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NCT04343651

Study to Evaluate the Efficacy and Safety of Leronlimab for Mild to Moderate COVID-19

Completed Phase 2 Results posted Last updated 4 January 2023
What this trial tests

Phase 2 trial testing Placebo in Coronavirus Disease 2019 in 86 participants. Completed in 20 September 2021.

Timeline
1 April 2020
Primary endpoint
21 July 2020
20 September 2021

Quick facts

Lead sponsorCytoDyn, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment86
Start date1 April 2020
Primary completion21 July 2020
Estimated completion20 September 2021
Sites12 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

CytoDyn, Inc. — full company profile →

Who can join

Adults 18 to 99, any sex, with Coronavirus Disease 2019. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean Change From Baseline in Total Symptom Score Primary · Clinical Improvement will be assessed at baseline and at EOT (day 14).

Clinical Improvement as assessed by change in total symptom score (for fever, myalgia, dyspnea and cough) by count of patients showing improvement, no change or worsened. Note: The total score per patient ranges from 0 to 12 points. Each symptom is graded from 0 to 3. \[0=none, 1=mild, 2=moderate, and 3=severe\]. Higher scores mean a worse outcome. A negative change from baseline shows an improvement in symptom score.

GroupValue95% CI
Placebo-3.4± 3.19
700mg Leronlimab-3.5± 3.03
Time to Clinical Resolution (TTCR) Secondary · Time (in days) from initiation of study treatment until resolution of clinical symptoms (fever, myalgia, dyspnea and cough).

Defined as the time from initiation of study treatment to the resolution of clinical symptoms (fever, myalgia, dyspnea, cough). Data presented how the number of days at which a certain percentage of patients achieve resolution of symptoms, i.e., 50% of patients on placebo saw resolution of symptoms in 15 days, and 15 days for patients on leronlimab. The hazard ratio was 0.781, 95% Confidence Interval 0.43, 1.41 and the p-value was 0.4138. TTCR is defined as the duration from date of first exposure to treatment to the first occurrence of total symptom score equals 0.

25% subjects
GroupValue95% CI
Placebo5
700mg Leronlimab8
50% subjects
GroupValue95% CI
Placebo15
700mg Leronlimab15
75% subjects
GroupValue95% CI
Placebo15
700mg Leronlimab15
Incidence of Hospitalization Secondary · From visit 2 (day 0) through day 14 (in days)

Number of patients requiring hospitalization

None
GroupValue95% CI
Placebo11
700mg Leronlimab22
1 time
GroupValue95% CI
Placebo14
700mg Leronlimab33
2 times
GroupValue95% CI
Placebo3
700mg Leronlimab1
Duration (Days) of Hospitalization Secondary · Total duration of hospitalization between visit 2 (day 0) in days and end of treatment

Duration of hospitalization in days

GroupValue95% CI
Placebo2.0± 3.19
700mg Leronlimab2.1± 3.83
Incidence of Mechanical Ventilation Secondary · Total duration of mechanical ventilation since visit 2 (day 0) (days)

Incidence of mechanical ventilation supply

None
GroupValue95% CI
Placebo27
700mg Leronlimab55
1 Time
GroupValue95% CI
Placebo1
700mg Leronlimab1
Duration of Mechanical Ventilation Supply Secondary · Duration of mechanical ventilation since visit 2 (day 0) (days

Duration (days) of mechanical ventilation supply

GroupValue95% CI
Placebo0.4± 1.96
700mg Leronlimab0.2± 1.00
Incidence of Oxygen Use Secondary · Use of oxygen since visit 2 (day 0) to end of treatment

Incidence of oxygen use over course of treatment

None
GroupValue95% CI
Placebo22
700mg Leronlimab47
One time
GroupValue95% CI
Placebo5
700mg Leronlimab6
Two times
GroupValue95% CI
Placebo1
700mg Leronlimab2
Three times
GroupValue95% CI
Placebo0
700mg Leronlimab1
Duration of Oxygen Use Secondary · Total duration of oxygen use since visit 2 (day 0) to EOT (day 14) (days)

Duration of oxygen use in days

GroupValue95% CI
Placebo0.8± 2.81
700mg Leronlimab0.9± 2.98
Mortality at Day 14 Secondary · Mortality at EOT (day 14)

Incidence of mortality at day 14

GroupValue95% CI
Placebo0
700mg Leronlimab0
Time to Return to Normal Activity Secondary · Date of first exposure to treatment to the first occurrence of ordinal scale equals "not hospitalized, no limitations of activities"

Time to return to normal activity from initiation of study treatment defined as duration from date of first exposure to treatment to the first occurrence of ordinal scale equals "not hospitalized, no limitations of activities"

25th percentile pts return to normal
GroupValue95% CI
Placebo4.0
700mg Leronlimab5.0
50th percentile pts return to normal
GroupValue95% CI
Placebo8.0
700mg Leronlimab8.0
75th percentile pts return to normal
GroupValue95% CI
Placebo9.0
700mg Leronlimab15.0
Change From Baseline in National Early Warning Score 2 (NEWS2) to Day 3, 7 and 14 Secondary · Baseline to Day 3, 7 and 14

NEWS2 is an assessment based on 7 clinical parameters (respiration rate, oxygen saturation, any supplemental oxygen, temperature, systolic blood pressure, heart rate, level of consciousness) developed by the Royal College of Physicians (https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2). Respiratory rate (bpm) scores 0-3; Sp02 (on room air or suppl) scores 0-3; SpO2 (hypercapnic resp failure) scores 0-3; room air or supplemental O2 scores 0 (room) or 2 (suppl); temperature - scores 0-3; systolic BP scores 0-3; pulse (bpm) scores 0-3; consciousness - alert (score

Change from Baseline to Day 3
GroupValue95% CI
Placebo0.0± 0.87
700mg Leronlimab-0.3± 1.67
Change from Baseline to Day 7
GroupValue95% CI
Placebo-0.2± 1.27
700mg Leronlimab-0.3± 2.24
Change from Baseline to Day 14
GroupValue95% CI
Placebo-0.2± 1.06
700mg Leronlimab-0.4± 2.42
Mean Change in Percent Oxygen Saturation From Baseline to Days 3, 7 and 14 Secondary · Mean change in percent oxygen saturation from baseline to Days 3, 7 and 14

Mean change in percent oxygen saturation from baseline to Days 3, 7 and 14 for patients with paired values

Mean change from Baseline to Day 3 of percent oxygen saturation
GroupValue95% CI
Placebo0.3± 1.91
700mg Leronlimab-0.1± 2.0
Mean change from Baseline to Day 7 of percent oxygen saturation
GroupValue95% CI
Placebo0.4± 2.08
700mg Leronlimab0.00± 2.30
Mean change from Baseline to Day 14 of percent oxygen saturation
GroupValue95% CI
Placebo0.6± 1.73
700mg Leronlimab0.3± 2.39

Adverse events — posted to ClinicalTrials.gov

Time frame: Study drug was administered at Visit 2 (day 0) and visit 4 (day 7). Adverse events were assessed during the course of treatment and during the follow up period i.e., 2 weeks (visit 6) and 4 weeks (visit 7) after end of treatment. Therefore adverse events were assessed over a period of 5 weeks (visit 2 to visit 7).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 6/28 (21%)
Deaths: 0/28
700mg Leronlimab
Serious: 5/56 (9%)
Deaths: 1/56

Serious adverse events (17 terms)

ReactionSystemPlacebo700mg Leronlimab
Chest PainGeneral disorders
Atrial FibrillationCardiac disorders
Mitral Valve IncompetenceCardiac disorders
Abdominal PainGastrointestinal disorders
DeathGeneral disorders
Swelling faceGeneral disorders
Liver AbcessInfections and infestations
DehydrationMetabolism and nutrition disorders
HypoaesthesiaNervous system disorders
PresyncopeNervous system disorders
Acute kidney injuryRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
respiratory distressRespiratory, thoracic and mediastinal disorders
respiratory failureRespiratory, thoracic and mediastinal disorders
Arterial occlusive diseaseVascular disorders
HypotensionVascular disorders
Peripheral ischaemiaVascular disorders
Other adverse events (6 terms — click to expand)

ReactionSystemPlacebo700mg Leronlimab
Muscular weaknessMusculoskeletal and connective tissue disorders
C-reactive protein increasedInvestigations
Urinary Tract InfectionInfections and infestations
FatigueGeneral disorders
PneumoniaInfections and infestations
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Chest Pain, Atrial Fibrillation, Mitral Valve Incompetence, Abdominal Pain, Death, Swelling face, Liver Abcess, Dehydration.

Data from ClinicalTrials.gov NCT04343651 adverse events section.

Sponsor's own description

This is a Phase 2, two-arm, randomized, double blind, placebo controlled multicenter study to evaluate the safety and efficacy of leronlimab (PRO 140) in patients with mild-to-moderate symptoms of respiratory illness caused by coronavirus 2019 infection.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Pathological inflammation in patients with COVID-19: a key role for monocytes and macrophages.
    Merad M, Martin JC. · · 2020 · cited 1909× · PMID 32376901 · DOI 10.1038/s41577-020-0331-4
  2. Cytokine storm and leukocyte changes in mild versus severe SARS-CoV-2 infection: Review of 3939 COVID-19 patients in China and emerging pathogenesis and therapy concepts.
    Wang J, Jiang M, Chen X, Montaner LJ. · · 2020 · cited 551× · PMID 32534467 · DOI 10.1002/jlb.3covr0520-272r
  3. Contribution of monocytes and macrophages to the local tissue inflammation and cytokine storm in COVID-19: Lessons from SARS and MERS, and potential therapeutic interventions.
    Jafarzadeh A, Chauhan P, Saha B, Jafarzadeh S, et al · · 2020 · cited 246× · PMID 32687918 · DOI 10.1016/j.lfs.2020.118102
  4. Antibodies to watch in 2021.
    Kaplon H, Reichert JM. · · 2021 · cited 215× · PMID 33459118 · DOI 10.1080/19420862.2020.1860476
  5. Chemokines and chemokine receptors during COVID-19 infection.
    Khalil BA, Elemam NM, Maghazachi AA. · · 2021 · cited 187× · PMID 33558827 · DOI 10.1016/j.csbj.2021.01.034
  6. COVID-19 and Cancer: a Comprehensive Review.
    Gosain R, Abdou Y, Singh A, Rana N, et al · · 2020 · cited 187× · PMID 32385672 · DOI 10.1007/s11912-020-00934-7
  7. An update on drugs with therapeutic potential for SARS-CoV-2 (COVID-19) treatment.
    Drożdżal S, Rosik J, Lechowicz K, Machaj F, et al · · 2021 · cited 186× · PMID 34991982 · DOI 10.1016/j.drup.2021.100794
  8. CCR5 inhibition in critical COVID-19 patients decreases inflammatory cytokines, increases CD8 T-cells, and decreases SARS-CoV2 RNA in plasma by day 14.
    Patterson BK, Seethamraju H, Dhody K, Corley MJ, et al · · 2021 · cited 122× · PMID 33186704 · DOI 10.1016/j.ijid.2020.10.101

Verify or expand the search:

Other trials of Leronlimab (700mg)

Trials testing the same drug.

Other recruiting trials for Coronavirus Disease 2019

Currently open trials in the same condition.

Other CytoDyn, Inc. trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04343651.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing