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
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EudraCT number |
2021-000167-69 |
Trial protocol |
DE |
Global end of trial date |
06 May 2022
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Results information
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Results version number |
v1(current) |
This version publication date |
22 May 2023
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First version publication date |
22 May 2023
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Other versions |
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Summary report(s) |
AIC649-02-II-01_Clinical trial report Synopsis |
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 |
AIC649-02-II-01
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
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WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
AiCuris Anti-infective Cures AG
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Sponsor organisation address |
Friedrich-Ebert-Straße 475, Wuppertal, Germany, 42117
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Public contact |
Company Itself, AiCuris Anti-Infective Cures AG, +49 202317630, info@aicuris.com
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Scientific contact |
Company Itself, AiCuris Anti-Infective Cures AG, +49 202317630, info@aicuris.com
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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 |
29 Nov 2022
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
06 May 2022
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Global end of trial reached? |
Yes
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Global end of trial date |
06 May 2022
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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 investigate the safety and tolerability of multiple dosing of AIC649
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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.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
06 Feb 2022
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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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 |
Germany: 8
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Worldwide total number of subjects |
8
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EEA total number of subjects |
8
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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) |
8
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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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
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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
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Period 1 title |
Overall trial (overall period)
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Is this the baseline period? |
Yes | |||||||||
Allocation method |
Randomised - controlled
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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).
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Arms
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Are arms mutually exclusive |
Yes
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Arm title
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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
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for injection
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Routes of administration |
Intravenous bolus use
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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).
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Arm title
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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
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Powder for solution for injection
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Routes of administration |
Intravenous bolus use
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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).
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Baseline characteristics reporting groups
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Reporting group title |
Overall trial
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Reporting group description |
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End points reporting groups
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Reporting group title |
Placebo group
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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
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Reporting group description |
AIC649 (1000000000 viral particles in 1 mL) administered as intravenous bolus injection on Days 1, 3, and 5 |
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End point title |
Adverse events [1] | |||||||||
End point description |
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End point type |
Primary
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End point timeframe |
Data was collected for upto 27 days after first dosing.
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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 |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
First Subject First Visit: 06Feb2022 Signing date of ICF until Last Subject Last Visit: 06May2022
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.1
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Reporting groups
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Reporting group title |
Placebo group
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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
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Reporting group description |
AIC649 (109 viral particles in 1 mL) as bolus on Days 1, 3, and 5, | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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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.
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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
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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.
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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.
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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.
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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 |