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Experimental pill aims to tame deadly inflammation in severe COVID

NCT ID NCT04469621

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This early-stage trial tested an oral drug called SAR443122 in 68 hospitalized adults with severe COVID-19. The goal was to see if the drug could safely reduce harmful inflammation, measured by a blood marker called CRP. Participants were randomly assigned to receive the drug or a placebo, and researchers tracked their oxygen needs and recovery.

What this could mean

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

Active substance
SAR443122 (a RIPK1 inhibitor drug taken orally)
What this could lead to
If successful, this could point toward a treatment that calms the dangerous overactive immune response in severe COVID-19, potentially reducing the need for oxygen or ventilator support.
What could go wrong
This is an early phase 1b trial with only 68 participants, so results may not apply broadly. The drug may not improve outcomes or could have side effects not yet seen.

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

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

68 people

The number who actually took part.

Started

Jul 2020

Finished

Oct 2020

Lead sponsor

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

18 to 80 years

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion criteria: * Participant must be ≥18 years and ≤80 years of age inclusive, at the time of signing the informed consent. * Hospitalized (or documentation of a plan to admit to the hospital if the participant is in an emergency department) with evidence of COVID-19 lung disease diagnosed by chest radiograph, chest computed tomography or chest auscultation (rales, crackles) and with severe disease defined as follows: The participant requires supplemental oxygen administered by nasal cannula, simple face mask, or other similar oxygen delivery device (ie, increase in oxygen requirement following SARS-CoV-2 infection). * SARS-CoV-2 infection confirmed by RT-PCR, or other commercial or public health assay in any specimen, within 3 weeks prior to randomization, and no alternative explanation for current clinical condition. * At time of randomization, have demonstrated laboratory signs consistent with systemic inflammation. * Male and/or female participants, including women of childbearing potential (WOCBP). * Capable of giving signed informed consent. Exclusion criteria: * In the opinion of the investigator, unlikely to survive after 48 hours, or unlikely to remain at the investigational site beyond 48 hours * Participants requiring use of invasive or non-invasive positive pressure ventilation at randomization. * Presence of significant liver enzyme abnormalities, thrombocytopenia or anemia at screening. * Any prior or concurrent use or plans to receive during the study period of immunomodulatory therapies (other than interventional drug) at screening. * Use of chronic systemic corticosteroids for a non-COVID-19-related condition in a dose higher than prednisone 10 mg or equivalent per day at screening. * Exclusion criteria related to tuberculosis (TB) and non-tuberculous mycobacterial (NTM) infections. * Participants with suspected or known active systemic bacterial or fungal infections within 4 weeks of screening. * Pregnant or breastfeeding women. * In the opinion of the study investigator, might confound the results of the study or pose an undue risk to the safety of the participant. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

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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

  • Investigational Site Number 0320001

    Caba, 1430, Argentina

  • Investigational Site Number 0760001

    São José do Rio Preto, 15090-000, Brazil

  • Investigational Site Number 0760002

    São Paulo, 04321-120, Brazil

  • Investigational Site Number 0760003

    Porto Alegre, 90035 003, Brazil

  • Investigational Site Number 1520001

    Santiago, 750-0691, Chile

  • Investigational Site Number 1520002

    Talca, 3460001, Chile

  • Investigational Site Number 1520003

    Santiago, 8900085, Chile

  • Investigational Site Number 4840001

    Monterrey, 64460, Mexico

  • Investigational Site Number 6430001

    Moscow, 111539, Russia

  • Investigational Site Number 6430002

    Moscow, 123182, Russia

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