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Status unknownNCT04843787Updated Apr 12, 2023

SLV213 Treatment in Ambulatory COVID-19 Patients

A Phase 2 interventional study of SLV213 and SLV213 in Covid19, sponsored by Kenneth Krantz, MD, PhD. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-12.

Sponsored by Kenneth Krantz, MD, PhD · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2023), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
81
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase 2a trial recruits adult ambulatory patients who have been determined to be COVID-19 positive. The study drug SLV213 will be administered to examine its safety, tolerability and provide assessment of its effect on clinical symptoms of COVID-19. Blood samples will be taken pre-dose and at several time points post-dose for pharmacokinetic (PK) analysis.

Read the detailed description

This double blind, placebo-controlled study will be conducted in two parts. Part A will determine the maximum tolerated dose (MTD) that will be used in Part B to confirm tolerance and provide assessment of the effect of SLV213 on clinical symptoms of COVID-19.

Part A will consist of three sequential cohorts of 12 subjects receiving treatment administered orally either twice a day or once a day for seven consecutive days. Subjects in each cohort will be randomized to one of two treatment arms, SLV213 (8 subjects) or placebo (4 subjects). After each cohort, a Selva Safety Review Committee (SRC) will evaluate the safety of the regimen before proceeding to dose the next cohort. If a cohort is deemed to have reached an intolerable dose level, the dose prior to that level will be the MTD. PK blood samples will be collected throughout the study.

In Part B of the study 45 subjects will be dosed at the MTD (30 SLV213 and 15 Placebo) to confirm tolerance, and to provide assessment of the effect of SLV213 on clinical symptoms of COVID-19. PK blood samples will be collected throughout the study.

02

Conditions studied

  • Covid19

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03

In context

COVID-19

7,776 studies on the registry are indexed under COVID-19; 482 are open to participants now.

This study's planned enrollment of 81 is below the median of 100 across 4,176 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

This is the only study on the registry with Kenneth Krantz, MD, PhD as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
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. Agree to participate in the trial by signing the IRB approved Informed Consent
  2. Age ≥ 18 years of age
  3. Positive diagnosis for COVID-19 by SARS-CoV-2 PCR by nasopharyngeal swab within the past 3 days
  4. Two or more COVID-19 symptoms (at least one of which must be Respiratory) rated Mild or Moderate on the COVID-19 adapted FLU-PRO Plus scale
  5. SpO2 ≥ 94%
  6. Ambulatory (not hospitalized) at the time of enrollment
  7. Normal (or stable if abnormal per comorbidity) baseline ECG
  8. Men of child-bearing potential must use birth control with heterosexual partner(s) (abstinence or condoms)
  9. Women of child-bearing potential must meet all the following criteria:

    • Use of birth control (abstinence, oral contraceptives, condoms, or intrauterine device)
    • Test negative for β-subunit of HCG

Exclusion criteria

Exclusion Criteria:

  1. Pregnant or lactating
  2. Treatment with COVID-19 antiviral such as remdesivir or SARS-CoV-2 antibodies
  3. At increased risk of developing more severe COVID-19 disease (at least one of the following):

    1. Age ≥60 years
    2. Presence of pulmonary disease, specifically moderate or severe persistent asthma, chronic obstructive pulmonary disease, pulmonary hypertension, emphysema
    3. Diabetes mellitus (type 1 or 2), requiring oral medication or insulin for treatment
    4. Cardiovascular disease, including Hypertension, requiring at least 1 oral medication for treatment; congestive heart failure; coronary artery disease; cardiomyopathy; pulmonary hypertension
    5. Body mass index ≥30
    6. Chronic renal disease (but not on dialysis)
    7. Sickle cell disease or trait
  4. Severe or Critical COVID-19, as indicated by respiratory distress or shortness of breath at rest; Resp Rate ≥30/min; Heart rate ≥125/min; SpO2 ≤ 93% on room air or PaO2/FiO2 ≤ 300 if on supplemental O2
  5. Positive HIV or positive Hepatitis Panel
  6. Treatment with any medications known to be strongly metabolized by CYP3A4 or CYP2D6
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
81 participants (estimated)

Study arms

  • Experimental
    Experimental: Multiple Ascending Dose Cohort 1

    Intervention: SLV213, 8 subjects will receive 200mg oral doses twice a day for seven consecutive days.

    Drug: SLV213

  • Placebo comparator
    Placebo Comparator: Multiple Ascending Dose Cohort 1

    Intervention: Placebo, 4 subjects will receive an equivalent number of oral doses twice a day for seven consecutive days.

    Drug: Placebo

  • Experimental
    Experimental: Multiple Ascending Dose Cohort 2

    Intervention: SLV213, 8 subjects will receive 400mg oral doses twice a day for seven consecutive days.

    Drug: SLV213

  • Placebo comparator
    Placebo Comparator: Multiple Ascending Dose Cohort 2

    Intervention: Placebo, 4 subjects will receive the equivalent number of oral doses twice a day for seven consecutive days.

    Drug: Placebo

  • Experimental
    Experimental: Multiple Ascending Dose Cohort 3

    Intervention: SLV213, 8 subjects will receive 800mg oral doses once a day for seven consecutive days.

    Drug: SLV213

  • Placebo comparator
    Placebo Comparator: Multiple Ascending Dose Cohort 3

    Intervention: Placebo, 4 subjects will receive the equivalent number of oral doses once a day for seven consecutive days.

    Drug: Placebo

  • Experimental
    Experimental: Multiple Ascending Dose Cohort 4

    Intervention: SLV213, 30 subjects will receive the MTD (200mg twice a day, 400mg twice a day or 800 mg once a day) oral doses for seven consecutive days.

    Drug: SLV213

  • Placebo comparator
    Placebo Comparator: Multiple Ascending Dose Cohort 4

    Intervention: Placebo, 15 subjects will receive the equivalent number of oral doses once a day or twice a day for seven consecutive days.

    Drug: Placebo

Interventions

  • DrugSLV213

    SLV213 oral capsule (200mg) BID

  • DrugSLV213

    SLV213 oral capsule (400mg) BID

  • DrugSLV213

    SLV213 oral capsule (800mg) QD

  • DrugPlacebo

    Placebo oral capsule (200mg) BID

  • DrugPlacebo

    Placebo oral capsule (400mg) BID

  • DrugPlacebo

    Placebo oral capsule (800mg) QD

06

What researchers measure

Primary outcomes

  1. Treatment-Emergent Adverse Events

    Proportion of participants experiencing any treatment-emergent adverse events judged possibly or probably related to study drug vs. placebo (drug-related adverse events as determined by abnormal clinical laboratory tests, vitals signs, blood pressure monitoring and collection (systolic, diastolic, pulse pressure, heart rate and mean arterial pressure), physical exam and ECG parameters).

    Time frame: 21 days following treatment end

Secondary outcomes

  1. COVID-19 Symptom Improvements

    Time from randomization to an improvement of two points (from the status at randomization) on the COVID19 symptom scale

    Time frame: 21 days following treatment end

  2. COVID-19 Symptom Resolution

    Time from randomization to resolution of COVID-19 clinical symptoms (e.g. fever, cough, shortness of breath, etc. as described below). Resolution defined as the start of the first 24-hour period when all symptoms are rated as mild or absent and have remained this way for 24 hours

    Time frame: 21 days following treatment end

  3. Negative SARC-CoV-2 Testing

    Time to two successive nasopharyngeal swabs negative for SARS-CoV-2 by PCR testing

    Time frame: Through Day 8

  4. SARS-CoV-2 Viral Load Change

    Change in SARS-CoV-2 viral load measured in plasma samples (e.g., change in the slope of the SARS-CoV-2 log viral load assessed at baseline and Day 8)

    Time frame: Baseline and Day 8

  5. SpO2/FiO2 Ratio Change

    Change in SpO2 (partial pressure of oxygen) / FiO2 (fraction of inspired oxygen, FiO2) ratio (or P/F ratio) assessed at baseline then day 7

    Time frame: Baseline and Day 7

  6. Oxygen Support

    Number of days without oxygen by non-invasive ventilation/high flow nasal cannula or need for mechanical ventilation

    Time frame: 21 days following treatment end

  7. Hospitalization

    Proportion of subjects requiring hospitalization

    Time frame: 21 days following treatment end

  8. COVID-19 Related Death

    Proportion of subjects dying of COVID-19 related causes

    Time frame: 21 days following treatment end

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04843787
Lead sponsor
Kenneth Krantz, MD, PhD
Collaborators
FHI Clinical, Inc.
Responsible party
Kenneth Krantz, MD, PhD (Chief Medical Officer, Selva Therapeutics, Inc.) — Sponsor-investigator
First posted
Apr 14, 2021
Start date
Nov 1, 2023 (estimated)
Primary completion
Jun 1, 2024 (estimated)
Completion
Jul 1, 2024 (estimated)
Last update
Apr 12, 2023

Study contacts

Julia Ortega
Contact
jortega@selvarx.com
+1 (240) 498-0176

Oversight

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

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This study is status unknown, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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