Official Title
A Randomized, Double-Blind, Sham Controlled, Stratified, Pivotal Efficacy and Safety Study of the EmitBio RD-X19 Treatment Device in Individuals 40 Years of Age and Older With Mild COVID-19 in the At-Home Setting
Brief Summary

This is a randomized, double-blind, sham controlled, stratified, pivotal efficacy and safety study of the EmitBio RD-X19 treatment device in Individuals 40 Years of age and older with Mild COVID-19 in the at-home setting.

Detailed Description

This is a randomized, double-blind, sham controlled, stratified, pivotal efficacy and safety
study of the EmitBio RD-X19 device in individuals age 40 and older with mild COVID-19 (as
defined by NIH and FDA) in the at-home setting. Study subjects will self-administer treatment
twice daily, 5 minutes per treatment for 7 consecutive days. Subjects will remain on study
for a total of 14 study days (± 2 days) for treatment and follow-up. Neither study subject
nor clinical trial personnel will be aware of the subject's treatment assignment. Clinical
safety and efficacy outcomes will be assessed via self-assessed signs and symptoms (e-diary
entries twice a day during the entire study period) with daily study staff checks, including
home visits, and/or clinic visits for objective clinical assessments (vital signs, targeted
physical exams, oropharyngeal exams) on study days 1, 5, 8 and 14.

The primary goal of the study is to evaluate the safety and efficacy of the RD-X19 treatment
device to provide sufficient evidence to FDA to justify the authorization and/or approval of
the device for treatment of subjects with mild COVID-19, age 40 and older in the home
setting. Every attempt will be made to continue to follow safety in any study subject
choosing to terminate the study early and all study subjects who progress to moderate or more
severe forms of COVID-19 will be immediately referred for appropriate medical care. Medically
necessary care of study participants will always take precedence over research.

Recruiting
COVID-19

Device: RD-X19

Investigational device that uses safe electromagnetic energy to target the oropharynx.

Device: Sham

Investigational device that uses safe electromagnetic energy to target the oropharynx but at energy levels with a lower inactivation potential against SARS-CoV-2 in vitro.

Eligibility Criteria

Inclusion Criteria:

1. Positive for SARS-CoV-2 as detected using an FDA authorized SARS-CoV-2 antigen test at
the screening/baseline visit.

2. Negative for Influenza A and B antigen using an FDA-authorized rapid diagnostic test.

3. At least two moderate or greater COVID-19 signs and symptoms from the following list:
cough, sore throat, nasal congestion, headache, chills and/or sweats, myalgia,
fatigue, nausea (with or without vomiting) or one moderate or greater symptom and
fever (temperature ≥ 100.5 degrees F).

4. Time from appearance of first COVID-19 sign or symptom to screening must be 72 hours
or less.

5. Males or females, including pregnant and fecund females, 40 years of age and older on
the date of enrollment.

6. BMI <40

7. Provides written informed consent prior to initiation of any study procedures.

8. Be able to understand and agrees to fully comply with defined and described study
procedures and be available for all study visits for the entire study duration.

9. Agrees to collection of a nasopharyngeal swab for qPCR at baseline for the purposes of
assessing viral burden as a potential covariate in data analyses and for genetic
sequencing to characterize the predominant SARS-CoV-2 variants present in the study
population.

10. Agrees to perform self-diagnostic home testing twice a day, separated by ≥ 6 hours for
the entire length of the study.

11. Agrees to restrict medications used for symptomatic relief of signs and symptoms of
COVID-19 during the study period, and, if used, to report ALL such medications
(including home remedies) to the study staff.

12. Agrees to avoid the use of oral rinses and toothpastes containing alcohol-based
compounds (e.g. Eucalyptol, Menthol, Thymol, Phenol) and/or Salicylates during the
study period. Oral rinses, breath fresheners and toothpaste not containing these
compounds are allowed.

13. Agrees to avoid nasal and sinus saline lavage during the study period.

14. No uncontrolled disease process (chronic or acute), other than COVID-19 signs and
symptoms (See section 8.1.1 - General Screening)*.

15. No physical or mental conditions or attributes at the time of screening, which in the
opinion of the PI, will prevent full adherence to, and completion of, the protocol.

Exclusion Criteria:

1. Positive for Influenza A and B antigen using an FDA-authorized rapid diagnostic test.

2. Individuals < age 40 on study day 1.

3. Individuals who are symptomatic for COVID-19 for more than 72 hours on study day 1.

4. COVID-19 signs associated with moderate or greater disease with evidence of lower
respiratory involvement including shortness of breath (SOB) at rest or as determined
by an exertional SOB protocol, SpO2 ≤94, respiratory rate ≥20 breaths per minute,
heart rate ≥90 beats per minute, or abnormal pulmonary imaging.

5. Any medical disease or condition that, in the opinion of the site Principal
Investigator (PI) or appropriate sub-investigator, precludes study participation.

6. History of use of a rescue inhaler for uncontrolled asthma within one month of study
day 1.

7. History of recurrent alcohol intoxication or other recreational drug use (excluding
medically prescribed cannabis) within one month of study day 1.

8. History of use, within one month of study day 1, of any FDA-authorized treatment for
COVID-19. Use of non-approved putative therapies for COVID-19 (hyroxycholorquine,
ivermectin, azithromycin) must be discontinued prior to enrollment in the study.

9. History of any systemic antiviral therapies within one month of study day 1.

10. History of oral or parenteral corticosteroid use within one month of study day 1.
Active use of nasal or inhalable steroids is also exclusionary. Topical steroids are
not exclusionary.

11. History of any chronic medical condition that has required adjustments to the type,
dose or schedule of medical treatments within one month of study day 1.

12. Requirement to use narcotic medication for analgesia.

13. History of vasomotor rhinitis with or without post-nasal drip within one month of
study day 1.

14. History of hypersensitivity or severe allergic reaction (e.g., anaphylaxis,
generalized urticaria, angioedema, other significant reaction) to sun exposure.

15. Presence of any oral abnormality (e.g., including, but not limited to, ulcer, oral
candidiasis, oral mucositis, symptomatic gingivitis, history of frequent recurrent
aphthous ulcers, burning mouth syndrome, dry mouth syndrome, a disease that can result
in xerostomia (e.g., Sjogren's syndrome), Temporomandibular Joint Syndrome, or other
oral disorder that in the opinion of the investigator would interfere with device use
and evaluation.

16. Any intra-oral metal body piercings that cannot be removed for the duration of the
study. Metal orthodontia is permitted as braces will be covered by the device
mouthpiece.

17. Any individual without teeth or with a dental malformation that precludes directed use
of the device as intended.

18. Currently enrolled in or plans to participate in another clinical trial with a
therapeutic investigational agent for any medical indication that will be received
during the study period.

Eligibility Gender
All
Eligibility Age
Minimum: 40 Years ~ Maximum: N/A
Countries
United States
Locations

322 - Desert Clinical Research/CCT Research
Mesa, Arizona, United States

347 - Velocity Clinical Research
Phoenix, Arizona, United States

312 - Smart Cures Clinical Research
Anaheim, California, United States

313 - Benchmark Southern California
Colton, California, United States

307 - Ark Clinical Research
Long Beach, California, United States

329 - Valley Clinical Trials
Northridge, California, United States

348 - San Francisco Research Institute
San Francisco, California, United States

328 - Mills Clinical Research
West Hollywood, California, United States

305 - Indago Research and Health Center
Hialeah, Florida, United States

321 - Helios Clinical Research - Kissimmee
Kissimmee, Florida, United States

310 - Accel Research Sites - St. Petersburg
Largo, Florida, United States

306 - Miami Clinical Research
Miami, Florida, United States

341 - Lifeline Primary Care / CCT Research
Lilburn, Georgia, United States

349 - Chicago Medical Research
Chicago, Illinois, United States

333 - Prime Global Research Inc.
Chicago, Illinois, United States

331 - Chicago Clinical Research Institute
Chicago, Illinois, United States

345 - The Iowa Clinic/Avacare Legacy
West Des Moines, Iowa, United States

337 - Versailles Family Medicine/CCT Research
Versailles, Kentucky, United States

346 - Benchmark Research
Metairie, Louisiana, United States

323 - Annapolis Internal Medicine/CCT Research
Annapolis, Maryland, United States

324 - Advanced Primary and Geriatric Care / CCT Research
Rockville, Maryland, United States

327 - The Research Institute
Springfield, Massachusetts, United States

315 - Revival Research Institute - Dearborn
Dearborn, Michigan, United States

314 - Revival Research Institute - Sterling Heights
Sterling Heights, Michigan, United States

318 - Olive Branch Family Medical Center
Olive Branch, Mississippi, United States

335 - Clay Platte Family Medicine/CCT Research
Kansas City, Missouri, United States

336 - St. Louis Medical Professional/CCT Research
Saint Louis, Missouri, United States

344 - Skyline Medical Center/ CCT Research
Elkhorn, Nebraska, United States

326 - Healor Primary Care
Las Vegas, Nevada, United States

325 - Santa Rosa Medical Centers of Nevada / CCT Research
Las Vegas, Nevada, United States

332 - Prime Global Research Inc.
Bronx, New York, United States

302 - WellNow - East Amherst
E. Amherst, New York, United States

316 - WellNow - Niskayuna
Niskayuna, New York, United States

338 - Carolina Internal Medicine Associates
Asheville, North Carolina, United States

320 - M3 Wake Research
Raleigh, North Carolina, United States

304 - WellNow - Cincinnati
Cincinnati, Ohio, United States

301 - WellNow - Columbus
Columbus, Ohio, United States

303 - WellNow - Huber Heights
Dayton, Ohio, United States

334 - Medical Care/CCT Research
Elizabethton, Tennessee, United States

308B - Kurr Research @ Complete Health Partners
Hendersonville, Tennessee, United States

308 - Kur Research @Complete Health Partners
Nashville, Tennessee, United States

330 - Clinical Trial Network
Houston, Texas, United States

319 - Helios Clinical Research - Keller
Keller, Texas, United States

309 - Tranquility Clinical Research
Webster, Texas, United States

340 - Premier Family Medical/CCT Research
American Fork, Utah, United States

343 - Cope Family Medicine/ CCT Research
Bountiful, Utah, United States

342 - Ogden Clinical, Grand View/CCT Research
Roy, Utah, United States

339 - Olympus Family Medicine/CCT
Salt Lake City, Utah, United States

Contacts

Study Director EB-P30-01
919.321.1734
info@emitbio.com

Study Director EB-P30-01, Study Director
EmitBio

NCT Number
MeSH Terms
COVID-19