This is a prospective, randomized, comparative, multi-centric, adaptive design clinical study to evaluate efficacy, safety, and tolerability of 101-PGC-005 ('005) when used alongside standard of care (SOC) for the treatment of hospitalized patients with coronavirus disease (COVID-19).
The study is planned as an adaptive Phase II/III clinical study to allow for seamless transition to Phase III after completion of Phase II. The study will begin as initially only a Phase II to evaluate and compare the efficacy, safety, and tolerability of bolus injection of 20 mg '005 vs dexamethasone 6 mg injection for the treatment of COVID-19. The treatment period with the investigational product in the test group will be 3 consecutive days. However, in the comparator group, the patient will be allowed to take 6 mg dexamethasone daily for the duration of their treatment, based on the investigator's clinical judgement for a total of not more than 10 days or until the time of discharge, whichever is earlier. All patients in either test or control groups will be allowed to take other concomitant SOC as per the prescribed schedule for entire duration of the study, as applicable.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
62
'005 is a targeted prodrug of dexamethasone that binds to activated macrophages.
Dexamethasone is a glucocorticoid commonly prescribed to treat inflammation.
Government Medical College & General Hospital
Srikakulam, Andhra Pradesh, India
Victoria Hospital Bangalore
Bangalore, Karnataka, India
Sangvi Multispeciality Hospital
Pune, Maharashtra, India
SMS Medical College and Attached Hospitals
Jaipur, Rajasthan, India
Clinical Improvement
Clinical improvement or shift in WHO 11-point ordinal scale rating
Time frame: Baseline through Days 10, 14, 28
Reduction in Symptoms
Improvement in COVID-19 Symptoms such as fever, heart rate, and oxygen saturation
Time frame: Baseline through Days 10, 14, 28
Reduction in Inflammatory Markers
Improvement in biochemical inflammatory markers such as CRP, Neutrophil-Lymphocyte (N/L) ratio, D-Dimer, Sr. Ferritin, IL-6, and TNF-α
Time frame: Baseline and Days 14, 28
Reduction in Oxygen Supplementation
Time frame: 28 days
Discharge Rate from hospital
Time frame: 28 days
Reduction in ICU Admission/Mechanical Ventilation
Time frame: 28 days
Reduction in time to Respiratory Viral Clearance
Time frame: Days 3, 7, 10, 14
Reduction in Lung Injury on Chest HRCT
Time frame: Baseline and 14, 28 Days
Reduction in All-cause Mortality
Time frame: 28 days
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Santosh Medical College and Hospital
Ghaziabad, Uttar Pradesh, India