COV19-APTP-B: Proof-of-Concept Clinical Pharmacology Trial for COVID-19 Antigen Presentation Therapeutic Biologics
Study Details
Study Description
Brief Summary
Conducting an initial small, controlled clinical pharmacology trial to assess for therapeutic biologics activity (proof-of-concept) that suggests the potential for clinical benefit of COVID-19 patients.
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Treat Infection of Multiple Gene Mutation COVID-19 Virus Strains.
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Activate Human Antigen Presentation Reaction to COVID-19 Specific Antigen.
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The human antigen presenting cells (APCs) can take up and process COVID-19 target antigen protein into small peptide fragments, and then COVID-19 virus can be killed by APCs directly.
Condition or Disease | Intervention/Treatment | Phase |
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Early Phase 1 |
Detailed Description
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Conducting an initial small, controlled trial to assess for therapeutic biologics activity (proof-of-concept) that suggests the potential for clinical benefit of COVID-19 patients.
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20 Moderate COVID-19 patients
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Moderate COVID-19
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Positive testing by standard RT-PCR assay or equivalent testing
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Symptoms of moderate illness with COVID-19, which could include any symptom of mild illness or shortness of breath with exertion
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Clinical signs suggestive of moderate illness with COVID-19, such as respiratory rate ≥ 20 breaths per minute, saturation of oxygen (SpO2) > 93% on room air at sea level, heart rate ≥ 90 beats per minute
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No clinical signs indicative of Severe or Critical Illness Severity
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Our trial duration will be 4-week duration.
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0.1mg / 0.5 ml COVID-19 Spike-GM-CSF Protein Lactated Ringer's Injection
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Intradermic Injection, ID
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Negative testing COVID-19 by standard RT-PCR assay or equivalent testing after injection 2 weeks.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Assess for therapeutic biologics activity (proof-of-concept) 0.1mg Spike-GM-CSF Protein 0.5 ml Lactated Ringer's Injection, USP |
Biological: COVID-19 Therapeutic Biologics - Spike-GM-CSF Protein Lactated Ringer's Injection
Intradermic Injection, ID
COVID-19 Spike-GM-CSF Protein Lactated Ringer's Injection
Other Names:
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Outcome Measures
Primary Outcome Measures
- Number of Participants with Moderate COVID-19: [Duration at least 28 days]
20 Moderate COVID-19 patients Moderate COVID-19 Positive testing by standard RT-PCR assay Symptoms of moderate illness with COVID-19, which could include any symptom of mild illness or shortness of breath with exertion Clinical signs suggestive of moderate illness with COVID-19, such as respiratory rate ≥ 20 breaths per minute, saturation of oxygen (SpO2) > 93% on room air at sea level, heart rate ≥ 90 beats per minute No clinical signs indicative of Severe or Critical Illness Severity
- Rate of Positive COVID-19 nucleic acid: [Duration at least 28 days]
20 Moderate COVID-19 patients Positive testing COVID-19 by standard RT-PCR assay immediately COVID-19 nucleic acid testing, assessed by RT-PCR Assay Kit Rate of Positive COVID-19 nucleic acid must be 100%
- Concentration of Active Ingredient: [Duration at least 28 days]
0.1mg COVID-19 Spike-GM-CSF Protein 0.5 ml Lactated Ringer's Injection, USP 0.1mg / 0.5 ml COVID-19 Spike-GM-CSF Protein Lactated Ringer's Injection
- Rate of Negative COVID-19 nucleic acid [Duration at least 28 days]
20 Moderate COVID-19 patients 0.1mg / 0.5 ml COVID-19 Spike-GM-CSF Protein Lactated Ringer's Injection Intradermic Injection, ID Negative COVID-19 by standard RT-PCR assay after injection 2 weeks COVID-19 nucleic acid testing, assessed by RT-PCR Assay Kit Rate of Negative COVID-19 nucleic acid will be more than 80%
Eligibility Criteria
Criteria
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Conducting an initial small, controlled trial to assess for therapeutic biologics activity (proof-of-concept) that suggests the potential for clinical benefit of COVID-19 patients.
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20 Moderate COVID-19 patients
Inclusion Criteria:
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Moderate COVID-19
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Positive testing by standard RT-PCR assay or equivalent testing
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Symptoms of moderate illness with COVID-19, which could include any symptom of mild illness or shortness of breath with exertion
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Clinical signs suggestive of moderate illness with COVID-19, such as respiratory rate ≥ 20 breaths per minute, saturation of oxygen (SpO2) > 93% on room air at sea level, heart rate ≥ 90 beats per minute
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No clinical signs indicative of Severe or Critical Illness Severity
Exclusion Criteria:
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- Severe or Critical Illness Severity
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- Pregnancy
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- Breast-feeding
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- The patients with other serious inter-current illness
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- Serious Allergy
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- Serious Bleed Tendency
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- The prohibition of the biological product
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Medicine Invention Design Incorporation (MIDI) - IORG0007849 | North Bethesda | Maryland | United States | 20852 |
Sponsors and Collaborators
- Han Xu, M.D., Ph.D., Sponsor-Investigator, IRB Chair
- PPD
Investigators
- Study Chair: HAN XU, M.D., Ph.D., Medicine Invention Design, Inc. (MIDI) - IORG0007849
- Study Director: HAN XU, M.D., Ph.D., Medicine Invention Design, Inc. (MIDI) - IORG0007849
- Principal Investigator: HAN XU, M.D., Ph.D., Medicine Invention Design, Inc. (MIDI) - IORG0007849
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
- Catalá Gonzalo A, Galván Casas C. COVID-19 and the Skin. Actas Dermosifiliogr (Engl Ed). 2020 Jul - Aug;111(6):447-449. doi: 10.1016/j.ad.2020.04.007. Epub 2020 May 13. English, Spanish.
- Freeman EE, McMahon DE, Lipoff JB, Rosenbach M, Kovarik C, Takeshita J, French LE, Thiers BH, Hruza GJ, Fox LP; American Academy of Dermatology Ad Hoc Task Force on COVID-19. Pernio-like skin lesions associated with COVID-19: A case series of 318 patients from 8 countries. J Am Acad Dermatol. 2020 Aug;83(2):486-492. doi: 10.1016/j.jaad.2020.05.109. Epub 2020 May 30.
- Gottlieb M, Long B. Dermatologic manifestations and complications of COVID-19. Am J Emerg Med. 2020 Sep;38(9):1715-1721. doi: 10.1016/j.ajem.2020.06.011. Epub 2020 Jun 6. Review.
- Guarneri C, Rullo EV, Pavone P, Berretta M, Ceccarelli M, Natale A, Nunnari G. Silent COVID-19: what your skin can reveal. Lancet Infect Dis. 2021 Jan;21(1):24-25. doi: 10.1016/S1473-3099(20)30402-3. Epub 2020 May 18.
- Guevara-Hoyer K, Saz-Leal P, Diez-Rivero CM, Ochoa-Grullón J, Fernández-Arquero M, Pérez de Diego R, Sánchez-Ramón S. Trained Immunity Based-Vaccines as a Prophylactic Strategy in Common Variable Immunodeficiency. A Proof of Concept Study. Biomedicines. 2020 Jul 9;8(7). pii: E203. doi: 10.3390/biomedicines8070203.
- Gül Ü. COVID-19 and dermatology. Turk J Med Sci. 2020 Dec 17;50(8):1751-1759. doi: 10.3906/sag-2005-182. Review.
- Keech C, Albert G, Cho I, Robertson A, Reed P, Neal S, Plested JS, Zhu M, Cloney-Clark S, Zhou H, Smith G, Patel N, Frieman MB, Haupt RE, Logue J, McGrath M, Weston S, Piedra PA, Desai C, Callahan K, Lewis M, Price-Abbott P, Formica N, Shinde V, Fries L, Lickliter JD, Griffin P, Wilkinson B, Glenn GM. Phase 1-2 Trial of a SARS-CoV-2 Recombinant Spike Protein Nanoparticle Vaccine. N Engl J Med. 2020 Dec 10;383(24):2320-2332. doi: 10.1056/NEJMoa2026920. Epub 2020 Sep 2.
- Klejtman T. Skin and COVID-19. J Med Vasc. 2020 Jul;45(4):175-176. doi: 10.1016/j.jdmv.2020.06.001.
- Netea MG, Domínguez-Andrés J, Barreiro LB, Chavakis T, Divangahi M, Fuchs E, Joosten LAB, van der Meer JWM, Mhlanga MM, Mulder WJM, Riksen NP, Schlitzer A, Schultze JL, Stabell Benn C, Sun JC, Xavier RJ, Latz E. Defining trained immunity and its role in health and disease. Nat Rev Immunol. 2020 Jun;20(6):375-388. doi: 10.1038/s41577-020-0285-6. Epub 2020 Mar 4. Review.
- Netea MG, Joosten LA, Latz E, Mills KH, Natoli G, Stunnenberg HG, O'Neill LA, Xavier RJ. Trained immunity: A program of innate immune memory in health and disease. Science. 2016 Apr 22;352(6284):aaf1098. doi: 10.1126/science.aaf1098. Epub 2016 Apr 21. Review.
- Sánchez-Ramón S, Conejero L, Netea MG, Sancho D, Palomares Ó, Subiza JL. Trained Immunity-Based Vaccines: A New Paradigm for the Development of Broad-Spectrum Anti-infectious Formulations. Front Immunol. 2018 Dec 17;9:2936. doi: 10.3389/fimmu.2018.02936. eCollection 2018. Review.
- Wollina U. Challenges of COVID-19 pandemic for dermatology. Dermatol Ther. 2020 Sep;33(5):e13430. doi: 10.1111/dth.13430. Epub 2020 Apr 30. Review.
- IND153210
- FWA00015357
- IRB00009424
- IORG0007849
- IND153210
- NDA215451
- BLA761218