The study is a phase 2 proof of concept study. The purpose of this study is to assess the efficacy and safety of Prothione™ capsules administered orally twice a day for 30 days in subjects with mild to moderate COVID-19. The study will have three phases: Screening Period, Treatment Period, and Follow-Up Period. The issued patents relevant to Prothione™ capsules and the treatment of viral disease include: • Nutritional or Therapeutic Compositions and Methods to Increase Bodily Glutathione Levels: 1. US Patent No. RE 42,645 2. Japanese Patent No. 5601745 3. European Patent No. 1556023 4. Canadian Patent No. 2539567 5. Australian Patent No. 2010201136 • Protective Metallothionein Analog Compounds, Their Compositions and Use Thereof in the Treatment of Pathogenic Disease: 6. Canadian Patent No. 2963131 7. Australian Patent No. 2018279015
This is a Phase 2, proof of concept, two-arm, randomized, double blind, placebo-controlled
study to evaluate the safety and efficacy of Prothione™ capsules in subjects with
mild-to-moderate symptoms caused by coronavirus 2019 (COVID-19) infection. Subjects will be
randomized to receive three Prothione™ capsules, or placebo orally administered twice daily
(BID).
The study will have three phases: screening period, treatment period, and follow-up period.
Screening period is up to 3 days , the treatment period is 30 days and the follow-up period
is 7 days after the last dose.Total study duration is up to 40 days.
Drug: Placebo
Placebo
Drug: Prothione™ (6g)
Prothione is a pro-Glutathione compound includes free-form amino acids
Inclusion Criteria:
Potential subjects are required to meet all of the following criteria for enrollment into
the study:
1. Male or female adult ≥ 18 years of age at time of enrollment with mild to moderate
symptoms caused by coronavirus 2019 confirmed infection with COVID-19 by PCR and one
or more of the following:
Mild (uncomplicated) Illness:
- Diagnosed with COVID-19 by a standardized RT-PCR assay AND
- Mild symptoms, such as fever, rhinorrhea, mild cough, sore throat, malaise,
headache, muscle pain, or malaise, but with no shortness of breath AND
- No signs of a more serious lower airway disease AND RR<20, HR <90, oxygen
saturation (pulse oximetry) > 93% on room air
Moderate Illness:
- Diagnosed with COVID-19 by a standardized RT-PCR assay AND
- In addition to symptoms above, more significant lower respiratory symptoms,
including shortness of breath (at rest or with exertion) OR
- Signs of moderate pneumonia, including RR ≥ 20 but <30, HR ≥ 90 but less than
125, oxygen saturation (pulse oximetry) > 93% on room air AND
- If available, lung infiltrates based on X-ray or CT scan < 50% present
2. Subjects with normal level of Vitamin B2; Note: If the result was below the normal
range, based on clinical judgment by physician, appropriate treatment to be added to
the subject treatment regimen as per standard of care. A B complex daily supplement
will be supplied, if needed.
3. Subject (or legally authorized representative) provides written informed consent prior
to initiation of any study procedures;
4. Understands and agrees to comply with planned study procedures; and
5. Negative pregnancy test for female subjects. Women of child-bearing potential (WOCBP)
and Women not of child-bearing potential are eligible to participate. Both women of
child-bearing potential and women of no child-bearing potential should use an approved
method of birth control and agrees to continue to use this method for the duration of
the study (and for 30 days after taking the last dose of Prothione™ ).
Acceptable methods of contraception include abstinence, female subject/partner's use of
hormonal contraceptive (oral, implanted, or injected) in conjunction with a barrier method
(WOCBP only), female subject/partner's use of an intrauterine device (IUD), or if the
female subject/partner is surgically sterile or 2 years post-menopausal. All male
subjects/partners must agree to consistently and correctly use a condom for the duration of
the study. In addition, subjects may not donate sperm for the duration of the study and for
30 days after taking study drug.
Exclusion Criteria:
Potential subjects meeting any of the following criteria will be excluded from enrollment:
1. Subjects showing signs of acute respiratory distress syndrome (ARDS) or respiratory
failure necessitating mechanical ventilation at the time of screening;
2. Subjects who have history of receiving NAC, Prothione™ Capsules or GSH supplements in
the past 30 days before the screening visit;
3. Subjects who have history of receiving corticosteroids (topical corticosteroid is
excluded) in the past 30 days;
4. Subjects who are currently receiving Chemotherapy or Immunotherapy for the treatment
of cancer;
5. Any uncontrolled active systemic infection requiring admission to an intensive care
unit (ICU);
6. Subject with active Hepatitis B and Hepatitis C;
7. Subjects who are participating in other clinical trials;
8. Subjects that have had any Covid19 Vaccination;
9. Subjects who have a history of allergic reactions attributed to compounds of similar
chemical or biologic composition to Prothione™ are not eligible;
10. Inability to provide informed consent or to comply with study requirements; and
11. Subjects who are pregnant or breast-feeding.
Rinda Ubuzima
Kigali, Rwanda