Trial to Evaluate the Efficacy and Safety of Nitazoxanide (NTZ) for Pre- and Post Exposure Prophylaxis of COVID-19 and Other Viral Respiratory Illnesses (VRI) in Healthcare Workers and Others at Increased Risk of SARS-CoV-2 Infection

NCT ID: NCT04359680

Last Updated: 2024-06-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1407 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-13

Study Completion Date

2021-04-07

Brief Summary

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Trial to Evaluate the Efficacy and Safety of Nitazoxanide (NTZ) for Pre- and Post Exposure Prophylaxis of COVID-19 and Other Viral Respiratory Illnesses (VRI) in Healthcare Workers and Others at Increased Risk of SARS-CoV-2 Infection

Detailed Description

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Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Nitazoxanide (NTZ) for Pre- and Post Exposure Prophylaxis of COVID-19 and Other Viral Respiratory Illnesses (VRI) in Healthcare Workers and Others at Increased Risk of SARS-CoV-2 Infection

Conditions

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COVID-19 Viral Respiratory Illnesses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Nitazoxanide

Two NTZ 300 mg tablets orally twice daily for 6 weeks.

Group Type ACTIVE_COMPARATOR

Nitazoxanide

Intervention Type DRUG

Nitazoxanide 600 mg administered orally twice daily for six weeks

Vitamin Super B-Complex

Intervention Type DIETARY_SUPPLEMENT

Vitamin Super B-Complex administered orally twice daily to maintain the blind

Placebo

Two placebo tablets orally twice daily for 6 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered orally twice daily for six weeks

Vitamin Super B-Complex

Intervention Type DIETARY_SUPPLEMENT

Vitamin Super B-Complex administered orally twice daily to maintain the blind

Interventions

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Nitazoxanide

Nitazoxanide 600 mg administered orally twice daily for six weeks

Intervention Type DRUG

Placebo

Placebo administered orally twice daily for six weeks

Intervention Type DRUG

Vitamin Super B-Complex

Vitamin Super B-Complex administered orally twice daily to maintain the blind

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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NTZ (nitazoxanide) NT-300

Eligibility Criteria

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Inclusion Criteria

1. Males and females at least 18 years of age or of legal consenting age based on local requirements.
2. Persons at increased risk of contracting COVID-19, including:

1. Healthcare workers with known direct occupational exposure to COVID-19 within 7 days prior to enrollment. A qualifying person (i) provides healthcare to patients and/or (ii) typically positions themselves within 6 feet of patients ("close contact") and (iii) is a full- time employee (average of ≥ 24 hours/week) in a high contact area (Emergency Department, Intensive Care Unit, COVID-specific Care Unit, Walk-in Clinic, Paramedic/First Responder).
2. Persons participating in social activities without the practice of generally accepted social distancing practices at least three times per week. Qualifying activities include the presence of at least 10 people in close (\<6 feet) proximity to each other without masks or other personal protective equipment (e.g., socializing at bars or community/social centers, in-home social gatherings, classes or trainings, etc.). These subjects must have engaged in such activities at least three times in the past 7 days and plan to continue these activities during the study.
3. Must have a smartphone, tablet, computer, or other qualifying internet- enabled device and daily internet access.
4. Occupational exposure to a person infected with SAR-CoV-2 within 7 days prior to enrollment or social interaction as defined in criterion 2(b).
5. Willing and able to provide written informed consent and comply with the requirements of the protocol, including completion of the subject diary.

Exclusion Criteria

1. Subjects not at increased risk of contracting SARS-CoV-2 from occupational or social behaviors.
2. Subjects with known severe heart, lung, neurological or other systemic disease that the Investigator believes could preclude safe participation.
3. Subjects with a history of COVID-19 or known to have developed anti- SARS-CoV-2 antibodies or received a SARS-CoV-2 vaccine.
4. Subjects who experienced a previous episode of acute upper respiratory tract infection, otitis, bronchitis or sinusitis or received antibiotics for these conditions or antiviral therapy for influenza within two weeks prior to and including study day 1.
5. Subjects residing in the same household with another family member currently participating in the study.
6. Receipt of any dose of NTZ within 7 days prior to screening.
7. Treatment with any investigational drug or vaccine therapy within 30 days prior to screening and willing to avoid them during the course of the study.
8. Known sensitivity to NTZ or any of the excipients comprising the study medication.
9. Subjects unable to swallow oral tablets or capsules.
10. Females of childbearing potential who are either pregnant or sexually active without the use of birth control. Female subjects of child-bearing potential that are sexually active must have a negative baseline pregnancy test and must agree to continue an acceptable method of birth control for the duration of the study and for 1 month post-treatment. A double barrier method, oral birth control pills administered for at least 2 monthly cycle prior to study drug administration, an (intrauterine device) IUD, or medroxyprogesterone acetate administered intramuscularly for a minimum of one month prior to study drug administration are acceptable methods of birth control for inclusion into the study. Female subjects are considered of childbearing potential unless they are postmenopausal (absence of menstrual bleeding for 1 year or 6 months if laboratory confirmation of hormonal status), or have had a hysterectomy, bilateral tubular ligation or bilateral oophorectomy.
11. Females who are breastfeeding.
12. Subjects with active respiratory allergies or subjects expected to require anti-allergy medications during the study period for respiratory allergies.
13. Subjects taking medications considered to be major CYP2C8 substrates.
14. Subjects who, in the judgment of the Investigator, will be unlikely to comply with the requirements of this protocol including completion of the subject diary.
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Romark Laboratories L.C.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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HealthStar Research LLC

Hot Springs, Arkansas, United States

Site Status

So Cal Clinical Research

Huntington Beach, California, United States

Site Status

Long Beach Clinical Trials, LLC

Long Beach, California, United States

Site Status

Meris Clinical Research

Brandon, Florida, United States

Site Status

Invesclinica US LLC

Fort Lauderdale, Florida, United States

Site Status

The Chappel Group Research

Kissimmee, Florida, United States

Site Status

New Horizon Research Center

Miami, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Site Status

DMI Research

Pinellas Park, Florida, United States

Site Status

Tampa General Hospital

Tampa, Florida, United States

Site Status

Chicago Clinical Research Institute, Inc.

Chicago, Illinois, United States

Site Status

Chicago Medical Research Institute, Inc.

Chicago, Illinois, United States

Site Status

Quad Clinical Research

Chicago, Illinois, United States

Site Status

Chicago Medical Research, LLC

Hazel Crest, Illinois, United States

Site Status

Centex Studies, Inc.

Lake Charles, Louisiana, United States

Site Status

Vida Clinical Studies

Dearborn, Michigan, United States

Site Status

Beacom Family Health Connection

Fremont, Nebraska, United States

Site Status

North Jersey Community Research Initiative

Newark, New Jersey, United States

Site Status

Integrative Clinical Trials LLC

Brooklyn, New York, United States

Site Status

The New York Center for Travel and Tropical Medicine

New York, New York, United States

Site Status

RH Medical Urgent Care Professional PLLC

The Bronx, New York, United States

Site Status

Centex Studies, Inc.

Houston, Texas, United States

Site Status

SMS Clinical Research LLC

Mesquite, Texas, United States

Site Status

LinQ Research LLC

Pearland, Texas, United States

Site Status

Rio Grande Valley Clinical Research Institute

Pharr, Texas, United States

Site Status

BFHC Research

San Antonio, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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RM08-3007

Identifier Type: -

Identifier Source: org_study_id

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