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Completed

NCT Number: NCT04900454

Allogeneic Natural Killer (NK) Cell Therapy in Subjects Hospitalized for COVID-19

This study is being done to determine the highest tolerated dose of an investigational cell therapy called DVX201 in patients hospitalized with COVID-19. DVX201 is an allogeneic NK (natural killer) cell therapy. NK cells are a normal part of your immune system that have the ability to identify and kill cells in the body that are infected by viruses such as COVID-19. There is evidence that both NK cell exhaustion and low numbers of NK cell in the blood occur in COVID-19 patients, and this may contribute to worsening of the infection. Therefore, infusion of healthy functional NK cells (like DVX201) may help overcome COVID-19 infection and prevent progression of the disease. This study is being done to look at the safety and tolerability of DVX201 in patients with COVID-19 and to gather information on how COVID-19 responds to treatment with DVX201.

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Key information

Conditions

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Fred Hutch/University of Washington Medical Center

Seattle, Washington, 98109, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Be capable of understanding the investigational nature, potential risks and benefits of the study, and able to provide valid informed consent
  • Be between 18 and 80 years of age and weigh at least 40 kg, inclusive, at time of informed consent
  • Be confirmed positive for COVID-19 (SARS-CoV-2) infection as determined by validated clinical PCR assay or by a hospital validated serological test within 7 days of consent
  • Symptomatic onset within 7 days of signing consent
  • Require hospitalization and meet the following:
  • Radiographic infiltrates by imaging (chest x-ray, CT scans)
  • Able to maintain a SpO2 ≥ 93% at rest. Supplemental oxygen to a maximum 4L by low flow O2-delivery is allowed, but not required
  • Meet 2 out of the 3 following criteria:

i. IL-6 < 150 pg/mL ii. CRP < 100 mg/L (10 mg/dL) iii. Ferritin < 1000 ng/mL

  • Women/men of reproductive potential must have agreed to use an effective contraceptive method during the study and for a minimum of 90 days after study treatment

Exclusion criteria

  • Weight less than 40 kg
  • Be ventilator dependent or be diagnosed with ARDS or multi-system organ failure
  • Have elevated oxygen requirement exceeding 4L oxygen by nasal cannula
  • Expected intubation within 24 hours per investigators assessment
  • Expected discharge from hospital within 72 hours of planned DVX201 date of infusion
  • Have a known hypersensitivity to constituents of DVX201, such as DMSO or atinhistamine medications
  • Have a history of symptomatic pulmonary or chronic pulmonary disease or severe asthma on chronic therapy for treatment
  • Have a history of baseline requirement of supplemental oxygen prior to COVID-19 diagnosis
  • Active autoimmune disorder or other medical condition requiring systemic immunosuppressive therapy (including steroids at > 5 mg prednisone or equivalent daily)
  • Be pregnant or breast-feeding
  • Have inadequate organ function as defined by:
  • Acute or chronic kidney injury requiring intermittent or continuous venovenous hemodialysis or estimated GFR of < 60 mL/min/1.73 m2
  • Abnormal liver function defined by AST (aspartate aminotransferase), ALT (alanine aminotransferase) or alkaline phosphatase ≥ 5 times the upper limit of normal

Treatment and study plan

DVX201

Biological

Single infusion of DVX201, an allogeneic NK cell therapy derived from CD34+ hematopoietic stem cells

Primary outcomes

  1. Incidence of dose limiting toxicities (DLT)

    Time frame: 7 days

    DLTs defined as grade 3 or greater infusion related reactions within 24 hours and any treatment emergent toxicity grade 3 or greater within 7 days apart from known complications of COVID-19

Secondary outcomes

  1. reduction/clearance of viral load/viral shedding

    Time frame: through study completion, an average of 28 days post cell infusion

    time in days to clearance of virus

  2. Oxygen requirements

    Time frame: through study completion, an average of 28 days post cell infusion

    Time in days on supplemental oxygen and time in days to resolution of hypoxia

  3. Disease progression

    Time frame: through study completion, an average of 28 days post cell infusion

    Incidence of disease progression to ICU admission and/or ventilatory support

  4. CRS

    Time frame: through study completion, an average of 28 days post cell infusion

    Incidence of cytokine release syndrome requiring clinical intervention

  5. hospital discharge

    Time frame: through study completion, an average of 28 days post cell infusion

    Time in days post infusion of DVX201 to hospital discharge

Other outcomes

  1. Length of time that DVX201 (NK cells) remain in the blood

    Time frame: through 28 days post infusion

    Evaluation of persistence of DVX201 in the peripheral blood

Sponsors and collaborators

Lead sponsor

Coeptis Therapeutics

Industry

Collaborators

  • Fred Hutchinson Cancer Center

Registry information

Official study title

A Phase 1 Study of DVX201, an Allogeneic Natural Killer (NK) Cell Therapy in Subjects Hospitalized for COVID-19

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
May 25, 2021
Registry last updated
Apr 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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