AGILE: Seamless Phase I/IIa Platform for the Rapid Evaluation of Candidates for COVID-19 treatment

  • Funded by UK Research and Innovation (UKRI)
  • Total publications:17 publications

Grant number: MR/V028391/1

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Key facts

  • Disease

    COVID-19
  • Start & end year

    2021
    2023
  • Known Financial Commitments (USD)

    $2,282,448.11
  • Funder

    UK Research and Innovation (UKRI)
  • Principal Investigator

    Professor Saye Khoo
  • Research Location

    United Kingdom
  • Lead Research Institution

    University of Liverpool
  • Research Priority Alignment

    N/A
  • Research Category

    Therapeutics research, development and implementation

  • Research Subcategory

    Phase 1 clinical trial

  • Special Interest Tags

    Data Management and Data Sharing

  • Study Type

    Clinical

  • Clinical Trial Details

    Clinical Trial, Phase I

  • Broad Policy Alignment

    Pending

  • Age Group

    Not Applicable

  • Vulnerable Population

    Not applicable

  • Occupations of Interest

    Not applicable

Abstract

Our Vision is to shorten the time taken to identify safe, effective and affordable treatments for COVID-19. Our Mission is for AGILE to be the key link in the chain of accelerated drug development, evaluating potential candidate treatments for COVID-19 and advancing only the compounds most likely to be effective into large-scale clinical trials. Objectives include: 1. Establish a single UK-wide Phase I platform to accelerate the clinical evaluation of promising new treatments for COVID19, as a feeder programme for larger phase IIb/III trials 2. Implement a Bayesian adaptive platform design which can seamlessly evaluate the optimal dose, safety, tolerability and preliminary efficacy of potential COVID treatments, and flexibly match endpoints and study populations to drug action and anticipated deployment. 3. Develop a strong portfolio of promising compounds with potential for scalable deployment and affordable implementation, progressing at least 3 candidates for onward evaluation. 4. Work with the Department of Health to support Phase IIb/III trials in the UK, and to de-risk significant government investment in large-scale trials at a time when NHS resources are stretched beyond capacity.

Publicationslinked via Europe PMC

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Optimization of SARS-CoV-2 culture from clinical samples for clinical trial applications.

A novel LC-MS/MS method for the determination of favipiravir ribofuranosyl-5'-triphosphate (T-705-RTP) in human peripheral mononuclear cells.

Application of novel plasma separation filter cards for quantification of nucleoside/nucleotide reverse transcriptase inhibitor di/triphosphates in dried blood spots using LC-MS.

Development and validation of an LC-MS/MS method for quantification of favipiravir in human plasma.

Characterisation of SARS-CoV-2 genomic variation in response to molnupiravir treatment in the AGILE Phase IIa clinical trial.

Molnupiravir versus placebo in unvaccinated and vaccinated patients with early SARS-CoV-2 infection in the UK (AGILE CST-2): a randomised, placebo-controlled, double-blind, phase 2 trial.

Pharmacokinetics of ß-d-N4-Hydroxycytidine, the Parent Nucleoside of Prodrug Molnupiravir, in Nonplasma Compartments of Patients With Severe Acute Respiratory Syndrome Coronavirus 2 Infection.

Fluvoxamine for the treatment of COVID-19.

Prescribing Nirmatrelvir-Ritonavir: How to Recognize and Manage Drug-Drug Interactions.