ClinicalTrials.gg
RecruitingNCT07633288RESPIREUpdated Jul 28, 2026

A Clinical Trial Evaluating the Safety and Efficacy of AP1189 Versus Placebo as an add-on to Standard of Care in Participants With Respiratory Insufficiency Expected to be Caused by Infection With Respiratory Viruses

A Phase 2 interventional study of AP1189, 100 mg and Placebo in Respiratory Viral Infection, sponsored by SynAct Pharma Aps. Recruiting at 11 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by SynAct Pharma Aps · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A clinical study to evaluate the efficacy and safety of once daily oral dosing of 100 mg AP1189 or placebo administered for 14 days, as an add-on to standard of care (SOC) in participants with respiratory insufficiency expected to be caused by respiratory viral infection.

Read the detailed description

The purpose of the trial is to evaluate the efficacy and safety 14 days daily treatment of oral AP1189 at a dose or 100 mg as an add-on to SOC treatment.

The aim is to have 96 participants randomized and completing the study. They will be randomized in a 1:1 ratio to one of the following two groups:

  • Group A (48 participants): AP1189 tablets 100 mg, once daily for 14 days as an add-on to SOC
  • Group B (48 participants): placebo tablets once daily for 14 days as an add-on to SOC.
02

Conditions studied

  • Respiratory Viral Infection

Browse trials for

Keywords

  • Influenza
  • Respiratory Syncytial virus,
  • Corona virus
03

In context

Influenza, Human

2,356 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.

This study's planned enrollment of 96 is below the median of 227 across 1,957 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

SynAct Pharma Aps is the lead sponsor of 6 studies on the registry; 3 are 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

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

  • Written has been obtained prior to initiating any study-specific procedures
  • Expected respiratory viral infection, and positive for either SARS-COV-2, Influenza A or B, or RSV as confirmed by a bedside LAF test, qualitative PCR, or quantitative PCR (Q-PCR).
  • Hospitalized with respiratory insufficiency expected to be caused by respiratory viral infection defined by SpO2 ≤ 93 % on ambient air or supplementary oxygen supply via nasal catheter or facial mask (WHO Clinical Progression Scale score 5 or 6). Or in participants with hypercapnic respiratory failure (usually due to ) the SpO2 threshold is SpO2 ≤ 85 %.
  • Duration of disease from first symptom\< 15 days before enrolment
  • Females of using reliable means of or are or are surgically sterilized
  • Females of childbearing potential with a negative pregnancy test at screening and baseline
  • As the morbidity and mortality of respiratory infections are many fold increased in vulnerable participants, vulnerable participants are not excluded but included as subgroups.
  • Screened within 24 hours of hospital admission to the hospital, or within 24 hours of receiving a patient, if the patient is transferred from another hospital or another hospital department due to respiratory distress

Exclusion criteria

Exclusion Criteria:

  • In the investigator's opinion, progression to death is imminent and inevitable irrespective of the provision of treatment
  • Already meeting any component of the primary composite endpoint at screening, defined as the presence of any of the following: invasive mechanical ventilation, ECMO, cardiovascular organ support (balloon pump or inotropes/vasopressors), or renal failure ( estimated creatinine clearance \<15 ml/min, haemofiltration or dialysis). Note: participants qualifying under inclusion criterion 8b (pre-existing renal insufficiency or dialysis) are excluded only if they meet any of the other criteria (invasive mechanical ventilation, ECMO, or cardiovascular organ support). Participants who are physically located in an ICU or HDU but do not meet the above physiological criteria are not excluded on that basis alone.
  • Participating in other drug clinical trials
  • Any condition that in the view of the screening physician would suggest that the participant is unable to comply with study protocol and procedures
  • Participants who have initiated treatment within 3 months prior to screening with or immunomodulatory treatments for chronic diseases. Administration of or other immunosuppressive medicines implemented as standard-of-care for the treatment of the respiratory viral infection is acceptable. Asthma/ participants are allowed to use their habitual inhalation spray containing adrenocortical hormone.
  • Pregnant women or nursing (breastfeeding) mothers
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

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

Study arms

  • Experimental
    AP1189, 100 mg

    AP1189 tablet for oral use

    Drug: AP1189, 100 mg

  • Experimental
    AP1189 matching placebo

    AP1189 tablet for oral use

    Drug: Placebo

Interventions

  • 14 days of daily treatment of oral AP1189 100 mg as add-on to Standard of Care treatment

  • DrugPlacebo

    14 days of daily treatment of AP1189 matching placebo as add-on to Standard of Care treatment

06

What researchers measure

Primary outcomes

  1. Number of participants meeting the composite endpoint, consisting of either death, invasive mechanical ventilation, ECMO, cardiovascular organ support, new occurrences of renal failure, hemofiltration or dialysis from baseline to day 28

    Time frame: 28 days

07

Study locations

10 of 11 sites recruiting
  • University Clinical Hospital Mostar, Clinic for Infectious Diseases
    Mostar, Herzegovina-Neretva Canton 88000, Bosnia and Herzegovina
    Recruiting
  • University Clinical Center Republic of Srpska, Clinic for Infectious Diseases
    Banja Luka, Republika Srpska 78000, Bosnia and Herzegovina
    Recruiting
  • University Clinical Centre Sarajevo, Clinic for Infectious Diseases
    Sarajevo, Sarajevo Canton 71000, Bosnia and Herzegovina
    Recruiting
  • Clinical Center of Montenegro, Clinic for Infectious Diseases
    Podgorica, Podgorica Municipality 81000, Montenegro
    Recruiting
  • Te Toka Tumai Auckland, Auckland City Hospital
    Auckland, 1023, New Zealand
    Recruiting
    • Tom Hills, Dr. · Contact
  • Aotearoa Clinical Trial Trust, Esme Green Building, Middlemore Hospital
    Auckland, 2025, New Zealand
    Recruiting
    • Michael Borrie, Dr. · Contact
  • Christchurch Hospital, 2 Riccarton Avenue,
    Christchurch, 8011, New Zealand
    Not yet recruiting
    • Seton Henderson, Dr. · Contact
  • MRINZ, 7 CSB Building, Wellington Hospital
    Wellington, 6021, New Zealand
    Recruiting
    • Max Bloomfield, Dr. · Contact
  • University Clinical Centre Nis, Clinic for Infectious Diseases
    Niš, Nišava District 18000, Serbia
    Recruiting
  • Health Center Uzice, General Hospital Uzice
    Užice, Zlatibor District 31000, Serbia
    Recruiting
  • University Clinical Centre of Serbia, Clinic for Infectious Diseases
    Belgrade, 11000, Serbia
    Recruiting
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 Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07633288
Lead sponsor
SynAct Pharma Aps
Responsible party
Sponsor
First posted
Jun 8, 2026
Start date
May 1, 2026
Primary completion
Aug 1, 2027 (estimated)
Completion
Aug 1, 2027 (estimated)
Last update
Jul 28, 2026

Study contacts

Thomas Jonassen, MD
Contact
tj@synactpharma.com
+45 4015 6669

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Resomelagon acetate

Start the discussion