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Lucinactant

Phase 3

COVID-19 | Small molecule | Infectious Disease |Windtree Therapeutics, Inc.|Trials Updated: Jun 23, 2023

Lucinactant development status

Highest phase Phase 3 (NCT00004500)
Phase scored for WINTPhase 2
Registered trials 5 across 3 sponsors since Oct 1999

Lucinactant target and mechanism

ModalitySmall molecule

Also known as Lucinactant for Inhalation, Sinapultide (KL4) Surfactant, SURFAXIN®, Surfactant

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials3
Total Enrollment265

FDA Designations

No designations recorded

Lucinactant clinical trials

Lucinactant · 3 trials · 4 indications

Phase 2 3
NCT04389671The Safety and Preliminary Tolerability of Lyophilized Lucinactant in Adults With Coronavirus Disease 2019 (COVID-19)COVID-19
COMPLETED20 Analytics
NCT02074059Trial to Assess the Safety and Tolerability of Lucinactant for Inhalation in Premature NeonatesRespiratory Distress Syndrome
COMPLETED80 Analytics
NCT00578734Lucinactant for Treatment of Acute Hypoxemic Respiratory Failure in Children up to Two Years OldAcute Hypoxemic Respiratory Failure
COMPLETED165 Analytics
PHASE2COMPLETED
The Safety and Preliminary Tolerability of Lyophilized Lucinactant in Adults With Coronavirus Disease 2019 (COVID-19)
COVID-19Unlock trial analytics
PHASE2COMPLETED
Trial to Assess the Safety and Tolerability of Lucinactant for Inhalation in Premature Neonates
Respiratory Distress SyndromeUnlock trial analytics
PHASE2COMPLETED
Lucinactant for Treatment of Acute Hypoxemic Respiratory Failure in Children up to Two Years Old
Acute Hypoxemic Respiratory FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Oxygen Index (OI)
Baseline through 12 hours post initiation of dosing

Change from baseline in OI. OI is an index value, calculated as (Mean Airway Pressure \[Paw\]) x (Fraction of Inspired Oxygen \[FiO2\]) x (100) / (Partial Pressure of Oxygen \[PaO2\]) measured using mean and standard deviation. It is a calculation that measures the fraction of inspired oxygen and its usage within the body, and a lower value is better. Values can range from 0 to 1000; values under 25 are correspond with a good outcome.

Peri-Dosing Events
Within 48 Hours after Initiation of Study Treatment

Pre-specified adverse events that occured during treatment administration; does not include nCPAP alone

All Cause Mortality
Within 36 Weeks PMA
Oxygen Saturation Levels
Within 3 Hours of Randomization

Oxygen saturation as determined by pulse oximetry

Serum Electrolytes
24 Hours Post Randomization
Duration of Mechanical Ventilation Through 14 Days
Up to 14 Days

Duration of mechanical ventilation (MV) from baseline to successful extubation (not receiving MV for at least 24 hours) through a maximum of 14 days.

Secondary Endpoints

Fraction of Inspired Oxygen (FiO2)
Baseline through 24 hours post initiation of dosing
Partial Pressure of Oxygen (PaO2)
Baseline through 24 hours post initiation of dosing
Oxygenation From Pulse Oximetry (SpO2)
Baseline through 24 hours post initiation of dosing
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lyophilized LucinactantEXPERIMENTALLyophilized Lucinactant reconstituted with sterile water for injection
Aerosolized lucinactant (25 mg/kg)EXPERIMENTAL25 mg total phospholipids (TPL)/kg: Lucinactant for inhalation with nCPAP
Aerosolized lucinactant (50 mg/kg)EXPERIMENTAL50 mg TPL/kg: Lucinactant for inhalation with nCPAP
Aerosolized lucinactant (75 mg/kg)EXPERIMENTAL75 mg TPL/kg: Lucinactant for inhalation with nCPAP
Aerosolized lucinactant (100 mg/kg)EXPERIMENTAL100 mg TPL/kg: Lucinactant for inhalation with nCPAP; repeat dosing possible if criteria met.
Aerosolized lucinactant (150 mg/kg)EXPERIMENTAL150 mg TPL/kg: Lucinactant for inhalation with nCPAP; repeat dosing possible if criteria met.
nCPAP aloneACTIVE_COMPARATORnCPAP therapy alone
LucinactantEXPERIMENTALSURFAXIN® (lucinactant) for intratracheal instillation
Sham AirSHAM_COMPARATORSham air (placebo) instillation

Interventions

NameTypeDescription
LucinactantDRUGLucinactant administered as a liquid at a dose of 80 mg total phospholipids (TPL)/kg lean body weight delivered
Lucinactant for InhalationDRUGLucinactant for Inhalation refers to the active investigational agent, lucinactant, in combination with the investigational delivery device (drug-device combination product)
nCPAP aloneDEVICEnCPAP therapy
Sham ComparatorOTHERSlow intra-tracheal instillation
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Signed and dated informed consent form (ICF) by the subject or legally authorized representative; * Age 18-75 (inclusive); * Assay positive for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus, preferably by polymerase chain reaction (PCR); * Endotracheal int...

Countries:United StatesArgentinaChile
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Frequently asked questions about Lucinactant

What is Lucinactant used for?

Lucinactant is an investigational drug being studied for respiratory conditions including acute hypoxemic respiratory failure, respiratory distress syndrome, and COVID-19-related lung injury. It has been tested in adults, children, and premature neonates. It is not yet approved for any indication and remains in clinical development.

Who is developing Lucinactant?

Lucinactant is being developed by Windtree Therapeutics, Inc., which trades on the Nasdaq under the ticker WINT. The company has sponsored Phase 2 clinical trials of the drug in respiratory distress syndrome, acute hypoxemic respiratory failure, and COVID-19.

What phase is Lucinactant in?

Lucinactant is in Phase 2 clinical development. All three of its completed trials were Phase 2 studies, and no Phase 3 trials have been registered. It is an investigational product and has not received FDA approval for any indication.

What clinical trials is Lucinactant in?

Lucinactant has been evaluated in three completed Phase 2 trials: NCT04389671 in adults with COVID-19 and acute lung injury or ARDS, NCT02074059 in premature neonates with respiratory distress syndrome, and NCT00578734 in children up to two years old with acute hypoxemic respiratory failure.

Is Lucinactant the same as Lucinactant for Inhalation?

Yes, Lucinactant for Inhalation is an alternative name for Lucinactant. Both refer to the same investigational drug developed by Windtree Therapeutics. The inhaled formulation has been studied in clinical trials for respiratory conditions such as respiratory distress syndrome and acute hypoxemic respiratory failure.