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CompletedNCT04381377Updated Aug 23, 2024

Efficacy and Safety of Polyoxidonium® in Hospitalized Patients With Coronavirus Disease COVID-19

A Phase 2/3 interventional study of azoximer bromide and Placebo in Infections, Coronavirus, sponsored by NPO Petrovax. Completed at 14 sites in 2 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2024-08-23.

Sponsored by NPO Petrovax · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
394
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

The purpose of this study is to demonstrate the superiority of Polyoxidonium®, lyophilizate for solution for injections and topical application, 6 mg over placebo in hospitalized patients with coronavirus disease (COVID-19). This is a multicentre prospective, randomized, double-blind, placebo-controlled, parallel-group phase IIb\IIIa clinical trial.

Read the detailed description

This is a multicenter prospective, randomized, double-blind, placebo-controlled, parallel-group phase 3 IIb\IIIa trial to evaluate the efficacy of Polyoxidonium®, lyophilizate for solution for injections and topical application, 6 mg over placebo in hospitalized patients with coronavirus disease (COVID-19). A study will last for 29±3 days (maximum) for each participant and will include: screening (days -1...1); treatment period (17 days in total, days 1...17) with the administration of the investigational product Polyoxidonium/placebo (intravenous injections for 3 days, then intramuscular injections for 14 days), assessment of the clinical status, recording of AEs; follow-up period (days 18...29±3).

Haematology and blood chemistry tests will be performed at day -1 and days 1,3, 8 ±1, 17±1.

Assessment of the clinical status according to the 7-point ordinal scale and according to the National Early Warning Score (NEWS) scale will be done every day during hospitalization from day 1 up to and including day 17 and at the follow-up on day 29±3.

The safety and tolerability will be evaluated throughout the study (from signing the Informed Consent Form to the study completion visit).

02

Conditions studied

  • Infections, Coronavirus

Keywords

  • COVID-19
03

In context

Coronavirus Infections

952 studies on the registry are indexed under Coronavirus Infections; 50 are open to participants now.

This study's enrollment of 394 is above the median of 110 across 549 interventional studies indexed under Coronavirus Infections.

Browse Coronavirus Infections studies →

Lead sponsor

NPO Petrovax is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and female patients from 18 to 85 years of age.
  2. The patient (or his/her legal representative, if the patient is not able to sign the form) signed an Informed Consent form for participation in this study before any initiation of any study procedures.
  3. The patient can understand all protocol requirements, perform the study procedures, and agree to all limitations specified in the protocol.
  4. Confirmed diagnosis of coronavirus disease (COVID-19): laboratory-confirmed SARS-CoV-2 infection as determined by PCR, or other commercial or public health assay in any specimen \< 14 days prior to randomization.
  5. Illness (coronavirus disease COVID-19) of any duration, and at least one of the following:

    • Radiographic/tomographic chest infiltrates by imaging (chest x-ray, CT scan, etc.), OR
    • Evidence of rales/crackles on clinical exam AND SpO2 ≤ 94% on room air, OR
    • Indications for mechanical ventilation and/or supplemental oxygen.
  6. Agrees to use adequate contraception methods (the methods with at least 90% efficacy include non-hormonal intrauterine devices; condom with intravaginal spermicide; cervical caps

Exclusion criteria

Exclusion Criteria:

  1. History of clinically significant allergic reactions.
  2. Hypersensitivity and/or intolerability to any ingredient of the investigational product or placebo.
  3. Anticipated transfer to another hospital which is not a study centre within the next 72 hours.
  4. Acute or chronic renal failure.
  5. History of HIV infection, tuberculosis.
  6. Conditions associated with primary immunodeficiency.
  7. Concomitant use of cytostatic medications to treat a concomitant disease.
  8. Systemic connective tissue diseases.
  9. Need for the prohibited medications.
  10. Administration of medications that are prohibited or unauthorized by the protocol within 2 weeks before the expected randomization date.
  11. History of alcohol or drug dependence.
  12. History of malignant tumours of any location with remission for less than 2 years.
  13. History of psychic (including depressive) disorders, physical and other factors that do not allow for adequate self-assessment of one's behaviour and for compliance with the protocol requirements, including history of psychiatric disorders.
  14. Pregnancy or breastfeeding.
  15. Intravenous injections and/or sampling of the required amount of blood is not possible.
  16. Positive pregnancy test (in patients with childbearing potential).
  17. Participation in any clinical study within 3 months before enrolment in this study.
  18. History of any condition that the study doctor considers significant enough to prevent enrolment of this patient.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
394 participants (actual)

Study arms

  • Experimental
    Polyoxidonium

    Polyoxidonium will be administered in the dose of 12 mg (contents of 2 vials) once daily intravenously (IV) for 3 days, then every other day intramuscularly (IM) on days 5-17 (the total treatment course is 10 injections).

    Drug: azoximer bromide

  • Placebo comparator
    Placebo

    Placebo will be administered (contents of 2 vials) once daily intravenously (IV) for 3 days, then every other day intramuscularly (IM) on days 5-17 (the total treatment course is 10 injections).

    Other: Placebo

Interventions

  • Drugazoximer bromide

    Investigational medicinal product

    Also known as: Polyoxidonium

  • OtherPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Clinical status of the patient (according to 7-point ordinal scale)

    The primary efficacy outcome will be defined based on the blinded analysis of data of the first 100 patients in the 1st part of the study. There is uncertainty about the clinical course and potential different trajectories according to baseline disease severity, so the day of the primary endpoint may be modified based on a blinded evaluation of the primary efficacy outcome in various days.

    Time frame: Day 15

Secondary outcomes

  1. Clinical status of the patient (according to 7-point ordinal scale)

    Time to improvement by one category from admission on the ordinal scale. Clinical status of the patient. Average change in the ordinal scale from baseline.

    Time frame: Clinical status of the patient and the average change in the ordinal scale from baseline, both on days 3, 5, 8, 11, 29.

  2. NEWS

    The time to discharge or to a NEWS of ≤ 2 and maintained for 24 hours, whichever occurs first. Change in NEWS from baseline.

    Time frame: Change in NEWS from baseline on days 3, 5, 8, 11, 15, 29.

  3. Oxygenation

    Oxygenation free days. Incidence and duration of new oxygen use.

    Time frame: Oxygenation free days in the first 28 days (to day 29). Incidence and duration of new oxygen use during the study.

  4. Mechanical Ventilation

    Ventilator free days. Incidence and duration of new mechanical ventilation use.

    Time frame: Ventilator free days in the first 28 days (to day 29). Incidence and duration of new mechanical ventilation use during the trial.

  5. Mortality

    Time frame: 28-day mortality

07

Study locations

14 sites
  • Regional state budgetary institution of public health "City hospital No. 5 of Barnaul"
    Barnaul, 656045, Russia
  • Central Research Institute of Epidemiology of Rospotrebnadzor
    Moscow, 111123, Russia
  • The state healthcare institution of the city of Moscow "City Clinical Hospital No. 15 named after OM Filatov" in "Moscow City Department of Health"
    Moscow, 111539, Russia
  • Moscow State Budgetary Healthcare Institution "Infectious Clinical Hospital No. 1 of the Moscow Department of Healthcare"
    Moscow, 125367, Russia
  • Moscow State Budgetary Healthcare Institution "City Clinical Hospital No. 24 of the Moscow Department of Healthcare"
    Moscow, 127015, Russia
  • State budgetary institution "Research Institute of Emergency Care named after N.V. Sklifosovsky in Department of Health of the city of Moscow"
    Moscow, 129090, Russia
  • Moscow State Budgetary Healthcare Institution "City Clinical Hospital No. 40 of the Moscow Department of Healthcare"
    Moscow, 129301, Russia
  • State budgetary institution of health care of the Nizhny Novgorod region "Infectious clinical hospital No. 2 of Nizhny Novgorod"
    Nizhny Novgorod, 603022, Russia
  • Federal State Budgetary Educational Institution of Higher Education "Orenburg State Medical University" of the Ministry of Health of the Russian Federation
    Orenburg, 460000, Russia
  • Federal State Budgetary Educational Institution of Higher Education "First St. Petersburg State Medical University named after Academician I.P. Pavlov
    Saint Petersburg, 197022, Russia
  • State budgetary health institution of the Vladimir region "Regional Clinical Hospital"
    Vladimir, 600023, Russia
  • Yaroslavl State Medical University of Ministry of Health of the Russian Federation
    Yaroslavl, 150000, Russia
  • Clinics of Infectious Diseases, University Hospital in Nitra
    Nitra, 949 01, Slovakia
  • Clinics of Infectious Diseases, University Hospital in Trnava
    Trnava, 917 74, Slovakia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04381377
Lead sponsor
NPO Petrovax
Responsible party
Sponsor
First posted
May 8, 2020
Start date
Apr 28, 2020
Primary completion
Mar 3, 2021
Completion
Apr 23, 2021
Last update
Aug 23, 2024

Study contacts

Jean-Francois Rossi, Professor
principal investigator · University of Montpellier (Faculté de Médecine) and Institute Sainte Catherine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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