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Trial · NCT04414618

A Study of Opaganib in Coronavirus Disease 2019 Pneumonia

NCT04414618, Phase 2, Completed, RedHill Biopharma Limited; results first posted 2022-03-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Opaganib in Coronavirus Disease 2019 Pneumonia. Trials, record NCT04414618. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04414618

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Opaganib in Coronavirus Disease 2019 Pneumonia
NCT number
NCT04414618
Status
Completed
Phases
Phase 2
Enrollment
42 participants, actual
Lead sponsor
RedHill Biopharma Limited
Conditions
Coronavirus Infections
Interventions
Opaganib, Placebo
First posted
2020-06-04
Last updated
2022-03-21
Results first posted
2022-03-21

Source ClinicalTrials.gov

Registered outcomes11

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMeasurement of the Change in Oxygen Requirement From Baseline14 days
Maximal oxygen flow (L/min) was recorded daily for the 14 days of treatment for each participant. Participant individual area under the curve (AUC) was calculated based on the trapezoidal rule, after subtracting the baseline oxygen requirement at each day. The median AUC absolute change from baseline (L/min) for each treatment arm is presented.
SecondaryMeasurement of Time to the Reduction in Oxygen Requirement.14 daysThe time required between arms to achieve 50% reduction from baseline in supplemental oxygen based on oxygen flow in L/min.
SecondaryThe Percentage of Subjects no Longer Receiving Supplemental Oxygen for at Least 24 Hours by Day 1414 daysThe percentage of subjects in each arm no longer requiring supplemental oxygen for at least 24 hours by Day 14.
SecondaryTime to Negative Swabs for SARS-CoV-2 by PCR Post Treatment6 weeksThe time in each arm to two consecutive negative swabs for SARS-CoV-2 by PCR nasopharyngeal or oropharyngeal swab, at least 24 hrs. apart.
SecondaryThe Percentage of Subjects With at Least Two Consecutive Negative Swabs for SARS-CoV-2 by PCR at Day 1414 daysThe percentage of subjects in each arm to achieve two consecutive negative PCR nasopharyngeal or oropharyngeal swabs for SARS-CoV-2 at Day 14, at least 24 hrs. apart.
SecondaryIntubation and Mechanical Ventilation RequirementsFrom screening phase and every day from day 1 to day 14 of treatmentThe percentage of patients in each arm who require intubation and mechanical ventilation by Day 14
SecondaryEvaluation of the Time to Intubation and Mechanical VentilationFrom screening phase and every day from day 1 to day 14 of treatmentThe time in each arm for the patient to require mechanical ventilation.
SecondaryEvaluation the Proportion of Patients, With at Least One Measurement of Fever at Baseline Who Are Afebrile at Day 14From screening phase and every day from day 1 to day 14 of treatment
The proportion of patients in each arm, with at least one measurement of fever at baseline (defined as temperature \>38.0 C\[100.4 F\]), who are afebrile (defined as temperature \<37.2C \[99 F\]) at Day 14
SecondaryEvaluation of Mortality 30 Days Post-baseline30 days after day 1 of treatmentThe mortality in each arm 30 days post-baseline.
OtherSafety TEAEs6 weeksThe number of subjects with treatment-emergent adverse events in each arm of all treatment-emergent adverse events (TEAEs).

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMeasurement of the Change in Oxygen Requirement From Baseline14 daysModified ITT (mITT) population (randomized and treated with at least one dose of study medication).L/min*dayMEDIAN
SECONDARYMeasurement of Time to the Reduction in Oxygen Requirement.14 days
Modified ITT (mITT) population (randomized and treated with at least one dose of study medication). However, one subject who did not have supplemental oxygen requirement at randomization was excluded from this analysis.
DaysMEDIAN
SECONDARYThe Percentage of Subjects no Longer Receiving Supplemental Oxygen for at Least 24 Hours by Day 1414 daysModified ITT (mITT) population (randomized and treated with at least one dose of study medication).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime to Negative Swabs for SARS-CoV-2 by PCR Post Treatment6 weeks
Modified ITT (mITT) population (randomized and treated with at least one dose of study medication). However, as most subjects had been discharged by Day 7 and as the study was not designed to be performed on an outpatient basis, data was not available from enough subjects to perform these analyses.
DaysMEDIAN
SECONDARYThe Percentage of Subjects With at Least Two Consecutive Negative Swabs for SARS-CoV-2 by PCR at Day 1414 days
Modified ITT (mITT) population (randomized and treated with at least one dose of study medication). However, as most subjects had been discharged by Day 7 and as the study was not designed to be performed on an outpatient basis, data was not available from enough subjects to perform these analyses.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIntubation and Mechanical Ventilation RequirementsFrom screening phase and every day from day 1 to day 14 of treatmentModified ITT (mITT) population (randomized and treated with at least one dose of study medication).ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEvaluation of the Time to Intubation and Mechanical VentilationFrom screening phase and every day from day 1 to day 14 of treatmentModified ITT (mITT) population (randomized and treated with at least one dose of study medication).DaysMEDIAN
SECONDARYEvaluation the Proportion of Patients, With at Least One Measurement of Fever at Baseline Who Are Afebrile at Day 14From screening phase and every day from day 1 to day 14 of treatmentPatients in the Modified ITT (mITT) population (randomized and treated with at least one dose of study medication) with at least one measurement of fever at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEvaluation of Mortality 30 Days Post-baseline30 days after day 1 of treatmentModified ITT (mITT) population (randomized and treated with at least one dose of study medication).ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDSafety TEAEs6 weeks
Safety population includes all subjects randomized and treated with at least one dose of study medication. One subject randomized to receive placebo, was mistakenly given 2 doses of opaganib and is therefore included twice.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group26

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Measurement of the Change in Oxygen Requirement From BaselineOpaganib-38.895% Confidence Interval -56.5 to 0L/min*day
Measurement of the Change in Oxygen Requirement From BaselinePlacebo-33.095% Confidence Interval -149.5 to -12.5L/min*day
Measurement of Time to the Reduction in Oxygen Requirement.Opaganib5.0095% Confidence Interval 4.00 to 12.00Days
Measurement of Time to the Reduction in Oxygen Requirement.Placebo8.0095% Confidence Interval 4.00 to NADays
The Percentage of Subjects no Longer Receiving Supplemental Oxygen for at Least 24 Hours by Day 14Opaganib11Participants
The Percentage of Subjects no Longer Receiving Supplemental Oxygen for at Least 24 Hours by Day 14Placebo4Participants
Time to Negative Swabs for SARS-CoV-2 by PCR Post TreatmentOpaganibNA95% Confidence Interval NA to NADays
Time to Negative Swabs for SARS-CoV-2 by PCR Post TreatmentPlaceboNA95% Confidence Interval NA to NADays
The Percentage of Subjects With at Least Two Consecutive Negative Swabs for SARS-CoV-2 by PCR at Day 14OpaganibNAParticipants
The Percentage of Subjects With at Least Two Consecutive Negative Swabs for SARS-CoV-2 by PCR at Day 14PlaceboNAParticipants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDOpaganib23
Overall StudySTARTEDPlacebo19
Overall StudyCOMPLETEDOpaganib15
Overall StudyCOMPLETEDPlacebo12
Overall StudyNOT COMPLETEDOpaganib8
Overall StudyNOT COMPLETEDPlacebo7

Adverse events96

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal distensionGastrointestinal disordersOpaganib023
otherAbdominal distensionGastrointestinal disordersPlacebo118
otherAbdominal wall woundInjury, poisoning and procedural complicationsOpaganib023
otherAbdominal wall woundInjury, poisoning and procedural complicationsPlacebo118
otherAnemiaBlood and lymphatic system disordersOpaganib123
otherAnemiaBlood and lymphatic system disordersPlacebo118
otherAnxietyPsychiatric disordersOpaganib023
otherAnxietyPsychiatric disordersPlacebo118
otherBlood calcium decreasedInvestigationsOpaganib023
otherBlood calcium decreasedInvestigationsPlacebo118

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityOpaganib323
Total, all-cause mortalityPlacebo318
Total, other adverse eventsOpaganib1123
Total, other adverse eventsPlacebo918
Total, serious adverse eventsOpaganib323
Total, serious adverse eventsPlacebo518

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons8

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Opaganib vs Placebo: Intubation and Mechanical Ventilation RequirementsTrial comparisons
Opaganib vs Placebo: Evaluation the Proportion of Patients, With at Least One Measurement of Fever at Baseline Who Are Afebrile at Day 14Trial comparisons
Opaganib vs Placebo: Safety SAEsTrial comparisons
Opaganib vs Placebo: The Percentage of Subjects no Longer Receiving Supplemental Oxygen for at Least 24 Hours by Day 14Trial comparisons
Opaganib vs Placebo: Safety TEAEsTrial comparisons
Opaganib vs Placebo: deaths from any causeTrial comparisons
Opaganib vs Placebo: Evaluation of Mortality 30 Days Post-baselineTrial comparisons
Opaganib vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04414618

GET https://conductscience.org/api/trials/v1/NCT04414618/results?page=2