Pharmacokinetics, safety and efficacy study of GP30341, 200 mg capsules (GEROPHARM LLC, Russia) in healthy volunteers and patients with novel coronavirus infection 2019 (COVID-19) with a high risk of adverse outcome
Multicenter open two-stage study of pharmacokinetics, safety and efficacy of GP30341, 200 mg capsules (GEROPHARM LLC, Russia) involving healthy volunteers and patients with novel coronavirus infection 2019 (COVID-19) with a high risk of adverse outcome. I stage: An open non-comparative study of pharmacokinetics and safety of GP30341 studied at different dosing regimens with an escalation of the daily dose in healthy volunteers. II stage: Open randomized study efficacy and safety of GP30341, 200 mg capsules with active control - comparison with standard therapy - in patients with COVID-19 infection with a high risk of adverse outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
246
orall take of capsules twice a day
Standard medicines for treatment of a new coronavirus infection 2019 (COVID-19).
Kaliningrad State Healthcare Institution "Central City Clinical Hospital"
Kaliningrad, Russia
Novosibirsk Federal State Medical University
Novosibirsk, Russia
Federal Ryazan State Medical University named after Academician I.P. Pavlov
Ryazan, Russia
St. Petersburg State Health Institution "City Polyclinic No. 112"
Saint Petersburg, Russia
AUC0-t
Total area under the curve "concentration of the active metabolite of the active substance - time" in the time interval from 0 (the moment of taking the drug) to the collection of the last blood sample with the determined concentration of the active substance at the time point t.
Time frame: cohort N1 -10 minutes, 10, 20, 30, 45 mintes, 1 hour, 1hour 15 minutes, 1.5, 2, 2.5, 4, 5, 6, 8, 10, 12, 24 hours; Cohort N2 -10 minutes, 30 minutes, 1 hour, 2, 12, 12.5, 13, 14, 24, 36 hours
Cmax
maximum concentration of the active metabolite of the active substance in the blood plasma of volunteers during the observation period.
Time frame: cohort N1 - 10 minutes, 10, 20, 30, 45 minutes, 1hour, 1hour 15 minutes, 1.5 hour, 2, 2.5, 4, 5, 6, 8, 10, 12, 24 hours; Cohort N2 -10 minutes, 30 minutes, 1hour, 2, 12, 12.5, 13, 14, 24, 36 hours
tmax
time to reach the maximum concentration (Cmax) of the active metabolite of the active substance in the blood plasma of volunteers.
Time frame: cohort N1 -10 minutes, 10, 20, 30, 45 minutes, 1hour, 1hour 15 minutes, 1.5hour, 2, 2.5, 4, 5, 6, 8, 10, 12, 24 hours; Cohort N2 -10 minutes, 30 minutes, 1hour, 2, 12, 12.5, 13, 14, 24, 36 hours
t1/2
half-life of the active metabolite of the active substance.
Time frame: 0-24 hours
λz
rate constant of elimination of the active metabolite of the active substance.
Time frame: cohort N1 -10 minutes, 10, 20, 30, 45 mintes, 1 hour, 1hour 15 minutes, 1.5, 2, 2.5, 4, 5, 6, 8, 10, 12, 24 hours; Cohort N2 -10 minutes, 30 minutes, 1 hour, 2, 12, 12.5, 13, 14, 24, 36 hours
AUC0-∞
total area under the curve "concentration of the active metabolite of the active substance - time" in the time interval from 0 (the moment of taking the drug) to infinity.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Yaroslavl Region "Clinical Hospital No. 3", ,, Mayakovskogo st., 61
Yaroslavl, Russia
Time frame: cohort N1 -10 minutes, 10, 20, 30, 45 mintes, 1 hour, 1hour 15 minutes, 1.5, 2, 2.5, 4, 5, 6, 8, 10, 12, 24 hours; Cohort N2 -10 minutes, 30 minutes, 1 hour, 2, 12, 12.5, 13, 14, 24, 36 hours
Frequency of COVID-19 progression on Day 14
Frequency of COVID-19 progression to a more severe severity compared to baseline on Day 14
Time frame: day 14 from randomization
Proportion of patients hospitalized or dying within 28±2 days of randomization.
Proportion of patients hospitalized or dying from any cause within 28±2 days of randomization.
Time frame: 0-30 days from randomization
Proportion of patients with a score of more than 3 on the WHO Clinical Progression Scale on Day of end of therapy, Day 10 and Day 14.
Proportion of patients with a score of more than 3 on the WHO (World Health Organization) Clinical Progression Scale on Day of end of therapy, Day 10 and Day 14.
Time frame: 0-14 days from randomization
Time to clinical improvement in the form of a persistent reduction in the number of symptoms characteristic of COVID-19 infection by one or more within 28 ± 2 days from randomization.
Time to clinical improvement in the form of a persistent reduction in the number of symptoms characteristic of COVID-19 infection by one or more within 28 ± 2 days from randomization.
Time frame: 0-30 days from randomization
Time to clinical progression in the form of (whichever is sooner) a persistent increase in the number of symptoms characteristic of COVID-19 infection by one or more, hospitalization or death from any cause within 28±2 days from randomization.
Time to clinical progression in the form of (whichever is sooner) a persistent increase in the number of symptoms characteristic of COVID-19 infection by one or more, hospitalization or death from any cause within 28±2 days from randomization.
Time frame: 0-30 days from randomization
Proportion of patients with a positive nasal swab test for SARS-CoV-2 on Days 3, Day of end of therapy, 10, 14, 28±2 from randomization.
roportion of patients with a positive nasal swab test for SARS-CoV-2 on Days 3, Day of end of therapy, 10, 14, 28±2 from randomization.
Time frame: 0-30 days from randomization