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August 16, 2026Journal of Biomedical ScienceOpen Access

Safety and antiviral activity of inhaled siRNA SNS812 for treatment of mild-to-moderate COVID-19: a phase 2 randomized trial

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Authors

SCShey‐Ying ChenNational Taiwan University HospitalSCSui‐Yuan ChangNational Taiwan UniversityYCYi-Chung ChangSimpson Biotech Company (Taiwan)

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Overview

Randomized double-blind trial demonstrates safety and rapid viral clearance with inhaled siRNA SNS812 in mild-to-moderate COVID-19, indicating broad activity against immune-evasive variants.

Key Points

  • To assess the safety, antiviral efficacy, and symptom recovery outcomes of inhaled SNS812 in adults with mild-to-moderate COVID-19.
  • Conducted a phase 2, double-blind, randomized, placebo-controlled trial (NCT05941793) enrolling 135 adults within 3 days of COVID-19 symptom onset.
  • Participants were randomly assigned (1:1:1) to receive inhaled SNS812 at 100 mg, 200 mg, or placebo once daily for 7 days.
  • Safety served as the primary endpoint, with secondary endpoints evaluating time to sustained alleviation (TTSA) and resolution (TTSR) of target symptoms alongside exploratory virological outcomes.
  • No treatment-related adverse events or serious adverse events occurred across any study group.
  • SNS812 200 mg accelerated viral clearance compared to placebo, showing shorter median time to antigen negativity (2.9 vs 3.6 days; p = 0.007) and faster viral load reduction rate (-0.755 vs -0.652; p = 0.040).
  • SNS812 200 mg significantly improved symptom duration versus placebo, reducing median TTSR (6.1 vs 8.1 days; adjusted HR 2.07, 95% CI 1.30–3.29) and median TTSA (3.6 vs 6.5 days; adjusted HR 1.81, 95% CI 1.14–2.88).

Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/6a817980f2fb91fc834acacchttps://doi.org/10.1186/s12929-026-01284-5
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