Phase 2
N=314
A Study of Auxora in Patients With Severe COVID-19 Pneumonia
Pneumonia
Bottom Line
View on ClinicalTrials.gov: NCT04345614 ↗Enrolled (actual)
314
Serious AEs
30.2%
Results posted
Aug 2025
Primary outcome: Primary: Number of Days From the Start of the First Infusion of Study Drug (SFISD) to Recovery — 5; 12; 7.0; 10.0 Days
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Auxora (Part 1) (Drug); Standard of Care (Part 1) (Drug); Auxora (Part 2) (Drug); Placebo (Part 2) (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- CalciMedica, Inc.
- Primary completion
- Jun 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Days From the Start of the First Infusion of Study Drug (SFISD) to Recovery |
5; 12; 7.0; 10.0 | — |
| SECONDARY Number of Participants Who Have Died at Day 30 (Mortality) |
2; 2; 10; 23 | — |
| SECONDARY Number of Participants Who Have Died at Day 60 (Mortality) |
2; 2; 18; 27 | — |
| SECONDARY Number of Participants Requiring Invasive Mechanical Ventilation or Dying (Part 1) |
4; 5 | — |
| SECONDARY Proportion of Patients Requiring Invasive Mechanical Ventilation or Dying (Part 2) |
.23; .31 | — |
| SECONDARY Proportion of Patients Requiring Invasive Mechanical Ventilation (Part 2) |
0.19; 0.28 | — |
| SECONDARY Improvement in 8-point Ordinal Scale (Part 1) |
6.3; 4.6 | — |
| SECONDARY Differences in Outcomes as Measured by an 8-point Ordinal Scale (Part 2) |
0; 0; 5; 8; 10; 23 | — |
| SECONDARY Change in PaO2/FiO2 (Part 1) |
66.94; 153.31 | — |
| SECONDARY Number of Days in the Hospital(Part 1) |
5; 12 | — |
| SECONDARY Number of Days in the Hospital (Part 2) |
13.65; 15.29 | — |
| SECONDARY Number of Days in the Intensive Care Unit (ICU) (Part 2) |
6.88; 8.36 | — |
| SECONDARY Days Alive and Free of Mechanical Ventilation (Part 1) |
22.9; 12.9 | — |
| SECONDARY Number of Participants Considered Recovered (Part 1) |
14; 4 | — |
| SECONDARY CM4620-IE Plasma Concentration (Part 2) |
165.2 | — |
| SECONDARY Percentage of Patients With Treatment Emergent Adverse Events (TEAE) and Serious Adverse Events (SAE) |
75.0; 80.0; 64.5; 61.4; 20.0; 20.0 | — |
Summary
Part 1 of this trial enrolled 30 patients to receive Auxora (formerly CM4620) in a 2:1 randomized, open label trial of patients with severe and critical COVID-19 pneumonia. Part 2 of this study randomized 284 patients and was a randomized, double blind, placebo-controlled (RCT) study that evaluated the efficacy, safety, and the pharmacokinetic profile of Auxora in patients with severe COVID-19 pneumonia. The number of patients with an imputed PaO2/FiO2 >200 randomized into the study was capped at 26. Another 258 patients with a PaO2/FiO2 ≤200 were enrolled. Patients with an estimated PaO2/FiO2 of 75-200 were stratified to ensure balanced randomization between the Auxora and placebo arms. Subgroup analyses were performed to explore how time to recovery is influenced by baseline variables and to evaluate the treatment effect at different levels of each of these variables. The dose of Auxora was 2.0 mg/kg (1.25 mL/kg) administered at 0 hour, and then 1.6 mg/kg (1 mL/kg) at 24 hours and 1.6 mg/kg (1 mL/kg) at 48 hours from the SFISD. The dose of placebo was 1.25 mL/kg administered at 0 hour and then 1 mL/kg at 24 hours and 1 mL/kg at 48 hours from the SFISD. Remdesivir, corticosteroids and convalescent plasma were allowed. The infusion of Auxora / Placebo started within 12 hours from the time the patient or LAR provided informed consent. Efficacy analyses will be presented by treatment group (Auxora vs Placebo) based on the Efficacy Analysis Set of the imputed PaO2/FiO2 ≤200 subgroup, except where it is specified otherwise. The statistical analysis approach was designed to assess the significance of the primary and first secondary endpoint using the Benjamini and Hochberg method to control the overall trial level alpha level.
Eligibility Criteria
Part 1:
Inclusion Criteria
- 1. The diagnosis of COVID-19 established standard RT-PCR assay;
- At least 1 of the following symptoms:
Fever, cough, sore throat, malaise, headache, muscle pain, dyspnea at rest or with exertion, confusion, or respiratory distress;
- At least 1 of the following clinical signs:
Respiratory rate ≥30, heart rate ≥125, SpO2 2L oxygen by nasal cannula to maintain SpO2 ≥93%, or PaO2/FiO2 1) VTE;
- The patient is known to be pregnant or is nursing;
- Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent;
- Allergy to eggs or any of the excipients in study drug.
Part 2:
Inclusion Criteria
- Has laboratory-confirmed SARS-CoV-2 infection as determined by polymerase chain reaction (PCR) or other commercial or public health assay in any specimen, as documented by either of the following:
- PCR positive in sample collected 24 hours, etc.) or progressive disease suggestive of ongoing SARS-CoV-2 infection;
- At least 1 of the following symptoms: Fever, cough, sore throat, malaise, headache, muscle pain, dyspnea at rest or with exertion, confusion, or respiratory distress;
- At least 1 of the following signs at Screening or noted in the 24 hours before Screening:
- PaO2/FiO2 ≤200 when receiving supplemental oxygen. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas;
- If SpO2 ≥97%, must be receiving 10L or more of supplemental oxygen;
- The presence of a respiratory infiltrate or abnormality consistent with pneumonia that is documented by either a chest X-ray or computerized tomography scan of the lungs;
- The patient is ≥ 18 years of age;
- A female patient of childbearing potential must not attempt to become pregnant for 39 months, and if sexually active with a male partner, is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE;
- A male patient who is sexually active with a female partner of childbearing potential is willing to practice acceptable methods of birth control for 39 months after the last dose of CM4620-IE. A male patient must not donate sperm for 39 months;
- The patient is willing and able to, or has a legal authorized representative (LAR) who is willing and able to, provide informed consent to participate, and to cooperate with all aspects of the protocol.
Exclusion Criteria
- Expected survival or time to withdrawal of life-sustaining treatments expected to be 1) VTE;
- The patient is known to be pregnant or is nursing;
- Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent;
- Allergy to eggs or any of the excipients in study drug.
Data sourced from ClinicalTrials.gov (NCT04345614). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.