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Auxora

Phase 2

Pneumonia | Small molecule | Infectious Disease |CalciMedica, Inc.|Trials Updated: Aug 24, 2026

Auxora development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Dec 2020

Auxora target and mechanism

ModalitySmall molecule

Also known as CM4620-IE (Injectable Emulsion), CM-4620 Injectable Emulsion or CM-4620-IE

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment530

FDA Designations

No designations recorded

Auxora clinical trials

Auxora · 2 trials · 3 indications

Phase 2 2
NCT04681066A Study of Auxora in Patients With Acute Pancreatitis and Accompanying SIRSAcute Pancreatitis
COMPLETED216 Analytics
NCT04345614A Study of Auxora in Patients With Severe COVID-19 PneumoniaPneumonia
COMPLETED314 Analytics
PHASE2COMPLETED
A Study of Auxora in Patients With Acute Pancreatitis and Accompanying SIRS
Acute PancreatitisUnlock trial analytics
PHASE2COMPLETED
A Study of Auxora in Patients With Severe COVID-19 Pneumonia
PneumoniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Median Time to Solid Food Tolerance, With gMCP Modeling Analysis for Dose-response Relationship
from start of first infusion of study drug (SFISD) through day 30

Time to Solid Food Tolerance (TSFT): Number of hours from date/time of SFISD to date/time patient receives a solid meal that is tolerated, defined as eating \>/=50% of a low fat \>/= 500-calorie solid meal w/o increase in abdominal pain or vomiting within 2 hours of mealtime. If patient was discharged w/o tolerating solid food, the daily record of the modified ANMS Gastrointestinal Cardinal Symptom Index Daily Diary (mGCSI-DD) at or after hospital discharge was used to calculate TSFT. For these patients, TSFT date/time was considered to be 8am on the first of 3 consecutive days where the following criteria were met in mGCSI-DD: no vomiting, no or mild nausea, no or mild inability to finish a normal sized meal, no or mild abdominal pain. gMCP-Mod: Generalized Multiple Comparisons and Modeling--3 steps: 1) Hazard ratio (dose vs placebo) using stratified Cox regression w/ stratification by sex and hematocrit (high/low). 2) Multiple contrast test. 3) Find best-fit dose-response model.

Number of Days From the Start of the First Infusion of Study Drug (SFISD) to Recovery
From start of first infusion of study drug to day 60

Defined as the number of days hospitalized but not requiring supplemental oxygen or ongoing medical care, or; discharged and requiring supplemental oxygen, or; discharged, not requiring supplemental oxygen.

Secondary Endpoints

Percentage of Patients With New Onset Severe Respiratory Failure, With gMCP Modeling Analysis for Dose-response Relationship
from enrollment and through day 30
Incidence, Severity, and Duration of Organ Failure
from enrollment and through day 30
Solid Food Tolerance
from SFISD to 48 hours, 72 hours and 96 hours and at time of hospital discharge (up to 30 days after SFISD)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
2.0 mg/kg (1.25 mL/kg)ACTIVE_COMPARATORadministered intravenously over 4 hours at a constant rate of infusion. They will be administered every 24 hours (±1 hours) for three consecutive days for a total of 3 doses.
1.0 mg/kg (0.625 mL/kg)ACTIVE_COMPARATORadministered intravenously over 4 hours at a constant rate of infusion. They will be administered every 24 hours (±1 hours) for three consecutive days for a total of 3 doses.
0.5 mg/kg (0.3125 mL/kg)ACTIVE_COMPARATORadministered intravenously over 4 hours at a constant rate of infusion. They will be administered every 24 hours (±1 hours) for three consecutive days for a total of 3 doses.
Placebo (1.25, 0.625, or 0.3125 mL/kg)PLACEBO_COMPARATORpatients randomized to placebo will receive one of three following volumes (1.25 mL/kg, 0.625 mL/kg, and 0.3125 mL/kg. although three volumes - all patients randomized to placebo will be analyzed together as one arm. administered intravenously over 4 hours at a constant rate of infusion. They will be administered every 24 hours (±1 hours) for three consecutive days for a total of 3 doses.
Auxora (Part 1)EXPERIMENTALPatients were randomized 1:1 to receive either Auxora or standard of care
Standard of Care (Part 1)OTHERPatients were randomized 1:1 to receive either Auxora or standard of care
Auxora (Part 2)EXPERIMENTALPatients were randomized 1:1 to receive Auxora or Placebo
Placebo (Part 2)PLACEBO_COMPARATORPatients were randomized 1:1 to receive Auxora or Placebo

Interventions

NameTypeDescription
CM-4620 Injectable Emulsion or CM-4620-IEDRUGAuxora is to be administered as an IV infusion and is supplied as a translucent, white to yellowish colored, sterile, non-pyrogenic emulsion containing 1.6 mg/mL of the active pharmaceutical ingredient CM4620. CM4620-IE is supplied as an 80 mL fill in a 100 mL, single-use glass vial. The drug product is formulated as an emulsion due to the low solubility of CM4620 in aqueous solution. CM4620-IE contains egg phospholipids, medium chain triglycerides, glycerin, edetate disodium salt dehydrate (EDTA), sodium hydroxide (as needed to adjust pH), and sterile water for injection.
PlaceboOTHERMatching Placebo is to be administered as an IV infusion and is supplied as a translucent, white to yellowish, sterile, non-pyrogenic emulsion carrier containing no active pharmaceutical ingredient. Placebo is supplied as an 80 mL fill in a 100 mL single-use vial. Placebo contains the same ingredients as Auxora except that it does not contain CM4620.
Auxora (Part 1)DRUGAuxora will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Auxora will be administered intravenously (IV) over 4 hours.
Standard of Care (Part 1)DRUGPatients received standard of care
Auxora (Part 2)DRUGAuxora will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Auxora will be administered intravenously (IV) over 4 hours.
Placebo (Part 2)DRUGPlacebo will be given at 2.0 mg/kg (1.25 mL/kg) on Day 1 and then 1.6 mg/kg (1.0 mL/kg) on Days 2 and 3. All doses of Placebo will be administered intravenously (IV) over 4 hours.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: All of the following must be met for a patient to be randomized into the study: 1. The diagnosis of acute pancreatitis has been established by the presence of abdominal pain consistent with acute pancreatitis together with at least 1 of the following 2 criteria: 1. Serum li...

Countries:United StatesIndia
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Competitive Landscape -Pneumonia 20 trials

Top 4 of 7 competitors

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Recent Changes (Last 90 Days)

MEDIUMSep 24, 2026NCT04681066TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT04681066TRIAL_REMOVED: changed
MEDIUMSep 24, 2026NCT04681066TRIAL_REMOVED: changed

Frequently asked questions about Auxora

What is Auxora used for?

Auxora is an investigational small molecule being developed for pneumonia. It has been studied in patients with severe COVID-19 pneumonia in a Phase 2 clinical trial. Auxora is not approved for commercial use and remains in clinical development.

Who is developing Auxora?

Auxora is being developed by CalciMedica, Inc., a biopharmaceutical company that trades under the ticker symbol CALC. CalciMedica is the sponsor of the clinical program evaluating Auxora in pneumonia.

What phase is Auxora in?

Auxora is in Phase 2 clinical development. The Phase 2 trial evaluating Auxora in severe COVID-19 pneumonia has been completed. Auxora is investigational and has not been approved by the FDA for any indication.

What clinical trials is Auxora in?

Auxora has been evaluated in one completed Phase 2 trial, NCT04345614, titled A Study of Auxora in Patients With Severe COVID-19 Pneumonia. The trial enrolled 314 participants in the United States and was randomized, double-blind, and placebo-controlled.

Is Auxora the same as Auxora (Part 1)?

Yes, Auxora (Part 1) is an alternative name for Auxora. Both names refer to the same investigational small molecule developed by CalciMedica, Inc. for pneumonia.