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TD-0903

Phase 2

Acute Lung Injury (ALI) Associated With COVID-19 | Small molecule | Infectious Disease |Theravance Biopharma, Inc.|Last Updated: Mar 17, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment289
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04402866TD-0903 for ALI Associated With COVID-19PHASE2 COMPLETED 235Jun 24, 2020Apr 21, 2021Mar 17, 202224 United States, Brazil +5
NCT04350736First in Human SAD and MAD Study of Inhaled TD-0903, a Potential Treatment for ALI Associated With COVID-19PHASE1 COMPLETED 54Apr 23, 2020Jul 1, 2020Jul 1, 20211 United Kingdom
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Study Endpoints
Primary Endpoints
Part 2: Number of Respiratory Failure-free Days (RFDs) From Randomization to Day 28
Randomization to Day 28

An RFD was defined as a day that a participant was alive and did not require the use of any respiratory support (invasive mechanical ventilation, non-invasive positive pressure ventilation, high-flow oxygen devices, or oxygen supplementation) from randomization through Day 28. The number of RFDs was 0 for participants who used respiratory support for 28 days or longer or for participants who died on or before Day 28. A clinical status score of ≤ 4 on a given day was equivalent to an RFD. The clinical status categories and associated scores ranged from 1-8 where a higher score represented a worse outcome. A clinical status score of 4 was defined as a participant who was hospitalized, not requiring supplemental oxygen, but requiring ongoing medical care (whether or not related to COVID-19).

Safety and Tolerability of SAD of TD-0903: Adverse Events
Day 1 to Day 8

Number and severity of treatment emergent adverse events

Safety and Tolerability of MAD of TD-0903: Adverse Events
Day 1 to Day 14

Number and severity of treatment emergent adverse events

Secondary Endpoints
Part 2: Change From Baseline in SaO2/FiO2 Ratio on Day 7
Baseline and Day 7
Part 2: Number of Participants in Each Category of the 8-point Ordinal Clinical Status Scale on Days 7, 14, 21, and 28
Days 7, 14, 21 and 28
Part 2: Number of Participants Alive and Respiratory Failure-free on Day 28
Day 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: TD-0903 - MAD Dose AEXPERIMENTAL6 out of 8 subjects per cohort will be randomized to receive TD-0903 MAD Dose A
Part 1: TD-0903 - MAD Dose BEXPERIMENTAL6 out of 8 subjects per cohort will be randomized to receive TD-0903 MAD Dose B
Part 1: TD-0903 - MAD Dose CEXPERIMENTAL6 out of 8 subjects per cohort will be randomized to receive TD-0903 MAD Dose C
Part 1: Placebo for MADEXPERIMENTAL2 out of 8 subjects per cohort (up to 3 cohorts) will be randomized to receive placebo
Part 2: TD-0903EXPERIMENTAL99 subjects will be randomized to receive TD-0903
Part 2: PlaceboEXPERIMENTAL99 subjects will be randomized to receive Placebo
TD-0903 for SAD (Part A)EXPERIMENTAL6 out of 8 subjects per cohort (up to 3 cohorts) will be randomized to receive TD-0903
Placebo for SAD (Part A)EXPERIMENTAL2 out of 8 subjects per cohort (up to 3 cohorts) will be randomized to receive placebo
TD-0903 for MAD (Part B)EXPERIMENTAL8 out of 10 subjects per cohort (up to 3 cohorts) will be randomized to receive TD-0903
Placebo for MAD (Part B)EXPERIMENTAL2 out of 10 subjects per cohort (up to 3 cohorts) will be randomized to receive placebo
Interventions
NameTypeDescription
TD-0903DRUGStudy Drug to be administered by inhalation
PlaceboDRUGPlacebo to be administered by inhalation
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: * Willing and able to provide written informed consent on their own prior to performing study procedures. In the U.K., subject assent or proxy consent as per local site procedures, may also be acceptable if both a clinician and second health professional attest that the subject ...

Countries:United StatesBrazilFinlandMoldovaRomaniaUkraineUnited Kingdom
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