The goal of this Phase 2 study is to assess about the safety, antiviral biomarkerresponses and efficacy of SNG001 when given to patients requiring invasive mechanicalventilation due to a respiratory virus infection. Its ability to speed up virus clearanceand reduce mortality, compared with standard of care, will be studied.The study is split into two parts. All participants will receive standard of care inaddition to SNG001 or placebo.In Part 1, the safety of SNG001 will be assessed. Participants of 50 years and older willreceive study drug or placebo once a day for up to 14 days, whilst in hospital.In Part 2, the primary objective will be the efficacy of SNG001. Participants between 18and 50 years with an immunocompromising condition and patients over 50 years (with orwithout an immunocompromising condition) will receive study drug once a day for up to 14days, whilst in hospital.
Not Provided
Drug: SNG001
SNG001 nebuliser solution is presented as a ready-to-use aqueous solution (neutral pH) in
glass syringes containing 0.65 mL of drug product solution containing 12 MIU/mL of IFNβ
1a.
Drug: Placebo
The placebo nebuliser solution is presented in glass syringes containing 0.65 mL of
solution containing the same formulation as the study medication but without IFNβ 1a
(i.e., only the excipients of the SNG001 solution).
Part 1 Inclusion Criteria:
To be eligible for randomisation into Part 1 of this study, each participant must fulfil
the following criteria:
1. Informed consent or legal representative's consent obtained.
2. Patients ≥50 years of age at the time of consent.
3. Patient admitted to the ICU and requiring invasive mechanical ventilation (IMV) due
to a respiratory virus infection.
4. Presence of Influenza A (Flu A), Influenza B (Flu B), respiratory syncytial virus
(RSV), rhinovirus (RV), adenovirus, parainfluenza, human metapneumovirus (HMPV), or
coronaviruses (including SARS-COV-2 and seasonal coronaviruses) in a nose swab
sample, confirmed by a positive virus test using a Sponsor approved rapid POC test
(e.g., reverse transcription polymerase chain reaction [RT-PCR]).
5. Time from intubation to administration of first dose of study medication ≤48 hours.
6. Women of childbearing potential must have a negative pregnancy test. For this study,
women of childbearing potential are defined as women <55 years old.
Part 1 Exclusion Criteria:
A participant must not be randomised into Part 1 of the study if they meet any of the
following criteria:
1. Expected termination of IMV within 24 hours from the time of randomisation
2. Life expectancy <24 hours.
3. Liver failure (Child-Pugh C).
4. Severe congestive heart failure (New York Heart Association [NYHA] IV).
5. Receipt of lung transplant.
6. Known or suspected active tuberculosis, or infection with other mycobacteria
7. Known or suspected active systemic fungal infection.
8. Anticipated transfer to another hospital which would prevent the participant from
continuing in the study and completing protocol assessments.
9. Need for long-term mechanical ventilation prior to ICU admission.
10. Use of inhaled sedation.
11. Presence of tracheostomy or laryngectomy.
12. Requirement for airway pressure release ventilation mode.
13. History of hypersensitivity to natural or recombinant IFNβ or to any of the
excipients in the drug preparation.
14. Any condition, including findings in the patient's medical history or in the
pre-randomisation study assessments that in the opinion of the Investigator,
constitute a risk or a contraindication for participation in the study or that could
interfere with the study objectives, conduct, or evaluation.
15. Participation in previous clinical studies of SNG001.
16. Current or previous participation in another clinical study where the participant
has received a dose of an Investigational Medicinal Product (IMP) containing small
molecules within 30 days or 5 half-lives (whichever is longer) prior to entry into
this study or containing biologicals within 3 months prior to entry into this study.
17. Known or suspected pregnancy.
18. Females who are breast-feeding or lactating.
19. Immunocompromising condition, including:
- Established acquired immune deficiency syndrome (AIDS) defined as a cluster of
differentiation 4 (CD4) count <200 cells/microL, and/or the presence of any
AIDS-defining condition;
- Haematological malignancy;
- Bone marrow transplantation; or
- Immunosuppressive therapy, including:
- Cancer therapy (e.g. chemo-, radio-, immuno-, hormone or other types of
therapy), immune-cell depleting therapy, immunosuppressive therapy for
autoimmune disorders, medications for prevention of organ transplantation
rejection, administered within 6 months prior to randomisation; or
- Corticosteroids >20 mg of prednisone or equivalent per day administered
continuously for >14 days prior to randomisation.
20. Severe chronic lung disease requiring home oxygen therapy, including chronic
obstructive pulmonary disease, asthma, cystic fibrosis, or pulmonary fibrosis.
Part 2 Inclusion Criteria:
To be eligible for randomisation into Part 2 of this study, each participant must fulfil
the following criteria:
1.a Patients ≥18 and <50 years of age at the time of consent, with an immunocompromising
condition, including:
- Solid tumour malignancy undergoing cancer therapy (e.g. chemo-, radio-, immuno-,
hormone or other types of therapy);
- Haematological malignancy in remission, with or without maintenance therapy;
- Immunosuppressive therapy for autoimmune disease;
- Therapy for prevention of organ transplant rejection;
- Corticosteroids >20 mg of prednisone or equivalent per day, administered
continuously for >14 days prior to randomisation or
1. b Patients ≥50 years of age at the time of consent, with or without an
immunocompromising condition (as defined above).
2. Patient admitted to the ICU and requiring IMV due to a respiratory virus
infection.
3. Presence of Flu A, Flu B, RSV, RV, adenovirus, parainfluenza, HMPV, or
coronaviruses (including SARS-COV-2 and seasonal coronaviruses) in a Lower
Respiratory Tract sample, confirmed by a positive virus test using a Sponsor
approved rapid POC test (e.g., RT-PCR).
4. Time from intubation to administration of first dose of study medication ≤48
hours.
5. Informed consent or legal representative's consent obtained.
6. Women of childbearing potential must have a negative pregnancy test. For this
study, women of childbearing potential are defined as women <55 years old.
Part 2 Exclusion Criteria:
A participant must not be randomised into Part 2 of the study if they meet any of the
following criteria:
1. Expected termination of IMV within 24 hours from the time of randomisation.
2. Life expectancy <24 hours.
3. Liver failure (Child-Pugh C).
4. Severe congestive heart failure (NYHA IV).
5. Receipt of lung transplant.
6. Known or suspected active tuberculosis, or infection with other mycobacteria.
7. Known or suspected systemic fungal infection.
8. Immunocompromising condition, including:
- Haematological malignancy requiring induction or consolidation therapy within 3
months prior to randomisation;
- Bone marrow transplant within 6 months prior to randomisation;
- Solid organ transplant within 6 months prior to randomisation;
- Corticosteroids >75 mg of prednisone or equivalent per day, administered
continuously for >7 days prior to randomisation;
- Methotrexate therapy at randomisation, if the indication is chemotherapy for
cancer;
- Chimeric antigen receptor (CAR)-T cell therapy, administered within 3 months
prior to randomisation;
- Ibrutinib or alemtuzumab, administered within 3 months prior to randomisation;
- Neutropenia <500/mm3 not due to sepsis;
- Clinical presentation consistent with severe bone marrow suppression or
pancytopenia;pancytopenia;
- Established AIDS, defined as a CD4 count <200 cells/microL, and/or the presence
of any AIDS-defining condition.
9. Anticipated transfer to another hospital which would prevent the participant from
continuing in the study and completing protocol assessments.
10. Need for long-term mechanical ventilation prior to ICU admission.
11. Use of inhaled sedation.
12. Presence of tracheostomy or laryngectomy
13. History of hypersensitivity to natural or recombinant IFNβ or to any of the
excipients in the drug preparation.
14. Any condition, including findings in the patient's medical history or in the
pre-randomisation study assessments that in the opinion of the Investigator,
constitute a risk or a contraindication for participation in the study or that could
interfere with the study objectives, conduct, or evaluation.
15. Participation in previous clinical studies of SNG001.
16. Current or previous participation in another clinical study where the participant
has received a dose of an IMP containing small molecules within 30 days or 5
half-lives (whichever is longer) prior to entry into this study or containing
biologicals within 3 months prior to entry into this study.
17. Known or suspected pregnancy.
18. Females who are breast-feeding or lactating.
19. Severe chronic lung disease requiring home oxygen therapy, including chronic
obstructive pulmonary disease, asthma, cystic fibrosis, or pulmonary fibrosis
University of California - Davis
Sacramento, California, United States
Lundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center
Torrance, California, United States
NCH Pulmonary Critical Care
Naples, Florida, United States
Emory University
Atlanta, Georgia, United States
Snake River Research, PLLC
Idaho Falls, Idaho, United States
Northwestern University
Chicago, Illinois, United States
Sinai-Grace Hospital
Detroit, Michigan, United States
William Beaumont Hospital
Royal Oak, Michigan, United States
Mayo Clinic - Rochester
Rochester, Minnesota, United States
Washington University in St. Louis
St Louis, Missouri, United States
VA Western New York Healthcare system
Buffalo, New York, United States
NYU Langone Tisch Hospital
New York, New York, United States
University of North Carolina (UNC)
Chapel Hill, North Carolina, United States
University of Cincinnati Medical Center (UCMC)
Cincinnati, Ohio, United States
The Cleveland Clinic Foundation
Cleveland, Ohio, United States
The Ohio State University (OSU)
Columbus, Ohio, United States
Mercy St. Vincent Medical Center
Toledo, Ohio, United States
Oregon Health & Science University (OHSU)
Portland, Oregon, United States
AnMed Health Pulmonary and Sleep Medicine
Anderson, South Carolina, United States
Baylor University Medical Center
Dallas, Texas, United States
The University of Texas Health Science Center at Houston
Houston, Texas, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Universitair Ziekenhuis Brussel
Brussels, Belgium
Ziekenhuis Oost-Limburg - Campus Sint-Jan
Genk, Belgium
Centre Hospitalier Régional de la Citadelle
Liège, Belgium
Centre Hospitalier Universitaire (CHU) de Liege
Liège, Belgium
Centre Hospitalier d'Argenteuil
Argenteuil, France
Centre Hospitalier de Bourg-en-Bresse
Bourg-en-Bresse, France
CHD Vendee
La Roche-sur-Yon, France
CH Le Mans
Le Mans, France
CHU de Lille
Lille, France
CHU de Limoges - Hopital Dupuytren 1
Limoges, France
CHU de Nantes - Hotel-Dieu
Nantes, France
HCL Centre Hospitalier Lyon Sud
Pierre-Bénite, France
CHU de Rouen - Hopital Charles-Nicolle
Rouen, France
CHU St Etienne - Hopital Nord
Saint-Priest-en-Jarez, France
CHRU de Strasbourg
Strasbourg, France
CHRU de Tours - Hopital Bretonneau
Tours, France
Ziekenhuis Gelderse Vallei
Ede, Netherlands
Canisius-Wilhelmina Ziekenhuis (CWZ)
Nijmegen, Netherlands
Ikazia Ziekenhuis
Rotterdam, Netherlands
Universitair Medisch Centrum Utrecht
Utrecht, Netherlands
Hospital Universitario Vall d'Hebron
Barcelona, Spain
Hospital Clinic Barcelona
Barcelona, Spain
Hospital Universitari Mutua Terrassa
Barcelona, Spain
Hospital Universitari de Bellvitge
Barcelona, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Torbay Hospital
Paignton, Devon, United Kingdom
Aberdeen Royal Infirmary
Aberdeen, United Kingdom
Queen Elizabeth Hospital Birmingham
Birmingham, United Kingdom
Bradford Royal Infirmary
Bradford, United Kingdom
Royal Sussex County Hospital
Brighton, United Kingdom
Cardiff and Vale Hospital
Cardiff, United Kingdom
Glasgow Royal Infirmary
Glasgow, United Kingdom
Queen Elizabeth University Hospital
Glasgow, United Kingdom
Hull Royal Infirmary
Hull, United Kingdom
Leicester Royal Infirmary
Leicester, United Kingdom
University College London Hospital
London, United Kingdom
Royal Free Hospital
London, United Kingdom
St George's Hospital
London, United Kingdom
Manchester Royal Infirmary
Manchester, United Kingdom
The James Cook University Hospital
Middlesbrough, United Kingdom
Freeman Hospital
Newcastle upon Tyne, United Kingdom
Queens Medical Centre (QMC)
Nottingham, United Kingdom
Derriford Hospital
Plymouth, United Kingdom
Queen Alexandra Hospital
Portsmouth, United Kingdom
Southampton General Hospital
Southampton, United Kingdom
Sophie Hemmings
+442380512800
submissions@synairgen.com
Not Provided