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COVID-19Phase 1/2RJXNCT04708340

Tolerability and Efficacy of RJX in Patients With COVID-19

A Phase 1/2 study testing Rejuveinix (RJX) Active Comparator in people with COVID-19 and Acute Respiratory Distress Syndrome, run by Reven Pharmaceuticals, Inc. at 3 sites 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 The sponsor has not verified this record for over two years, so it may be out of date.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

This study is designed as a 2-part, 2-cohort, double-blind, randomized, placebo controlled, multicenter Phase 1/2 study to evaluate the safety, tolerability and efficacy of RJX in patients with COVID-19. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Rejuveinix (RJX) Active Comparator
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
237 participants
Where
3 sitesUnited States
Study dates
25 Mar 2021to Feb 2023
Phase
Phase 1/2
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cohort 1 (Part 1 and Part 2):
  • Hospitalized COVID-19 patients ≥18 years without hypoxemia who are either not receiving any oxygen therapy OR are receiving supplemental oxygen via mask or nasal prongs (namely, clinical status score 4 or 5 on an 8-point ordinal scale)
  • Hospitalized COVID-19 patients age ≥65 years AND type 2 diabetes or hypertension, OR
  • Hospitalized COVID-19 patients ≥18 years AND abnormal blood tests with CRP >50 mg/L PLUS at least 1 of the following biomarkers:
  • D-dimer >1,000 ng/mL
  • Ferritin >500 µg/L
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  • High sensitivity cardiac troponin >2 × ULN
  • LDH >245 U/L
  • Cohort 2 (Part 1 and Part 2):
  • Hospitalized COVID-19 patients with hypoxemia who are either receiving NIPPV OR high-flow oxygen (namely, clinical status score 3 on an 8-point ordinal scale).
  • Bilateral opacities on a chest x-ray OR chest CT scan. Cohort 1 and Cohort 2 (Parts 1 and 2)
  • Male and non-pregnant, non-lactating female patients with SARS-CoV-2 infection that is documented by a Food and Drug Administration (FDA)-authorized diagnostic reverse transcription polymerase chain reaction test at/or within 4 days of Screening
  • ≥18 years of age
  • Body weight ≥40 kg at Screening
  • History of COVID-19 within the last 2 weeks prior to study enrollment
  • The patient OR a legally authorized representative has provided written informed consent
  • Females of childbearing potential must have a negative beta human chorionic gonadotropin pregnancy test at Screening
  • Females of childbearing potential must agree to be abstinent or else use a medically acceptable form of contraception from the Screening period through Day 28. Medically acceptable forms of contraception including implants, injectables, combined oral contraceptives, some intrauterine devices, sexual abstinence or vasectomy, and double-barrier method [condom and occlusive cap (diaphragm or cervical/vault caps)] with spermicidal foam/gel/film/suppository

Who cannot join

  • Receiving high-flow oxygen OR NIPPV. Cohort 1 and Cohort 2
  • ARDS by Berlin definition (Appendix 16.2)
  • On extracorporeal membrane oxygenation
  • Uncontrolled hypertension (systolic blood pressure [BP] >150 mmHg and/or diastolic BP >100 mmHg), unstable angina, congestive heart failure of New York Heart Association Classification Class III or IV (i.e., Class III: marked limitation in activity due to symptoms, even during less-than-ordinary activity, e.g., walking short distances [20 100 m], comfortable only at rest; Class IV: severe limitations, experiences symptoms even while at rest, mostly bedbound patients), serious cardiac arrhythmia requiring treatment (exceptions: atrial fibrillation, paroxysmal supraventricular tachycardia), history of myocardial infarction within 12 months prior to enrollment
  • Subjects with a history of congenital long QT syndrome or of Torsades de pointes; subjects with bradycardia (<60 bpm), heart block (excluding 1st degree block, being PR interval prolongation only); subjects with any of the following findings on electrocardiogram (ECG): QTc interval >470 msec in women OR >450 msec in men; subjects requiring any drugs known to prolong the QTc interval, including antiarrhythmic medications
  • Shock or hypotension requiring vasoactive peptides, such as dopamine, norepinephrine, epinephrine, or dobutamine
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  • Renal function impairment with creatinine ≥2 mg/dL
  • Liver function impairment with total bilirubin ≥2 mg/dL
  • Platelet count <50,000/µL
  • Multi-organ failure
  • History of an allergic reaction or hypersensitivity to the study drug or any component of the study drug formulation
  • Use of systemic corticosteroids, nonsteroidal anti-inflammatory drugs, antibiotics, and antiviral drugs that are not part of the standard of care
  • Presence of any uncontrolled concomitant illness (e.g., bacterial sepsis or invasive fungal infection), or other serious illness and medical conditions, or other medical history, including laboratory results, which, in the Investigator's opinion, would be likely to interfere with their participation in the study
  • Pregnancy or breast-feeding (for women)

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Memorial Hermann Memorial City Medical Center

    Houston, Texas, 77024

  • Memorial Hermann Southeast Hospital

    Houston, Texas, 77089

  • Christus Santa Rosa Hospital

    New Braunfels, Texas, 78130

Other trials in United States

About this study

Official title: A Two-part, Two-cohort, Double-blind, Randomized, Placebo-controlled, Multicenter Phase 1/2 Study to Evaluate the Safety, Tolerability and Efficacy of REJUVEINIX (RJX) in Patients With COVID-19

This study is designed as a 2-part, 2-cohort, double-blind, randomized, placebo controlled, multicenter Phase 1/2 study to evaluate the safety, tolerability and efficacy of RJX in patients with COVID-19.

Read the detailed description

For each cohort, there will be an open label Safety Lead-in (Part 1) and a placebo controlled, randomized, double-blind portion (Part 2). In Part 1, RJX will be administered daily for 7 days. In the active treatment arm of Part 2 for both cohorts, RJX will be administered daily for 7 days per cycle and patients may receive up to 2 cycles. As detailed below, patients will be allowed to receive a second 7 day cycle of therapy based on the medical judgment of the Investigator. The total RJX exposure during Part 2 could therefore be up to 14 days. Both cohorts will start and enroll in parallel and independently. A safety follow-up period will begin at Day 14/Discharge, or when treatment is discontinued, and will continue for approximately 60 days post discharge. Part 1 will be conducted at a single site and Part 2 will be conducted at multiple sites. The 2 cohorts in this study are:

  • Cohort 1:
  • Hospitalized COVID-19 patients ≥18 years without hypoxemia who are either not receiving any oxygen therapy OR are receiving supplemental oxygen via mask or nasal prongs (namely, clinical status score 4 or 5 on an 8-point ordinal scale).
  • Patients are required to have the following high-risk characteristics
  1. Age ≥65 years AND type 2 diabetes or hypertension OR
  2. Age ≥18 years with abnormal blood tests AND CRP >50 mg/L PLUS at least 1 of the following biomarkers:
  3. D-dimer >1,000 ng/mL,
  4. Ferritin >500 µg/L,
  5. High sensitivity cardiac troponin >2 × upper limit of normal (ULN),
  6. LDH >245 U/L.
  • Cohort 2:
  • Hospitalized COVID-19 patients with hypoxemia without ARDS who are receiving either non-invasive positive pressure ventilation (NIPPV) OR high flow oxygen (namely, clinical status score 3 on an 8-point ordinal scale).
Being tested
Rejuveinix (RJX) Active Comparator, Placebo Comparator
Medical subject headings
COVID-19, Respiratory Distress Syndrome, Hypoxia

What participants receive

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

  • Rejuveinix (RJX) Active ComparatorDrug

    Also called RJX, Rejuveinix

    Active drug comprised of: ascorbic acid, magnesium sulfate heptahydrate, cyanocobalamin, thiamine, riboflavin 5' phosphate, niacinamide, pyridoxine, calcium d-pantothenate, and sodium bicarbonate.

  • Placebo ComparatorDrug

    Also called 0.9% Sodium Chloride in Water for Injection, USP., Normal Saline for Injection, USP

    0.9% Sodium Chloride in Water for Injection a.k.a. Normal Saline for injection

Study groups in NCT04708340
Study groupRoleWhat they receive
Arm A: RJXActive comparator1. RJX 20 mL (10 mL of Vial A plus 10 mL of Vial B) mixed in normal saline, total volume 120 mL, administered by IV infusion over a period of 40 minutes +/- 10 minutes once daily. 2. Standard of care (current antiviral and/or supportive care treatment currently in place at the institution for COVID-19 treatment). 3. Patients in Part 1 are allowed to receive only one 7-day cycle of RJX while patients in Part 2 may be treated daily for up to 14 days.
Receives: Drug: Rejuveinix (RJX) Active Comparator
Arm B: PlaceboPlacebo comparator1. Placebo (total of 20 mL normal saline) mixed in normal saline IV, total volume 120 mL of normal saline IV, administered by IV infusion over a period of 40 minutes +/- 10 minutes once daily. 2. Standard of care (current antiviral and/or supportive care treatment currently in place at the institution for COVID-19 treatment). 3. Patients in Part 1 will not receive placebo. 4. Patients in Part 2 may be treated daily for up to 14 days.
Receives: Drug: Placebo Comparator

What is being measured

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

  1. Safety as measured by DLTs and drug related SAE's

    • Part 1, Cohorts 1 and 2: Cumulative incidence of DLTs and drug-related SAEs (viz., sum of DLT + SAEs) reported within 14 days of first dose of RJX (Part 1) or reported within 60 days of first dose of study drug (Part 2)

    Measured: Up to 60 days post-enrollment

  2. Tolerability and Efficacy measured by progression of disease through an ordinal scale.

    • Part 2, Cohort 1: Progression to severe disease on an 8-point ordinal scale from a clinical status score of 4 or 5 to a clinical status score of 3, 2, or 1 within 2 weeks of first dose of study drug

    Measured: Within 2 weeks

  3. Efficacy measured by time to resolution of respiratory failure

    • Part 2, Cohort 2: Time to resolution of respiratory failure (TTRRF), with status change on an 8-point ordinal scale from a clinical status score of 3 to a clinical status score of ≥4

    Measured: 60-days post enrollment

Secondary outcomes (6)
  1. Efficacy as measured by day of ICU care.

    The key secondary endpoints for Parts 1 and 2, Cohorts 1 and 2 are:

    • Mean number of days of ICU care

    Measured: 60-days post enrollment

  2. Safety, Tolerability, Efficacy measured by mortality over 28 Days.

    The key secondary endpoints for Parts 1 and 2, Cohorts 1 and 2 are:

    • Proportion of patients that die (any cause) by Day 28 post randomization (patient may be inpatient or outpatient in follow up)

    Measured: 28-days post enrollment

  3. Efficacy measured by mean change in baseline clinical status on Days 7 and 14.

    Additional secondary endpoint for Parts 1 and 2, Cohorts 1 and 2 are:

    • Mean change from baseline of clinical status using an 8-point ordinal scale (with 8 being "Not hospitalized, no limitations on activities", and 1 being "Death") at Days 7 and 14

    Measured: 14-days post enrollment

  4. Efficacy measured by mean change in hospitalization days on Days 7 and 14.

    Additional secondary endpoint for Parts 1 and 2, Cohorts 1 and 2 are:

    • Mean number of hospitalization days

    Measured: 14-days post enrollment

  5. Efficacy measured by time to coming off supplemental oxygen on Days 7 and 14.

    Additional secondary endpoint for Parts 1 and 2, Cohorts 1 and 2 are:

    • Time to coming off supplemental oxygen (defined as a score of ≥5 on an 8-point ordinal scale; Cohort 1 only)

    Measured: 14-days post enrollment

  6. Safety and Efficacy measured by time from first dose to renal therapy.

    Additional secondary endpoint for Cohort 2, Part 2 is:

    • Time to initiation of renal replacement therapy

    Measured: 60-days post enrollment

Timeline

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

  1. First posted13 Jan 2021
  2. Study start25 Mar 2021
  3. Primary completionOct 2022 (estimated)
  4. Study completionFeb 2023 (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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
In Part 1, RJX will be administered daily for 7 days (1 cycle). In Part 2, Placebo or RJX will be administered daily for 7 days for 1 cycle but may receive 2 cycles. Each Cohort is comprised of Part 1, a single site, and Part 2, multiple sites. The 2 Cohorts are: Cohort 1: * Hospitalized COVID-19 patients ≥18 years without hypoxemia and either not receiving any oxygen therapy OR are receiving supplemental oxygen via mask or nasal prongs (clinical status score 4 or 5 on 8-point ordinal scale). * Patients are required to have the following high-risk characteristics * Age ≥65 years AND type 2 diabetes or hypertension OR * Age ≥18 years with abnormal blood tests AND CRP \>50 mg/L PLUS at least 1 of the following biomarkers abnormal: a. D-dimer, b. Ferritin, c. High sensitivity cardiac troponin, d. LDH Cohort 2: • Hospitalized COVID-19 patients with hypoxemia and without ARDS who are receiving either non-invasive positive pressure ventilation (NIPPV) OR high flow oxygen
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
237 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04708340
Sponsor's protocol ID
RPI015
Acronym
RJX
Status last verified
Mar 2022
First submitted
4 Jan 2021
Last updated
15 Mar 2022
Results posted
No
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 1/2 study testing Rejuveinix (RJX) Active Comparator in people with COVID-19 and Acute Respiratory Distress Syndrome, run by Reven Pharmaceuticals, Inc. at 3 sites 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 18 inclusion and 14 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 15 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites 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 combined 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.

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?

Results are not available in the source record.

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?

Safety as measured by DLTs and drug related SAE's (time frame: Up to 60 days post-enrollment). The study lists 3 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 15 Mar 2022.

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