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Post-Acute COVID-19 SyndromePhase 1NCT05947617

Safety, Efficacy, and Dosing of VIX001 in Patients With Neurological Symptoms of Post Acute COVID-19 Syndrome (PACS).

A Phase 1 study testing VIX001 in people with Post-Acute COVID-19 Syndrome and Cognitive Impairment, run by Neobiosis, LLC.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Trial summary

The study, identified as VIX001-PACS-01, is a Phase 1, open-label, dose-escalation trial evaluating the safety, tolerability, preliminary efficacy, and dose effect of VIX001, an amniotic fluid product, in patients with Post-Acute COVID-19 Syndrome (PACS) and cognitive impairment. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
VIX001
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
No sites listed yet
Study dates
1 Oct 2023to 1 Sep 2025
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years.
  • Has had prior laboratory-confirmed SARS-CoV-2 infection as determined by an approved polymerase chain reaction (PCR) or an approved antigen test of any specimen, which did not require intubation or mechanical or non-invasive ventilation to address the SARS-CoV-2 infection. Only those who had COVID-19 and who were not hospitalized for their infection and are eligible for this study.
  • Has had a recent (within a week) negative SARS-CoV-2 test (an approved PCR or antigen test).
  • Has had at least moderate or severe post-COVID-19 symptoms for at least 3 months which have resulted in reduced functioning compared to pre-COVID-19 status, and a working diagnosis of post-acute COVID-19 syndrome (PACS).
  • Ability to comply with the requirements of the study, including anticipated ability to attend all scheduled visits.
  • Ability to understand and provide written informed consent.
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  • All participants of reproductive age/capacity will be required to use adequate contraception, defined as two forms of highly effective contraceptives, with any partners during the study period and for at least three months beyond the study period for safety.
  • The primary presenting symptom impeding daily function is neurological.
  • Severity of cognitive impairment/brain fog measured by MoCA score of ≤ 24 [40] that was not present prior to contracting COVID-19. A score of 18-26 indicates mild cognitive impairment. A score of 17 or less may indicate moderate impairment. This study will enroll patients with so-called "brain fog," or mild impairment to the degree that would not affect capacity to consent. A careful history will be taken to ensure that the symptoms of cognitive impairment found to be limiting by the patient and their family (if applicable) have developed subsequent to the COVID-19 infection, and were not present previously. If the temporal course of the clinical history is not clearly related to the acute infection, the patient will not be considered for inclusion. In parallel, the following neurological symptoms will be assessed and monitored as exploratory endpoints, but are not inclusion criteria:
  • Objective assessment of orthostatic intolerance as determined by a change of 30 in pulse or blood pressure on NASA 10-Minute Lean Test in patients who had no prior history of autonomic dysfunction;
  • Symptomatic depression (defined as a score of <10 on the PHQ-8 patient reported outcome questionnaire) at the time of screening that must have been controlled on a stable therapy (pharmacological or in the care of a therapist) for three months prior to planned infusion, are under the active care of a mental health provider during the study period, and was not present prior to contracting COVID-19.;
  • Anxiety on GAD-7 with a score of ≥10 and ≤ 15 that was not present prior to contracting COVID-19; and
  • Sleep disturbance on PROMIS-SD with a score of ≥30 that was not present prior to contracting COVID-19.

Who cannot join

  • Significant concurrent medical conditions (verified by medical records as needed), including the following:
  • Poorly controlled diabetes mellitus, defined as HbA1C>8.5.
  • Medical History of Chronic kidney disease (CKD) diagnosis and/or screening results of eGFR < 60mL/min/1.73m2.
  • Presence of New York Heart Association (NYHA) Class III/IV heart failure during screening visit.
  • Blood pressure > 180/110 mm/Hg during screening visit.
  • Chronic obstructive pulmonary disease (COPD).
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  • Participants with HIV, Hepatitis B and Hepatitis C.
  • Participants with a prior history of stroke, neurogenerative disease, dementia, or developmental delay.
  • Participants with < 18 on MoCA will be excluded, as well as any who have an active power of attorney or other legal basis to be deemed to lack capacity.
  • Participants who require ongoing oxygen ventilation.
  • Other clinically significant, ongoing illness or medical condition, that in the opinion of the investigator constitutes a safety risk for participation in the study or that could interfere with achieving the study objectives, conduct or evaluation, including a history of thromboembolic events.
  • Participants who are pregnant or lactating.
  • Active alcohol or substance abuse or any other reason that makes it unlikely that the participant will comply with study procedures.
  • Infusion of any other investigational agents within 6 months of randomization.
  • All subjects with PHQ-8 score >10 at the time of enrollment screening will be excluded from the study.
  • Participants with a psychiatric illness or condition, which, in the opinion of the investigation, would interfere with the conduct of the study or the interpretation of study results. Participants with stable anxiety and depression (PHQ-8 score of <10) defined as being on stable doses of antidepressant and anxiety drugs for the last 3 months and for which no dose changes are expected during the study can be included. Participants who are not under the active care of a mental health provider during the study period will be excluded.
  • Participants with autoimmune disease or a known history of having Acquired Immunodeficiency Syndromes (AIDS) or Human Immunodeficiency Virus (HIV).
  • Participant has known alcoholic addiction or dependency, uses alcohol daily, or has current substance use or abuse.
  • Participant has any active malignancy, including evidence of cutaneous basal, squamous cell carcinoma, or melanoma.
  • Participant was either diagnosed with or reasonably believed to have had Chronic Fatigue Syndrome, Sleep Apnea, Insomnia, or any other sleep disorder prior to contracting COVID-19.
  • Significant laboratory abnormalities, including any of the following
  • White blood cell count < 3000/mm3.
  • Platelet count < 125,000 mm3.
  • Absolute neutrophil count < 1500/mm3.
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > upper limit of normal (ULN) x 1.5.
  • any other laboratory abnormality, which, in the opinion of the investigator poses a safety risk or will prevent the participant for completing the study.
  • Uncontrolled Hyperthyroidism or Hypothyroidism or any other Thyroid disease reflected by abnormal TSH per local laboratory. Those with abnormal TSH in conjunction with either an abnormal T3 or Free T4 will be excluded.
  • Recent vaccination against SARS-CoV-2 within the last 30 days.

Trial locations and contacts

No sites are listed yet.

Roger Alvarez, DO, MPH contact

305-243-7888

rogeralvarez@med.miami.edu

Mercedes Kweh, PhD contact

305-502-5790

mercedes.kweh@neobiosis.com

About this study

Official title: Phase 1 Study: Assessing VIX001 Safety, Efficacy, and Dosing in Post Acute COVID-19 Syndrome (PACS) Patients With Neurological Symptoms and Cognitive Impairment.

The study, identified as VIX001-PACS-01, is a Phase 1, open-label, dose-escalation trial evaluating the safety, tolerability, preliminary efficacy, and dose effect of VIX001, an amniotic fluid product, in patients with Post-Acute COVID-19 Syndrome (PACS) and cognitive impairment. Conducted at the University of Miami Hospital and Clinics, the trial aims to enroll up to nine participants, or up to 18 using a 3+3 dose escalation design. Intravenous injections of VIX001 will be administered at three ascending doses (1 ml, 3 ml, or 10 ml), and participants will be assessed for safety, cognitive impairment, pain, activity, and quality of life at baseline and various timepoints. The primary objective is to evaluate the safety of VIX001, while secondary objectives include assessing its potential efficacy and patient-reported outcomes. The study duration is expected to last approximately 18 months, including enrollment, evaluation, and post-study observation periods. The findings will contribute to understanding VIX001's safety and efficacy in treating PACS-related cognitive impairment.

Read the detailed description

Study Title: A Phase 1, Open-label Dose-Escalation Study to Assess the Safety, Tolerability, Preliminary Efficacy, and Dose Effect of VIX001 Amniotic Fluid Product in Patients with Post-Acute COVID-19 Syndrome (PACS) Associated with Neurological Symptoms of Cognitive Impairment

Study Number: VIX001-PACS-01

Study Design: This is a Phase 1, open-label, dose-escalation trial aimed at evaluating the safety, tolerability, preliminary efficacy, and dose effect of VIX001, an amniotic fluid product, in patients with Post-Acute COVID-19 Syndrome (PACS) who are experiencing neurological symptoms of cognitive impairment. The study will follow a 3+3 dose escalation design, with up to nine participants enrolled initially, and a possibility of expanding to up to 18 participants if toxicities occur within the predefined dosing range.

Study Objectives: The primary objective of the study is to assess the safety of VIX001 when administered intravenously to patients with PACS and cognitive impairment. The secondary objectives include evaluating the preliminary efficacy of VIX001 on cognitive impairment, pain, activity, and quality of life in these patients.

Study Center: The study will be conducted at the University of Miami Hospital and Clinics.

Study Duration: The anticipated duration of the study is approximately 18 months. This includes a six-month enrollment period, a six-month evaluation period for each participant, and a six-month post-study observation period.

Participant Eligibility Criteria: To be eligible for the study, participants must have a prior laboratory-confirmed SARS-CoV-2 infection, a recent negative SARS-CoV-2 test, and have experienced moderate or severe post-COVID-19 symptoms for a minimum of three months. Participants should exhibit reduced physical functioning compared to their pre-COVID-19 status and present with neurological impairment, as indicated by a score of ≤ 24 on the Montreal Cognitive Assessment (MoCA).

Investigational Product: VIX001 is an amniotic fluid product derived from qualified donors. It will be administered intravenously at three ascending doses: 1 ml, 3 ml, or 10 ml. VIX001 will be diluted in clinical standard saline for administration.

Study Procedures: Participants will receive intravenous injections of VIX001 at the assigned dose level. Safety evaluations, including medical history, physical examinations, and selected laboratory tests, will be conducted at specified timepoints. Cognitive impairment, pain, activity, and quality of life will also be assessed using validated measures at baseline and at multiple timepoints during the study.

Endpoints: The primary endpoint of the study is the safety of VIX001, which will be evaluated by monitoring treatment-emergent adverse events. The secondary endpoints include changes in cognitive impairment and various patient-reported outcomes related to PACS, such as pain, activity levels, and quality of life.

Planned Participant Number: The study aims to enroll up to nine participants initially, or up to 18 participants if toxicities occur within the predefined dosing range.

This Phase 1 clinical trial aims to assess the safety, tolerability, preliminary efficacy, and dose effect of VIX001, an amniotic fluid product, in patients with PACS and cognitive impairment. The findings will contribute to understanding the potential of VIX001 as a therapeutic intervention for patients with neurological symptoms associated with PACS.

Being tested
VIX001
Keywords
Post-Acute COVID-19 Syndrome (PACS), Cognitive Impairment, Amniotic Fluid Product, VIX001, Neurological Symptoms, Phase 1 Trial, Dose-Escalation Study, Safety, Tolerability, Preliminary Efficacy, Dose Effect, Intravenous Injection, SARS-CoV-2 Infection, Montreal Cognitive Assessment (MoCA)
Medical subject headings
Post-Acute COVID-19 Syndrome, Cognitive Dysfunction, Neurologic Manifestations, COVID-19

What participants receive

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

  • VIX001Drug

    Also called Purified Amniotic Fluid

    This study utilizes a dose-escalation design with three arms or cohorts to evaluate the safety, tolerability, preliminary efficacy, and dose effect of VIX001, an amniotic fluid product, in patients with Post-Acute COVID-19 Syndrome (PACS) associated with neurological symptoms of cognitive impairment.

    In all arms, the intervention will be administered at baseline and participants will be assessed at specified timepoints for safety, cognitive impairment, pain, activity, and quality of life. The primary objective is to evaluate the safety of VIX001, while the secondary objectives include assessing its potential efficacy and patient-reported outcomes.

Study groups in NCT05947617
Study groupRoleWhat they receive
Arm 1: Low Dose (1 ml) VIX001ExperimentalParticipants in this arm will receive intravenous injections of VIX001 at a low dose of 1 ml. The intervention involves the administration of VIX001 diluted in clinical standard saline.
Receives: Drug: VIX001
Arm 2: Intermediate Dose (3 ml) VIX001ExperimentalParticipants in this arm will receive intravenous injections of VIX001 at an intermediate dose of 3 ml. The intervention entails the administration of VIX001 diluted in clinical standard saline.
Receives: Drug: VIX001
Arm 3: High Dose (10 ml) VIX001ExperimentalParticipants in this arm will receive intravenous injections of VIX001 at a high dose of 10 ml. The intervention involves the administration of VIX001 diluted in clinical standard saline.
Receives: Drug: VIX001

What is being measured

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

  1. Change from Baseline Six Minute Walk Test (6MWT) with oximetry.

    Physiologic assessments

    Measured: Day 0, 7, 30, 90, 180

  2. Change from Baseline Transthoracic Echocardiogram in 3 Dimensions (3-D TTE).

    Physiologic assessments

    Measured: Day 30, 90, 180

  3. Change from Baseline Pulmonary Function Test (PFT) with bronchodilation if abnormal.

    Physiologic assessments

    Measured: Day 30, 90, 180

  4. Change from Baseline Sleep time and depth parameters derived from wearable device (Biostrap).

    Physiologic assessments

    Measured: Day 180

  5. Change from Baseline Heart Rate Variability (HRV) during sleep, derived from wearable device (Biostrap).

    Physiologic assessments

    Measured: Day 180

  6. Change from Baseline UPSIT testers.

    Physiologic assessments

    Measured: Day 30, 90, 180

  7. Change from Baseline Montreal Cognitive Assessment (MoCA).

    Physiologic assessments

    Measured: Day 0, 7, 30, 90, 180

  8. Change from Baseline NASA 10-Minute Lean Test.

    Physiologic assessments

    Measured: Day 7, 30, 90, 180

  9. Change from Baseline CNS Vital Signs test battery.

    Physiologic assessments

    Measured: Day 7, 30, 90, 180

Secondary outcomes (4)
  1. PROMIS

    Patient-Reported outcomes

    1. Sleep Disturbance
    2. Fatigue
    3. Physical Function
    4. Pain Interference

    Measured: Day 0, 7, 30, 90, 180

  2. mMRC Scale.

    Patient-Reported outcomes

    Measured: Day 0, 7, 30, 90, 180

  3. General Anxiety Disorder (GAD-7).

    Patient-Reported outcomes

    Measured: Day 0, 7, 30, 90, 180

  4. Personal Health Questionnaire Depression Scale (PHQ-8).

    Patient-Reported outcomes

    Measured: Day 0, 7, 30, 90, 180

Timeline

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

  1. First posted17 Jul 2023
  2. Study start1 Oct 2023 (estimated)
  3. Primary completion1 Apr 2025 (estimated)
  4. Study completion1 Sep 2025 (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
Sequential
Model description
The study follows a dose-escalation design where participants are enrolled in sequential cohorts receiving escalating doses of VIX001 (1 ml, 3 ml, or 10 ml). This suggests a sequential approach in terms of dose administration within the study.
Masking
None (open label)
Enrolment
9 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05947617
Sponsor's protocol ID
IND_28592
Other IDs
VIX001-PACS-01
Status last verified
Jul 2023
First submitted
11 Jul 2023
Last updated
17 Jul 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: The principal investigator must maintain all documentation related to the study for a period of two years after the last marketing application approval, or if not approved, two years following the discontinuance of the test article for investigation. If it becomes necessary for the sponsor or the regulatory authority to review any documentation related to the study, the investigator must permit access to such records.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing VIX001 in people with Post-Acute COVID-19 Syndrome and Cognitive Impairment, run by Neobiosis, LLC.

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 13 inclusion and 28 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 17 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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 Roger Alvarez, DO, MPH (305-243-7888, rogeralvarez@med.miami.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline Six Minute Walk Test (6MWT) with oximetry. (time frame: Day 0, 7, 30, 90, 180). The study lists 9 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 17 Jul 2023.

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