Inhaled Corticosteroid Treatment of COVID19 Patients With Pneumonia

NCT ID: NCT04355637

Last Updated: 2021-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-21

Study Completion Date

2021-06-30

Brief Summary

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Randomized, prospective, controlled open label clinical trial aimed at investigating if the addition of inhaled corticosteroids (budesonide) reduces treatment failure (defined as a composite variable by the initiation of treatment with high flow-O2 therapy, non-invasive or invasive ventilation, systemic steroids, use of biologics (anti IL-6 or anti IL-1) and/or death) according to hospital standard of care guidance) at day 15 after initiation of therapeutic intervention.

Detailed Description

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Conditions

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Coronavirus Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Control

patients receiving standard of care to treat their pneumonia

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

patients receiving standard of care to treat their pneumonia + inhaled budesonide

Group Type EXPERIMENTAL

Inhaled budesonide

Intervention Type DRUG

adding budesonide to standard of care for pneumonia in COVID19 positive patients

Interventions

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Inhaled budesonide

adding budesonide to standard of care for pneumonia in COVID19 positive patients

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* COVID19 positive
* hospitalized because of pneumonia (status #3 - #4 World Health Organization (WHO) scale)
* without contraindications to receive study treatment
* informed consent

Exclusion Criteria

* receiving corticoids (inhaled or systemic)
* receiving anti Interleukin-1 (IL-1) or anti-IL-6 drugs
* receiving high flow oxygen therapy
* receiving mechanical ventilation
* pregnancy
* participating in another intervention trial for COVID19
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sara Varea

OTHER

Sponsor Role lead

Responsible Party

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Sara Varea

Clinical Research Manager

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Hospital de Infecciosas "Francisco Javier Muñiz"

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status

CEMIC (Centro de Educación Médica e Investigaciones Clínicas "Norberto Quirno")

Ciudad Autonoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Hospital de Rehabilitación Respiratoria "María Ferrer"

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Hospital Donación "Francisco Santojanni"

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status

Clínica Monte Grande

Monte Grande, Buenos Aires, Argentina

Site Status

Hospital Centro de Salud Zenón J. Santillán

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

Hospital San Juan de Dios

La Plata, , Argentina

Site Status

Hospital de Santiago

Santiago de Compostela, A Coruña, Spain

Site Status

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic of Barcelona

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Countries

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Argentina Spain

References

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Agusti A, De Stefano G, Levi A, Munoz X, Romero-Mesones C, Sibila O, Lopez-Giraldo A, Plaza Moral V, Curto E, Echazarreta AL, Marquez SE, Pascual-Guardia S, Santos S, Marin A, Valdes L, Saldarini F, Salgado C, Casanovas G, Varea S, Rios J, Faner R. Add-on inhaled budesonide in the treatment of hospitalised patients with COVID-19: a randomised clinical trial. Eur Respir J. 2022 Mar 10;59(3):2103036. doi: 10.1183/13993003.03036-2021. Print 2022 Mar.

Reference Type DERIVED
PMID: 35144989 (View on PubMed)

Agusti A, Torres F, Faner R. Early treatment with inhaled budesonide to prevent clinical deterioration in patients with COVID-19. Lancet Respir Med. 2021 Jul;9(7):682-683. doi: 10.1016/S2213-2600(21)00171-5. Epub 2021 Apr 9. No abstract available.

Reference Type DERIVED
PMID: 33844998 (View on PubMed)

Farne H, Singanayagam A. Reply. J Allergy Clin Immunol. 2021 Mar;147(3):1117-1118. doi: 10.1016/j.jaci.2020.11.019. Epub 2020 Dec 30. No abstract available.

Reference Type DERIVED
PMID: 33388170 (View on PubMed)

Nicolau DV, Bafadhel M. Inhaled corticosteroids in virus pandemics: a treatment for COVID-19? Lancet Respir Med. 2020 Sep;8(9):846-847. doi: 10.1016/S2213-2600(20)30314-3. Epub 2020 Jul 30. No abstract available.

Reference Type DERIVED
PMID: 32738928 (View on PubMed)

Other Identifiers

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2020-001616-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

TACTIC-COVID

Identifier Type: -

Identifier Source: org_study_id

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