About this trial
This is a phase 2 study to evaluate the efficacy and safety of SR1375 in hospitalized adult patients with CAP. Patients will receive SR1375 or placebo for 8 weeks. The study duration for each patient is up to 10 weeks.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The subject or their legally acceptable representative (LAR) has voluntarily signed the informed consent form (ICF) prior to any study-related procedures, and the subject is willing and able to comply with all study requirements, restrictions, and procedures. If consent is provided by an LAR for a subject with limited or no capacity to consent, re-consenting may be performed if the subject regains capacity.
Aged 18 to 85 years.
Diagnosis of CAP
Prior to screening, the subject has been receiving standard-of-care treatment for pneumonia in a medical institution, including at least 3 days of intravenous (IV) anti-infective therapy, with no clinical improvement.
Disqualifiers
Patients who are currently receiving or are expected to require ECMO treatment within 24 hours.
Presence of active tuberculosis (TB) or severe asthma.
History of unstable angina or acute myocardial infarction within 3 months prior to screening, or stroke within 4 weeks prior to screening.
Received chemotherapy and/or immunotherapy for a malignant tumor within 4 weeks prior to randomization, or are planned to receive such treatment during the study period; presence of a hematological malignancy not in complete remission; or a lung tumor with concurrent obstructive pneumonia.
Trial design
Parallel
Treatments tested in this trial
SR1375 capsule 3mg+regular treatments
DrugSR1375 capsule 3mg QD orally+CAP regular treatments
SR1375 capsule 1mg+regular treatments
DrugSR1375 capsule 1mg QD orally+CAP regular treatments
SR1375 capsule 0.3mg+regular treatments
DrugSR1375 capsule 0.3mg QD orally+CAP regular treatments
Placebo capsule+regular treatments
DrugPlacebo capsule QD orally+CAP regular treatments
Treatment groups
Trial outcomes
Primary outcomes
National Institute of Allergy and Infectious Diseases-Outcome Study (NIAID-OS) 8-point scale score
Change from baseline to Day 28 in NIAID-OS 8 scale score. NIAID-OS 8 scale ranges from 1 point (no hospitalization, no activity restrictions) to 8 points (death). The higher score means the worse outcome.
Secondary outcomes
Proportion of subjects ≥ 2 points improvement in National Institute of Allergy and Infectious Diseases-Outcome Study (NIAID-OS) 8-point scale score
Subject proportion of ≥ 2 points improvement in NIAID-OS 8-point scale at Day 14 and Day 28
National Institute of Allergy and Infectious Diseases-Outcome Study (NIAID-OS) 8-point scale score
Change from baseline to Day 7 and Day 14 in NIAID-OS 8 scale score. NIAID-OS 8 scale ranges from 1 point (no hospitalization, no activity restrictions) to 8 points(death),the higher score means the worse outcome.
All-cause mortality rate
The all-cause mortality rate at Day 28 and Day 56
Proportion of subjects with invasive mechanical ventilation, Extracorporeal Membrane Oxygenation(ECMO) or all-cause death.
Subjects proportions with invasive mechanical ventilation, ECMO or all-cause death at Day 28 and Day 56.
Other outcomes
The item short from health survey (SF-36) score
Change from baseline to Day 28 and Day 56 in SF-36 score. SF-36 scores range from 0 to 100 and the higher score means the better condition.
Adverse events and serious adverse events
AE and SAE occurence and severity during the study
Pharmacokinetic (PK) parameter Cmax
Maximum plasma concentration (Cmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher).
PK parameter Tmax
Time to maximum concentration (Tmax) will be calculated by PhoenixWinNonlin software (V8.0 or higher) .
Sponsors and contacts
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