COVID-19 Long-Haulers Study

Inclusion Criteria:

1. Male or female adult ≥ 18 years of age at time of enrollment.

2. Prior confirmed COVID-19 diagnosis by standard RT-PCR assay or equivalent testing

3. Clinical Symptom Score of ≥6 AND at least two symptoms of moderate or higher severity
as listed below at the time of Screening and currently experiencing two or more of the
following symptoms consistent with COVID-19 infection for a prolonged period of time
(>12 weeks).

Clinical symptoms include the following:

- Respiratory symptoms such as cough, sore throat, stuffy or runny nose, shortness
of breath (difficulty breathing), tightness of chest.

- Neurological symptoms such as difficulty in concentration (brain fog), sleep
disturbance/insomnia, headache, dizziness, anxiety, tingling or numbness, loss of
sense of smell or taste.

- Cardiovascular and Gastrointestinal symptoms such as feeling of fast heartbeat,
nausea, vomiting, diarrhea.

- Musculoskeletal symptoms such as muscle aches/cramps, muscle weakness, joint
pain/swelling.

- General immune response symptoms such as fatigue (low energy or tiredness),
chills or shivering, feeling hot or feverish, or exertional malaise (feeling of
discomfort, illness, or lack of well-being after physical activity or mental
stress).

Note: Clinical Symptom Score is obtained from the patient diary (refer to Appendix 1
for scoring instructions).

4. Electrocardiogram (ECG) with no clinically significant findings as assessed by the
Investigator.

Note: Below are the examples of clinically significant and non-clinically significant
ECG abnormalities:

- ECG findings indicative of acute myocardial infarction or acute ischemic changes
would be considered clinically significant abnormalities.

- ECG finding such as atrial fibrillation, atrial flutter, paced rhythms in
individuals who have undergone permanent pacemaker placement, evidence of prior
infarction, unchanged stable conduction abnormalities e.g. right bundle branch
block, or any other finding which does not significantly impact mortality would
be considered non-clinically significant findings and subjects with these
abnormal findings would be allowed to enroll in the study.

5. Subject (or legally authorized representative) provides written informed consent prior
to initiation of any study procedures.

6. Men and women of childbearing potential and their partner must agree to use two
medically accepted methods of contraception (e.g., barrier contraceptives [male
condom, female condom, or diaphragm with a spermicidal gel], hormonal contraceptives
[implants, injectables, combination oral contraceptives, transdermal patches, or
contraceptive rings], or one of the following methods of birth control (intrauterine
devices, bilateral tubal occlusion, or vasectomy) or must practice complete sexual
abstinence for the duration of the study (excluding women who are not of childbearing
potential and men who have been sterilized).

7. Females of child-bearing potential must have a negative urine pregnancy test at
Screening Visit and prior to receiving the first dose of study drug; and Male
participants must agree to use contraception and refrain from donating sperm for at
least 90 days after the last dose of study intervention.

8. Subject is willing and able to comply with scheduled visits, drug administration plan,
laboratory tests, other study procedures and study restrictions

Exclusion Criteria:

1. Exhibiting signs of moderate or severe pulmonary disease (such as COPD, asthma, or
pulmonary fibrosis)

2. Ongoing requirement of oxygen therapy

3. Pulse oxygen saturation (SpO2) of <94% on room air at the time of screening

4. History of splenectomy

5. Liver cirrhosis or patient showing signs of clinical jaundice at the time of screening

6. Chronic kidney disease stage 4 or requiring dialysis at the time of screening

7. NYHA Class III or IV congestive heart failure (CHF)

8. Exhibiting signs of uncontrolled hypo-or hyper- thyroidism at the time of Screening

9. Uncontrolled rheumatologic disorders at the time of screening

10. History of organ transplantation or are candidates for organ transplantation at the
time of screening

11. History of Chronic Fatigue Syndrome prior to COVID-19 infection

12. History of fibromyalgia prior to COVID-19 infection

13. History of major psychiatric disorder including bipolar disorders, schizophrenia,
schizoaffective disorder, major depression. Patients with major depression can be
enrolled if patient has had no episode within the past year or is considered in
remission or controlled by treatment.

14. Any malignancy within the past 5 years, excluding successfully treated basal cell
carcinoma or squamous cell carcinoma without evidence of metastases.

15. Any other clinically significant serious systemic diseases which would interfere with
study conduct or study results interpretation per the Investigator.

16. Treatment with immunosuppressive or immunomodulatory medications within 5 half-lives
prior to screening. Patients on replacement therapy for adrenal insufficiency will be
allowed. Patients on stable (> 3 months) low dose corticosteroid ≤ 5 mg Prednisone
will be allowed.

17. History of allergic reactions attributed to compounds of similar chemical or biologic
composition to leronlimab (PRO 140) are not eligible

18. Ongoing use of CCR5 antagonist

19. Inability to provide informed consent or to comply with test requirements

20. Consideration by the investigator, for safety reasons, that the subject is an
unsuitable candidate to receive study treatment

21. Pregnancy or breast feeding

22. Participating in another study for an investigational treatment