A randomized, double-blind, placebo-controlled phase II exploratory clinical trial to evaluate the efficacy and safety of Human COVID-19 immunoglobulin (pH4) for intravenous injection (COVID-HIG) in the treatment of patients with COVID-19.
Eligible adault patients with confirmed COVID-19 will be randomized 1:1:1 to receive intravenous injections of High-dose COVID-HIG, Low-dose COVID-HIG or Placebo ( 0.9% sodium chloride injection). Patients in each arm will receive continued standard of care (SOC) therapy. The primary efficacy end point is the median time to clinical improvement (defined as clinical improvement of at least 2 points from baseline on the 7-point ordinal scale) observed from 0 to 28 days after the first administration.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
180
The initial infusion rate is 0.01 \~ 0.02 ml/kg body weight/minute (1ml is about 20 drops). If there was no adverse reaction after 15 minutes, the infusion rate could be gradually accelerated. However, it should not exceed 0.08 ml/kg body weight/minute.
The initial infusion rate is 0.01 \~ 0.02 ml/kg body weight/minute (1ml is about 20 drops). If there was no adverse reaction after 15 minutes, the infusion rate could be gradually accelerated. However, it should not exceed 0.08 ml/kg body weight/minute
Al Rahba Hospital
Abu Dhabi, United Arab Emirates
Time to clinical improvement
The primary efficacy end point is the median time to clinical improvement (defined as clinical improvement of at least 2 points from baseline on the 7-point ordinal scale) observed from 0 to 28 days after the first administration. 1. Death 2. Hospitalized, receiving Invasive mechanical ventilation or ECMO 3. Hospitalized, receiving non-invasive ventilation or high-flow oxygen devices 4. Hospitalized, requiring Low flow supplemental oxygen 5. Hospitalized, not requiring oxygen- but receiving ongoing medical care (related or not related to COVID-19) 6. Hospitalized/not hospitalized, Requiring neither oxygen nor ongoing medical care (other than that specified in the the protocol for COVID-HIG adminstration) 7. Not hospitalized, discharge or prepare for discharge from a healthcare facility
Time frame: within 28 days
Changes of 7-point ordinal scale for COVID-19 clinical improvement
Compare the clinical status of subjects in each group on day 7, 14, and 28 after the first administration using the primary 7-point ordinal outcome scale. Outcome is reported as the percent of subjects in each of 7 categories and changes in each group compared with baseline.
Time frame: 7 days, 14 days, and 28 days
COVID-19-Related Symptoms
Outcome is reported as changes in each group compared with baseline.
Time frame: 1 day, 3 days, 5 days, 7 days and 14 days
Discharge Status
Outcome is reported as the percent of subjects in each arm who discharged at day 7, 14, and 28 post treatment.
Time frame: 7 days, 14 days, and 28 days
Length of hospital stay
Number of days between the first administration and discharge.
Time frame: within 28 days
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All-cause Mortality
Outcome is reported as the all-cause mortality within 28 days of each arm.
Time frame: within 28 days
Negativization rate of SARS-CoV-2 nucleic acid
Outcome is reported as the percent of subjects with negative results in each arm.
Time frame: within 72 hrs (24 hrs, 48 hrs, 72 hrs), 7 days, 14 days, and 28 days
Changes of leukocyte count, lymphocyte count, C-reactive protein, IL-6 and SARS-CoV-2 nucleic acid (quantitative)
Outcome is reported as the changes of leukocyte count, lymphocyte count, C-reactive protein, IL-6, and SARS-CoV-2 nucleic acid (quantitative) on 1day, 3days, 5days, 7 days, and 14 days commpared with baseline.
Time frame: 1 day, 3 days, 5days, 7 days, 14 days
Treatment in ICU
The proportion and number of subjects who need treatment in ICU within 28 days after the first administration.
Time frame: within 28 days
SARS-CoV-2 Neutralizing Antibody Level
Outcome reported as the changes in anti-SARS-CoV-2 neutralizing antibody titer in blood from baseline to 1 day, 3 days, 7 days, and 28 days post treatment. Outcome is reported in units of antibody titer.
Time frame: 1 day, 3 days, 7 days, and 28 days
Glucocorticoid therapy
The proportion and the number of subjects receiving glucocorticoid therapy within 28 days after the first administration.
Time frame: within 28 days
Rate of worsening
Worsening is defined as the 2 least favorable categories on the primary ordinal scale. Outcome is reported as the percent of subjects in each arm who are characterized as worsening within 28 days post treatment.
Time frame: within 28 days
Finger oxygen saturation
Change of finger oxygen saturation compared with the baseline.
Time frame: 1 day, 3 days, 5 days, 7 days, 14 days, and 28 days