A Randomized, Double-Blind, Placebo Controlled Study to Evaluate Safety and Efficacy of DUR-928 in Subjects Infected With SARS-CoV-2 With Acute Lung, Liver or Kidney Injury
| Registry | NCT04447404 |
| Status | Terminated - low enrollment |
| Phase | Phase 2 |
| Study type | Interventional; randomized, parallel, masking: quadruple, treatment |
| Enrollment | 2 (Actual) |
| Sponsor | Durect (Industry) |
| Conditions | SARS-CoV-2 |
| Interventions | DUR-928, Placebo (Drug) |
| Dates | start 2020-09-21, primary completion 2021-03-04, completion 2021-03-04, first posted 2020-06-25, last updated 2022-08-05 |
| Locations | 1 site in United States |
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-Summary
Evaluate safety and efficacy of DUR-928 in treatment of acute organ failure in subjects infected with SARS-CoV-2
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+Arms and interventions
| Arm | Type | Interventions | Description |
|---|
| DUR-928 | Experimental | Drug: DUR-928 | |
| Placebo | Placebo comparator | Drug: Placebo | |
- DUR-928 (Drug): IV infusion
- Placebo (Drug): IV infusion
+Outcome measures
Primary outcomes
- Composite Endpoint of Alive and Free of Organ Failure at Day 28 [Day 28]: Free of mechanical ventilation, free of renal replacement therapy and free of acute liver failure
Secondary outcomes
- Alive at Days 28 and 60 [Day 28 and Day 60]
- Alive, Out of ICU, at Day 28 [Day 28]
- Alive, Out of Hospital, at Days 28 and 60 [Day 28 and Day 60]
+Eligibility
Sex: All, ages: 18 Years to 80 Years
Inclusion Criteria:
* Hospitalized with moderate, severe, or early critical COVID-19 illness diagnosed by RT- PCR
* Acute liver injury (including acute on chronic liver disease) or acute kidney injury or moderate COVID-19 pneumonia
Exclusion Criteria:
* Critical COVID-19 illness (MAP < 60 mm Hg, on mechanical ventilator for ≥ 5 days)
* On maintenance hemodialysis or peritoneal dialysis
* Child Pugh C cirrhosis
* Hepatorenal syndrome
* Ascites and/or hepatic encephalopathy
* History of end stage renal disease or CKD with eGFR < 15 mL/min/1.73m2
* Women who are pregnant or breast feeding
* Receipt of other concomitant experimental therapies
+Posted results
Participant flow
| Milestone | DUR-928 | Placebo |
|---|
| Started | 2 | 0 |
| Completed | 0 | 0 |
| Not completed | 2 | 0 |
Outcome results
- Composite Endpoint of Alive and Free of Organ Failure at Day 28 (Primary), Count of participants, Participants: DUR-928 0; Placebo 0
- Alive at Days 28 and 60 (Secondary), Count of participants, Participants: DUR-928 0; Placebo 0
- Alive, Out of ICU, at Day 28 (Secondary), Count of participants, Participants: DUR-928 0; Placebo 0
- Alive, Out of Hospital, at Days 28 and 60 (Secondary), Count of participants, Participants: DUR-928 0; Placebo 0
Adverse events
Time frame: 60 days
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|
| DUR-928 | 2/2 (100.0%) | 2/2 (100.0%) | 2/2 (100.0%) |
| Placebo | 0 | 0 | 0 |
Serious adverse events by term
| Term | Organ system | DUR-928 | Placebo |
|---|
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | 1/2 | 0/0 |
| Brain Injury | Nervous system disorders | 1/2 | 0/0 |
Other adverse events by term
| Term | Organ system | DUR-928 | Placebo |
|---|
| Anaemia | Blood and lymphatic system disorders | 1/2 | 0/0 |
| Bradycardia | Cardiac disorders | 1/2 | 0/0 |
| Pyrexia | General disorders | 2/2 | 0/0 |
| Activated Partial Thromboplastin Time Prolonged | Investigations | 1/2 | 0/0 |
| Hyperkalaemia | Metabolism and nutrition disorders | 2/2 | 0/0 |
| Hypokalaemia | Metabolism and nutrition disorders | 1/2 | 0/0 |
| Hyponatraemia | Metabolism and nutrition disorders | 1/2 | 0/0 |
| Deep Vein Thrombosis | Vascular disorders | 2/2 | 0/0 |
| Hypotension | Vascular disorders | 2/2 | 0/0 |
Limitations and caveats: Early study termination led to small number (n=2) of subjects and in one treatment group.
+Locations (1)
| Facility | City | Country | Status |
|---|
| Site 03 | Newark, New Jersey | United States | |
+Study documents
+Investigators