Experimental drug auxora shows promise in severe COVID-19 pneumonia trial
NCT ID NCT04345614
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called Auxora in 314 people with severe COVID-19 pneumonia. The goal was to see if it could help patients recover faster and reduce the need for breathing machines. Participants received either Auxora or a placebo, along with standard treatments. Results focused on recovery time and survival.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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314 people
The number who actually took part.
- Started
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Apr 2020
- Finished
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Jul 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.
Part 1: Inclusion Criteria 1. 1\. The diagnosis of COVID-19 established standard RT-PCR assay; 2. 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; 3. At least 1 of the following clinical signs: Respiratory rate ≥30, heart rate ≥125, SpO2 \<93% on room air or requires \>2L oxygen by nasal cannula to maintain SpO2 ≥93%, or PaO2/FiO2 \<300, estimated from pulse oximetry or determined by arterial blood gas; 4. The presence of a respiratory infiltrate or abnormality consistent with pneumonia that is documented by either a CXR or CT scan of the lungs; 5. The patient is ≥18 years of age; 6. 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; 7. 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; 8. 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: 1. Expected survival or time to withdrawal of life-sustaining treatments expected to be \<7 days. 2. Do Not Intubate order; 3. Home mechanical ventilation (noninvasive ventilation or via tracheotomy) except for continuous positive airway pressure or bi-level positive airway pressure (CPAP/BIPAP) used solely for sleep-disordered breathing; 4. PaO2/FiO2 ≤75 at the time of Screening. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas; 5. Noninvasive positive pressure ventilation; 6. Invasive mechanical ventilation via endotracheal intubation or tracheostomy; 7. ECMO; 8. Shock defined by the use of vasopressors; 9. Multiple organ dysfunction or failure; 10. Positive Influenza A or B testing if tested as local standard of care; 11. The patient has a history any of the following: Organ or hematologic transplant;HIV; Active hepatitis B, or hepatitis C infection; 12. Current treatment with:Chemotherapy; Immunosuppressive medications or immunotherapy at the time of consent; Hemodialysis or Peritoneal Dialysis 13. Have a history of venous thromboembolism (VTE) (deep vein thrombosis \[DVT\] or pulmonary embolism \[PE\]) within 12 weeks prior to screening or have a history of recurrent (\> 1) VTE; 14. The patient is known to be pregnant or is nursing; 15. Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent; 16. Allergy to eggs or any of the excipients in study drug. Part 2: Inclusion Criteria: 1. 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 \< 72 hours prior to randomization; * PCR positive in sample collected ≥ 72 hours prior to randomization, with inability to obtain a repeat sample (e.g. due to lack of testing supplies, or limited testing capacity, or results taking \>24 hours, etc.) or progressive disease suggestive of ongoing SARS-CoV-2 infection; 2. 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; 3. 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; 4. 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; 5. The patient is ≥ 18 years of age; 6. 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; 7. 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; 8. 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: 1. Expected survival or time to withdrawal of life-sustaining treatments expected to be \<7 days. 2. Do Not Intubate order; 3. Home mechanical ventilation (noninvasive ventilation or via tracheotomy) except for continuous positive airway pressure or bi-level positive airway pressure (CPAP/BIPAP) used solely for sleep-disordered breathing; 4. PaO2/FiO2 ≤75 at the time of Screening. The PaO2/FiO2 may be estimated from pulse oximetry (Appendix 1) or determined by arterial blood gas; 5. Noninvasive positive pressure ventilation; 6. Invasive mechanical ventilation via endotracheal intubation or tracheostomy; 7. Extracorporeal membrane oxygenation (ECMO); 8. Shock defined by the use of vasopressors; 9. Multiple organ dysfunction or failure; 10. Positive Influenza A or B testing if tested as local standard of care; 11. The patient has a history of any of the following: Organ or hematologic transplant; HIV; Active hepatitis B, or hepatitis C infection; 12. Current treatment with:Chemotherapy;Immunosuppressive medications or immunotherapy at the time of consent; c. Hemodialysis or Peritoneal Dialysis; 13. Have a history of venous thromboembolism (VTE) (deep vein thrombosis \[DVT\] or pulmonary embolism \[PE\]) within 12 weeks prior to screening or have a history of recurrent (\> 1) VTE; 14. The patient is known to be pregnant or is nursing; 15. Currently participating in another study of an investigational drug or therapeutic medical device at the time of consent; 16. Allergy to eggs or any of the excipients in study drug.
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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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Aurora Baycare
Green Bay, Wisconsin, 54311, United States
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Baton Rouge General
Baton Rouge, Louisiana, 70809, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Houston Methodist Hospital
Houston, Texas, 77030, United States
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John Peter Smith Hospital
Fort Worth, Texas, 76104, United States
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Long Beach Memorial
Long Beach, California, 90806, United States
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Maine Medical Center
Portland, Maine, 04102, United States
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Methodist Hospital
Saint Louis Park, Minnesota, 55426, United States
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National Jewish Health / St. Joseph's Hospital
Denver, Colorado, 80220, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Regions Hospital
Saint Paul, Minnesota, 55101, United States
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Sharp Memorial San Diego
San Diego, California, 92123, United States
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Sinai Grace
Detroit, Michigan, 48235, United States
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Texas Tech University Medical Center
El Paso, Texas, 79905, United States
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University of Southern California / LA County
Los Angeles, California, 90033, United States
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Virginia Commonwealth University
Richmond, Virginia, 23298, United States
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