This is a phase I/II study with Amorphous Calcium Carbonate (ACC) administered sublingual and in Inhalation concomitantly with BAT (Best Available Care) as Compared to Placebo and BAT for the treatment of Moderate to Severe COVID-19 patients. The purpose of this study is to assess the Safety, Tolerability and Efficacy of Amorphous Calcium Carbonate (ACC).
This study includes two parts: Part 1 - A training period of a single arm active treatment open label, to assess the optimal method of study drug administration, as well as the safety of the combined administration, on 5 patients. Following DSMB review of the data collected in part 1 and the DSMB approval to proceed to next part, part 2 will be initiated. Part 2 - A randomized (1:1) placebo controlled 2 arms study. Additional 95 patients will be recruited to this arm. Patients who are hospitalized due to moderate or severe COVID-19 will be recruited to this study. The following elements are the main elements that will be assessed: 1. Confirmation SARS-CoV-2 infection 2. Respiratory Function (breathing rate, SpO2 Oxygen Saturation 3. Vital Signs (BP, HR), Temperature 4. Blood Tests 5. Disease Severity Scale (8 points ordinal scale) The whole study period per patient will be 22 days (21 treatment days) or until the patient has recovered and/or is discharged from the hospital, whichever comes first.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
66
AMOR Inhalation x 3 times a day, via Circulaire® II AMOR Powder x 4 times a day, sublingual
Placebo Inhalation x 3 times a day, via Circulaire® II Placebo Powder x 4 times a day, sublingual
Shamir MC
Be’er Ya‘aqov, Israel
Ziv MC
Safed, Israel
Tel-Aviv Sourasky MC
Tel Aviv, Israel
Change of Severity rating of Disease using an 8-point ordinal scale on days 7, 14, 21, measured as improvement greater than or equal to 1 point from baseline score.
Ordinal 8 points scale: 1. Not hospitalized and no limitations of activities. 2. Not hospitalized, with limitation of activities, home oxygen requirement, or both. 3. Hospitalized, not requiring supplemental oxygen and no longer requiring ongoing medical care (used if hospitalization was extended for infection-control or other nonmedical reasons). 4. Hospitalized, not requiring supplemental oxygen but requiring ongoing medical care (related to Covid-19 or to other medical conditions). 5. Hospitalized, requiring any supplemental oxygen. 6. Hospitalized, requiring noninvasive ventilation or use of high-flow oxygen devices. 7. Hospitalized, receiving invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO). 8. Death.
Time frame: Treatment Day 1 to Day 21 or discharge from hospital, the earliest.
Duration of Hospital stay
Time to discharge from hospital
Time frame: Date of hospitalization to treatment day 21 or discharge, whichever comes first.
Duration of ICU stay
Time patient is hospitalized in ICU, if applicable.
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
Duration of Mechanical Ventilation Use
Time the patient requires Mechanical Ventilation (if needed)
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
Duration of Oxygen Supplementation
Time the patient requires Oxygen Supplementation (if needed)
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
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Duration of No Oxygen use
Time the patient does not require Oxygen Supplementation
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
% of patients to meet ordinal scale of 3 or less
Proportion of subjects hospitalized, not requiring supplemental oxygen and no longer requiring ongoing medical care (used if hospitalization was extended for infection-control or other nonmedical reasons).
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
% of death
Proportion of subjects died during the study, if any.
Time frame: Treatment Day 1 to treatment day 21 or discharge, whichever comes first.
Frequency and severity of adverse events
Time frame: Screening to End of treatment day 21 or discharge, whichever comes first.
Number and percent of patients with hypercalcemia
Time frame: Treatment days 4, 7, 11, 17 and 21.