Dr. Uckun provides an overview of the development status, mechanism of action, and clinical potential of the RJX platform for the treatment of COVID-19 in the article, "Clinical Impact Potential Of Rejuveinix For Prevention Of Fatal Acute Respiratory Distress Syndrome And Multi-Organ Failure In COVID-19 Patients."
The article also discusses the potential for the prevention of life-threatening complications from COVID-19 with RJX based on data obtained from clinical and non-clinical studies. This has provided the medical-scientific rationale for Reven's clinical development strategy for RJX and a randomized, double-blinded clinical study in COVID-19 patients.
One of the crucial questions with regard to COVID-19 seems to be the prevention of progression of mild disease. Kristina Cabala explains how RJX could favorably affect the patient journey in the article, "Rationale for a randomized, placebo-controlled, Phase 2 study of Rejuveinix in COVID-19 patients with acute lung injury and hypoxemic respiratory failure." She provides the critical design elements for a two-cohort, two-part placebo-controlled, double-blind Phase 2 study of RJX in COVID-19 patients.
In addition to the possible prevention of progression of mild disease, the paper discusses how RJX could have a positive impact on the faster resolution of ARDS, prevention of multiple-organ failure, and a reduction of case mortality during respiratory failure.
The article also describes how RJX could potentially promote long-term healing after patient recovery from COVID-19.2
RJX is an intravenous formulation of known physiologically compatible compounds that is being developed for more effective supportive therapy of patients with sepsis, including COVID-19 patients with viral sepsis and acute respiratory distress syndrome.
The RJX formulation is a solution of buffered acid products, electrolyte components, and vitamins, including ascorbic acid, cyanocobalamin, thiamine hydrochloride, riboflavin 5' phosphate, niacinamide, pyridoxine hydrochloride, and calcium d-pantothenate, and magnesium sulfate heptahydrate, a mineral with a negative oxidation-reduction potential.
The components of RJX exhibited promising activity in clinical studies involving ARDS patients and/or non-clinical studies in animal models of ARDS.
The published data from these clinical and non-clinical studies provided the medical-scientific rationale for Reven's clinical development strategy for RJX and a clinical study in COVID-19 patients. The clinical tolerability of RJX was confirmed in a recently completed double blind, placebo-controlled Phase 1 dose-escalation study in healthy volunteers (ClinicalTrials.gov Identifier: NCT03680105).
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