The purpose of this study is to determine whether XPro1595 can prevent the progression of respiratory complications in COVID19 patients.
The trial is a Phase 2, double-blind, randomized, placebo-controlled clinical trial of INB03
in participants with pulmonary complications due to COVID-19 infection.
Patients with COVID-19 infection and low blood oxygen levels with at least one high risk
factor (see below) are eligible to participate in a 40-day study to determine whether INB03
can prevent the progression of pulmonary complications.
Eligible participants will be randomized (1:1) to receive either INB03 + standard of care
(SOC) or Placebo + SOC. Participants randomized to INB03 + SOC will receive a 1mg/kg
injection of INB03 after randomization. Patients that remain in the hospital 7 days after the
first dose will receive a second dose. A final safety visit will occur on Day 70.
Drug: INB03
Patients will receive up to two once per week subcutaneous injections of 1mg/kg INB03
Other Name: DN-TNF, XPro1595, XENP345, Quellor
Drug: Placebo
Patients will receive up to two once per week subcutaneous injections of Placebo
Inclusion Criteria:
1. Have one or more of the following comorbidities:
1. Age ≥ 65 years;
2. Obesity (BMI ≥ 30);
3. Hypertension (on one or more drugs for treatment of hypertension);
4. Diabetes (on one or more drugs for Type I or Type II diabetes);
5. Cardiovascular disease (on one or more drugs for treatment of cardiovascular
disease, other than aspirin);
6. History of congestive heart failure (CHF) or myocardial infarction (MI);
7. Black or African-American race (at least one parent identifies as Black or
African-American);
8. Hispanic or Latino ethnicity.
2. Have a positive COVID-19 test in the last 28 days;
3. Have room air SaO2 < 96%, or SpO2 < 96% on room air at sea level, or PaO2/FiO2 < 300;
4. Have abnormal chest X-ray, MRI or CT scan consistent with pulmonary complications from
COVID-19;
5. Provide written informed consent prior to any study related procedures being
performed.
Exclusion Criteria:
Participants will be excluded from the study if 1 or more of the following criteria are
applicable at Screening:
1. Age < 18 years;
2. Require immediate intubation due to advanced respiratory failure - including
continuous positive airway pressure (CPAP) and bi-level positive airway pressure
(BIPAP);
3. Require immediate admission to an Intensive Care Unit (ICU) for any reason;
4. On therapy with approved TNF inhibitor (eg: infliximab, etanercept, adalimumab,
certolizumab pegol, golimumab, thalidomide, etc) in the last 6 months;
5. Being treated with dexamethasone (IV or PO) at a dose of >15mg per day or solumedrol
or equivalent corticosteroid at a dose of >75mg per day;
6. Taking any medication known to be CCR5 receptor antagonist (eg: leronlimab, aplaviroc,
vicriviroc or maraviroc) in the last 6 months;
7. Taking any medication known to inhibit the cytokine pathway (eg: anakinra,
tocilizumab, siltuximab, etc) in the last 6 months;
8. Known to be pregnant;
9. Has known HIV, HCV or HBV infection;
10. Has known Mycobacterium tuberculosis infection or evidence of infection on chest
X-ray;
11. Significant hepatic disease (ALT/AST> 4 times the ULN);
12. On therapy for cancer in the last 6 months;
13. On therapy for organ transplant in the last 6 months or on a waiting list for organ
transplant, including patients on renal replacement therapy for any reason;
14. Known hypersensitivity to investigational product or its excipients;
15. Participating in an investigational drug or device trial;
16. Congestive heart failure (CHF) or myocardial infarction (MI) diagnosed in the last 2
months.
NEA Baptist
Jonesboro, Arkansas, United States
St. Bernard's
Jonesboro, Arkansas, United States
Jewish Hospital
Louisville, Kentucky, United States
Mississippi Baptist
Kosciusko, Mississippi, United States
Baptist Memorial Hospital-DeSoto
Southard, Missouri, United States
Richmond University Medical Center
Staten Island, New York, United States
Baptist Clinical Research Institute
Memphis, Tennessee, United States
Memorial Hermann
Houston, Texas, United States
Memorial Hermann Southeast
Houston, Texas, United States
Raymond Tesi, MD, Study Chair
Inmune Bio, Inc.