Long-term aspirin therapy as a predictor of decreased susceptibility to SARSCoV-2 infection in aspirin-exacerbated respiratory disease

2024-514602-31-00 Protocol AERD-COV19 Phase II and Phase III (Integrated) Ended

Start 7 Dec 2022 · End 23 Jan 2025 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol AERD-COV19

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ended
Participants planned 76
Countries 1
Sites 1

aspirin-exacerbated respiratory disease

to determine whether treatment with aspirin, which inhibits cyclooxygenase-1 enzyme, can serve as a predictor of decreased susceptibility to SARS-CoV-2 infection and COVID-19 in patients with AERD. 2. to assess genetic features that might predict or attenuate SARS-CoV-2 infection on high-dose aspirin therapy.

Key facts

Sponsor
Uniwersytet Jagiellonski Collegium Medicum
Participant type
Healthy volunteers, Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
7 Dec 2022 → 23 Jan 2025
Decision date (initial)
2024-07-01
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514602-31-00
EudraCT number
2021-003897-30

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

to determine whether treatment with aspirin, which inhibits cyclooxygenase-1 enzyme, can serve as a predictor of decreased susceptibility to SARS-CoV-2 infection and COVID-19 in patients with AERD.
2. to assess genetic features that might predict or attenuate SARS-CoV-2 infection on high-dose aspirin therapy.

Conditions and MedDRA coding

aspirin-exacerbated respiratory disease

VersionLevelCodeTermSystem organ class
25.1 LLT 10003534 Aspirin-sensitive asthma 10038738
25.1 LLT 10075084 Aspirin-exacerbated respiratory disease 100000004855

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. INCLUSION CRITERIA FOR AERD PATIENTS:* signed informed consent form * 18-70 years old AERD patients with baseline FEV1 of at least 70% of the predicted value on the challenge/desensitization day * no pregnancy, higly effective contraception must be used
  2. INCLUSION CRITERIA FOR HEALTHY CONTROL: * signed informed consent form * 18-70 years old and healthy condition * no asthma

Exclusion criteria 6

  1. failure of the circulatory and respiratory system, liver, kidneys and other vital organs
  2. diabetes, cancer, systemic diseases of connective tissue, infectious diseases, coagulation disorders, active peptic ulcer disease, any active bleeding process.
  3. Use of drugs that interact with aspirin
  4. use of intoxicants, alcohol abuse, active and passive smoking
  5. pregnancy, lactation
  6. hypersensitivity to the active substance or any of the excipients

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. whether aspirin desensitization followed by long-term high-dose aspirin therapy in patients with AERD associated with lower gene expression of ACE2, TMPRSS2, BSG, PPIA, PPIB, DPP4, IFNA1, IFNB1 IFNG, IFNL1 i IFNL2 and ISG in sputum and nasal cells.

Secondary endpoints 1

  1. Whether the change of gene expression during aspirin therapy is connected with lower risk of SARS-CoV-2 infection

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

ACARD 300 mg, 300 mg, tabletki

PRD4434169 · Product

Active substance
Acetylsalicylic Acid
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
175 Day(s)
Authorisation status
Authorised
ATC code
B01AC06 — ACETYLSALICYLIC ACID
Marketing authorisation
23458
MA holder
ZAKLADY FARMACEUTYCZNE POLPHARMA S.A.
MA country
Poland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
repack and blinding

Placebo 1

Microcrystalline cellulose, Native corn starch, Citric acid anhydrous (E330)

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Uniwersytet Jagiellonski Collegium Medicum

Sponsor organisation
Uniwersytet Jagiellonski Collegium Medicum
Address
Ul. Sw. Anny 12
City
Cracow
Postcode
31-008
Country
Poland

Scientific contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Prof. Lucyna Mastalerz

Public contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Biuro ds Badań klinicznych

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ended 76 1
Rest of world 0

Investigational sites

Poland

1 site · Ended
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Klinika Pulmonologii, Ul. Macieja Jakubowskiego 2, 30-688, Cracow

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2022-12-07 2025-01-23 2023-01-31 2025-01-23

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Summary of result v1.0
SUM-69231
2026-05-20T08:31:02 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of result 2026-05-20T08:32:01 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Streszczenie wynikow dla osob bez wiedzy fachowej 1
Summary of results (for publication) Streszczenie wynikow badania klinicznego 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-24 Poland Acceptable
2024-06-26
2024-07-01