The Use PUL-042 to Reduce the Infection Rate and Progression to COVID-19 in Adults Exposed to SARS-CoV-2

• ClinicalTrials.gov Identifier: NCT04313023
• Recruitment Status: Recruiting
• First Posted: March 18, 2020
• Last Update Posted: June 19, 2020
• Sponsor: Pulmotect, Inc.
• Information provided by (Responsible Party): Pulmotect, Inc.

Study Description

Brief Summary:

Subjects who have documented exposure to SARS-CoV-2 (COVID-19) will receive 4 doses of PUL-042 Inhalation Solution or 4 doses of a placebo solution by inhalation over 10 days. Subjects will be followed for the incidence and severity of COVID-19 over 28 days. Subjects will be tested for infection with SARS-CoV-2 at the beginning, middle and end of the study.

Condition or disease	Intervention/treatment	Phase
COVID-19	Drug: PUL-042 Inhalation Solution; Drug: Placebo	Phase 2

Study Design

• Study Type: Interventional (Clinical Trial)
• Estimated Enrollment: 200 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
• Primary Purpose: Prevention
• Official Title: A Phase 2 Multiple Dose Study to Evaluate the Efficacy and Safety of PUL-042 Inhalation Solution in Reducing the Infection Rate and Progression to COVID-19 in Adults Exposed to SARS-CoV-2
• Actual Study Start Date: June 9, 2020
• Estimated Primary Completion Date: September 2020
• Estimated Study Completion Date: October 2020

Arms and Interventions

Arm	Intervention/treatment
Experimental: PUL-042 Inhalation Solution; PUL-042 Inhalation Solution given by nebulization on Study Days 1, 3, 6, and 10	Drug: PUL-042 Inhalation Solution; 20.3 µg Pam2 : 29.8 µg ODN/mL (50 µg PUL-042) PUL-042 Inhalation Solution
Placebo Comparator: Sterile saline for inhalation; Sterile saline for inhalation given by nebulization on Study Days 1, 3, 6, and 10	Drug: Placebo; Sterile saline for inhalation

Outcome Measures

Primary Outcome Measures :

1. Severity of COVID-19 [ Time Frame: 28 days ]

   To determine the efficacy of PUL-042 Inhalation Solution in the prevention of viral infection with SARS-CoV-2 and progression to COVID-19 in subjects: 1) who have repeated exposure to individuals with SARS-CoV-2 infection and, 2) are asymptomatic at enrollment.

   The primary endpoint is the severity of COVID-19 as measured by the maximum difference from the baseline value in the Ordinal Scale for Symptom Improvement within 28 days from the start of experimental therapy.

Secondary Outcome Measures :

1. Incidence of SARS-CoV-2 infection [ Time Frame: 28 days ]
   Positive test for SARS-CoV-2 infection 28 days from the start of experimental therapy in subjects who test negative for SARS-CoV-2 at the pre-treatment visit
2. Incidence of SARS-CoV-2 infection [ Time Frame: 14 days ]
   Positive test for SARS-CoV-2 infection 14 days from the start of experimental therapy in subjects who test negative for SARS-CoV-2 at the pre-treatment visit
3. Severity of COVID-19 [ Time Frame: 14 days ]
   The severity of COVID-19 as measured by the maximum difference from the baseline value in the Ordinal Scale for Symptom Improvement within 14 days from the start of experimental therapy.
4. ICU admission [ Time Frame: 28 days ]
   The requirement for ICU admission within 28 days from the start of experimental therapy.
5. Mechanical ventilation [ Time Frame: 28 days ]
   The requirement for mechanical ventilation within 28 days from the start of experimental therapy.
6. Mortality [ Time Frame: 28 days ]
   All cause mortality at 28 days from the start of experimental therapy.

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

1. Subjects must have documented exposure to SARS-CoV-2 (defined as repeated daily exposure to an infected individual(s) [such as cohabiting with a SARS-CoV-2 positive individual] or involved in the assessment or care of COVID-19 patients without adequate PPE (such as non availability of a N95 mask).
2. Subjects must be 50 years or older if the exposure is due to cohabitation.
3. Subjects must be free of clinical signs or symptoms of a potential COVID-19 diagnosis (Ordinal Scale of Clinical Improvement score of 0) with a SARS-CoV-2 infection symptom score (fever, cough, shortness of breath, and fatigue) of 0 in each category.
4. Spirometry (forced expiratory volume in one second FEV1 and forced vital capacity [FVC]) ≥70% of predicted value.
5. If female, the subject must be surgically sterile or ≥ 1 year postmenopausal. If of child-bearing potential (including being < 1years postmenopausal) and, if participating in sexual activity that may lead to pregnancy, the subject agrees to use an effective dual method of birth control (acceptable methods include intrauterine device, spermicide, barrier, male partner surgical sterilization, and hormonal contraception) during the study and through 30 days after completion of the study.
6. If female, must not be pregnant, plan to become pregnant, or nurse a child during the study and through 30 days after completion of the study. A pregnancy test must be negative at the Screening Visit, prior to dosing on Day 1.
7. If male, must be surgically sterile or, if not surgically sterile and if participating in sexual activities that may lead to pregnancy, be willing to practice two effective methods of birth control (acceptable methods include barrier, spermicide, or female partner surgical sterilization) during the study and through 30 days after completion of the study.
8. Ability to understand and give informed consent.

Exclusion Criteria:

1. Previous infection with SARS-CoV-2.
2. A SARS-CoV-2 infection symptom score greater than 0 in any of the 4 catergories (fever, cough, shortness of breath or fatigue) at the time of screening (Ordinal Scale for Clinical Improvement score of 0).
3. Known history of chronic pulmonary disease (e.g., asthma [including atopic asthma, exercise-induced asthma, or asthma triggered by respiratory infection], chronic pulmonary disease, pulmonary fibrosis, COPD), pulmonary hypertension, or heart failure.
4. Any condition which, in the opinion of the Principal Investigator, would prevent full participation

Contacts and Locations

Contacts

Contact: Colin Broom, MD; 713-579-9226; clinicaltrials@pulmotect.com

Contact: Brenton Scott, Ph D; 713-579-9226; clincaltrials@pulmotect.com

Locations

United States, California

University of California Irvine; Recruiting

Orange, California, United States, 92868

Principal Investigator: Alpesh Amin, MD

United States, Florida

Clinical Research of South Florida Alliance for Multispecialty Research; Not yet recruiting

Coral Gables, Florida, United States, 33134

Principal Investigator: Jeffrey B Rosen, MD

United States, Georgia

Clinical Research Atlanta; Recruiting

Stockbridge, Georgia, United States, 30281

Principal Investigator: Nathan Segall, MD

United States, Louisiana

Willis-Knighton Physcian Network; Recruiting

Bossier City, Louisiana, United States, 71111

Principal Investigator: Clint Wilson, MD

United States, New Jersey

Englewood Health; Not yet recruiting

Englewood, New Jersey, United States, 07631

Principal Investigator: Srikant Kondapaneni, MD

United States, Oklahoma

Ascension St. John; Recruiting

Tulsa, Oklahoma, United States, 74104

Principal Investigator: Anuj Malik, MD

United States, Texas

MD Anderson Cancer Center; Not yet recruiting

Houston, Texas, United States, 77030

Principal Investigator: Tapan Kadia, MD

Next Level Urgent Care; Recruiting

Houston, Texas, United States, 77057

Principal Investigator: Terrance M Chang, MD

Sponsors and Collaborators

Pulmotect, Inc.

Investigators

• Study Director: Colin Broom, MD; Pulmotect, Inc.

More Information

• Responsible Party: Pulmotect, Inc.
• ClinicalTrials.gov Identifier: NCT04313023
• Other Study ID Numbers: PUL-042-501
• First Posted: March 18, 2020
• Last Update Posted: June 19, 2020
• Last Verified: May 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:

Infection; Disease Progression; Disease Attributes; Pathologic Processes; PUL-042; Respiratory System Agents