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TerminatedNCT05293236Updated Aug 7, 2023

ApTOLL for the Treatment of COVID-19

A Phase 1 interventional study of ApTOLL and Saline in COVID-19, sponsored by Macarena Hernández Jiménez. Terminated at 4 sites in Spain. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2023-08-07.

Sponsored by Macarena Hernández Jiménez · Phase 1, Interventional, and Treatment

Why this study was terminated
Lack of patients due to reduced incidence in the COVID-19 infected population in Spain
Phase
Phase 1
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
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Study summary

There is a clear and urgent medical need of developing new medicinal products for COVID-19 since there are poor pharmacological tools to block the progression of patients to cytokine storm syndrome (CSS). To this aim, this Phase Ib clinical study (APTACOVID) pretends to determine whether ApTOLL, in combination with the standard of care, is safe and shows any biological effect) in those patients infected with SARS-CoV-2 who are not developed CSS yet.

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Conditions studied

  • COVID-19

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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 5 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

This is the only study on the registry with Macarena Hernández Jiménez as lead sponsor.

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

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Who can participate

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

Inclusion criteria

  1. Men or women with age ≥18 and ≤85 years.
  2. In case of women of childbearing potential (WOCBP), they should confirm menstrual period and a negative highly sensitive urine or serum pregnancy test to be included.
  3. Laboratory-confirmed SARS-CoV-2 infection.
  4. Informed consent obtained .
  5. Hypoxia (SpO2\<95%).
  6. Documented lung opacities/infiltrates.
  7. Confirmed hyperinflammation.

Exclusion criteria

Exclusion Criteria:

  1. Onset of symptoms of COVID-19 >14 days.
  2. Pregnant or nursing (lactating) women.
  3. Hospitalized >10 days for COVID-19.
  4. Need of high concentration non-rebreather mask, high-flow nasal cannula , non-invasive mechanical ventilation or invasive mechanical ventilation.
  5. Systolic blood pressure \< 90 mmHg.
  6. Serious concomitant illness.
  7. Recent treatment with cell-depleting therapies.
  8. Enrolled in another clinical trial.
  9. Severe renal dysfunction.
  10. In the opinion of the investigator, unable to comply with the requirements to participate in the study.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
5 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Nine COVID-19 patients (three from each treatment-group) treated with saline intravenous infusion

    Other: Saline

  • Experimental
    Dose 1

    Seven COVID-19 patients treated with ApTOLL (0.05mg/kg) intravenous infusion

    Drug: ApTOLL

  • Experimental
    Dose 2

    Seven COVID-19 patients treated with ApTOLL (0.1mg/kg) intravenous infusion

    Drug: ApTOLL

  • Experimental
    Dose 3

    Seven COVID-19 patients treated with ApTOLL (0.2mg/kg) intravenous infusion

    Drug: ApTOLL

Interventions

  • DrugApTOLL

    ApTOLL is an aptamer (DNA single strain) designed to block TLR4 (toll-like receptor 4)

  • OtherSaline

    Saline for intravenous infusion

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What researchers measure

Primary outcomes

  1. Incidence of Death

    Number of dead patients at the end of the study

    Time frame: From dosing to day 28 after administration

  2. Incidence of Adverse Events as assessed by MedDRA

    Adverse events that occur during the study

    Time frame: From dosing to day 28 after administration

  3. Number of patients with treatment-related alterations coagulation parameters

    Protrombine Time (PT) and activated Partial Tromboplastine Time (aPTT)

    Time frame: From dosing to day 28 after administration

  4. Number of patients with treatment-related alterations Complement Factors

    Complement activation determined in blood

    Time frame: From dosing to day 28 after administration

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Study locations

4 sites
  • Hospital Universitario de Burgos
    Burgos, Spain
  • Hospital Universitario Clínico San Carlos
    Madrid, Spain
  • Hospital Universitario La Princesa
    Madrid, Spain
  • Hospital Universitario Ramón y Cajal
    Madrid, Spain
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References and documents

Related links

Individual participant data

Plan to share: Undecided — We have not planned this point yet

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05293236
Lead sponsor
Macarena Hernández Jiménez
Collaborators
Centro para el Desarrollo Tecnológico Industrial
Responsible party
Macarena Hernández Jiménez (PhD, aptaTargets S.L.) — Sponsor-investigator
First posted
Mar 24, 2022
Start date
Jan 14, 2022
Primary completion
Dec 31, 2022
Completion
Dec 31, 2022
Last update
Aug 7, 2023

Study contacts

Macarena Hernández, PhD
study director · aptaTargets S.L.
Sergio Serrano, MD
principal investigator · Hospital Universitario Ramón y Cajal
Ignacio Santos, MD
principal investigator · Hospital Universitario La Princesa
Marc Ribó, MD, PhD
study director · aptaTargets S.L.

Oversight

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

Not currently enrolling

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

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