This study is a double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of FB2001 in hospitalized patients with moderate to severe Coronavirus Disease 2019 (COVID-19). A total of about 1188 subjects are planned to be enrolled. The subjects will be randomized in a 1:1 ratio to FB2001 group or placebo group while both receiving standard of care treatment.
Coronavirus Disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The infectious agent that causes COVID 19 is a novel coronavirus, named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first identified during a recent outbreak in December 2019. Patients with COVID-19 have symptoms of fever, cough, and shortness of breath along with non-specific symptoms including myalgia and fatigue. FB2001 is a small-molecule inhibitor of coronavirus 3CL protease (3CLpro). In two phase I clinical trials, we completed doses of FB2001 that were safe, and were projected to be effective in patients according to its pharmacokinetic profile. This study is a double-blind, randomized, placebo-controlled study to evaluate the efficacy and safety of FB2001 in hospitalized patients with moderate to severe Coronavirus Disease 2019 (COVID 19). A total of about 1188 subjects are planned to be enrolled. The subjects will be randomized in a 1:1 ratio to FB2001 group or placebo group while both receiving standard of care treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
1,188
FB2001 for injection will be reconstituted with 100 mL of normal saline prior to intravenous infusion. FB2001 will be administered by IV infusion over approximately 60 minutes.
Placebo will be reconstituted with 100 mL of normal saline prior to intravenous infusion. Placebo will be administered by IV infusion over approximately 60 minutes.
Huashan Hospital Fudan University
Shanghai, Shanghai Municipality, China
RECRUITINGBeijing Ditan Hospital Capital Medical University
Beijing, China
RECRUITINGTime to sustained recovery (in days) from randomization up to Day 29.
Day of sustained recovery is defined as the first day on which a subject is discharged from hospital, or hospitalized for infection-control or other non-medical reasons through Day 29
Time frame: Up to Day 29
Proportion of participants with mechanical ventilation or all-cause-death
Proportion of participants with mechanical ventilation or all-cause-death in FB2001 group and placebo group
Time frame: Through Day 29 and Day 60
Proportion of participants with sustained recovery on Day 6
no specific description
Time frame: On Day 6
Clinical status category as assessed by an 8-category ordinal scale daily while hospitalized and on Days, 15 and 29.
no specific description
Time frame: On Days 15 and 29
Duration of each targeted COVID-19 sign/symptom until discharge
Duration of each targeted COVID-19 sign/symptom until discharge
Time frame: Up to Day 29
Severity of each targeted COVID-19 sign/symptom until discharge
no specific description
Time frame: Up to Day 29
Days of supplemental oxygen (if applicable)
no specific description
Time frame: Up to Day 29
Duration of non-invasive ventilation/high-flow oxygen (if applicable)
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no specific description
Time frame: Up to Day 29
Days of invasive mechanical ventilation/ECMO (if applicable)
no specific description
Time frame: Up to Day 29
Time to achieve SARS-CoV-2 virologic clearance
no specific description
Time frame: Up to Day 29
Proportion of participants achieving SARS-CoV-2 virologic clearance on Day 3, 5, 8, 15 and 29
no specific description
Time frame: On Day 3, 5, 8, 15 and 29
Viral load change (log10) from baseline on Day 3, 5, 8 and 15.
no specific description
Time frame: On Day 3, 5, 8 and 15
Population pharmacokinetic (PK) parameters to be measured/analyzed, including AUC, Cmax and Ctrough
no specific descriptionsa
Time frame: Day0-Day 5