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CompletedNCT04978051ICAT·COVIDUpdated Aug 3, 2022

Investigating the Efficacy and Safety ICATIBANT For The Treatment of Patients With SARS-CoV-2 (COVID-19) Infection

A Phase 2 interventional study of Firazyr and SoC in COVID-19 Pneumonia, sponsored by Sebastian Videla. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-03.

Sponsored by Sebastian Videla · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
73
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To study the efficacy and safety of icatibant in adult patients admitted to hospitalization units for pneumonia caused by COVID-19, without mechanical ventilation, 10±1 days after starting treatment or discharge from hospital if this occurs before 10 days.

02

Conditions studied

  • COVID-19 Pneumonia

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Keywords

  • icatibant
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 73 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Sebastian Videla is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

Inclusion criteria

  1. adult patients (18 years or older), both sexes
  2. Sars-CoV-2 infection confirmed by PCR less than 4 days before randomization
  3. hospitalized with a diagnosis of SARS-CoV-2 pneumonia
  4. radiographic evidence of pulmonary infiltrates
  5. grade 4 or 5 on the ordinal scale for the evaluation of the patient's clinical condition
  6. pO2/FiO2 \<380
  7. men and women of childbearing age who have heterosexual relations must be agreement to use the safe method(s) of contraception
  8. obtaining the informed consent of the patient or the legal representative.

Exclusion criteria

Exclusion Criteria:

  1. imminent death (life expectancy less than 72h)
  2. known hypersensitivity or known adverse reactions to the study drug, or its metabolites or excipients of the formulation
  3. invasive mechanical ventilation
  4. participation in any other clinical trial
  5. ALT or AST > 5 x ULN
  6. creatinine clearance \<50 mL/min using the Cockcroft-Gault formula for participants '18 years old [Cockcroft 1976]
  7. patients with recent acute coronary syndrome (\<1 month)
  8. patients with a history of stroke
  9. positive pregnancy test
  10. pregnant or lactating woman
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
73 participants (actual)

Study arms

  • Active comparator
    Standard of Care (SoC)

    Other: SoC

  • Experimental
    SoC + Icatibant

    Drug: Firazyr · Other: SoC

Interventions

  • DrugFirazyr

    Icatibant 10 MG/ML Prefilled Syringe

  • OtherSoC

    The SoC could include respiratory support measures, fluid therapy, antipyretic treatment, postural measures, low-molecular-weight-heparins, corticosteroids, such as dexamethasone, remdesivir and other therapeutic options

06

What researchers measure

Primary outcomes

  1. Efficacy of experimental treatment

    Number of patients reaching grade 2 (inpatient, no longer requiring supplemental oxygen and no longer requiring care or grade 1 (hospital discharge) of the ordinal scale of the clinical state of the patient for 48 hours.

    Time frame: up to 10 days

  2. Safety of experimental treatment

    Number of patients without an adverse reaction scoring 3, 4 or 5 according to the Criteria of Adverse Event Terminology (CTC-AE).

    Time frame: up to 10 days

Secondary outcomes

  1. Long-term efficacy

    Number (percentage) of patients who reach grade 2 or grade 1 during the 10 days of to have initiated treatment.

    Time frame: up to 10 days

  2. Time to achive a clinical response

    period time (days) between visit 1 (treatment start visit) and the day of gathering sustained 48-hour grade 2, grade 1 or grade 0 classification on the WHO 8-point ordinal scale for clinical status assessment The patient must be discharged from the hospital by the 28th day without a relapse or comorbidity related to COVID-19

    Time frame: up to 40 days

  3. Time to achive an afebrile state

    period time (days) to reach a 48-hour sustained afebrile state (i.e., body temperature ≤ 37.5ºC) without antipyretic medication.

    Time frame: up to 40 days

  4. time from symptom onset to treatment

    period time (days) between the first COVID-19-related symptom and visit 1 (treatment start visit).

    Time frame: up to day 1

  5. Responders

    Number (percentage) of patients considered as responders based on National Early Warning Score 2 (NEWS 2)

    Time frame: up to 40 days

  6. COVID-19 related relapse

    number (and percentage) of patients discharged who presents any COVID-19-related relapse or comorbidity

    Time frame: up to 40 days

  7. Patients with Adverse Events

    number of patients with Any Adverse Events

    Time frame: up to 40 days

  8. Adverse Events

    Number of Adverse Events

    Time frame: up to 40 days

  9. Serious Adverse Events

    Number of Serious Adverse Events

    Time frame: up to 40 days

  10. Overall mortality

    number of patients who died

    Time frame: up to 40 days

  11. COVID-19 related mortality

    number of patients who died due to COVID-19

    Time frame: up to 40 days

  12. Time until death

    number of days from visit 1 until death

    Time frame: up to 40 days

  13. COVID-19-related complications

    number of patients who had any COVID-19 related complications

    Time frame: up to 40 days

  14. Patients requiring intensive care

    number of patients who require intensive care

    Time frame: up to 40 days

  15. patients requiring intensive care and invasive mechanical ventilation

    number of patients who require intensive care and invasive mechanical ventilation

    Time frame: up to 40 days

  16. patients requiring oxygen supplementation

    number of patients who require oxygen supplementation from hospital discharge up until visit 7

    Time frame: up to 40 days

  17. Patients with nonsocomial infection

    number (and percentage) of patients diagnosed with another nosocomial infection

    Time frame: up to 40 days

  18. Rehospitalizations

    number (and percentage) of patients who requires hospital readmission within 28 (± 3) days from hospital discharge

    Time frame: up to 40 days

07

Study locations

1 site
  • Hospital Universitari de Bellvitge
    L'Hospitalet De Llobregat, Catalonia 08907, Spain
08

References and documents

Publications

  • Bova M, Guilarte M, Sala-Cunill A, Borrelli P, Rizzelli GM, Zanichelli A. Treatment of ACEI-related angioedema with icatibant: a case series. Intern Emerg Med. 2015 Apr;10(3):345-50. doi: 10.1007/s11739-015-1205-9. Epub 2015 Feb 10. PubMed 25666515 ↗
  • Busse PJ, Christiansen SC. Hereditary Angioedema. N Engl J Med. 2020 Mar 19;382(12):1136-1148. doi: 10.1056/NEJMra1808012. No abstract available. PubMed 32187470 ↗
  • Bygum A, Caballero T, Grumach AS, Longhurst HJ, Bouillet L, Aberer W, Zanichelli A, Botha J, Andresen I, Maurer M; IOS Study Group. Elderly versus younger patients with hereditary angioedema type I/II: patient characteristics and safety analysis from the Icatibant Outcome Survey. Clin Transl Allergy. 2019 Jul 19;9:37. doi: 10.1186/s13601-019-0272-9. eCollection 2019. PubMed 31360439 ↗
  • Cicardi M, Banerji A, Bracho F, Malbran A, Rosenkranz B, Riedl M, Bork K, Lumry W, Aberer W, Bier H, Bas M, Greve J, Hoffmann TK, Farkas H, Reshef A, Ritchie B, Yang W, Grabbe J, Kivity S, Kreuz W, Levy RJ, Luger T, Obtulowicz K, Schmid-Grendelmeier P, Bull C, Sitkauskiene B, Smith WB, Toubi E, Werner S, Anne S, Bjorkander J, Bouillet L, Cillari E, Hurewitz D, Jacobson KW, Katelaris CH, Maurer M, Merk H, Bernstein JA, Feighery C, Floccard B, Gleich G, Hebert J, Kaatz M, Keith P, Kirkpatrick CH, Langton D, Martin L, Pichler C, Resnick D, Wombolt D, Fernandez Romero DS, Zanichelli A, Arcoleo F, Knolle J, Kravec I, Dong L, Zimmermann J, Rosen K, Fan WT. Icatibant, a new bradykinin-receptor antagonist, in hereditary angioedema. N Engl J Med. 2010 Aug 5;363(6):532-41. doi: 10.1056/NEJMoa0906393. Erratum In: N Engl J Med. 2010 Oct 7;363(15):1486. PubMed 20818888 ↗
  • Cockcroft DW, Gault MH. Prediction of creatinine clearance from serum creatinine. Nephron. 1976;16(1):31-41. doi: 10.1159/000180580. PubMed 1244564 ↗
  • Yang G, Tan Z, Zhou L, Yang M, Peng L, Liu J, Cai J, Yang R, Han J, Huang Y, He S. Effects of Angiotensin II Receptor Blockers and ACE (Angiotensin-Converting Enzyme) Inhibitors on Virus Infection, Inflammatory Status, and Clinical Outcomes in Patients With COVID-19 and Hypertension: A Single-Center Retrospective Study. Hypertension. 2020 Jul;76(1):51-58. doi: 10.1161/HYPERTENSIONAHA.120.15143. Epub 2020 Apr 29. PubMed 32348166 ↗
  • Hess R, Wujak L, Hesse C, Sewald K, Jonigk D, Warnecke G, Fieguth HG, de Maat S, Maas C, Bonella F, Preissner KT, Weiss B, Schaefer L, Kuebler WM, Markart P, Wygrecka M. Coagulation factor XII regulates inflammatory responses in human lungs. Thromb Haemost. 2017 Oct 5;117(10):1896-1907. doi: 10.1160/TH16-12-0904. Epub 2017 Aug 17. PubMed 28816340 ↗
  • Leach JK, Spencer K, Mascelli M, McCauley TG. Pharmacokinetics of single and repeat doses of icatibant. Clin Pharmacol Drug Dev. 2015 Mar;4(2):105-11. doi: 10.1002/cpdd.138. Epub 2015 Feb 2. PubMed 27128215 ↗
  • Siddiqi HK, Mehra MR. COVID-19 illness in native and immunosuppressed states: A clinical-therapeutic staging proposal. J Heart Lung Transplant. 2020 May;39(5):405-407. doi: 10.1016/j.healun.2020.03.012. Epub 2020 Mar 20. No abstract available. PubMed 32362390 ↗
  • Van De Veerdonk FL, Netea MG, van Deuren M, van der Meer JWM, de Mast Q, Brüggemann RJ, van der Hoeven H. Kinins and cytokines in COVID-19: a comprehensive pathophysiological approach. 10.20944/preprints202004.0023.v1.
  • Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP, Fang C, Huang D, Huang LQ, Huang Q, Han Y, Hu B, Hu F, Li BH, Li YR, Liang K, Lin LK, Luo LS, Ma J, Ma LL, Peng ZY, Pan YB, Pan ZY, Ren XQ, Sun HM, Wang Y, Wang YY, Weng H, Wei CJ, Wu DF, Xia J, Xiong Y, Xu HB, Yao XM, Yuan YF, Ye TS, Zhang XC, Zhang YW, Zhang YG, Zhang HM, Zhao Y, Zhao MJ, Zi H, Zeng XT, Wang YY, Wang XH; , for the Zhongnan Hospital of Wuhan University Novel Coronavirus Management and Research Team, Evidence-Based Medicine Chapter of China International Exchange and Promotive Association for Medical and Health Care (CPAM). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Mil Med Res. 2020 Feb 6;7(1):4. doi: 10.1186/s40779-020-0233-6. PubMed 32029004 ↗
  • Zanichelli A, Maurer M, Aberer W, Caballero T, Longhurst HJ, Bouillet L, Fabien V, Andresen I; IOS Study Group. Long-term safety of icatibant treatment of patients with angioedema in real-world clinical practice. Allergy. 2017 Jun;72(6):994-998. doi: 10.1111/all.13103. Epub 2017 Mar 13. Erratum In: Allergy. 2018 Sep;73(9):1929. doi: 10.1111/all.13259. PubMed 27926986 ↗
  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24. PubMed 31978945 ↗
  • Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11. Erratum In: Lancet. 2020 Mar 28;395(10229):1038. doi: 10.1016/S0140-6736(20)30606-1. Lancet. 2020 Mar 28;395(10229):1038. doi: 10.1016/S0140-6736(20)30638-3. PubMed 32171076 ↗
  • Malchair P, Otero A, Giol J, Solanich X, Carnaval T, Fernandez-Nistal A, Sanchez-Gabriel A, Montoto C, Lleonart R, Videla S; ICAT-COVID team. A multicenter, open-label, randomized, proof-of-concept phase II clinical trial to assess the efficacy and safety of icatibant in patients infected with SARS-CoV-2 (COVID-19) and admitted to hospital units without invasive mechanical ventilation: study protocol (ICAT-COVID). Trials. 2022 Apr 12;23(1):303. doi: 10.1186/s13063-022-06219-7. PubMed 35413921 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04978051
Lead sponsor
Sebastian Videla
Responsible party
Sebastian Videla (Head of the Clinical Research Support Unit, Hospital Universitari de Bellvitge) — Sponsor-investigator
First posted
Jul 27, 2021
Start date
Apr 12, 2021
Primary completion
Nov 30, 2021
Completion
Mar 17, 2022
Last update
Aug 3, 2022

Oversight

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

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