PROXALUTAMIDE

A Randomized, Double-blind, Placebo-Controlled, Phase III Study to Evaluate the Efficacy and Safety of Proxalutamide (GT0918) in Hospitalized COVID-19 Subjects

Background

Coronavirus disease 2019 (COVID-19) emerged at the end of 2019 and spread rapidly, resulting in a global pandemic. In the development of therapies for COVID-19, it was found that SARS-CoV-2 encodes non-structural and structural proteins necessary for its viral life cycle. Among these, the spike glycoprotein plays a crucial role in SARS-CoV-2 infection by recognizing and attaching to the transmembrane ACE2 protein on host cells. This protein is also cleaved and activated by the cell surface enzyme TMPRSS2 to facilitate membrane fusion and entry. In mouse models, inhibiting TMPRSS2 function can reduce SARS-CoV-2 entry into lung cells, with similar observations shown when ACE2 function is inhibited. Additionally, it became apparent that there are gender differences in the severity of COVID-19, with males having higher hospitalization and mortality rates than females. Data have shown that treatment with antiandrogens reduces TMPRSS2 in human lung cells and dramatically lowers TMPRSS2 levels in mouse lungs. The study assessed live SARS-CoV-2 infection in human lung cells and observed a significant reduction in viral entry and infection after treatment with antiandrogens. Along with the co-expression of AR and TMPRSS2 in specific lung cell types targeted by SARS-CoV-2, this data provides strong evidence to support clinical trials evaluating the efficacy of antiandrogens as a treatment option for COVID-19.

Information

a Phase III, multicenter, randomized, double-blind, placebo-controlled clinical trial to evaluate the safety and efficacy of Proxalutamide in hospitalized adults diagnosed with COVID-19.

The study compares Proxalutamide plus standard therapy to placebo plus standard therapy in a 1:1 ratio. A total of 220 hospitalized adults (18 years and older) confirmed positive for COVID-19 will be included. Subjects will be assessed daily during hospitalization and will undergo a series of efficacy, safety, and laboratory evaluations. The investigational drug will be administered for 14 days, and subjects will be monitored for up to 28 days following the last dose of the investigational product.

 

Type of Study

Clinical trial (Monoclonal Antibody)

 

Topic

Covid-19

 

Collaborator

PT. Etana Biotechnologies, Indonesia

GALLERY