A Study of RLS-0071 in Patients With Acute Lung Injury Due to COVID-19 Pneumonia in Early Respiratory Failure
Purpose
The aim of this study will test the safety, tolerability, and efficacy of RLS-0071 for approximately 28 days in comparison to a placebo control in patients with acute lung injury due to COVID-19 pneumonia in early respiratory failure. Patients will be randomized and double-blinded for two parts, a single-ascending dose (SAD) part and a multiple-ascending dose (MAD) part. The name of the study drug involved in this study is: RLS-0071.
Conditions
- Acute Lung Injury
- ALI
- COVID-19
Eligibility
- Eligible Ages
- Between 18 Years and 69 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Confirmed COVID-19 based on positive SARS-CoV-2 viral RNA PCR or antigen test. - Hypoxemia. - Radiographic evidence of opacification consistent with viral-related pneumonia. - Weight less than 150 kg. - Provide written informed consent.
Exclusion Criteria
- Endotracheal intubation and mechanical ventilation. - Noninvasive positive pressure ventilation without endotracheal intubation. - Requires chronic oxygen therapy. - Treatment with conventional synthetic disease-modifying antirheumatic drugs (DMARDs)/immunosuppressive agents for ≥ 4 weeks duration within 3 months prior to the Screening visit. - Use of oral corticosteroids in a dose higher than prednisone 15 mg or equivalent per day for ≥ 4 weeks duration within 3 months prior to the Screening visit. - Systemic autoimmune disease. - Participation in any clinical research study evaluating an investigational product or therapy within 3 months prior to the Screening visit, - Presence of any of the following abnormal laboratory values at Screening: absolute neutrophil count < 2,000/mm3, aspartate aminotransferase or alanine aminotransferase > 5 × upper limit of normal (ULN), platelets < 50,000/mm3. - D-dimer > 2 × ULN at Screening, as evidence of potential disseminated intravascular coagulation (DIC). - Has confounding medical conditions, including poorly controlled diabetes, uncontrolled New York Heart Association Class III congestive heart failure, clinically significant arrhythmias not controlled by medication, idiopathic pulmonary fibrosis, interstitial lung disease, or chronic obstructive pulmonary disease. - Has bacterial sepsis currently or suspicion thereof. - Has cancer currently and is receiving active treatment (including radiation therapy or chemotherapy) or malignancy within the last 5 years, with the exception of curable cancer (eg, basal or squamous cell skin cancer, cervical cancer in situ, nonmedullary thyroid carcinoma) that has been adequately treated (eg, excision). - Prior history of myocardial infarction or angina, stroke or transient ischemic attack (TIA), pulmonary embolism or deep vein thrombosis. - Is moribund and not expected to survive 48 hours following Screening or for whom no further aggressive treatment such as mechanical ventilation is planned.
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Sequential Assignment
- Intervention Model Description
- Study intervention, RLS-0071 or placebo, will be administered as an IV infusion over 30 minutes (± 10 minutes). The following dose groups are planned: Part A (Single-Ascending Dose): - Cohort 1: low dose (single infusion) vs. placebo - Cohort 2: high dose (single infusion) vs. placebo Part B (Multiple-Ascending Dose): - Cohort 3: low dose administered q8 hours (± 1 hour) vs. placebo for 3 days (9 doses) - Cohort 4: high dose administered q8 hours (± 1 hour) vs. placebo for 3 days (9 doses)
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
- Masking Description
- This study is a double-blinded and randomized study. Pharmacy staff will mask infusion bags and lines to maintain the study blind.
Arm Groups
Arm | Description | Assigned Intervention |
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Experimental Cohort 1 |
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Experimental Cohort 2 |
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Placebo Comparator Placebo Cohorts 1 and 2 |
Placebo will be administered at the same volume and duration of IV infusion corresponding to the cohort dosing schedule. |
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Experimental Cohort 3 |
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Experimental Cohort 4 |
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Placebo Comparator Placebo Cohorts 3 and 4 |
Placebo will be administered at the same volume and duration of IV infusion corresponding to the cohort dosing schedule. |
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Recruiting Locations
More Details
- NCT ID
- NCT04574869
- Status
- Withdrawn
- Sponsor
- ReAlta Life Sciences, Inc.