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CTRI Number  CTRI/2020/10/028423 [Registered on: 15/10/2020] Trial Registered Prospectively
Last Modified On: 06/09/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to see the effects and safety of PNB-001 in patients with moderate COVID-19 infection 
Scientific Title of Study   A Randomized, Open label Clinical Study to Evaluate Efficacy and Safety of PNB-001 in Patients with moderate COVID-19 Infection. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
BCR-PNB-001 version 4.0 dated 02 Sep 2020  Protocol Number 
CT/ND/95/2020  DCGI 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pradnya Bhalerao 
Designation  Principal Investigator 
Affiliation  B J Govt. Medical College and Sassoon General Hospital 
Address  Department of Anaesthesiology, 1st floor, Block 11, B J Govt. Medical College and Sassoon General Hospital, Jai Prakash Narayan Road, Near Pune Railway Station, Pune , Maharashtra, India.

Pune
MAHARASHTRA
411001
India 
Phone  91-8806664773  
Fax    
Email  dr.pradnyabhalerao@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeta Nargundkar 
Designation  Managing Director 
Affiliation  Biosphere Clinical Research Pvt.Ltd. 
Address  Office No. 02, 03 & 04, Second Floor, Highland Corporate Center, Kapurbawdi Junction, Thane (W),Maharashtra, India

Thane
MAHARASHTRA
400607
India 
Phone  91-22-41006794  
Fax    
Email  drneeta@biospherecro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neeta Nargundkar 
Designation  Managing Director 
Affiliation  Biosphere Clinical Research Pvt.Ltd. 
Address  Office No. 02, 03 & 04, Second Floor, Highland Corporate Center, Kapurbawdi Junction, Thane (W),Maharashtra, India


MAHARASHTRA
400607
India 
Phone  91-22-41006794  
Fax    
Email  drneeta@biospherecro.com  
 
Source of Monetary or Material Support  
PNB Vesper Life Science Pvt. Ltd,Door No. 40/ 1045G, 5th floor, Amritha Towers, Cochin , Kerala 682011, India 
 
Primary Sponsor  
Name  PNB Vesper Life Science Pvt Ltd 
Address  Door No. 40/ 1045G, 5th floor, Amritha Towers, Cochin , Kerala 682011, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Biosphere Clinical Research Pvt Ltd  Office No. 02, 03 & 04, Second Floor, Highland Corporate Center, Kapurbawdi Junction, Thane (W) 400 607, Maharashtra, India  
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pradnya Bhalerao  B J Govt. Medical College and Sassoon General Hospital  Department of Anaesthesiology, 1st floor, Block 11, B J Govt. Medical College and Sassoon General Hospital, Jai Prakash Narayan Road, Near Pune Railway Station, Pune -411001, Maharashtra, India.
Pune
MAHARASHTRA 
91-8806664773

dr.pradnyabhalerao@gmail.com 
Dr Shashi Bhushan B L  Victoria Hospital Bangalore Medical College and Research Institute  Department of Pulmonology, B Block Ground Floor, Victoria Hospital, Bangalore Medical College and Research Institute, Fort, K R Road, Bangalore Urban, Karnataka - 560002, India
Bangalore
KARNATAKA 
91-9448239644

shashibhushanbl@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Ethics Committee, Bangalore Medical College and Research Institute  Approved 
Institutional Ethics Committe of B.J .Govt.Medical College And Sassoon General Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  PNB-001 with Standard of care treatment as per the revised clinical management protocol for COVID-19 as issued by Govt of India, MoHFW   PNB-001 100 mg capsule three times a day with standard of care treatment for 14 days  
Comparator Agent  Standard of care treatment as per the revised clinical management protocol for COVID-19 as issued by Govt of India, MoHFW  14 Days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female patients aged between 18 and 65 years (both Inclusive).
2. Patients with laboratory-confirmed SARS-CoV-2 infection as determined by PCR within 2 days of randomization.
3. Patients havingPneumonia with no signs of severe disease with SpO2 ≤94% (range 90-94%) on room air.
4. Patients with any two of the following signs or symptoms suggestive of COVID-19.
- Fever
- Cough
- dyspnoea or hypoxia
- Respiratory rate more or equal to 24 per minute.
5. Radiographic infiltrates as confirmed by imaging (chest xray).
6. Patients who are willing to sign written informed consent for participation in the study and willing to adhere to all protocol procedures.
7. Eligible subjects of child-bearing age (male or female) must agree to take effective contraceptive measures (including hormonal contraception, barrier methods or abstinence) with his/her partner during the study period and for at least 7 days following the last study treatment. 
 
ExclusionCriteria 
Details  1. Patient requiring invasive mechanical ventilation.
2. Known allergies, hypersensitivity, or intolerance to investigational product or its excipients.
3. Patients with the following clinically significant laboratory abnormalities: SGOT, SGPT, Serum Bilirubin > 2.5 times the Upper Limit Normal (ULN)) at screening visit.
4. Patients with abnormal Sr.Creatinine value of ≥ 2 mg/dl at screening visit.
5. Patients with Type 1 diabetes mellitus.
6. Patients with uncontrolled Type 2 diabetes mellitus with random sugar ≥ 200 mg/dL.
7. Uncontrolled hypertension (systolic blood pressure> 160mmHg, or diastolic blood pressure>100mmHg); previous history of hypertension crisis or hypertensive encephalopathy.
8. History or presence of clinically significant hepatic, renal,cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, psychiatric, diseases or metabolic disturbances or other relevant systemic diseases that would preclude the safe administration of the Investigational product.
9. Any condition for which, in the opinion of the investigator,participation would not be in the best interest of the patient (eg, compromise the well-being) or that could prevent, limit,or confound the protocol-specified assessments.
10. History of hepatitis B surface antigen (HBsAg) or hepatitis C antibody (anti-HCV) positive, or other clinically active liver disease.
11. History of human immunodeficiency virus (HIV) antibody positive.
12. History of drug or alcohol abuse according to Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSMV) criteria within 1 years before Screening.
13. History of any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
14. Poorly controlled heart diseases, such as NYHA class II and above cardiac insufficiency, unstable angina pectoris,myocardial infarction within 1 year before enrollment, supraventricular or ventricular arrhythmia need treatment or intervention.
15. Patient received an investigational intervention (including investigational vaccines) or used an invasive investigational
medical device within 30 days or 5 half-lives prior to Baseline, whichever is longer, before the signing the consent or is currently enrolled in an investigational study.
16. Pregnant or breast-feeding at screening.
17. Employee of the investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the investigator.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Mean change in the ordinal scale from baseline.
2.Mortality Rate by Day 28 
15 Days
28 Days 
 
Secondary Outcome  
Outcome  TimePoints 
1.Percentage of patients showing change in clinical status using the ordinal scale from baseline.
2.Percent of patients showing improvement in inflammatory segments in X-ray chest from baseline.
3.Reduction of Days of hospitalization.
4.Duration of supplemental oxygen (if applicable).
5.Improvement in oxygen saturation from baseline.
6.Days to negative PCR for Covid19.
7.Change in (IL6, CRP) inflammatory markers from baseline 
15 Days 
The assessment of safety will be based on the frequency of Adverse Events and changes in laboratory values. All safety variables will be summarized using descriptive statistics  28 Days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   28/10/2020 
Date of Study Completion (India) 18/03/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This study is a A Randomized, Open label Clinical Study to Evaluate Efficacy and Safety of PNB-001 In Patients with moderate COVID-19 Infection in 40 patients in 1:1 ratio.
The Primary Endpoints are
    Mean change in the ordinal scale from baseline.
    Mortality Rate by Day 28
The Secondary Endpoints are
  Percentage of patients showing change in clinical status using the ordinal scale from baseline.
  Percent of patients showing improvement in inflammatory segments in X-ray chest from baseline.
  Reduction of Days of hospitalization.
  Duration of supplemental oxygen (if applicable).
  Improvement in oxygen saturation from baseline.
  Days to negative PCR for Covid19.
  Change in (IL6, CRP) inflammatory markers from baseline
 
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