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Covid19Phase 1NEUROSIVIRNCT04480333

Safety, Tolerability and Pharmacokinetics of Inhaled Nanoparticle Formulation of Remdesivir (GS-5734) and NA-831

A Phase 1 study testing Drug: NA-831 - 0.10 mg/kg, Drug: NA-831 - 0.20 mg/kg and Drug: GS-5734 - 1.00 mg/kg in people with Covid19 and Corona Virus Infection, run by Biomed Industries, Inc. at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The clinical study is designed to evaluate the safety, tolerability and pharmacokinetics of inhaled nanoparticle nanoparticle formulation of Remdesivir (GS-5734) alone and in combination with NA-831 in 48 healthy volunteers. Read more about this study

Who is it for?
Ages 21 to 50 years
What is being tested?
Drug: NA-831 - 0.10 mg/kg, Drug: NA-831 - 0.20 mg/kg and Drug: GS-5734 - 1.00 mg/kg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
1 siteUnited States
Study dates
15 Sep 2020to 31 Mar 2021
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Healthy adult volunteers, aged 21 to 50 years old, men or women.
  • Subjects negative for human immunodeficiency virus (HIV antibody screen), Hepatitis B virus surface Antigen (HBsAg) and Hepatitis C virus (HCV antibody screen).
  • Subjects who are willing to comply with the requirements of the study protocol, attend scheduled visits and make themselves available for the duration of the study with access to a consistent means of telephone contact.
  • Subjects who give written informed consent approved by the Internal Review Board governing the site.
  • Satisfactory baseline medical assessment as assessed by physical examination and a stable health status. Normal laboratory values must be within normal range of the assessing site or show minor variations that are deemed not clinically significant as judged by the Investigator and acceptable for study entry.
  • Accessible vein in the forearm for blood collection.
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  • Female subjects of childbearing potential may be enrolled in the study if they have negative urine pregnancy tests on the day of screening and day of admission.
  • Female subjects of non-childbearing potential due to surgical sterilization (hysterectomy or bilateral oophorectomy or tubal ligation) or menopause.
  • Both male (if he has a partner of childbearing potential) and female subjects (of childbearing potential) must agree to use adequate and reliable contraceptive measures (e.g. spermicides, condoms, contraceptive pills, etc.) or practice abstinence throughout the duration of the study (up to 30 days post-dosing).

Who cannot join

  • Subject previously diagnosed with COVID-19 or had been issued with a quarantine order by the Center of Disease Control (CDC).
  • Presence of acute infection in the preceding 14 days, or presence of a temperature ≥ 100.0 ˚F (oral or tympanic temperature assessment), or acute symptoms of any severity on the scheduled date of admission.
  • History of severe drug and / or food allergies and / or known allergies to the trial product or its components.
  • Female subject who is pregnant or breast-feeding.
  • History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, , or immunosuppressive disorders.
  • Any neurological disease or history of significant neurological disorder (e.g. meningitis, seizures, multiple sclerosis, vasculitis, migraines, Guillain-Barré syndrome [genetic/congenital or acquired]).
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  • Evidence of clinically significant anemia (HB < 10 g/dL) or any other significant active hematological disease, or having donated > 450 mL of blood within the past three (3) months.
  • Participation or planned participation in a study involving the administration of an investigational compound within the past four (4) months or during this study period.
  • Receipt of immunoglobulins and/or any blood products within nine (9) months of study enrolment or planned administration of any of these products during the study period.
  • Evidence of Hepatitis B or C or HIV by laboratory testing.
  • A positive test result for drugs of abuse (except a positive test result associated with prescription medication that has been reviewed and approved by the investigator) or alcohol at screening.
  • Administration of any licensed vaccine within 30 days before the first study vaccine dose.
  • Both male (if he has a partner of childbearing potential) and female subjects (of childbearing potential) who are unwilling to use adequate contraception or practice abstinence throughout the duration of the study (up to 84 days post-dosing).
  • Any condition that, in the opinion of the Investigator, would complicate or compromise the study or well-being of the subject.
  • -

Trial locations and contacts

1 site in 1 country.

Markku Kurkinen, PhD contact

1-415-941-3133

MKurkinen@neuroactiva.com

United States1 site, 1 recruiting
  • Coronavirus Research Institute

    Sunnyvale, California, 94086

    David Nguyen, MD, research@covri.org

    Lloyd Tran, PhD, LTran@neuroactiva.com

    Recruiting

Other trials in United States

About this study

Official title: A Randomized, Placebo-controlled Study of the Safety, Tolerability and Pharmacokinetics of Inhaled Nanoparticle Formulation of Remdesivir (GS-5734) and in Combination With NA-831 in Healthy Volunteers

The clinical study is designed to evaluate the safety, tolerability and pharmacokinetics of inhaled nanoparticle nanoparticle formulation of Remdesivir (GS-5734) alone and in combination with NA-831 in 48 healthy volunteers.

Read the detailed description

It has been discovered that SARS-CoV-2 viruses (Covid-19) can directly invade the nervous system of patients, instead of injuring the nervous system through the immune response. Neurotropism is one common feature of Covid-19. Such neuro-invasive propensity of Covid-19 has been documented almost for all the Beta-coronaviruses including SARS-CoV and MERS-CoV.

Increasing evidence suggests that infection with Sars-CoV-2 causes neurological deficits in a substantial proportion of affected patients. It was observed that patients surviving COVID-19 are at high risk for subsequent development of neurological disease and in particular Alzheimer's disease.

NA-831 is a new neuroprotective and neurogenesis drug that has been demonstrated its promising safety and efficacy in Phase 2A for the treatment of early onset of Alzheimer's disease. NA-831 in oral formulation is well tolerated NA-831 with no adverse effects. NA-831 in oral formulation exhibits predictable pharmacokinetics including dose-dependent exposure linearity and low variability.

Based on animal studies, NA-831 can provide effective interventions during the severe acute respiratory syndrome, and provide appropriate rehabilitation measures afterwards.

Remdesivir (GS-5734) intravenous formulation has been approved by the FDA under the emergency use authorization for potential treatment of severe cases of Covid-19.

It was found the upper respiratory tract is the most prevalent site of SARS-CoV-2 infection early in disease. Delivering drugs directly to the primary site of infection with a nebulizer, inhaled nanoparticle formulation may enable more targeted and accessible administration in non-hospitalized patients and potentially lower systemic exposure to the drug.

The study is designed to evaluate the safety, tolerability and pharmacokinetics of a new nanoparticle formulation of Remdesivir (GS-5734) and combination therapy with NA-831 in healthy volunteers.

Being tested
Drug: NA-831 - 0.10 mg/kg, Placebo- 0.10 mg/kg, Drug: NA-831 - 0.20 mg/kg, Placebo- 0.20 mg/kg, Drug: GS-5734 - 1.00 mg/kg
Keywords
Covid-19, Corona Virus Infection, Severe Acute Respiratory Syndrome, Severe Acute Respiratory Infection, Severe Acute Respiratory Syndrome (SARS) Pneumonia, Severe Acute Respiratory Syndrome of Upper Respiratory Tract, Neurodegeneration, Neuroinflammation, Cognitive decline
Medical subject headings
COVID-19, Coronavirus Infections, Severe Acute Respiratory Syndrome, Pneumonia, Nerve Degeneration, Neuroinflammatory Diseases, Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Drug: NA-831 - 0.10 mg/kgDrug

    Also called NA-831 is a neuroprotective and neurogenesis drug

    NA-831 in nanoparticle inhalation formulation

  • Placebo- 0.10 mg/kgDrug

    Also called Placebo Comparator

    Placebo in nanoparticle inhalation formulation

  • Drug: NA-831 - 0.20 mg/kgDrug

    Also called NA-81 is a neuroprotective drug

    NA-831 in nanoparticle inhalation formulation

  • Placebo- 0.20 mg/kgDrug

    Also called Placebo Comparator

    Placebo in nanoparticle inhalation formulation

  • Drug: GS-5734 - 1.00 mg/kgDrug

    Also called GS-5734 (Remdesivir) is an antiviral drug

    GS-5734 in nanoparticle inhaled formulation

  • Placebo- 1.00 mg/kgDrug

    Also called Placebo Comparator

    Placebo in nanoparticle inhalation formulation

  • Drug: GS-5734 - 2.00 mg/kgDrug

    Also called GS-5734 (Remdesivir) is an anti-viral drug

    GS-5734 in nanoparticle inhaled formulation

  • Placebo- 2.00 mg/kgDrug

    Also called Placebo Comparator

    Placebo in nanoparticle inhaled formulation

  • Drugs: NA-831 (0.10 mg/kg) plus GS-5734 (1.00 mg/kg)Combination product

    Also called Combination therapy of NA-831 a neuroprotective drug and GS-5734 an antiviral drug

    The combined NA-831 and GS-5734 are in nanoparticle inhaled formulation

  • Placebo 0.10 mg + 1.00 mg/kgCombination product

    Also called Placebo Comparator

    The combined placebo are in nanoparticle inhaled formulation

  • Drugs: NA-831 (0.20 mg/kg) plus GS-5734 (2.00 mg/kg)Combination product

    Also called Combination therapy of NA-831, a neuroprotective drug and GS-5734, an antiviral drug

    The combined NA-831 and GS-5734 are in nanoparticle inhaled formulation

  • Placebo 0.20 mg + 2.00 mg/kgCombination product

    Also called Placebo Comparator

    Placebo 0.10 mg + 1.00 mg/kg

Study groups in NCT04480333
Study groupRoleWhat they receive
Drug: NA-831 - 0.10 mg/kgExperimental3 Subjects will take inhaled formulation of NA-831 once a day for 5 days
Receives: Drug: Drug: NA-831 - 0.10 mg/kg
Comparable Placebo- 0.10 mg/kgPlacebo comparator3 subjects will take inhaled formulation of placebo once a day for 5 days
Receives: Drug: Placebo- 0.10 mg/kg
Drug: NA-831 - 0.20 mg/kgExperimental6 Subjects will take inhaled formulation of NA-831 once a day for 5 days
Receives: Drug: Drug: NA-831 - 0.20 mg/kg
Comparable Placebo- 0.20 mg/kgPlacebo comparator3 subjects will take inhaled formulation of placebo once a day for 5 days
Receives: Drug: Placebo- 0.20 mg/kg
Drug: GS-5734 - 1.00 mg/kgExperimental3 Subjects will take inhaled formulation of GS-5734 once a day for 5 days
Receives: Drug: Drug: GS-5734 - 1.00 mg/kg
Comparable Placebo- 1.00 mg.kgPlacebo comparator3 Subjects will take inhaled formulation of GS-5734 once a day for 5 days
Receives: Drug: Placebo- 1.00 mg/kg
Drug: GS-5734 - 2.00 mg/kgExperimental6 Subjects will take inhaled formulation of GS-5734 once a day for 5 days
Receives: Drug: Drug: GS-5734 - 2.00 mg/kg
Comparable Placebo - 2.00 mg/kgPlacebo comparator3 Subjects will take inhaled formulation of GS-5734 once a day for 5 days
Receives: Drug: Placebo- 2.00 mg/kg
Drugs: NA-831 (0.10 mg/kg) plus GS-5734 (1.00 mg/kg)Experimental3 Subjects- will take inhaled formulation NA-831 (0.10 mg/kg) plus GS-5734 (1.00 mg/kg) once/day for 5 days
Receives: Combination Product: Drugs: NA-831 (0.10 mg/kg) plus GS-5734 (1.00 mg/kg)
Placebo- 0.10- mg/kg placebo+1.00 mg mg/kgPlacebo comparator3 Subjects - inhaled formulation of placebo once/day for 5 days
Receives: Combination Product: Placebo 0.10 mg + 1.00 mg/kg
Drugs: NA-831( 0.20 mg/kg) + GS-5734 (2.00 mg/kg)Experimental6 Subjects- inhaled formulation of NA-831 (0.20 mg/kg) + GS-5734 (2.00 mg/kg) once/day for 5 days
Receives: Combination Product: Drugs: NA-831 (0.20 mg/kg) plus GS-5734 (2.00 mg/kg)
Placebo- 0.20 mg/kg + 2.00mg/kgPlacebo comparator3 Subjects- inhaled formulation of placebo once/day for 5 days
Receives: Combination Product: Placebo 0.20 mg + 2.00 mg/kg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Participants Experiencing any Treatment-Emergent Adverse Events

    AEs will be assessed using Common Terminology Criteria for Adverse Events (CTCAE) V5.0

    Measured: First dose date up to Day 30 Follow-up Assessment

  2. Proportion of Participants Experiencing any Treatment-Emergent Graded Laboratory Abnormalities

    This will be assessed at various time points by clinical laboratory tests and vital signs.

    Measured: First dose date up to Day 30 Follow-up Assessment

Secondary outcomes (7)
  1. Maximum Concentration (Cmax) - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera at various time points to elucidate the maximum concentration (Cmax) of NA-831 and GS-5734 in human serum.

    Measured: 7 days

  2. Time to Maximum Concentration (Tmax) - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera at various time points to elucidate the time to maximum concentration (Tmax) of NA-831 and GS-5734 in human serum

    Measured: 7 days

  3. AUC calculated from time of administration to the last measurable concentration (AUC0-last) - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera at various time points to elucidate the area under the curve from time of administration to the last measurable of NA-831 and GS-5734

    Measured: 7 days

  4. Area Under the Curve Extrapolated to Infinity (AUC0-∞)

    Monitoring of the levels of drugs in subject sera at various time points to elucidate the area under the curve extrapolated to infinity (AUC0-∞) of NA-831 and GS-5734

    Measured: 7 days

  5. Half-Life (t1/2) - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera at various time points to elucidate the half-life (t1/2) of NA-831 and GS-5734 in human serum.

    Measured: 7 days

  6. Volume of Distribution (Vd) - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera through various time points to elucidate the volume of distribution (Vd) of NA-831 and GS-5734 in human serum.

    Measured: 7 days

  7. Clearance [CL] - Pharmacokinetic Assessment

    Monitoring of the levels of drugs in subject sera through at various time points to elucidate clearance [CL] of NA-831 and GS-5734 in human serum.

    Measured: 7 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2020
  2. Study start15 Sep 2020 (estimated)
  3. Primary completion31 Dec 2020 (estimated)
  4. Study completion31 Mar 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
The dose escalation given to healthy volunteers across the following cohorts: NA-831 cohorts: 0.1 mg/kg NA-831, number of subjects N=2 and 2 subjects on placebos 0.2 mg/kg NA-831, number of subjects N=4 and 2 subjects on placebos 0.5 mg/kg NA-831, number of subjects N=4 and 2 subjects on placebos GS-5734 cohorts: 1. mg/kg GS-5734, number of subjects N=2 and 2 subjects on placebos 2. mg/kg GS-5734, number of subjects N=4 and 2 subjects on placebos 4 mg/kg GS-5734, number of subjects N=4 and 2 subjects on placebos NA-831 plus GS-5734 cohorts: 0.1 mg/kg NA-831 plus 1 mg/kg GS-5734, number of subjects N=2 and 2 subjects on placebos 0.2 mg/kg NA-831 plus 2 mg/kg GS-5734, number of subjects N=4 and 2 subjects on placebos 0.5 mg/kg NA-831 plus 4 mg/kg GS-5734, number of subjects N=4 and 2 subjects on placebos.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04480333
Sponsor's protocol ID
NEUROSIVIR
Acronym
NEUROSIVIR
Status last verified
Jul 2020
First submitted
13 Jul 2020
Last updated
21 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: We plan to share the Study Protocol

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Drug: NA-831 - 0.10 mg/kg, Drug: NA-831 - 0.20 mg/kg and Drug: GS-5734 - 1.00 mg/kg in people with Covid19 and Corona Virus Infection, run by Biomed Industries, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Brian Tran, MD (1-415-941-3133, BTran@neuroactiva.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Participants Experiencing any Treatment-Emergent Adverse Events (time frame: First dose date up to Day 30 Follow-up Assessment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2020.

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