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Post-Viral Fatigue SyndromePhase 2NCT04705831

Study to Evaluate the Benefit of RUCONEST in Improving Neurological Symptoms in Post COVID-19 Infection

A Phase 2 study testing Ruconest in people with Post-Viral Fatigue Syndrome and Post-Viral Disorder (Disorder), run by IMMUNOe Research Centers at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Randomized, Double Blind, Placebo Controlled, Proof-of-Concept Study to Evaluate the Benefit of RUCONEST in Improving Neurological Symptoms in Post-SARS-CoV-2 Infection. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Ruconest
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteUnited States
Study dates
11 Jan 2021to 1 Jul 2024
Phase
Phase 2
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 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18 and older, male or female
  • Previous confirmed diagnosis of SARS-CoV-2
  • Experiencing SARS-CoV-2 post-viral fatigue syndrome 4 weeks after recovery for SARS-CoV-2
  • Experiencing neurological symptoms including fatigue
  • Willing to comply with all aspects of the protocol, including blood draws
  • Patient is able to understand and fully participate in the activities of the study and the consent in accordance with guidelines
  • Female patients of childbearing potential who are sexually active must be willing to use an acceptable form of contraception. Acceptable forms of contraception are defined as those with a failure rate of < 1% when properly applied and include: a combination pill, some intra-uterine devices, and a sterilized partner in a stable relationship. Female patients must not be pregnant, planning to become pregnant, or be actively breastfeeding through the entire period.

Who cannot join

  • Receiving any form of C1-INH therapy either acute or prophylactic treatment
  • History or suspicion of allergy to rabbits
  • Neurological conditions related to injury
  • Neuropathy related to diabetes
  • Participants who are pregnant or lactating
  • Largely incapacitated or bed ridden
  • Currently enrolled in any other clinical study involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study or have discontinued with 30 days of study entry from any other clinical study involving an investigational product
  • Patients who, in the investigator's opinion, might not be suitable for the trial for safety reasons

Trial locations and contacts

1 site in 1 country.

United States1 site
  • IMMUNOe Research Centers

    Centennial, Colorado, 80112

Other trials in United States

About this study

Official title: A Randomized, Double Blind, Placebo Controlled, Cross-Over, Proof-of-Concept Study to Evaluate the Benefit of RUCONEST (C1 Esterase Inhibitor [Recombinant]) in Improving Neurological Symptoms in Post-SARS-CoV-2 Infection

Randomized, Double Blind, Placebo Controlled, Proof-of-Concept Study to Evaluate the Benefit of RUCONEST in Improving Neurological Symptoms in Post-SARS-CoV-2 Infection.

Read the detailed description

This study will last approximately 19 weeks including 16 infusions total, each one week apart. This is to help patients that have developed "Post-Viral Fatigue Syndrome" which can include symptoms such as: extreme fatigue, lost of taste, brain fog, and/or seizures.

Being tested
Ruconest
Keywords
Post-COVID Symptoms, Post-Viral Fatigue Syndrome
Medical subject headings
Fatigue Syndrome, Chronic, COVID-19

What participants receive

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

  • RuconestDrug

    C1 Esterase Inhibitor

Study groups in NCT04705831
Study groupRoleWhat they receive
RUCONESTActive comparatorIV Ruconest
Receives: Drug: Ruconest
PlaceboPlacebo comparatorPlacebo
Receives: Drug: Ruconest

What is being measured

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

  1. Neuropsychological Measures (BRIEF-A)

    Behavior Rating Inventory of Executive Function- Adult (BRIEF-A)

    Measured: Week 0

  2. Neuropsychological Measures (BRIEF-A)

    Behavior Rating Inventory of Executive Function- Adult (BRIEF-A)

    Measured: Week 9

  3. Neuropsychological Measures (BRIEF-A)

    Behavior Rating Inventory of Executive Function- Adult (BRIEF-A)

    Measured: Week 17

  4. Neuropsychological Measures (RBANS)

    Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

    Measured: Week 0

  5. Neuropsychological Measures (RBANS)

    Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

    Measured: Week 9

  6. Neuropsychological Measures (RBANS)

    Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)

    Measured: Week 17

  7. Neuropsychological Measures (BDI II)

    Beck Depression Inventory II (BDI II)

    Measured: Week 0

  8. Neuropsychological Measures (BDI II)

    Beck Depression Inventory II (BDI II)

    Measured: Week 9

  9. Neuropsychological Measures (BDI II)

    Beck Depression Inventory II (BDI II)

    Measured: Week 17

  10. Neuropsychological Measures (MoCA)

    Montreal Cognitive Assessment (MoCA)

    Measured: Week 0

  11. Neuropsychological Measures (MoCA)

    Montreal Cognitive Assessment (MoCA)

    Measured: Week 9

  12. Neuropsychological Measures (MoCA)

    Montreal Cognitive Assessment (MoCA)

    Measured: Week 17

  13. Patient-Rate Questionnaires (FSS)

    Fatigue Severity Scale (FSS)

    Measured: Week 0

  14. Patient-Rate Questionnaires (FSS)

    Fatigue Severity Scale (FSS)

    Measured: Week 5

  15. Patient-Rate Questionnaires (FSS)

    Fatigue Severity Scale (FSS)

    Measured: Week 9

  16. Patient-Rate Questionnaires (FSS)

    Fatigue Severity Scale (FSS)

    Measured: Week 14

  17. Patient-Rate Questionnaires (FSS)

    Fatigue Severity Scale (FSS)

    Measured: Week 17

  18. Patient-Rate Questionnaires (MIDAS)

    Migraine Disability Assessment (MIDAS)

    Measured: Week 0

  19. Patient-Rate Questionnaires (MIDAS)

    Migraine Disability Assessment (MIDAS)

    Measured: Week 5

  20. Patient-Rate Questionnaires (MIDAS)

    Migraine Disability Assessment (MIDAS)

    Measured: Week 9

  21. Patient-Rate Questionnaires (MIDAS)

    Migraine Disability Assessment (MIDAS)

    Measured: Week 14

  22. Patient-Rate Questionnaires (MIDAS)

    Migraine Disability Assessment (MIDAS)

    Measured: Week 17

  23. Patient-Rate Questionnaires (HIT)

    Headache Impact Scale (HIT)

    Measured: Week 0

  24. Patient-Rate Questionnaires (HIT)

    Headache Impact Scale (HIT)

    Measured: Week 5

  25. Patient-Rate Questionnaires (HIT)

    Headache Impact Scale (HIT)

    Measured: Week 9

  26. Patient-Rate Questionnaires (HIT)

    Headache Impact Scale (HIT)

    Measured: Week 14

  27. Patient-Rate Questionnaires (HIT)

    Headache Impact Scale (HIT)

    Measured: Week 17

  28. Patient-Rate Questionnaires (Activities)

    Activities of Daily Living Sliding Scale and Questionnaire

    Measured: Week 0

  29. Patient-Rate Questionnaires (Activities)

    Activities of Daily Living Sliding Scale and Questionnaire

    Measured: Week 5

  30. Patient-Rate Questionnaires (Activities)

    Activities of Daily Living Sliding Scale and Questionnaire

    Measured: Week 9

  31. Patient-Rate Questionnaires (Activities)

    Activities of Daily Living Sliding Scale and Questionnaire

    Measured: Week 14

  32. Patient-Rate Questionnaires (Activities)

    Activities of Daily Living Sliding Scale and Questionnaire

    Measured: Week 17

  33. Patient-Rate Questionnaires (SF)

    SF McGill Pain Questionnaire

    Measured: Week 0

  34. Patient-Rate Questionnaires (SF)

    SF McGill Pain Questionnaire

    Measured: Week 5

  35. Patient-Rate Questionnaires (SF)

    SF McGill Pain Questionnaire

    Measured: Week 9

  36. Patient-Rate Questionnaires (SF)

    SF McGill Pain Questionnaire

    Measured: Week 14

  37. Patient-Rate Questionnaires (SF)

    SF McGill Pain Questionnaire

    Measured: Week 17

  38. Patient-Rate Questionnaires (GSRS)

    Gastrointestinal Symptoms Rating Scale (GSRS)

    Measured: Week 0

  39. Patient-Rate Questionnaires (GSRS)

    Gastrointestinal Symptoms Rating Scale (GSRS)

    Measured: Week 5

  40. Patient-Rate Questionnaires (GSRS)

    Gastrointestinal Symptoms Rating Scale (GSRS)

    Measured: Week 9

  41. Patient-Rate Questionnaires (GSRS)

    Gastrointestinal Symptoms Rating Scale (GSRS)

    Measured: Week 14

  42. Patient-Rate Questionnaires (GSRS)

    Gastrointestinal Symptoms Rating Scale (GSRS)

    Measured: Week 17

  43. Patient-Rate Questionnaires (SF-36)

    SF-36

    Measured: Week 0

  44. Patient-Rate Questionnaires (SF-36)

    SF-36

    Measured: Week 5

  45. Patient-Rate Questionnaires (SF-36)

    SF-36

    Measured: Week 9

  46. Patient-Rate Questionnaires (SF-36)

    SF-36

    Measured: Week 14

  47. Patient-Rate Questionnaires (SF-36)

    SF-36

    Measured: Week 17

  48. Neurological Exam (0)

    Complete neurological examination

    Measured: Week 0

  49. Neurological Exam (9)

    Complete neurological examination

    Measured: Week 9

  50. Neurological Exam (17)

    Complete neurological examination

    Measured: Week 17

  51. Immunological Biomarkers (Toll)

    Toll Like Receptor Function Assay

    Measured: Week 1

  52. Immunological Biomarkers (Toll)

    Toll Like Receptor Function Assay

    Measured: Week 9

  53. Immunological Biomarkers (Toll)

    Toll Like Receptor Function Assay

    Measured: Week 17

  54. Immunological Biomarkers (GAD)

    GAD-65

    Measured: Week 1

  55. Immunological Biomarkers (GAD)

    GAD-65

    Measured: Week 9

  56. Immunological Biomarkers (GAD)

    GAD-65

    Measured: Week 17

  57. Immunological Biomarkers (Com)

    Complement Panel (C4, C1-INH, C1-INH Function)

    Measured: Week 1

  58. Immunological Biomarkers (Com)

    Complement Panel (C4, C1-INH, C1-INH Function)

    Measured: Week 9

  59. Immunological Biomarkers (Com)

    Complement Panel (C4, C1-INH, C1-INH Function)

    Measured: Week 17

  60. Immunological Biomarkers (Ig)

    Immunoglobulins-Quantitative (IgA, IgE, IgG, IgM)

    Measured: Week 1

  61. Immunological Biomarkers (Ig)

    Immunoglobulins-Quantitative (IgA, IgE, IgG, IgM)

    Measured: Week 9

  62. Immunological Biomarkers (Ig)

    Immunoglobulins-Quantitative (IgA, IgE, IgG, IgM)

    Measured: Week 17

  63. Immunological Biomarkers (IgG)

    Immunoglobulins G, Subclasses (1-4)

    Measured: Week 1

  64. Immunological Biomarkers (IgG)

    Immunoglobulins G, Subclasses (1-4)

    Measured: Week 9

  65. Immunological Biomarkers (IgG)

    Immunoglobulins G, Subclasses (1-4)

    Measured: Week 17

  66. Immunological Biomarkers (TH/TH)

    TH1/TH2 Cytokine Levels

    Measured: Week 1

  67. Immunological Biomarkers (TH/TH)

    TH1/TH2 Cytokine Levels

    Measured: Week 9

  68. Immunological Biomarkers (TH/TH)

    TH1/TH2 Cytokine Levels

    Measured: Week 17

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 start11 Jan 2021
  3. Primary completion30 Mar 2024
  4. Study completion1 Jul 2024

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
Crossover
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04705831
Sponsor's protocol ID
IIS202001-Neuroimmune
Status last verified
Jan 2021
First submitted
7 Jan 2021
Last updated
11 Aug 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Melamed I, Buckley C, Bayko ME, Williams JL, Or-Geva N. Does C1 esterase inhibitor play a role in post COVID-19 neurological symptoms? A randomized, double-blind, placebo-controlled, crossover, proof-of-concept study. Front Neurol. 2025 Nov 6;16:1523814. doi: 10.3389/fneur.2025.1523814. eCollection 2025.

    PubMed 41281561

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ruconest in people with Post-Viral Fatigue Syndrome and Post-Viral Disorder (Disorder), run by IMMUNOe Research Centers 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 7 inclusion and 8 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: finished, as of the sponsor's last update on 11 Aug 2025. 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 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Neuropsychological Measures (BRIEF-A) (time frame: Week 0). The study lists 68 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04705831, which also lists 1 linked publication.

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 11 Aug 2025.

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