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TD-0903

Phase 2

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

TD-0903 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Apr 2020

TD-0903 target and mechanism

Molecular targetJAK
Target classKinase
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment289

FDA Designations

No designations recorded

TD-0903 clinical trials

TD-0903 · 2 trials · 3 indications

Phase 2 1Phase 1 1
NCT04402866TD-0903 for ALI Associated With COVID-19Acute Lung Injury (ALI) Associated With COVID-19
COMPLETED235 Analytics
PHASE2COMPLETED
TD-0903 for ALI Associated With COVID-19
Acute Lung Injury (ALI) Associated With COVID-19Unlock trial analytics

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 to 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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Frequently asked questions about TD-0903

What is TD-0903 used for?

TD-0903 is an investigational inhaled small molecule being studied for the treatment of acute lung injury (ALI) associated with COVID-19, including lung inflammation linked to the virus. It is not approved for any indication and remains in clinical development. Theravance Biopharma developed it as a potential therapy for hospitalized patients with inflammatory lung conditions.

What does TD-0903 target?

TD-0903 targets JAK, a kinase involved in inflammatory signaling. By inhibiting JAK, the drug is designed to dampen the inflammatory response in the lungs. It is delivered by inhalation, which aims to concentrate activity in the lung tissue of patients with acute lung injury associated with COVID-19.

Who is developing TD-0903?

TD-0903 is being developed by Theravance Biopharma, Inc., which trades on the Nasdaq under the ticker TBPH. The company advanced the compound as an inhaled JAK inhibitor for acute lung injury associated with COVID-19. Development has moved through Phase 1 and Phase 2 clinical testing.

What phase is TD-0903 in?

TD-0903 has completed Phase 2 clinical development for acute lung injury associated with COVID-19. It is an investigational drug and has not been approved by the FDA for any indication. Two trials have been completed, including a Phase 1 first-in-human study and a Phase 2 study, with no trials currently active.

What clinical trials is TD-0903 in?

TD-0903 has been evaluated in two completed trials. NCT04350736 was a first-in-human Phase 1 single and multiple ascending dose study in the United Kingdom with 54 participants. NCT04402866 was a Phase 2 trial in acute lung injury associated with COVID-19 that enrolled 235 patients across the United States, Brazil, Finland, Moldova, Romania, Ukraine, and the United Kingdom.

Was the TD-0903 Phase 2 trial randomized and controlled?

Yes. The Phase 2 trial of TD-0903, NCT04402866, was a randomized, double-blind, controlled study in patients with acute lung injury associated with COVID-19. It enrolled 235 participants aged 18 years and older across seven countries. The trial has been completed, and no TD-0903 trials are currently active.