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Nitric Oxide

Phase 3

Bronchiolitis | Small molecule | Respiratory |Beyond Air, Inc.|Last Updated: May 12, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment112

FDA Designations

No designations recorded

Clinical trial landscape

Nitric Oxide · 5 trials · 4 indications

Phase 3 1Phase 2 2Phase 1 2
NCT03053388Evaluation of the Efficacy Safety and Tolerability of Nitric Oxide Given Intermittently Via Inhalation to Subjects With BronchiolitisBronchiolitis
COMPLETED69 Analytics
PHASE3COMPLETED
Evaluation of the Efficacy Safety and Tolerability of Nitric Oxide Given Intermittently Via Inhalation to Subjects With Bronchiolitis
BronchiolitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Hospital Length of Stay (LOS)
12 days

LOS is measured in hours from the time of first treatment dose to the time of physician decision to discharge.

Time to "fit for discharge"
up to 14 days

Time to "fit for discharge". "Fit for discharge" is a composite endpoint measured by the following: * Achieving Modified Tal score \[mTal\] ≤ 5 And * Oxygen saturation (SpO2) ≥92% at room air (without oxygen supplementation) sustained for at least 2 hours Both of these will be determined from the time of enrollment (when the ICF is signed).

Safety measured by NO-related Serious Adverse Events
21 days
Met-Hemoglobin percentage (MetHb)associated with inhaled NO
1 month
Number of participants with adverse events associated with inhaled NO
1 month
Proportion of subjects (%) who prematurely discontinued the study for any reason
1 month
Proportion of subjects (%) who prematurely discontinued the study due to adverse events or serious adverse events
1 month
Met-Hemoglobin percentage (MetHb) associated with inhaled NO
21 days
Number of participants with adverse events associated with inhaled NO as a measure of safety and tolerability
5 days

Secondary Endpoints

Clinical score of ≤5 (Modified Tal score).
12 days
Oxygen saturation (SaO2) ≥92% in room air (without oxygen supplementation) sustained for at least 2 hours
12 days
Adverse events and NO-related adverse events including methemoglobinemia and nitrogen dioxide levels.
5 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1 - Nitric Oxide treatmentEXPERIMENTAL• Group 1 (NO treatment) - will receive inhalations of 160 ppm NO combined with O2/air for 30 minutes, every 3-4.5 hours, five times a day (24 hours), for up to 5 days (maximum 25 inhalations), in addition to standard supportive treatment.
Group 2 - Control treatmentACTIVE_COMPARATOR• Group 2 (Control) - will receive inhalations O2/air using the same treatment schedule and equipment as group 1, in addition to standard supportive treatment.
Group 1- NO treatment- dose 1EXPERIMENTALWill comprise of approximately 30 patients and will receive inhalations of dose 1 of NO combined with O2/air for 40 minutes, every 4.5 hours during the day four times a day for up to 5 days in addition to standard supportive treatment.
Group 2- NO treatment- dose 2EXPERIMENTALWill comprise of approximately 30 patients and will receive inhalations of dose 2 of NO combined with O2/air for 40 minutes, every 4.5 hours during the day four times a day for up to 5 days in addition to standard supportive treatment.
Group 3- Control treatmentOTHERWill comprise of approximately 30 patients and will receive O2/air using the same treatment schedule and equipment as groups 1 and 2, in addition to standard supportive treatment.
Nitric Oxide treatmentEXPERIMENTAL -
Nitric oxide + standard treatmentEXPERIMENTALInhalation of 160 ppm NO for 30 minutes, 3 times daily, for a duration of 10 working days with the exclusion of weekend days (Friday \& Saturday) in which no treatment under this study will be provided.
Nitric oxide inhalation + standard treatmentEXPERIMENTALInhalation of 160 ppm gNO for 30 minutes, 5 times daily, for 5 consecutive days or until discharged, which occurs first.
Standard treatmentPLACEBO_COMPARATORStandard treatment

Interventions

NameTypeDescription
Nitric OxideDRUGNitric Oxide given via inhalation in cycles
Supportive treatmentOTHERSupportive treatment (including oxygen)
Standard Supportive treatmentOTHERStandard Supportive treatment (including oxygen)
PlaceboDRUG -
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Eligibility Criteria

Age RangeN/A to 12 Months
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: 1. 1\. Pediatric subjects 0-12-months old. a. Including subjects born at ≥28 weeks of gestation. 2. Subjects with acute bronchiolitis requiring in-patient hospitalization expected for 24 hours and more. 3. Clinical score of between 7 to 10 at Screening (without oxygen supple...

Countries:Israel
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Frequently asked questions about Nitric Oxide

What is Nitric Oxide used for?

Nitric Oxide is an investigational inhaled small molecule being studied for respiratory conditions including Mycobacterium abscessus infection, cystic fibrosis, bronchiolitis, and acute bronchiolitis. It is being developed by Beyond Air, Inc. (NASDAQ: XAIR) and is currently in Phase 3 clinical development.

What does Nitric Oxide target?

Nitric Oxide is a small molecule gas that acts as a signaling molecule in the respiratory system. Its therapeutic effect is based on its biological activity as nitric oxide, which has antimicrobial and vasodilatory properties relevant to the respiratory conditions under investigation.

Who makes Nitric Oxide?

Nitric Oxide is being developed by Beyond Air, Inc., a biopharmaceutical company traded on NASDAQ under the ticker XAIR. The company is conducting clinical trials of inhaled Nitric Oxide for respiratory indications including cystic fibrosis and Mycobacterium abscessus infection.

What phase is Nitric Oxide in?

Nitric Oxide is in Phase 3 clinical development for respiratory indications. It is an investigational drug and has not been approved by the FDA. Completed trials include Phase 1 and Phase 2 studies in bronchiolitis, cystic fibrosis, and Mycobacterium abscessus infection.

What clinical trials is Nitric Oxide in?

Nitric Oxide has completed four clinical trials. These include NCT01768884 and NCT04060979 in bronchiolitis, NCT01958944 in cystic fibrosis, and NCT03208764 in Mycobacterium abscessus infection. All trials were completed, with a combined enrollment of 112 participants across Israel.

Is Nitric Oxide the same as inhaled nitric oxide?

Yes, Nitric Oxide is administered by inhalation and is referred to as inhaled nitric oxide in clinical trials. It is being evaluated as an intermittent inhaled therapy for respiratory conditions such as bronchiolitis, cystic fibrosis, and Mycobacterium abscessus infection.