Experimental pill aims to tame deadly inflammation in severe COVID
NCT ID NCT04469621
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
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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
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Oct 2020
- 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
-
18 to 80 years
- Sex
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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 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: * 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
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Investigational Site Number 0320001
Caba, 1430, Argentina
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Investigational Site Number 0760001
São José do Rio Preto, 15090-000, Brazil
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Investigational Site Number 0760002
São Paulo, 04321-120, Brazil
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Investigational Site Number 0760003
Porto Alegre, 90035 003, Brazil
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Investigational Site Number 1520001
Santiago, 750-0691, Chile
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Investigational Site Number 1520002
Talca, 3460001, Chile
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Investigational Site Number 1520003
Santiago, 8900085, Chile
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Investigational Site Number 4840001
Monterrey, 64460, Mexico
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Investigational Site Number 6430001
Moscow, 111539, Russia
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Investigational Site Number 6430002
Moscow, 123182, Russia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Pandemic pregnancy: tracking COVID's impact on mothers and babies
- Experimental drug aims to tame severe COVID-19 inflammation
- Major trial tests new antibody drug for hospitalized COVID-19 patients
- Can early COVID-19 drugs keep high-risk patients out of the hospital?