SPI-1005 Treatment in Moderate COVID-19 Patients
Study Details
Study Description
Brief Summary
The study is a randomized, double-blind, placebo-controlled, dose escalation, multi-center clinical trial (RCT) of SPI-1005 in adult subjects with positive PCR test for novel SARS-CoV-2 (nCoV2) and moderate symptoms of COVID-19 disease.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: SPI-1005 400 mg BID Oral administration of SPI-1005 400 mg BID for 7 days, with 30-day follow-up |
Drug: Ebselen
Glutathione peroxidase mimetic
Other Names:
|
Experimental: SPI-1005 800 mg BID Oral administration of SPI-1005 800 mg BID for 7 days, with 30-day follow-up |
Drug: Ebselen
Glutathione peroxidase mimetic
Other Names:
|
Placebo Comparator: Placebo Oral administration of matching placebo BID for 7 days, with 30-day follow-up |
Drug: Placebo
Matching placebo containing excipients
|
Outcome Measures
Primary Outcome Measures
- Number of participants with treatment-related adverse events [30 days]
Secondary Outcome Measures
- WHO Ordinal Scale [30 days]
Clinical outcome assessed by WHO Ordinal Scale for Clinical Improvement. Scale is 0-8 where higher score is worse outcome.
- Degree of supplemental oxygen [30 days]
Respiratory status assessed by degree of supplemental oxygen (e.g. mask oxygen, mechanical ventilation)
- Peripheral Oxygen Saturation (SpO2) [30 days]
Peripheral oxygen saturation measured by pulse oximetry
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adults ≥18 years of age
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Positive nCoV2 PCR test by nasopharyngeal, oral, saliva, or respiratory sample
-
Clinical signs, symptoms, and respiratory status consistent with moderate COVID-19
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Score of 3-4 on the WHO Ordinal Scale
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Onset of moderate COVID-19 symptoms ≤3 days of study enrollment
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Subject is in-patient at time of randomization to study treatment
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Subject or legally authorized representative is willing and able to provide informed consent, and agrees for subject to comply with planned study procedures including reproductive requirements.
Exclusion Criteria:
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Female patients who are pregnant or breastfeeding.
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Participation in another interventional investigational drug or device study concurrently or within 30 days prior to study consent.
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Patients with impaired hepatic or renal function.
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Subject has any other illness or condition that, in the opinion of the investigator, would prohibit the subject from participating.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Yale University | New Haven | Connecticut | United States | 06510 |
2 | St. Luke's Cystic Fibrosis Center of Idaho | Boise | Idaho | United States | 83702 |
3 | Kansas University Medical Center | Kansas City | Kansas | United States | 66160 |
4 | Washington University in St. Louis | Saint Louis | Missouri | United States | 63130 |
5 | Duke University | Durham | North Carolina | United States | 27710 |
6 | Wake Forest University | Winston-Salem | North Carolina | United States | 27109 |
7 | University of Texas Southwestern | Dallas | Texas | United States | 75390 |
Sponsors and Collaborators
- Sound Pharmaceuticals, Incorporated
Investigators
- Principal Investigator: Miriam Treggiari, MD, Yale University
Study Documents (Full-Text)
None provided.More Information
Publications
- Brown AS, Ackerley DF, Calcott MJ. High-Throughput Screening for Inhibitors of the SARS-CoV-2 Protease Using a FRET-Biosensor. Molecules. 2020 Oct 13;25(20). pii: E4666. doi: 10.3390/molecules25204666.
- Chen T, Fei CY, Chen YP, Sargsyan K, Chang CP, Yuan HS, Lim C. Synergistic Inhibition of SARS-CoV-2 Replication Using Disulfiram/Ebselen and Remdesivir. ACS Pharmacol Transl Sci. 2021 Mar 26;4(2):898-907. doi: 10.1021/acsptsci.1c00022. eCollection 2021 Apr 9. Erratum in: ACS Pharmacol Transl Sci. 2021 Apr 29;4(3):1246.
- Haritha CV, Sharun K, Jose B. Ebselen, a new candidate therapeutic against SARS-CoV-2. Int J Surg. 2020 Dec;84:53-56. doi: 10.1016/j.ijsu.2020.10.018. Epub 2020 Oct 23.
- Jin Z, Du X, Xu Y, Deng Y, Liu M, Zhao Y, Zhang B, Li X, Zhang L, Peng C, Duan Y, Yu J, Wang L, Yang K, Liu F, Jiang R, Yang X, You T, Liu X, Yang X, Bai F, Liu H, Liu X, Guddat LW, Xu W, Xiao G, Qin C, Shi Z, Jiang H, Rao Z, Yang H. Structure of M(pro) from SARS-CoV-2 and discovery of its inhibitors. Nature. 2020 Jun;582(7811):289-293. doi: 10.1038/s41586-020-2223-y. Epub 2020 Apr 9.
- Menéndez CA, Byléhn F, Perez-Lemus GR, Alvarado W, de Pablo JJ. Molecular characterization of ebselen binding activity to SARS-CoV-2 main protease. Sci Adv. 2020 Sep 11;6(37). pii: eabd0345. doi: 10.1126/sciadv.abd0345. Print 2020 Sep.
- Sies H, Parnham MJ. Potential therapeutic use of ebselen for COVID-19 and other respiratory viral infections. Free Radic Biol Med. 2020 Aug 20;156:107-112. doi: 10.1016/j.freeradbiomed.2020.06.032. Epub 2020 Jun 26. Review.
- Weglarz-Tomczak E, Tomczak JM, Talma M, Burda-Grabowska M, Giurg M, Brul S. Identification of ebselen and its analogues as potent covalent inhibitors of papain-like protease from SARS-CoV-2. Sci Rep. 2021 Feb 11;11(1):3640. doi: 10.1038/s41598-021-83229-6.
- SPI-1005-291