Experimental COVID-19 drug fails to prevent respiratory failure in High-Risk patients

NCT ID NCT04393038

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested an experimental drug called ABX464 in 509 high-risk COVID-19 patients aged 65 and older, or those 18+ with risk factors like obesity or diabetes. The goal was to see if the drug could reduce inflammation and prevent the need for high-flow oxygen or a breathing machine. Unfortunately, the trial was stopped early because the drug did not show enough benefit compared to a placebo.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

ABX464 (an experimental anti-inflammatory drug)

What this could lead to

If it had worked, this could have pointed toward a treatment to prevent severe breathing problems in older or high-risk COVID-19 patients.

What could go wrong

The trial was stopped early because it was not showing enough benefit. It was also a mid-stage study, so even positive results would have needed more testing.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

COVID-19 acute respiratory failure prevention target

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Asklepios Klinik Altona

    Hamburg, 22763, Germany

  • Asklepios Klinik St. Georg

    Hamburg, 20099, Germany

  • Centre Hospitalier Départemental de Vendée

    La Roche-sur-Yon, 85000, France

  • Centre Hospitalier Universitaire de Nice

    Nice, 06003, France

  • Centre hospitalier Saint Pierre

    Brussels, 1000, Belgium

  • Centro Oncológico de Roraima - CECOR - NAP

    Boa Vista, Roraima, 69310-000, Brazil

  • Centro de Prevención y Rehabilitación de Enfermedades Pulmon

    Nuevo León, 64460, Mexico

  • Conjunto Hospitalar do Mandaqui

    São Paulo, 02401-400, Brazil

  • Consultorio médico

    Mérida, Yucatán, 97070, Mexico

  • Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico - Infectious Diseases

    Milan, Lombardy, 20122, Italy

  • Fundacao de Medicina Tropical Doutor Heitor Vieira Dourado - Instituto de Pesquisa Clínica Carlos Borborema

    Manaus, Amazonas, 69040-000, Brazil

  • H.G.U. Alicante

    Alicante, 03010, Spain

  • Hospital Universitari Germans Trias i Pujol

    Badalona, Barcelona, 08916, Spain

  • Hospital Universitario Infanta Leonor

    Madrid, 28031, Spain

  • Hospital das Clinicas da FMUSP

    São Paulo, São Paulo, 05403-000, Brazil

  • Hospital de La Princesa

    Madrid, 28006, Spain

  • Hospital del Mar

    Barcelona, 08003, Spain

  • Hôpital Erasme

    Brussels, 1070, Belgium

  • Hôpital Nord

    Amiens, 80000, France

  • Hôpital Saint-Antoine

    Paris, 75571, France

  • Instituto Nacional de Infectologia Evandro Chagas - FIOCRUZ Rio de Janeiro

    Rio de Janeiro, 21040-360, Brazil

  • Ospedale A. Manzonidi Lecco - ASST Lecco

    Lecco, 23900, Italy

  • Ospedale Luigi Sacco, AO-PU

    Milan, Lombardy, 20157, Italy

  • Ospedale Niguarda

    Milan, 20162, Italy

  • Ospedale San Paolo

    Milan, Lombardy, 20142, Italy

  • Ospedale di Vittorio Veneto - Medecina generale

    Vittorio Veneto, Treviso, 31029, Italy

  • Royal Free Hospital

    London, NW3 2QG, United Kingdom

  • UZ Gent

    Ghent, 9000, Belgium

  • Universitätsklinikum Bonn

    Bonn, North Rhine-Westphalia, 53127, Germany

  • Universitätsmedizin Mannheim Ruprecht-Karls-Universität Heid

    Mannheim, Baden-Wurttemberg, 68167, Germany