CDK6COV: Phase II Safety Single-arm Study of CDK4/6 Inhibition With Palbociclib in Hospitalized, Moderate COVID-19 Cases to Prevent Thromboinflammation
Study Details
Study Description
Brief Summary
This is a one-site, interventional, prospective, single-arm, open-label, controlled phase-IIa trial evaluating the safety and efficacy of palbociclib in hospitalized, moderate COVID- 19 cases.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
The study will include hospitalized, moderate COVID-19 cases that have a risk of respiratory failure.
The study will generally consist of:
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A short screening phase (1 day) before enrollment and thus treatment decision.
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A 21 day treatment phase with one "cycle" of palbociclib
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An up to day 90 Safety Follow-Up Phase
The first three patients will be enrolled and treated one by one; the independent safety data review committee (ISRC) will review each patient after D21 before enrollment of the subsequent patient is permitted.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Palbociclib 125 mg of palbociclib once daily for 21 consecutive days |
Drug: Palbociclib
125 mg of palbociclib once daily for 21 consecutive days
|
Outcome Measures
Primary Outcome Measures
- Rate of treatment-related treatment discontinuation after 21 days of palbociclib treatment [21 days]
Secondary Outcome Measures
- Time to freedom from oxygenation, measured in days after the first treatment dose. [90 days]
- Time to transfer to ICU [90 days]
- Course of neutrophil cell count during treatment [21 days]
- Course of D-dimer during treatment [21 days]
- Rate of thrombotic events during treatment [21 days]
- Course of O2 saturation during treatment [21 days]
- Rate of persisting symptoms after 3, 6, 9 and 12 months [Through completion of safety follow-up up to 12 month]
- Dose reduction rate [21 days]
- Rate of (S)AEs at day 21 [at day 21]
Eligibility Criteria
Criteria
Inclusion Criteria:
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age >= 18 years
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positive PCR COVID-19 test (max. 72h old)
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known vaccination status
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ANC >= 1,000/mm3 and platelets >= 50,000/mm3
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willingness to participate (written informed consent)
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established risk factors for a severe course of COVID-19-disease, for example: adipositas, cardiovascular disease including arterial hypertension, advanced age > 60, chronic lung disease including asthma, diabetis type I or II, chronic kidney disease, chronic liver disease
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Oxygen supply: ≤ 2 liters/minute
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Women of childbearing potential (WOCBP): must have a negative pregnancy test (ß- HCG urine or serum test) a. WOCBP is considered as i.e. fertile, following menarche and until becoming post-menopausal unless permanently sterile.
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Permanent sterilization methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy.
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A postmenopausal state is defined as no menses for 12 months without an alternative medical cause.
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Use of highly effective contraception method
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All potentially fertile participants, or their male partners, must use an adequate, medically approved method of contraception or agree to abstinence during and at least 3 weeks (females) and 14 weeks (males) after treatment with Palbociclib.
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For females, highly effective birth control should be used, i.e., combined hormonal contraception associated with inhibition of ovulation (oral, intravaginal, or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable, or implantable), intrauterine device, or intrauterine hormone-releasing system, bilateral tubal occlusion and vasectomized partner. As there is no information available on the interaction of palbociclib with oral contraceptives, a double-barrier contraception is necessary in this case.
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Males must agree to use a condom for at least 14 weeks after the treatment phase.
Exclusion Criteria:
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age < 18 year
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ECOG >= 3
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ANC < 1,000/mm3 and platelets < 50,000/mm3
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intensive care patient
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treatment with any other CDK4/6 Inhibitor
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pregnant or breast-feeding women
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patients receiving immunosuppressants for other diseases (e.g. rheumatoid arthritis)
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known malignancy in the past 5 years other than basal cell carcinoma
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baseline O2-Saturation < 92%
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participation in any other medical device or medicinal product study within the previous month
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Universitätsklinikum Brandenburg an der Havel | Brandenburg an der Havel | Germany | 14770 |
Sponsors and Collaborators
- biotx.ai GmbH
Investigators
- Principal Investigator: Mark Reinwald, PD Dr. med., Universitätsklinikum Brandenburg an der Havel
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BXAI-001
- 2021-006770-24