Tazemetostat for the Treatment of Moderate to Severe COVID-19 Infection

Loma Linda University

Overview

The purpose of this study is to assess the safety and efficacy of repurposing tazemetostat for the treatment of Acute Respiratory Distress Syndrome (ARDS) or Systemic Cytokine Release Syndrome (SCRS) in COVID-19 patients.

The investigators hypothesize that tazemetostat will mitigate the hyperinflammatory effects of COVID-19 infection, prevent respiratory deterioration, and reduce requirements of invasive ventilation. This will be conducted as a Phase II open label study. After being informed about the study and potential risks, all patients giving written informed consent will undergo randomization to receive 800 mg tazemetostat BID for 15 days in addition to standard of care treatment. The duration of the interventional part of the study will last 15 days, additionally the patients will be evaluated at 30 and 90 days for overall clinical status and sequelae. The study will be conducted at a single site (Loma Linda University Medical Center).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Conditions

COVID-19 Acute Respiratory Distress Syndrome Cytokine Release Syndrome

Interventions

TazemetostatDRUG

Tazemetostat 800mg BID PO dosing for 15 days

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Provision of signed and dated informed consent form * Stated willingness to comply with all study procedures and availability for the duration of the study. * Male or female, aged 18-85 * Diagnosed with q-PCR confirmed infection with SARS-Cov-2 virus and admitted to the hospital. * Receiving non-invasive respiratory support through a nasal cannula or a face mask. * Ability to take oral medication and be willing to adhere to the tazemetostat regimen. Exclusion Criteria: * Unable to take PO medication. * Need for intubation or ECMO. * Pregnancy or lactation * Known allergic reactions to tazemetostat. * Active malignancy (not in remission). * Treatment with another investigational drug.

Outcomes

Primary Outcomes

Length of hospital stay

Evaluate the effect of tazemetostat treatment of the course of COVID-19 disease by measuring number of days in hospital from time of randomization to date of discharge or in-hospital death from any cause, whichever came first.

Time frame: Up to one year from date of randomization

Data from ClinicalTrials.gov

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