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COVID 19Phase 1NCT06698549

A Study to Evaluate the Pharmacokinetics, Safety and Tolerability of ALG-097558 in Subjects With Renal Impairment and in Healthy Subjects With Normal Renal Function

A Phase 1 study testing ALG-097558 in people with COVID 19, run by Aligos Therapeutics at 3 sites 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

This is a Phase 1 non-randomized, open-label, multiple dose, parallel-group study of ALG-097558 in subjects with severe renal impairment and subjects without renal impairment, matched for age, body weight and, to the extent possible, for gender. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
COVID 19
What is being tested?
ALG-097558
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
3 sitesUnited States
Study dates
20 Feb 2025to 13 Aug 2025
Phase
Phase 1
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 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Male and Female between 18 and 75 years old
  • Body Mass Index (BMI) 17.5 to 40.0 kg/m^2 and a total body weight >50 kg (110 lb)
  • Female subjects must either be not of childbearing potential or if they are a woman of childbearing potential, they are only eligible if they and any non-sterile, male sexual partners agree to use highly effective contraceptive therapy
  • Good general health as defined by no clinically relevant abnormalities identified by Medical History and a vital signs, clinical laboratory and 12-lead electrocardiogram (ECG) assessment
  • Subjects must fit the demographic-matching criteria including body weight, age, and to the extent possible, gender
  • Normal renal function (estimated Glomerular Filtration Rate [eGFR] ≥90 mL/min) with no known or suspected renal impairment
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  • Inclusion Criteria for Subjects with Impaired Renal Function:
  • Subject satisfies the eGFR criteria for renal impairment classification within 28 days of study drug administration
  • Any form of renal impairment except acute nephritic syndrome (subjects with history of previous nephritic syndrome but in remission can be included).
  • Stable concomitant medications for the management of an individual subject's medical history for at least 28 days prior to screening
  • Subjects must have a 12-lead ECG and vital signs assessment that meet the protocol criteria

Who cannot join

  • Subjects with any current or previous illness that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject or that could prevent, limit, or confound the protocol specified assessments or study results and interpretation
  • Subjects with a past history of cardiac arrhythmias, risk factors for Torsade de Pointes syndrome (e.g., hypokalemia, family history of long QT Syndrome) or history or clinical evidence at screening of significant (subjects with normal renal function) or unstable (subjects with renal impairment) cardiac disease etc.
  • Subjects with a history of clinically significant drug allergy
  • Subjects with a recent (within 1 year of randomization) history or current evidence of drug abuse or recreational drug use
  • Excessive use of alcohol defined as regular consumption of ≥14 units/ week for women and ≥21 units/week for men
  • Unwilling to abstain from alcohol use for 48 hours prior to start of the study through end of study follow up
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  • Subjects with Hepatitis A, B, C, E or HIV-1/HIV-2 infection or acute infections such as SARS- CoV-2 infection
  • Subjects with alanine aminotransferase (ALT) or aspartate aminotransferase (AST) values >2x upper limit of normal (ULN)
  • Subjects with bilirubin (total, direct) >1.5x ULN (unless Gilbert's is suspected)
  • Positive pregnancy test; females must not be pregnant at enrollment
  • 1. Hemoglobin <10 g/dL
  • Exclusion Criteria for Subjects with Impaired Renal Function:
  • Participants requiring hemodialysis and/or peritoneal dialysis
  • Hemoglobin <9 g/dL

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • University of Miami

    Miami, Florida, 33136

  • Orlando Clinical Research Center

    Orlando, Florida, 32809

  • Genesis Clinical Trials

    Tampa, Florida, 33603

Other trials in United States

About this study

Official title: A Phase 1 Non-Randomized, Open-Label, Multiple Dose Study to Evaluate the Pharmacokinetics, Safety and Tolerability of ALG-097558 in Subjects With Renal Impairment and in Healthy Subjects With Normal Renal Function

This is a Phase 1 non-randomized, open-label, multiple dose, parallel-group study of ALG-097558 in subjects with severe renal impairment and subjects without renal impairment, matched for age, body weight and, to the extent possible, for gender. The primary purpose of this study is to characterize the effect of renal impairment on the plasma pharmacokinetics of ALG-097558 following administration of multiple, twice daily (Q12H) oral (PO) doses.

Conditions
COVID 19
Being tested
ALG-097558
Medical subject headings
COVID-19

What participants receive

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

  • ALG-097558Drug

    Multiple doses of ALG-097558 300 mg (3 x 100 mg tablets)

Study groups in NCT06698549
Study groupRoleWhat they receive
Subjects with Severe Renal ImpairmentExperimentalSubjects with severe renal impairment will receive oral doses of 300 mg ALG-097558 twice daily (every 12 hours [Q12H]) for 6 days for 11 total doses.
Receives: Drug: ALG-097558
Subjects with Normal Renal FunctionExperimentalSubjects with normal renal function will receive oral doses of 300 mg ALG-097558 twice daily (every 12 hours [Q12H]) for 6 days for 11 total doses.
Receives: Drug: ALG-097558
Subjects with Mild Renal Impairment (Optional)ExperimentalSubjects with mild renal impairment will receive oral doses of 300 mg ALG-097558 twice daily (every 12 hours [Q12H]) for 6 days for 11 total doses.
Receives: Drug: ALG-097558
Subjects with Moderate Renal Impairment (Optional)ExperimentalSubjects with moderate renal impairment will receive oral doses of 300 mg ALG-097558 twice daily (every 12 hours [Q12H]) for 6 days for 11 total doses.
Receives: Drug: ALG-097558

What is being measured

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

  1. Area Under the Concentration Time Curve [AUC]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: AUC(0-12): Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12h post last dose on days 1 and 6; AUC(0-last): Predose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12h post last dose on day 1 and 6, and additionally 14, 24, 36 and 48h on day 6 only

  2. Maximum Plasma Concentration [Cmax]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post last dose on day 1 ; Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 hours post last dose on day 6

  3. Minimum Plasma Concentration [Cmin]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75 hours), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post last dose on day 6 only

  4. C0 [Predose]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75 hours) up to Day 8

  5. Half-life [t1/2]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75 hours), 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 hours post last dose on day 6 only

  6. Time to Maximum Plasma Concentration [Tmax]

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post last dose on day 1 ; Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 hours post last dose on day 6

  7. Apparent Clearance (CL/F)

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75 hours), 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 hours post last dose on day 6 only

  8. Apparent Volume of Distribution (V/F)

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in plasma

    Measured: Pre-dose (-0.75 hours), 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 hours post last dose on day 6 only

  9. Total Amount of Drug Excreted in Urine (Ae)

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in urine

    Measured: Collection intervals: 0-6, 6-12, 12-24, 24-36 and 36-48 hours after the last dose

  10. Renal Clearance (CLr)

    Pharmacokinetic parameters of ALG-097558 and metabolite ALG-097730 in urine

    Measured: Collection intervals: 0-6, 6-12, 12-24, 24-36 and 36-48 hours after the last dose.

Secondary outcomes (1)
  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The number and severity of treatment emergent events in subjects with renal impairment and subjects with normal renal function as assessed by DAIDS v2.1 (July 2017)

    Measured: Up to 20 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 Nov 2024
  2. Study start20 Feb 2025
  3. Primary completion23 Jul 2025
  4. Study completion13 Aug 2025

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
Non-randomised
Intervention model
Parallel groups
Model description
This study is non-randomized, open-label, parallel group study. In Part 1, Cohort 1 will enroll severely renally impaired subjects and Cohort 2 will enroll subjects without renal impairment. In Part 2, if triggered, Cohort 3 will enroll mildly renally impaired subjects and Cohort 4 moderately renally impaired subjects. Cohort 5 will enroll subjects without renal impairment.
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06698549
Sponsor's protocol ID
ALG-097558-703 / DMID 24-0022
Status last verified
May 2026
First submitted
12 Nov 2024
Last updated
25 Aug 2026
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing ALG-097558 in people with COVID 19, run by Aligos Therapeutics 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 11 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: finished, as of the sponsor's last update on 25 Aug 2026. 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. 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?

Yes. Results are posted in the registry (first posted 9 Jul 2026). 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?

Area Under the Concentration Time Curve [AUC] (time frame: AUC(0-12): Pre-dose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12h post last dose on days 1 and 6; AUC(0-last): Predose (-0.75), 0.25, 0.5, 1, 2, 3, 4, 6, 8, and 12h post last dose on day 1 and 6, and additionally 14, 24, 36 and 48h on day 6 only). The study lists 10 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 25 Aug 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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