Official Title
Randomized Open-label Multicenter Parallel-group Study of Efficacy and Safety of TL-FVP-t vs. Standard of Care Therapy in Patients With Mild to Moderate Coronavirus Disease (SARS-CoV-2/COVID-19)
Brief Summary

Randomized open-label multicenter parallel-group study of efficacy and safety of TL-FVP-t vs. standard of care therapy in patients with mild to moderate coronavirus disease (SARS-CoV-2/COVID-19)

Detailed Description

This was an open label, randomized, controlled, multicenter Phase 3 study of TL-FVP-t in
outpatients and inpatients with mild to moderate COVID-19. After stratification by the
severity of their disease (mild or moderate), age (18-44 or ≥ 45 years) and CT severity
subjects were randomized at a rate of 2:1 to receive either TL-FVP-t + standard concomitant
therapy or standard ethiptropic therapy (standard of care - SOC) including standard
concomitant therapy. Standard ethiptropic therapy according to MoH of Russian Federation
included umifenovir + intranasal recombinant interferon alpha, hydroxichloroquine, or
chloroquine.

The dose regimen was the following: TL-FVP-t at a dose of 1800 mg BID on the Day 1 followed
by 800 mg BID during the next 9 days. The study included the period of therapy (10 days) and
follow-up period (18 days).

Completed
COVID-19

Drug: Favipiravir

TL-FVP-t will be administered orally
Other Name: Array

Drug: Standard of care (SOC)

SOC will include standard etiotropic therapy (umifenovir + intranasal recombinant interferon alpha, or hydroxychloroquine, or chloroquine) according to MoH of Russian Federation recomendations for COVID-19

Drug: standard concomitant therapy

Standard of care according to MoH of Russian Federation recomendation for COVID-19

Eligibility Criteria

Inclusion Criteria:

1. Informed consent form signed.

2. Males and females aged 18-60 years;

3. Diagnosis of coronavirus disease caused by SARS-CoV-2 (COVID-19) in a mild or moderate
form (without respiratory failure).

4. Duration of infection symptoms shall be no more than 6 days before randomization.

5. SARS-CoV-2 infection should be verified by PCR at the screening.

6. Ability to follow the protocol and fulfill all the clinical study procedures.

7. Ability and willingness of the subjects and their sexual partners with retained
childbearing potential to use reliable contraception methods throughout the study and
for 3 months after the treatment completion.

8. Willingness not to take alcohol throughout the study.

Exclusion Criteria:

1. Age < 18 and > 60 years.

2. Any etiotropic therapy of coronavirus SARS-CoV-2 (COVID-19) infection prior to the
study.

3. Moderate infection with respiratory failure, severe or extremely severe SARS-CoV-2
(COVID-19) disease.

4. Respiratory failure (RR > 30/min, SpO2 ≤ 93 %) or the need for mechanical ventilation
at the screening.

5. Decreased level of consciousness (disorientation of place, time and personality),
agitation at the screening.

6. Unstable hemodynamics (systolic BP < 100 mm Hg or diastolic BP < 60 mm Hg) found at
the screening.

7. Subtotal diffuse ground-glass induration of pulmonary tissue and pulmonary
consolidation combined with reticular changes; involvement of ≥ 75 % of lung
parenchyma; hydrothorax (CT findings corresponding to ≥ CT-4 according to Department
of Health of Moscow guidelines).

8. Presence of comorbidities:

1. moderate or severe chronic obstructive pulmonary disease or asthma;

2. severe chronic cardiovascular disorders (arrhythmia or conduction disorders,
implanted pacemaker device, myocardial infarction or unstable angina in the
medical history, heart failure);

3. immunocompromised subjects (HIV, cancer, autoimmune diseases, immunodepressant
therapy);

4. severe obesity (body mass index [BMI] ≥ 40);

5. diabetes mellitus;

6. chronic renal failure;

7. chronic moderate or severe hepatic disorders.

9. Any of the following abnormal laboratory tests at the screening: AST or ALT level >
2.5 x upper normal level (UNL), platelet count < 50х109/L.

10. Any history findings which, in the investigator's opinion, may complicate the
interpretation of the study results or generate an additional risk for the subject due
to his/her participation in the study.

11. More than 2 CT diagnostic procedures within the last 6 months prior to randomization
(except for chest CT no earlier than 4 days prior to enrollment).

12. The subject takes the products significantly inhibiting CYP28С, and administration
those products cannot be interrupted for the study duration.

13. Malabsorption syndrome or another clinically relevant gastrointestinal disease which
may affect the study product absorption (uncontrollable vomiting, diarrhea, ulcerative
colitis, etc.).

14. Pregnancy or breast-feeding; women with probable pregnancy at the screening, those
planning to conceive during the study.

15. Known (from the history) or suspected alcohol or psychotropic drug abuse; medicinal or
illicit drug addiction.

16. Mental disorders including those in the medical history.

17. Condition or disease which, according to the investigator or medical monitor, will
compromise the subject's safety or affect assessment of the study product safety.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: 60 Years
Countries
Russian Federation
Locations

Medical center LLC "Neuroprofi"
Korolev, Russian Federation

Federal budgetary institution of science "Central Research Institute of Epidemiology" of Russian Federal Supervision Service for Consumer Rights Protection and People's Welfare
Moscow, Russian Federation

Medical centers JSC "Medsi Group of Companies"
Moscow, Russian Federation

State budgetary institution of health care of the city of Moscow "City Clinical Hospital №52 of the Moscow City Healthcare Department"
Moscow, Russian Federation

State budgetary institution of health care of the city of Moscow "City Clinical Hospital №67 n.a. LA Vorokhobova of the Moscow City Healthcare Department"
Moscow, Russian Federation

State budgetary institution of health care of the city of Moscow "Infectious Diseases Clinical Hospital №1 of the Moscow City Healthcare Department"
Moscow, Russian Federation

Medical center LLC "Medical Center Eco-safety"
Saint Petersburg, Russian Federation

St. Petersburg State Budgetary Healthcare Institution "City Hospital No. 40 of the Kurortny District"
Saint Petersburg, Russian Federation

Budgetary healthcare institution of the Voronezh region "Voronezh Regional Clinical Hospital No. 1"
Voronezh, Russian Federation

State Budgetary Healthcare Institution of the Moscow Region "Zhukovskaya City Clinical Hospital".
Zhukovskiy, Russian Federation

NCT Number
Keywords
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
2019-nCOV
2019 Novel Coronavirus
Respiratory disease
lung disease
MeSH Terms
COVID-19
Favipiravir