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A prospective, open-label, randomized, multi-center, phase 2a study to evaluate the dose response, efficacy and safety of Hyper-Ig (Hyper-immunoglobulin) GC5131 in Patients with COVID-19

Status Approved

  • First Submitted Date

    2020/10/19

  • Registered Date

    2020/12/02

  • Last Updated Date

    2022/01/11

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0005649
    Unique Protocol ID GC5131A-HIG_P0201
    Public/Brief Title A prospective, open-label, randomized, multi-center, phase 2a study to evaluate the dose response, efficacy and safety of Hyper-Ig (Hyper-immunoglobulin) GC5131 in Patients with COVID-19
    Scientific Title A prospective, open-label, randomized, multi-center, phase 2a study to evaluate the dose response, efficacy and safety of Hyper-Ig (Hyper-immunoglobulin) GC5131 in Patients with COVID-19
    Acronym COVIDIG
    MFDS Regulated Study Yes
    IND/IDE Protocol Yes
    Registered at Other Registry Yes
    Name of Registry / Registration Number ClinicalTrials.gov-NCT04555148
    Healthcare Benefit Approval Status Submitted approval
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number SMC 2020-08-028
    Approval Date 2020-09-18
    Institutional Review Board Name Samsung Medical center IRB
    Institutional Review Board Address 81, Irwon-ro, Gangnam-gu, Seoul
    Institutional Review Board Telephone 02-3410-2973
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Kyong Ran Peck
    Title Prof.
    Telephone +82-2-3410-0322
    Affiliation Samsung Medical Center
    Address 81, Irwon-ro, Gangnam-gu, Seoul, Republic of Korea
    Contact Person for Public Queries
    Name Kyong Ran Peck
    Title Prof.
    Telephone +82-2-3410-0322
    Affiliation Samsung Medical Center
    Address 81, Irwon-ro, Gangnam-gu, Seoul, Republic of Korea
    Contact Person for Updating Information
    Name Na Hyung Kim
    Title Manager
    Telephone +82-31-260-1943
    Affiliation Green Cross
    Address 107, Ihyeon-ro 30beon-gil, Giheung-gu, Yongin-si, Gyeonggi-do, Republic of Korea
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Multi-center Number of center : 13
    Overall Recruitment Status Completed
    Date of First Enrollment 2020-09-18 Actual
    Target Number of Participant 60
    Primary Completion Date 2021-01-22 , Actual
    Study Completion Date 2021-02-28 , Actual
    Recruitment Status by Participating Study Site 1
    Name of Study Chung-Ang Univerisity Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-09-18 ,
    Recruitment Status by Participating Study Site 2
    Name of Study Korea University Ansan Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-11-25 ,
    Recruitment Status by Participating Study Site 3
    Name of Study Asan Medical Center
    Recruitment Status Completed
    Date of First Enrollment 2020-12-08 ,
    Recruitment Status by Participating Study Site 4
    Name of Study Chungnam National University Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-10-08 ,
    Recruitment Status by Participating Study Site 5
    Name of Study Yonsei University Health System, Severance Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-11-10 ,
    Recruitment Status by Participating Study Site 6
    Name of Study Kyungpook National University Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-12-16 ,
    Recruitment Status by Participating Study Site 7
    Name of Study Ajou University Hospital
    Recruitment Status Terminated Terminated Reason : 연구기간 종료로 인한 대상자 모집 전 종료
    Date of First Enrollment 2020-12-21 ,
    Recruitment Status by Participating Study Site 8
    Name of Study Seoul Medical Center
    Recruitment Status Completed
    Date of First Enrollment 2020-12-31 ,
    Recruitment Status by Participating Study Site 9
    Name of Study Myongji Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-11-26 ,
    Recruitment Status by Participating Study Site 10
    Name of Study Samsung Medical Center
    Recruitment Status Completed
    Date of First Enrollment 2020-11-11 ,
    Recruitment Status by Participating Study Site 11
    Name of Study Soon Chun Hyang University Hospital Bucheon
    Recruitment Status Completed
    Date of First Enrollment 2020-12-28 ,
    Recruitment Status by Participating Study Site 12
    Name of Study Jeonbuk National University Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-12-25 ,
    Recruitment Status by Participating Study Site 13
    Name of Study Incheon Medical Center
    Recruitment Status Completed
    Date of First Enrollment 2020-12-17 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Korea Drug Development Fund
    Organization Type Others
    Project ID
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Green Cross
    Organization Type Pharmaceutical Company
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    GC5131 can be expected to show effective treatment as passive immunization, which was purified from COVID-19 recovered patients.  In this clinical trial, efficacy and safety would be confirmed when GC5131 is administered as a therapeutic agent in patients with COVID-19 infection.
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
    Treatment
    Phase Phase2
    Intervention Model Parallel  
    Blinding/Masking Open
    Allocation RCT
    Intervention Type /Biological/Vaccine, /Non-Stem Cell  
    Intervention Description
    Low dose of GC5131, intermediate dose of GC5131, high dose of GC5131 (each  2500mg, 5000mg, 10000mg), once, iv,
    If a subject were assigned into an each intervention group, prepare the number of assigned intervention vials. If assigned into placebo group, prepare 50 mL saline.
    Start infusion at 0.01 to 0.02 mL/kg/min (e.g., 0.6 to 1.2 mL / min with a body weight of 60 kg) for 30 minutes, gradually increasing to0.06 for remainder of infusion.
    Number of Arms 4
    Arm 1

    Arm Label

    low dose

    Target Number of Participant

    15

    Arm Type

    Experimental

    Arm Description

    2500mg of GC5131, once, iv.
    If a subject were assigned into an each intervention group, prepare the number of assigned intervention vials. If assigned into placebo group, prepare 50 mL saline.
    Start infusion at 0.01 to 0.02 mL/kg/min (e.g., 0.6 to 1.2 mL / min with a body weight of 60 kg) for 30 minutes, gradually increasing to0.06 for remainder of infusion.
    Arm 2

    Arm Label

    intermediate dose

    Target Number of Participant

    15

    Arm Type

    Experimental

    Arm Description

    5000mg of GC5131, once, iv
    If a subject were assigned into an each intervention group, prepare the number of assigned intervention vials. If assigned into placebo group, prepare 50 mL saline.
    Start infusion at 0.01 to 0.02 mL/kg/min (e.g., 0.6 to 1.2 mL / min with a body weight of 60 kg) for 30 minutes, gradually increasing to0.06 for remainder of infusion.
    Arm 3

    Arm Label

    high dose

    Target Number of Participant

    15

    Arm Type

    Experimental

    Arm Description

    10000mg of GC5131, once, iv
    If a subject were assigned into an each intervention group, prepare the number of assigned intervention vials. If assigned into placebo group, prepare 50 mL saline.
    Start infusion at 0.01 to 0.02 mL/kg/min (e.g., 0.6 to 1.2 mL / min with a body weight of 60 kg) for 30 minutes, gradually increasing to0.06 for remainder of infusion.
    Arm 4

    Arm Label

    placebo

    Target Number of Participant

    15

    Arm Type

    Placebo comparator

    Arm Description

    50 mL saline, once, iv
    If a subject were assigned into an each intervention group, prepare the number of assigned intervention vials. If assigned into placebo group, prepare 50 mL saline.
    Start infusion at 0.01 to 0.02 mL/kg/min (e.g., 0.6 to 1.2 mL / min with a body weight of 60 kg) for 30 minutes, gradually increasing to0.06 for remainder of infusion.
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (U00-U99)Codes for special purposes 
       (U07.1)Coronavirus disease 2019, virus identified [COVID-19, virus identified] 

    CORONAVIRUS INFECTIONS
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    19Year~No Limit

    Description

    1) The COVID-19 patient who diagnosed by PCR within 3 days prior to randomized And who is hospitalized with COVID-19 related symptoms
    2) The subject who has symptoms of COVID-19 within 7 days
    3) The subject with pneumonia confirmed by imaging diagnosis related to COVID-19 OR a 70-year-old or older OR 60-year-old or older with underlying disease (diabetes or hypertension or obesity or smoker)
    4) Willing and able to provide written informed consent prior to performing study procedures
    Exclusion Criteria
    1) asymptomatic patient
    2) The subject who requiring mechanical ventilation or ECMO
    3) The subject who are underlying oxygen therapy before affected by COVID-19
    4) The subject who have received antiviral drugs for other disease within 4 weeks History of allergy to IVIG or plasma products
    5) The subject who received IVIG or convalescent plasma from a person who recovered from COVID-19
    6) IgA deficiency
    7) Cretinine > 2 X ULN
    8) The subject with a history of thrombosis or high risk of thromboembolism
    9) The subject with reduced heart function [NYHA (New York Heart Association) Functional Class III or IV]; or cerebral cardiovascular disorder or a patient with the medical history (ischemic disease, cardiovascular disease, cerebrovascular disorder, blood vessel disorder, etc.)
    Healthy Volunteers No
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome Efficacy
    Primary Outcome(s) 1
    Outcome
    Percentage of subjects whose scores decreased by 2 points or reach level 1 or 2 by 9-ordinal scale
    Timepoint
    at 7, 14, 21, 28 days
    Secondary Outcome(s) 1
    Outcome
    viral convergent, CT value, titer
    Timepoint
    at 7, 14, 21, 28 days
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered Yes
    Results Upload
    Final Enrollment Number 63
    Number of Publication 0
    Results Upload CRIS.PDF
    Date of Posting Results 2022/01/11
    Protocol URL or File Upload
    Brief Summary
    In terms of both safety and efficacy, the appropriate minimum dose is 10,000 mg of GC5131.
    In addition, considering the variables that may affect the interpretation of the efficacy results, it is expected that the effect of GC5131 will be confirmed in the elderly who need passive immunity or COVID-19 patients with underlying diseases through the next additional study.
    
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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