ITPP as an adjunctive treatment for progressive respiratory failure in COVID-19 and other pulmonary parenchymal infections [BREATH2]

2024-517878-21-00 Protocol ABM/COVID19/0034 Therapeutic exploratory (Phase II) Ended

Start 28 Nov 2023 · End 11 Jun 2025 · Status Ended · 1 EU/EEA countries · 3 sites · Protocol ABM/COVID19/0034

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 100
Countries 1
Sites 3

COVID-19 and other pulmonary parenchyma infections.

Improvement of respiratory capacity in patients who receive ITPP as adjunct therapy, as measured by an improvement in gasometric and biochemical parameters

Key facts

Sponsor
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01], Diseases [C] - Virus Diseases [C02]
Trial duration
28 Nov 2023 → 11 Jun 2025
Decision date (initial)
2025-01-11
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Agencja Badań Medycznych

External identifiers

EU CT number
2024-517878-21-00
EudraCT number
2020-005158-50

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety

Improvement of respiratory capacity in patients who receive ITPP as adjunct therapy, as measured by an improvement in gasometric and biochemical parameters

Secondary objectives 1

  1. Determination of the ITPP safety profile and tolerance.

Conditions and MedDRA coding

COVID-19 and other pulmonary parenchyma infections.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Hospitalized patients with pneumonia and respiratory failure caused by SARS-CoV-2 and/or other pathogens. Pneumonia will be diagnosed based on history, physical examination and imaging.
  2. Age >= 18 years.
  3. Neutrophil count above 500 / ml.
  4. A platelet count above 50,000 / ml.
  5. Total bilirubin level, creatinine level not exceeding three times the reference value.
  6. ALT, AST level not exceeding five times the reference values.
  7. Progressive severe respiratory failure, requiring aggressive mechanical ventilation within 14 days from admission to hospital (day 1). The criterion will be met when the patient meets two of the following parameters simultaneously: a. a spontaneous breathing rate greater than 35 bpm b. arterial oxygen pressure below 60 mm Hg despite mask oxygen therapy with a reservoir c. acute respiratory acidosis d. paO2 / fO2 ratio below 150 mmHg e. disturbance of consciousness.

Exclusion criteria 9

  1. The patient or the court did not give Informed Consent to participate in the Clinical Trial.
  2. Age under 18 years.
  3. Pregnancy.
  4. Severe, unmanageable electrolyte disturbances.
  5. Neutrophil count less than 500 / ml.
  6. Platelet count less than 50,000 / ml.
  7. Total bilirubin, creatinine levels greater than three times the reference value.
  8. ALT, AST levels greater than five times the reference value.
  9. Dependence on psychoactive substances and a history of their use within 30 days before the planned inclusion in the study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Improvement of respiratory capacity in patients who receive ITPP as adjunct therapy, as measured by an improvement in gasometric and biochemical parameters.

Secondary endpoints 1

  1. Determination of the ITPP safety profile and tolerance.

Investigational products

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

Test 1

OXY111A

PRD11679430 · Product

Active substance
Inositol Trispyrophosphate Hexasodium
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
5 g gram(s)
Max total dose
35 g gram(s)
Max treatment duration
7 Day(s)
Authorisation status
Not Authorised
MA holder
WOJSKOWY INSTYTUT MEDYCZNY-PAŃSTWOWY INSTYTUT BADAWCZY
Paediatric formulation
No
Orphan designation
No

Placebo 1

Injectio Natrii Chlorati Isotonica Polpharma, 9 mg/ml, rozpuszczalnik do sporządzania leków parenteralnych

PRD463376 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
500 ml millilitre(s)
Max total dose
3500 ml millilitre(s)
Max treatment duration
7 Day(s)
Authorisation status
Authorised
ATC code
V07AB — SOLVENTS AND DILUTING AGENTS, INCL. IRRIGATING SOLUTIONS
Marketing authorisation
R/2484
MA holder
ZAKLADY FARMACEUTYCZNE POLPHARMA S.A.
MA country
Poland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
re-packing

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy

Sponsor organisation
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Address
Ulica Szaserow 128
City
Warsaw
Postcode
04-141
Country
Poland

Scientific contact point

Organisation
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Contact name
Co-ordinating Investigator

Public contact point

Organisation
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Contact name
Sekcja Projektów Operacyjnych i Strategicznych

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ended 100 3
Rest of world 0

Investigational sites

Poland

3 sites · Ended
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Anaestesiology and Intensive Care Clinic Hospital in LEGIONOWO, Ulica Szaserow 128, 04-141, Warsaw
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Department of Cardiology and Internal Diseases, Ulica Szaserow 128, 04-141, Warsaw
Wojskowy Instytut Medyczny Panstwowy Instytut Badawczy
Anesthesiology and Intensive Care and the Department of Internal Medicine, Infectious Diseases, Ulica Szaserow 128, 04-141, Warsaw

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 2023-11-28 2025-06-11 2023-11-28

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 results EU CT 2024-517878-21-00
SUM-108161
2025-11-26T11:07:45 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay person summary of results EU CT 2024-517878-21-00 2025-11-26T11:10:30 Submitted Laypersons Summary of Results

Documents 10 files

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

TypeTitleVersion
Laypersons summary of results (for publication) Lay person summary of results EU CT 2024-517878-21-00 1
Protocol (for publication) D1_Protocol_2024-517878-21-00_BLIND 4.1
Recruitment arrangements (for publication) K1_Recruitment arrangements_placeholder N/A
Subject information and informed consent form (for publication) L1_SIS and ICF 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_kontynuacja udzialu 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_wniosek do sadu 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_zgoda RODO 3.0
Summary of Product Characteristics (SmPC) (for publication) G1_IMP extension of shelf-life to 36 months statement N/A
Summary of Product Characteristics (SmPC) (for publication) G1_Stability Report after 24 months N/A
Summary of results (for publication) Summary of results EU CT 2024-517878-21-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-29 Poland Acceptable
2025-01-08
2025-01-11
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-02-10 Poland Acceptable
2025-01-08
2025-02-10