Evidence map›Paper›PMID 35986390›Full record

Trial reportTrials2022

Potential of FX06 to prevent disease progression in hospitalized non-intubated COVID-19 patients - the randomized, EU-wide, placebo-controlled, phase II study design of IXION.

Jan Kloka, Benjamin Friedrichson, Stephanie Dauth, Ann Christina Foldenauer, Anita Bulczak-Schadendorf, Maria J G T Vehreschild, Francisco Maio Matos, Antoni Riera-Mestre, Antoinette D I van Asselt, Edoardo De Robertis and 7 more

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 11 institutions in 8 countries.

Jan Kloka *Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt, Germany.
Benjamin Friedrichson *Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt, Germany.
Stephanie DauthFraunhofer-Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Ann Christina FoldenauerFraunhofer-Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Anita Bulczak-SchadendorfFraunhofer-Institute for Translational Medicine and Pharmacology ITMP, Frankfurt, Germany.
Maria J G T VehreschildDepartment of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.
Francisco Maio MatosCentro Hospitalar e Universitário de Coimbra, E.P.E, Coimbra, Portugal.
Antoni Riera-MestreInternal Medicine Department, Hospital Universitari Bellvitge, Barcelona, Spain.
Antoinette D I van AsseltDepartment of Epidemiology & Department of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Edoardo De RobertisDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Vilma Traskaite JuskevicieneDepartment of Anaesthesiology, Lithuanian University of Health Sciences, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
Patrick MeybohmDepartment of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital Wuerzburg, Würzburg, Germany.
Dana Tomescu"Carol Davila" University of Medicine and Pharmacy, Department of Anaesthesia and Intensive Care - Fundeni Clinical Institute, Bucharest, Romania.
Karine LacombeSorbonne Université, IPLESP, Hôpital St Antoine, AP-HP, Paris, France.
Coen D A StehouwerDepartment of Internal Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands.
Kai ZacharowskiDepartment of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Goethe University Frankfurt, Theodor-Stern Kai 7, 60590, Frankfurt, Germany. Kai.Zacharowski@kgu.de.ORCID http://orcid.org/0000-0002-0212-9110
IXION Collaboration Group
Fraunhofer Institute for Translational Medicine and Pharmacology · DEGoethe University Frankfurt · DEUniversitätsklinikum Würzburg · DEBellvitge University Hospital · ESCarol Davila University of Medicine and Pharmacy · ROHospitais da Universidade de Coimbra · PTHospital of Lithuanian University of Health Sciences Kaunas Clinics · LTMaastricht University Medical Centre · NLSorbonne Université · FRUniversity Medical Center Groningen · NLUniversity of Perugia · IT

Funding

HORIZON EUROPE Framework Programme grant agreement No 101045956
6 · The paper itself

Abstract

backgroundMore than 2.7 million hospitalizations of COVID-19-infected patients have occurred in Europe alone since the outbreak of the coronavirus in 2020. Interventions against SARS-CoV-2 are still in high need to prevent admissions to ICUs worldwide. FX06, a naturally occurring peptide in humans and other mammals, has the potential to reduce capillary leak by improving endothelial dysfunction and thus preventing the deterioration of patients. With IXION, we want to investigate the potential of FX06 to prevent disease progression in hospitalized, non-intubated COVID-19 patients.

methodsIXION is an EU-wide, multicentre, placebo-controlled, double-blinded, parallel, randomized (2:1) phase II clinical study. Patient recruitment will start in September 2022 (to Q2/2023) in Germany, Italy, Lithuania, Spain, Romania, Portugal, and France. A total of 306 hospitalized patients (≥ 18 years and < 75 years) with a positive SARS-CoV-2 PCR test and a COVID-19 severity of 4-6 according to the WHO scale will be enrolled. After randomization to FX06 or placebo, patients will be assessed until day 28 (and followed up until day 60). FX06 (2 × 200 mg per day) or placebo will be administered intravenously for 5 consecutive days. The primary endpoint is to demonstrate a difference in the proportion of patients with progressed/worsened disease state in patients receiving FX06 compared to patients receiving placebo. Secondary endpoints are lung function, oxygen saturation and breathing rate, systemic inflammation, survival, capillary refill time, duration of hospital stay, and drug accountability. DISCUSSION: With IXION, the multidisciplinary consortium aims to deliver a new therapy in addition to standard care against SARS-CoV-2 for the clinical management of COVID-19 during mild and moderate stages. Potential limitations might refer to a lack of recruiting and drop-out due to various possible protocol violations. While we controlled for drop-outs in the same size estimation, recruitment problems may be subject to external problems difficult to control for.

trial registrationEudraCT 2021-005059-35 . Registered on 12 December 2021. Study Code TMP-2204-2021-47.

Indexed as

COVID-19Disease ProgressionHospitalizationHumansSARS-CoV-2SpainTreatment OutcomeCapillary leakCOVID-19Disease progressionFX06Inflammation

Identifiers

PMID35986390
PMCPMC9389510
OpenAlexW4292297605

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.