Official Title
NOVATION-1: A Randomized, Double-Blind, Placebo-Controlled, Phase III Study to Evaluate the Safety and Efficacy of Aerosolized Novaferon + SOC vs. Placebo + SOC in Hospitalized Adult Patients With Moderate to Severe COVID-19
Brief Summary

This study is a randomized, double-blind, multicenter, placebo-controlled trial toevaluate the safety and efficacy of a novel therapeutic agent, Novaferon, in hospitalizedadult patients diagnosed with COVID-19. The study is comprised of two cohorts: - Cohort A: This is a blinded safety lead-in comprising two arms. 40 patients will be randomized on a 1:1 basis to receive either Novaferon or matched placebo via a commercial nebulizer, plus Standard of Care (SOC) - Cohort B: This is the main portion of the study, which comprises two arms. Up to 874 patients will be randomized on a 1:1 basis to receive either Novaferon or matched placebo via a commercial nebulizer, plus SOC

Detailed Description

Not Provided

Unknown status
COVID19

Biological: Novaferon

a novel recombinant antiviral protein drug
Other Name: Standard of Care

Biological: Placebo

Formulation vehicle
Other Name: Standard of Care

Eligibility Criteria

Inclusion Criteria:

Inclusion Criteria:

1. Signed informed consent form by any patient capable of giving consent, or, when the
patient is not capable of giving consent, by his or her legal/authorized
representatives prior to initiation of any study procedures.

2. Men and women, ≥18 years of age at time of enrollment.

3. Laboratory-confirmed diagnosis of SARS-CoV-2 infection as determined by PCR, or
other health authority-approved commercial assay or other validated public health
assay in any specimen within 72 hours prior to randomization (point-of-care viral
infection test allowable if RT-PCR test result not available only at the time of
screening).

4. Less than or equal to 9 days from COVID-19 symptom onset to starting treatment.

• Symptoms are defined as one or more of the following: cough, fever, shortness of
breath, chest pain, abdominal pain, nausea/vomiting, diarrhea, body aches,
weakness/fatigue, chills/sweating, headache, confusion, sore throat, runny
nose/congestion, loss of taste or smell, or any other COVID-19 symptoms as
determined by the Investigator.

5. Hospitalized and i) requiring supplemental oxygen by face mask or nasal prongs, or
ii) non-invasive ventilation or iii) high-flow oxygen (WHO category 4 or 5)

6. Female patients participating in this study must agree to avoid becoming pregnant
and have a negative pregnancy test prior to randomization. Male and female patients
of reproductive potential must use a highly effective, protocol-specified method of
contraception during the study and up to post 30 days after the last dose of study
drug. For a list of protocol-specified contraceptive methods, and the definition of
reproductive potential, refer to Appendix 1.

Exclusion Criteria:

Exclusion Criteria:

1. Known hypersensitivity or intolerance to Interferon (IFN) or Novaferon or any
excipient(s) of Novaferon, including pre-existing allergy or hypersensitivity to
ampicillin.

2. Currently undergoing invasive mechanical ventilation (including venous ECMO).

3. Inability to use a nebulizer with a mouthpiece.

4. ALT/AST > 5 times the Upper Limit of Normal (ULN) or a history of decompensated
cirrhosis.

5. Stage 4 severe chronic kidney disease or requiring dialysis (i.e. eGFR < 30 mL/min/
1.73m2).

6. In the opinion of the Investigator, progression to death is imminent and inevitable
within the next 48 - 72 hours, irrespective of the provision of treatment.

7. In the opinion of the Investigator, progression to mechanical ventilation is
imminent and inevitable within the next 24 hours, irrespective of the provision of
treatment.

8. Possibility of the patient being discharged from hospital within 24 hours.

9. Concurrent participation in other anti-COVID-19 therapeutic or interventional
trials. Patients may, at the discretion of the Investigator, concurrently
participate in other non-interventional COVID-19 studies.

10. Prior or concurrent use of experimental antiviral therapy for COVID-19 (see Appendix
2.

11. Prior or concurrent use of any interferons other than the investigational product
(see Appendix 2)

12. Other known active infections or other clinical conditions (e.g., severe chronic
obstructive pulmonary disease) that contraindicate aerosolized inhalation.

13. Patients with current or prior psychiatric illness, seizure disorders, retinal
autoimmune disorders, pre-existing severe cardiovascular disease, or patients with
prior transplants.

14. Females who are breast-feeding, lactating, pregnant or intending to become pregnant.

15. The subject has any medical condition that in the opinion of the investigator would
compromise subject's safety or compliance with study procedures.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
Argentina
Brazil
Canada
Chile
Colombia
Indonesia
Kenya
Malaysia
Peru
South Africa
Turkey
Ukraine
Locations

Hospital Interzonal General de Agudos Dr Jose Penna
Bahia Blanca, Argentina

CEMIC
Ciudad Autonoma Buenos Aires, Argentina

Clinica Adventista Belgrano
Ciudad Autonoma Buenos Aires, Argentina

Clinica Zabala
Ciudad Autonoma de Buenos Aires, Argentina

Hospital San Roque
Cordoba, Argentina

Sanatorio del Salvador Privado S.A.
Cordoba, Argentina

Sanatorio Privado Duarte Quiroz De Clinica Colombo SA
Cordoba, Argentina

Instituto Medico Rio Cuarto
Rio Cuarto, Argentina

Clinica Central S.A.
Villa Regina, Argentina

HCPA- Hospital de Clínicas de Porto Alegre
Alegre, Brazil

Fundação PIO XII Hospital de Amor de Barretos
Barretos, Brazil

Hospital Casa de Saúde Vera Cruz (Coordenador)
Campinas, Brazil

Hospital São José
Criciúma, Brazil

Hospital das Clínicas UFG
Goiânia, Brazil

Hospital Geral Prof. Dr. Waldemar de Carvalho Pinto Filho de Guarulhos - BR TRIALS
Guarulhos, Brazil

Hospital Felício Rocho
Horizonte, Brazil

Centro de Pesquisas Clínicas da Fundação Doutor Amaral Carvalho
Jaú, Brazil

CePCLIN - Centro de Estudos e Pesquisas em Moléstias Infecciosas
Natal, Brazil

Hospital São Luiz de Jabaquara
Porto Alegre, Brazil

Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Brazil

Hospital 9 de Julho
São Paulo, Brazil

Hospital São Luiz de Jabaquara
São Paulo, Brazil

Instituto de Moléstias Cardiovalsculares Tatuí Ltda
Tatuí, Brazil

Lobus Centro de Pesquisa
Volta Redonda, Brazil

Lóbus Centro de Pesquisa Clínica
Volta Redonda, Brazil

University Hospital - London Health Sciences Centre
London, Canada

Victoria Hospital -London Health Sciences Centre
London, Canada

St Paul's Hospital
Vancouver, Canada

St. Boniface Hospital
Winnipeg, Canada

Hospital Base Osorno
Osorno, Chile

Hospital Sotero del Rio
Santiago, Chile

Fundacion Cardiovascular de Colombia - Instituto del Carazon Floridablanco
Floridablanca, Santander, Colombia

Clinica de la Costa Ltda
Barranquilla, Colombia

Fundacion Hospital Universidad del Norte
Barranquilla, Colombia

Fundacion Oftalmologica
Floridablanca, Colombia

Clinica SOMER
Medellín, Colombia

Corporacion Clinica
Villavicencio, Colombia

RS Universitas Udayana
Bali, Indonesia

Royal Taruma Hospital
Jakarta, Indonesia

M. Djamil Hospital
Padang, Indonesia

Sardjito Hospital
Yogyakarta, Indonesia

KEMRI Kericho
Kericho, Kenya

KEMRI/CGHR Siaya Clinical Research Annexe
Kisumu, Kenya

Victoria Biomedical Research Institute
Kisumu, Kenya

CREATES - Strathmore University Medical Centre
Nairobi, Kenya

Kenyatta National Hospital
Nairobi, Kenya

University Malaya Medical Centre
Kuala Lumpur, Malaysia

Hospital Miri
Miri, Malaysia

Sunway Medical Centre
Petaling Jaya, Malaysia

HPUPM
Serdang, Malaysia

Centro Medico Naval Cirujano Mayor Santiago Tavara
Callao, Peru

Hospital Nacional Arzobispo Loayza
Lima Cercado, Peru

Hospital III Daniel Alcides Carrion - Red Essalud de Tacna
Lima, Peru

Hospital Nacional Dos de Mayo
Lima, Peru

Tiervlei Trial Centre
Cape Town, South Africa

Tread Research
Cape Town, South Africa

Johese Clinical Research: Unitas
Centurion, South Africa

Drs Sarvan and Moodley
Durban, South Africa

TASK Eden
George, South Africa

MERC SiReN
Johannesburg, South Africa

Nelson Mandela Academic Clinical Research Unit (NeMACRU)
Mthatha, South Africa

Into Research
Pretoria, South Africa

Dr JM Engelbrecht Trial Site
Somerset West, South Africa

Clinical Projects Research SA (PTY) LTD
Worcester, South Africa

Ankara City Hospital
Ankara, Turkey

Hacettepe University Medical Faculty
Ankara, Turkey

Dicle University, Medical Faculty
Diyarbakir, Turkey

Acibadem Atakent Hospital
Istanbul, Turkey

Istanbul University Cerrahpasa - Cerrahpasa Medical Faculty
Istanbul, Turkey

Kartal Lutfi Kirdar Research and Training Hospital
Istanbul, Turkey

Ege University Medical Faculty
Izmir, Turkey

Kayseri City Hospital
Kayseri, Turkey

Kocaeli Universitesi Tip Fakultesi
Kocaeli, Turkey

Selcuk Universitesi Selcuklu Tip Fakultesi Hastanesi
Konya, Turkey

Ondokuz Mayis Univ. Med. Fac.
Samsun, Turkey

Karadeniz Tecnical Uni. Med. Fac.
Trabzon, Turkey

CI Dnipropetrovsk CCH #6 of DRC Dept of Therapy (with pulmonological beds) SI DMA of MoHU
Dnipro, Ukraine

CNE CCH #16 of Dnipro City Council, DSMU, Ch of Intern Med #1
Dnipro, Ukraine

CNE Ivano-Frankivsk Reg Clin Infectious Hospital of Ivano-Frankivsk Regional Council
Ivano-Frankivsk, Ukraine

CNE of Kharkov RC Reg Cl Infectious Hospital
Kharkiv, Ukraine

Communal Non-Commercial Medical Enterprise "O.T.Bohayevskyi Kremenchuk City Hospital #1"
Kremenchuk, Ukraine

Kyiv Municipal Clinical Hospital #17 O. O. Bogomolets NMU
Kyiv, Ukraine

City Hospital #1
Mykolaiv, Ukraine

City Clinical infectious Hospital
Odesa, Ukraine

Poltava Regional Clinical Infectious Hospital Dept of Diagnostics HSEIU Ukrainian Medical Stomatolog
Poltava, Ukraine

Municipal Non-Profit Enterprise Central City Hospital Of Rivne City Council
Rivne, Ukraine

CCH #1 Vinnytsia M.I.Pyrogov NMU Ch of Infectious Diseases
Vinnytsia, Ukraine

CI Central City Hospital #1 of Zhytomyr
Zhytomyr, Ukraine

Contacts

Huimei Huang
+6582027938
hhuang@genova.cn

Wang Joyce
(1 604) 306 6003
JOYCE

Not Provided

NCT Number
Keywords
Antiviral
SARS-CoV-2
COVID19
MeSH Terms
COVID-19