-assignment
    Screening details
    In total, 18 subjects were screened for eligibility, of these 10 subjects (55.6%) were screen failures and 8 (44.4%) were considered eligible and were enrolled and randomized to a treatment group.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor, Data analyst, Carer, Assessor
    Blinding implementation details
    Treatment administration was double-blind. As, in contrast to the saline solution (placebo), the AIC649 solution had a slightly yellow color, the blind was maintained by means of colored syringes. All involved medical, administrative, and operational staff of the clinical trial sites, of CRO and of AiCuris Anti-infective Cures AG remained blinded during the course of the trial until Database Lock and finalization of the Statistical Analysis Plan (SAP).

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Placebo group
    Arm description
    0.9% w/v saline solution as Placebo (1 mL) administered as intravenous bolus injection on Days 1, 3 and 5
    Arm type
    Placebo

    Investigational medicinal product name
    0.9% w/v saline solution
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Intravenous bolus use
    Dosage and administration details
    Administered Placebo 0.9% w/v saline solution, 1 mL, as bolus intravenous injection on Days 1, 3, and 5 (3 administrations).

    Arm title
    Verum Group
    Arm description
    AIC649 (1000000000 viral particles in 1 mL) administered as intravenous bolus injection on Days 1, 3, and 5
    Arm type
    Experimental

    Investigational medicinal product name
    AIC649
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Powder for solution for injection
    Routes of administration
    Intravenous bolus use
    Dosage and administration details
    Administered AIC649 lyophilizate (1 vial containing 1 x 1000000000 viral particles) to be reconstituted with 1.1 mL water for injection (WFI) and given as 1 mL bolus intravenous injection on Days 1, 3, and 5 (3 administrations).

    Number of subjects in period 1
    Placebo group Verum Group
    Started
    4
    4
    Completed
    4
    4

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    8 8
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    8 8
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    32.8 ± 10.74 -
    Gender categorical
    Units: Subjects
        Female
    1 1
        Male
    7 7

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Placebo group
    Reporting group description
    0.9% w/v saline solution as Placebo (1 mL) administered as intravenous bolus injection on Days 1, 3 and 5

    Reporting group title
    Verum Group
    Reporting group description
    AIC649 (1000000000 viral particles in 1 mL) administered as intravenous bolus injection on Days 1, 3, and 5

    Primary: Adverse events

    Close Top of page
    End point title
    Adverse events [1]
    End point description
    End point type
    Primary
    End point timeframe
    Data was collected for upto 27 days after first dosing.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Descriptive statistics were performed
    End point values
    Placebo group Verum Group
    Number of subjects analysed
    4
    4
    Units: number
    11
    14
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    First Subject First Visit: 06Feb2022 Signing date of ICF until Last Subject Last Visit: 06May2022
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Placebo group
    Reporting group description
    0.9% w/v saline solution as Placebo (1 mL) administered as bolus on Days 1, 3 and 5.

    Reporting group title
    Verum group
    Reporting group description
    AIC649 (109 viral particles in 1 mL) as bolus on Days 1, 3, and 5,

    Serious adverse events
    Placebo group Verum group
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 4 (0.00%)
    0 / 4 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Placebo group Verum group
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    4 / 4 (100.00%)
    4 / 4 (100.00%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    2 / 4 (50.00%)
    1 / 4 (25.00%)
         occurrences all number
    3
    1
    Syncope
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Infusion site phlebitis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Injection site pain
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Vessel puncture site haematoma
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    2
    Vessel puncture site thrombosis
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Eye disorders
    Conjunctival irritation
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Dry eye
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Swelling of eyelid
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Reproductive system and breast disorders
    Dysmenorrhoea
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Increased upper airway secretion
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Nasal congestion
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Paranasal sinus discomfort
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Rhinorrhoea
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Throat irritation
         subjects affected / exposed
    0 / 4 (0.00%)
    1 / 4 (25.00%)
         occurrences all number
    0
    1
    Tonsillar hypertrophy
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Skin and subcutaneous tissue disorders
    Rash macular
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0
    Infections and infestations
    Conjunctivitis
         subjects affected / exposed
    1 / 4 (25.00%)
    0 / 4 (0.00%)
         occurrences all number
    1
    0

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    29 Mar 2021
    Amendment 1 (Version 2) The Protocol Version 1 was amended to: • reflect inclusion of South Africa as a participating country, which also resulted in: o adjustment of sample volumes for cell subpopulations and cytokines, o removal of the Coordinating Investigator role, • provide clarification of: o inclusion of mildly symptomatic SARS-CoV-2 subjects, o inclusion, exclusion and discharge criteria, o procedures in the event of moderate or severe COVID-19 symptoms, o subject numbering procedures, o trial medication packaging, preparation and dosing, o cytokines / chemokines to be analyzed • use throat swabbing rather than throat wash for SARS-CoV-2 sampling at Screening, • add ECG and vital sign assessments on Day 1, 3, and 5 at 1h, 2h, and 4h post-dosing • address minor typos in the text.
    01 Jun 2021
    Amendment 2 (Version 3) The Protocol Version 2 was amended to reflect the requests of the Paul-Ehrlich-Institut. These primarily required: • Description or clarification of: o Exclusion criteria (#11) o Stopping criteria o Withdrawal criteria o Endpoint descriptions o Eligibility of subjects with mild COVID-19 disease o Start of COVID-19 symptoms o Documentation of local tolerability AEs o Follow-up of unblinded subjects • Removal of: o Provision to replace early termination subjects • Addition of: o Further sentinel subjects o Extended follow-up of subjects with moderate/severe COVID-19
    10 Jun 2021
    Amendment 3 (Version 4) The Protocol Version 3 was amended to reflect the requests of the Ethics Committee in addition to some administrative changes. These primarily required: • addition and clarification of timing and documentation of body temperature, respiratory rate, pulse rate, and SpO2 measures after subject discharge from the unit, • description of measures to be taken in the event of worsening COVID-19 symptoms after discharge from the unit, • clarification of the selection criteria relating to: o documentation of informed consent, o the use of oral contraceptives as a highly effective methods of contraception, o the exclusion of vulnerable subjects, • inclusion of FSH determination for potentially post-menopausal women, • clarification that IL-6 and IL-10 will be determined in both the general cytokine panel in the immediate safety analysis, • addition of subject training for taking readings, documentation of results and provision of equipment for use during out-patient follow up period (and subsequent collection at the End-of-Trial examination), • inclusion of a subject diary and diary review at appropriate timepoints, • clarification of withdrawal criteria, • use of PBMCs instead of monocytes for ex-vivo stimulation experiments.
    11 Nov 2021
    Amendment 4 (Version 5) The Protocol Version 4 was amended to remove the exclusion of SARS-CoV-2 vaccinated subjects and to exclude the subjects with any vaccination in the 14-day period prior to the trial or planned for any time during the trial period. The sentinel treatment approach was extended to distinguish between vaccinated and non-vaccinated subjects. Subgroup analyses of efficacy and safety, based on vaccination status at Baseline, were therefore also included.
    18 Feb 2022
    Amendment 5 (Version 6) The Protocol Version 5 was amended primarily to adjust the population selection criteria for: • All subjects by: o increasing the threshold for fever from ≥38°C to moderate or severe (≥38.5°C) o permitting mild cough, o fully SARS-CoV-2 vaccinated status is defined according to local requirements, o reduced minimum time since last smoking from 1 year to 3 months prior to enrollment, o Adjustment of exclusion criterion #11 for laboratory parameters. • Fully vaccinated subjects only by: o extending the permitted age range from 18 to 55 years up to 18 to 65 years, o removing the minimum viral genome copy number, o remove the maximum time period between first positive SARS-CoV-2 test by RT-PCR, qRT-PCR, or antigen test and enrollment (Day -1). In addition, stratification by SARS by qRT-PCR viral load titer was removed.

    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
    For support, Contact us.
    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.

    European Medicines Agency © 1995-Sun Apr 28 15:00:31 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA