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.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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509 people
The number who actually took part.
- Started
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Jul 2020
- Finished
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Apr 2021
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult (≥ 18 years old) men or women, hospitalized or not hospitalized, diagnosed for SARS-CoV-2 infection by PCR, with at least one associated risk factor. Considered risk factors are: * Age ≥ 65 years * Obesity defined as BMI ≥ 30 * Recent history of uncontrolled High Blood Pressure (SBP \> 150 mm Hg DBP \>100 mm Hg) according to investigator * Treated diabetes (type I or II) * History of ischemic cardiovascular disease 2. Symptomatic patients at enrollment. Symptoms are defined as fever (body temperature ≥ 37.8 C oral/tympanic, or ≥ 38.2 C rectal) for more than 24 hours associated either with headache, sore throat, dry cough, fatigue, chest pain or choking sensation (with no associated respiratory distress), myalgia, anosmia or ageusia. 3. Patients with pulse oximetry arterial saturation ≥ 92 % on room air at enrolment. 4. Patients with the following hematological and biochemical laboratory parameters obtained within 7 days prior to Day 0: * Hemoglobin above 9.0 g / dL * Absolute Neutrophil Count ≥ 1000 / mm3 * Platelets ≥ 100 000 mm3; * Creatinine clearance ≥ 50 mL / min by the Cockcroft Gault formula * Total serum bilirubin \< 2 x ULN * Alkaline phosphatase \< 2 x ULN, AST (SGOT) and ALT (SGPT) \< 3 x ULN; Exclusion Criteria: 1. Patients with moderate or severe acute respiratory failure or requiring noninvasive ventilation or oxygen or with SpO2 \< 92% or tachypnea (respiratory rate ≥ 30 breaths/min). 2. Patients treated with immunosuppressors and/or immunomodulators. 3. Engrafted patients (organ and/or hematopoietic stem cells). 4. Patients with uncontrolled auto-immune disease. 5. Patients with known or suspected active (i.e. not controlled) bacterial, viral (excluding COVID-19) or fungal infections. 6. Patients with preexisting, severe and not controlled organ failure. 7. History or active malignancy requiring chemotherapy or radiation therapy (excluding 2 years disease free survivor patients). 8. Pregnant or breast-feeding women. 9. Illicit drug or alcohol abuse or dependence that may compromise the patient's safety or adherence to the study protocol. 10. Use of any investigational or non-registered product within 3 months or within 5 half-lives preceding baseline, whichever is longer. 11. Hypersensitivity to ABX464 and/or its excipients. 12. Any condition, which in the opinion of the investigator, could compromise the patient's safety or adherence to the study protocol.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Asklepios Klinik Altona
Hamburg, 22763, Germany
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Asklepios Klinik St. Georg
Hamburg, 20099, Germany
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Centre Hospitalier Départemental de Vendée
La Roche-sur-Yon, 85000, France
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Centre Hospitalier Universitaire de Nice
Nice, 06003, France
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Centre hospitalier Saint Pierre
Brussels, 1000, Belgium
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Centro Oncológico de Roraima - CECOR - NAP
Boa Vista, Roraima, 69310-000, Brazil
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Centro de Prevención y Rehabilitación de Enfermedades Pulmon
Nuevo León, 64460, Mexico
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Conjunto Hospitalar do Mandaqui
São Paulo, 02401-400, Brazil
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Consultorio médico
Mérida, Yucatán, 97070, Mexico
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Fondazione IRCCS Cà Granda - Ospedale Maggiore Policlinico - Infectious Diseases
Milan, Lombardy, 20122, Italy
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Fundacao de Medicina Tropical Doutor Heitor Vieira Dourado - Instituto de Pesquisa Clínica Carlos Borborema
Manaus, Amazonas, 69040-000, Brazil
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H.G.U. Alicante
Alicante, 03010, Spain
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Hospital Universitari Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
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Hospital Universitario Infanta Leonor
Madrid, 28031, Spain
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Hospital das Clinicas da FMUSP
São Paulo, São Paulo, 05403-000, Brazil
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Hospital de La Princesa
Madrid, 28006, Spain
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Hospital del Mar
Barcelona, 08003, Spain
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Hôpital Erasme
Brussels, 1070, Belgium
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Hôpital Nord
Amiens, 80000, France
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Hôpital Saint-Antoine
Paris, 75571, France
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Instituto Nacional de Infectologia Evandro Chagas - FIOCRUZ Rio de Janeiro
Rio de Janeiro, 21040-360, Brazil
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Ospedale A. Manzonidi Lecco - ASST Lecco
Lecco, 23900, Italy
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Ospedale Luigi Sacco, AO-PU
Milan, Lombardy, 20157, Italy
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Ospedale Niguarda
Milan, 20162, Italy
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Ospedale San Paolo
Milan, Lombardy, 20142, Italy
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Ospedale di Vittorio Veneto - Medecina generale
Vittorio Veneto, Treviso, 31029, Italy
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Royal Free Hospital
London, NW3 2QG, United Kingdom
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UZ Gent
Ghent, 9000, Belgium
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Universitätsklinikum Bonn
Bonn, North Rhine-Westphalia, 53127, Germany
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Universitätsmedizin Mannheim Ruprecht-Karls-Universität Heid
Mannheim, Baden-Wurttemberg, 68167, Germany
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Other studies related to the condition(s) this trial covers.
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- Blood samples and health records could reveal why some COVID-19 cases turn severe
- Home antibody tests put to the test: can you read your own COVID-19 result?
- Can lung ultrasound reveal COVID-19's signature in the lungs?
- When the immune system Can't fight back: tracking three respiratory viruses
- The household maze: how does COVID-19 move between family members?