A phase 2/3, randomized, double blind, placebo-controlled study to evaluate the efficacy and the safety of ABX464 in treating inflammation and preventing acute respiratory failure in patients aged ≥65 and patients aged ≥18 with at least one additional risk factor who are infected with SARS-CoV-2 (the MiR-AGE study).
This phase 2/3 study will evaluate the efficacy and safety of ABX464 50mg QD (oral capsule),
on treating inflammation and preventing acute respiratory failure in patients infected with
SARS-CoV-2.
Eligible patients will be randomized according to a 2:1 ratio into 2 treatment cohorts as
follows:
- Standard of Care + Placebo cohort: 344 patients
- Standard of Care + ABX464 50mg QD: 690 patients
Study design:
The study will consist of 2 periods:
- Treatment phase: randomized patients will be treated for 28 days
- Safety follow-up phase of 14 days after which the End of Study visit (EOS) will be
performed.
Drug: ABX464
ABX464 50mg QD for 28 days + Standard of Care
Drug: Placebo
Placebo 50mg QD for 28 days + Standard of Care
Inclusion Criteria:
1. Adult (≥ 18 years old) men or women, hospitalized or not hospitalized, diagnosed for
SARS-CoV-2 infection by PCR, with at least one associated risk factor. Considered risk
factors are:
- Age ≥ 65 years
- Obesity defined as BMI ≥ 30
- Recent history of uncontrolled High Blood Pressure (SBP > 150 mm Hg DBP >100 mm
Hg) according to investigator
- Treated diabetes (type I or II)
- History of ischemic cardiovascular disease
2. Symptomatic patients at enrollment. Symptoms are defined as fever (body temperature ≥
37.8 C oral/tympanic, or ≥ 38.2 C rectal) for more than 24 hours associated either
with headache, sore throat, dry cough, fatigue, chest pain or choking sensation (with
no associated respiratory distress), myalgia, anosmia or ageusia.
3. Patients with pulse oximetry arterial saturation ≥ 92 % on room air at enrolment.
4. Patients with the following hematological and biochemical laboratory parameters
obtained within 7 days prior to Day 0:
- Hemoglobin above 9.0 g / dL
- Absolute Neutrophil Count ≥ 1000 / mm3
- Platelets ≥ 100 000 mm3;
- Creatinine clearance ≥ 50 mL / min by the Cockcroft Gault formula
- Total serum bilirubin < 2 x ULN
- Alkaline phosphatase < 2 x ULN, AST (SGOT) and ALT (SGPT) < 3 x ULN;
Exclusion Criteria:
1. Patients with moderate or severe acute respiratory failure or requiring noninvasive
ventilation or oxygen or with SpO2 < 92% or tachypnea (respiratory rate ≥ 30
breaths/min).
2. Patients treated with immunosuppressors and/or immunomodulators.
3. Engrafted patients (organ and/or hematopoietic stem cells).
4. Patients with uncontrolled auto-immune disease.
5. Patients with known or suspected active (i.e. not controlled) bacterial, viral
(excluding COVID-19) or fungal infections.
6. Patients with preexisting, severe and not controlled organ failure.
7. History or active malignancy requiring chemotherapy or radiation therapy (excluding 2
years disease free survivor patients).
8. Pregnant or breast-feeding women.
9. Illicit drug or alcohol abuse or dependence that may compromise the patient's safety
or adherence to the study protocol.
10. Use of any investigational or non-registered product within 3 months or within 5
half-lives preceding baseline, whichever is longer.
11. Hypersensitivity to ABX464 and/or its excipients.
12. Any condition, which in the opinion of the investigator, could compromise the
patient's safety or adherence to the study protocol.
Centre hospitalier Saint Pierre
Brussels, Belgium
Hôpital Erasme
Brussels, Belgium
UZ Gent
Gent, Belgium
Fundacao de Medicina Tropical Doutor Heitor Vieira Dourado - Instituto de Pesquisa Clínica Carlos Borborema
Manaus, Amazonas, Brazil
Centro Oncológico de Roraima - CECOR - NAP
Boa Vista, Roraima, Brazil
Hospital das Clinicas da FMUSP
São Paulo, Sao Paulo, Brazil
Instituto Nacional de Infectologia Evandro Chagas - FIOCRUZ Rio de Janeiro
Rio De Janeiro, Brazil
Conjunto Hospitalar do Mandaqui
Sao Paulo, Brazil
Hôpital Nord
Amiens, France
Centre Hospitalier Départemental de Vendée
La Roche-sur-Yon, France
Centre Hospitalier Universitaire de Nice
Nice, France
Hôpital Saint-Antoine
Paris, France
Universitätsmedizin Mannheim Ruprecht-Karls-Universität Heid
Mannheim, Baden-Württemberg, Germany
Universitätsklinikum Bonn
Bonn, Nordrhein-Westfalen, Germany
Asklepios Klinik St. Georg
Hamburg, Germany
Asklepios Klinik Altona
Hamburg, Germany
Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico - Infectious Diseases
Milano, Lombardia, Italy
Ospedale San Paolo
Milano, Lombardia, Italy
Ospedale Luigi Sacco, AO-PU
Milano, Lombardia, Italy
Ospedale di Vittorio Veneto - Medecina generale
Vittorio Veneto, Treviso, Italy
Ospedale A. Manzonidi Lecco - ASST Lecco
Lecco, Italy
Ospedale Niguarda
Milano, Italy
Consultorio médico
Mérida, Yucatan, Mexico
Centro de Prevención y Rehabilitación de Enfermedades Pulmon
Nuevo León, Mexico
Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, Spain
H.G.U. Alicante
Alicante, Spain
Hospital del Mar
Barcelona, Spain
Hospital de La Princesa
Madrid, Spain
Hospital Universitario Infanta Leonor
Madrid, Spain
Royal Free Hospital
London, United Kingdom
Eric CUA, MD, Principal Investigator
Centre Hospitalier Universitaire de Nice