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Covid19Phase 2NCT04705597

Study to Evaluate the Safety, Tolerability, and Efficacy of BGE-175 in Hospitalized Adults With Coronavirus Disease 2019 (COVID-19) That Are Not in Respiratory Failure

A Phase 2 study testing BGE-175 in people with Covid19, run by BioAge Labs, Inc. at 26 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of BGE-175 in participants ≥ 50 years of age hospitalized with documented COVID-19. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Covid19
What is being tested?
BGE-175
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
194 participants
Where
26 sitesin 3 countries
Study dates
18 Mar 2021to 19 May 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to voluntarily provide informed consent that is documented per local requirements
  • An understanding, ability, and willingness to fully comply with study procedures and restrictions
  • Hospitalized subjects with a confirmed SARS-CoV-2 infection
  • Laboratory (polymerase chain reaction [PCR]) confirmed infection with SARS-CoV-2
  • Age ≥ 50 years
  • COVID-19 illness of any duration, and oxygen saturation measurements ≤ 94% over 5 minutes on room air (Note: low flow oxygen is permitted, but room air oxygen saturation must be ≤ 94%)
Show all 17Show fewer
  • Not in respiratory failure as defined by at least one of the following:
  • Respiratory failure defined by requiring at least one of the following:
  • Endotracheal intubation and mechanical ventilation
  • Oxygen delivered by high-flow nasal cannula at flow rates > 20 L/min with fraction of delivered oxygen ≥ 0.5)
  • NIPPV
  • ECMO
  • Clinical diagnosis of respiratory failure (i.e., need for one of the preceding therapies, but preceding therapies are not being administered because it is unavailable in the current setting)
  • Hemodynamic compromise (defined by systolic blood pressure < 90 mm Hg, or diastolic blood pressure < 60 mm Hg) or requiring vasopressors
  • Multi-organ dysfunction/failure
  • Females subjects of childbearing potential must have a negative pregnancy test at screening or pre-treatment on Day 1
  • Male and female subjects of childbearing potential must agree to use methods of contraception that are consistent with local regulations for those participating in clinical studies

Who cannot join

  • Participation in any other randomized, controlled clinical trial of an experimental treatment for COVID-19 (uncontrolled, compassionate use trials are allowed)
  • In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments
  • Currently participating in a vaccination trial for SARS-CoV-2
  • Known positive test for influenza A or influenza B at the time of screening
  • Positive for human immunodeficiency virus (HIV) that is not controlled with current treatment
  • Hepatitis B surface antigen, or Hepatitis C positive at the time of screening. Subjects who are positive for Hepatitis C but have Hepatitis C virus (HCV) RNA below the limit of quantitation may be enrolled. Subjects with Hepatitis B, but with undetectable viral load, may be enrolled.
Show all 16Show fewer
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 × the upper limit of normal (ULN)
  • Stage 4 severe chronic kidney disease (i.e., estimated glomerular filtration rate [eGFR] < 30 mL/min) or acute renal failure resulting in eGFR < 30 mL/min
  • Serious comorbidity, including:
  • Myocardial infarction (within the last month)
  • Moderate or severe heart failure (New York Heart Association [NYHA] class III or IV)
  • Acute stroke (within the last month)
  • Uncontrolled malignancy. Uncontrolled malignancy would include cancers that are not considered in remission, or solid tumor or hematological malignancies with evidence of disease progression in the past 3 months (i.e., there is evidence of disease progression by Response Evaluation Criteria in Solid Tumours [RECIST] or equivalent relevant criterion for the type of malignancy), and are not considered effectively managed with ongoing treatment as determined by the investigator
  • Recent severe thromboembolic disease or evidence of severe thromboembolic disease defined as a current large vessel thromboembolic event or a thromboembolic event within the past 3 months (e.g., deep vein thrombosis [DVT], pulmonary embolism, ischemic stroke, transient ischemic attack) requiring interventional treatment. This exclusion does not prohibit prophylaxis for thromboembolic events, including those considered possible with concurrent SARS-CoV-2 infection.
  • History of severe allergic or anaphylactic reactions or hypersensitivity to the study drug
  • Consideration by the investigator, for any reason, that the subject is an unsuitable candidate to receive study treatment

Trial locations and contacts

26 sites in 3 countries.

26 sites in 3 countries

Brazil12 sites
  • Unidade de Pesquisa Clinica da Fundação Pio XII - Hospital de Amor de Barretos

    Barretos, São Paulo, 14784-400

  • Hospital Felicio Rocho (HFR)

    Belo Horizonte, Minas Gerais, 30180-080

  • Hospital das Clínicas da Faculdade de Medicina de Botucatu UNESP (HC-FMB/UNESP)

    Botucatu, São Paulo, 18618-687

  • Pontificia Universidade Catolica de Campinas (PUC-CAMP) - Hospital e Maternidade Celso Pierro (HMCP) - Centro de Pesquisa São Lucas

    Campinas, São Paulo, 13060-904

  • Clínica Supera Oncologia

    Chapecó, Santa Catarina, 89801-355

  • Hospital Ernesto Dornelles

    Porto Alegre, Rio Grande do Sul, 90160-093

  • Instituto Nacional de Infectologia Evandro Chagas / Fundação Oswaldo Cruz (FIOCRUZ)

    Rio de Janeiro, 21040-360

  • Centro de Pesquisa Hospital Ana Nery Santa Cruz do Sul

    Santa Cruz do Sul, Rio Grande Do Sol, 96835-090

  • Fundação Faculdade Regional de Medicina de São José do Rio Preto

    São José do Rio Preto, São Paulo, 15090-000

  • Conjunto Hospitalar de Mandaqui

    São Paulo, São Paulo, 02432

  • Clinica de Alergia Martti Antila

    Sorocaba, São Paulo, 18040-425

  • Hospital Universitário Cassiano Antônio de Moraes

    Vitória, Espírito Santo, 29043-260

Other trials in Brazil

United States11 sites
  • University of Maryland Medical System

    Baltimore, Maryland, 21201

  • Velocity Clinical Research, Chula Vista

    Chula Vista, California, 91911

  • North Colorado Medical Center

    Greeley, Colorado, 80631

  • University of Florida - Health, Jacksonville

    Jacksonville, Florida, 32209

  • Baptist Health, Lexington

    Lexington, Kentucky, 40503

  • Long Beach Medical Center

    Long Beach, California, 90806

  • Banner Health

    Mesa, Arizona, 85202

  • UCI Center for Clinical Research

    Orange, California, 92868

  • Sharp Memorial Hospital

    San Diego, California, 92123

  • Jadestone Clinical Research, LLC

    Silver Spring, Maryland, 20904

  • Stamford Hospital

    Stamford, Connecticut, 06904

Other trials in United States

Argentina3 sites
  • Sanatorio De La Trinidad Mitre

    Buenos Aires, Buenos Aires F.D., C1039AAO

  • Clinica Adventista Belgrano (CAB)

    Buenos Aires, Buenos Aires F.D., C1430EGF

  • Clinica Privada Independencia

    Ciudad Autonoma de Buenos Aires, Buenos Aires, C1426ABP

Other trials in Argentina

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 2 Study to Investigate the Efficacy and Safety of BGE-175 in Hospitalized Adults With COVID-19

The primary objectives of this study are to evaluate the safety, tolerability, and efficacy of BGE-175 in participants ≥ 50 years of age hospitalized with documented COVID-19.

Read the detailed description

This is a randomized, placebo-controlled, parallel-group, multicenter, double-blind study of BGE-175 administered PO or NG in participants ≥ 50 years of age and hospitalized with documented COVID-19 who are not yet in respiratory failure.

After signing informed consent, participants will be screened upon presentation at the hospital. Screening will include full physical examination, vital signs, safety laboratory evaluation, oxygen saturation, pre-diagnostics to measure prostaglandin D2 (PGD2) status, and baseline assessment of World Health Organization (WHO) Ordinal Scale for COVID-19. If confirmed that the participant qualifies for this protocol according to listed inclusion and exclusion criteria, participants will receive the first dose of study medication, PO. The participant will then receive study medication PO or NG (if intubated or unable to swallow medication) once daily, at approximately the same time each day for up to 13 additional days. Study medication will be administered in addition to standard of care deemed appropriate by the treating physician(s). Participants will be randomized to receive BGE-175 or placebo. Participants will be monitored daily for all relevant efficacy outcomes, oxygen saturation, and adverse events. Blood will be drawn periodically for safety laboratory measurements, plasma kinetics, lymphocyte subsets, C-reactive protein, and cytokines. Nasopharyngeal swabs will be collected to measure viral load. Participants will be monitored for 14 days after administration of the last dose (Day 28) and followed through Day 57.

Conditions
Covid19
Being tested
BGE-175, Placebo
Keywords
COVID-19, BGE-175, BioAge, Respiratory failure
Medical subject headings
COVID-19, Respiratory Insufficiency

What participants receive

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

  • BGE-175Drug

    Drug

  • PlaceboOther

    Placebo

Study groups in NCT04705597
Study groupRoleWhat they receive
BGE-175ExperimentalBGE-175 tablet to be taken by mouth once a day for 14 days
Receives: Drug: BGE-175
PlaceboPlacebo comparatorPlacebo tablet to be taken by mouth once a day for 14 days
Receives: Other: Placebo

What is being measured

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

  1. Proportion of Participants Who Have Died or Progressed to Respiratory Failure

    Proportion of participants who have died or progressed to respiratory failure as defined by progressing to the need for high-flow nasal cannula O2 delivery, noninvasive ventilation, mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) at Day 28.

    The proportion of participants is represented as a percentage.

    Measured: First dose date up to Day 28

Secondary outcomes (23)
  1. Proportion of Participants Experiencing Treatment-emergent Adverse Events

    Proportion of participants experiencing treatment-emergent adverse events as measured by the Common Terminology Criteria for Adverse Events (CTCAE) v 5.0.

    The proportion of participants is represented as a percentage.

    Measured: First dose of treatment through study Day 57

  2. Survival

    Proportion of participants surviving at Day 14, Day 28, and Day 57. The proportion of participants is represented as a percentage.

    Measured: Baseline through Day 57; at Day 14, Day 28 and Day 57

  3. Proportion of Subjects Who Survive Without Progression to Respiratory Failure Through Day 28

    Proportion of subjects who survive without progression to respiratory failure at Day 28.

    The proportion of participants is represented as a percentage.

    Measured: First dose of treatment through Day 14, Day 28

  4. Time to Two Successive Negative Viral Titers in Nasopharyngeal Swabs

    Kaplan-Meier Estimate of Time to Two Successive Negative Viral Titers in Nasopharyngeal Swab (median)

    Measured: Baseline through Day 28

  5. Time to Clinical Worsening From Baseline Value (Defined by Time to ≥ 1-point Worsening on WHO Ordinal Scale for COVID-19)

    Kaplan-Meier Estimate of Time to Clinical Worsening from Baseline Value. Time to clinical worsening from baseline value (defined by time to ≥ 1-point worsening on World Health Organization (WHO) Ordinal Scale for COVID-19). The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

    Measured: First dose date up to Day 57

  6. Proportion of Patients Who Develop Critical COVID-19 Illness

    Proportion of patients who develop critical COVID-19 illness as defined by at least one of the following:

    1. RF defined based on resource utilization requiring at least one of the following: Endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula (heated, humidified, oxygen delivered via reinforced nasal cannula at flow rates > 20 L/min with fraction of delivered oxygen ≥ 0.5), noninvasive positive pressure ventilation, ECMO, clinical diagnosis respiratory failure (i.e., clinical need for one of the preceding therapies, but preceding therapies not able to be administered in setting of resource limitation) B. Hemodynamic compromise (defined by systolic blood pressure < 90 mm Hg, or diastolic blood pressure < 60 mm Hg or requiring vasopressors) C. Multi-organ dysfunction/failure

    The proportion of participants is represented as a percentage.

    Measured: First dose date up to Day 57

  7. Time to Clinical Improvement From Baseline Value (Defined by Time to ≥ 1-point Improvement on WHO Ordinal Scale for COVID-19 Score - Must be Maintained Through Day 28)

    Kaplan-Meier Estimate of Time to Clinical Improvement from Baseline Value. Time to clinical improvement defined by time to ≥ 1-point improvement on World Health Organization (WHO) Ordinal Scale for COVID-19 - must be maintained through Day 28. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

    Measured: First dose date up to Day 28

  8. Mean Change From Baseline in WHO Ordinal Scale for COVID-19 Score

    Mean change from baseline in WHO Ordinal Scale for COVID-19 score

    World Health Organization (WHO) Ordinal Scale for COVID-19. The ordinal scale is an assessment of the clinical status at a given day. Each day, the worst score from the previous day will be recorded. The scale is as follows: 0.) Uninfected 1.) Ambulatory with no limitation of activities 2.) Ambulatory with limitation of activities 3.) Hospitalized, mild disease with no oxygen therapy 4.) Hospitalized, mild disease with oxygen by mask or nasal prongs 5.) Hospitalized, severe disease with noninvasive ventilation or high-flow oxygen 6.) Hospitalized, severe disease with intubation and mechanical ventilation 7.) Hospitalized, severe disease with ventilation and additional organ support (pressors, renal retention therapy, extracorporeal membrane oxygenation) 8.) Death. A higher score means a worse outcome.

    Measured: Day 14/End of Treatment, Day 28, Day 57

  9. Number of Patients Who Had Intubation During the Study

    Proportion of Patients who had Intubation during the study defined as proportion of patients who had any documented intubation during the study.

    Measured: First dose date up to Day 57

  10. Duration of Intubation

    Duration of Intubation (first post-dosing intubation)

    Measured: First dose date up to Day 57

  11. Time to Discharge From Hospital Intensive Care Unit

    Time from intensive care unit admission to the recorded time of intensive care unit discharge

    Measured: First dose date up to Day 57

  12. Number of Patients Who Had Supplemental Oxygen Administration

    Proportion of patients who had any documented post-dosing supplemental O2 administration during the study.

    Measured: First dose date up to Day 57

  13. Duration of Supplemental Oxygen Administration

    Duration of participants receiving supplemental oxygen

    Measured: First dose date up to Day 57

  14. Number of Patients Who Had Noninvasive Ventilation or High-flow Nasal Cannula O2 Administration

    Proportion of patients who had any documented post-dosing noninvasive ventilation or high-flow nasal cannula O2 administration.

    Measured: First dose date up to Day 57

  15. Duration of Noninvasive Ventilation by Nonrebreather Mask or High-flow Nasal Cannula

    Duration of participants receiving noninvasive ventilation by nonrebreather mask or high-flow nasal cannula

    Measured: First dose date up to Day 57

  16. Number of Patients Who Had Mechanical Ventilation.

    Proportion of patients who had any documented post-dosing mechanical ventilation.

    Measured: First dose date up to Day 57

  17. Duration of Mechanical Ventilation

    Duration of participants receiving mechanical ventilation

    Measured: First dose date up to Day 57

  18. Number of Patients Who Had Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO.

    Proportion of patients who had any documented post-dosing mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO.

    Measured: First dose date up to Day 57

  19. Duration of Mechanical Ventilation Plus Additional Organ Support Using Vasopressors, and/or Renal Replacement Therapy and/or ECMO

    Duration of participants receiving mechanical ventilation plus additional organ support using vasopressors, and/or renal replacement therapy and/or ECMO

    Measured: First dose date up to Day 57

  20. Daily Ratio of Oxygen Saturation (SpO2) to Fractional Inspired O2 (SpO2/FiO2)

    Daily ratio of participants' oxygen saturation (SpO2) to fractional inspired O2 (SpO2/FiO2)

    Measured: First dose date up to Day 28

  21. Time to Discharge From the Hospital

    Length (in days) of the time of hospitalization until medical discharge

    Measured: First dose date up to Day 57

  22. Number of Patients With Re-hospitalization

    Proportion of patients who are hospitalized again after the discharge of first hospitalization.

    Measured: First dose date up to Day 57

  23. Proportion of Participants Requiring Intensive Care Unit Admission

    Proportion of participants admitted to hospital intensive care unit post randomization.

    The proportion of participants is represented as a percentage.

    Measured: First dose date up to Day 57

Timeline

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

  1. First posted12 Jan 2021
  2. Study start18 Mar 2021
  3. Primary completion20 Apr 2022
  4. Study completion19 May 2022

Why it stopped: The incidence of COVID-19 hospitalization cases decreased to a level that continued enrollment was no longer feasible

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Multicenter, Randomized, Double-blind, Placebo-controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
194 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04705597
Sponsor's protocol ID
BGE-175-201
Status last verified
Jun 2023
First submitted
4 Jan 2021
Last updated
3 Jul 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BGE-175 in people with Covid19, run by BioAge Labs, Inc. at 26 sites in 3 countries.

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 17 inclusion and 16 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: stopped early, as of the sponsor's last update on 3 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Brazil, United States, Argentina. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Jul 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Participants Who Have Died or Progressed to Respiratory Failure (time frame: First dose date up to Day 28). 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 3 Jul 2023.

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