Low-dose Lenalidomide for Non-severe COVID-19 Treatment Trial

NCT ID: NCT04361643

Last Updated: 2020-07-31

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-27

Study Completion Date

2021-12-31

Brief Summary

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Double-blind randomized controlled clinical trial (RCT) of low-dose lenalidomide in the treatment of elderly patients (\> 60 years of age) with mild to moderate clinical signs of COVID-19 disease from the Hospital Universitario of Getafe.

The study will include patients of both sexes (\> 60 years of age) with mild to moderate clinical presentation of COVID-19 (ROX index \> 10). Subjects will be randomly assigned to the experimental arm with lenalidomide (5 mg/24h, day 1, 3 and 5) or to the controlled arm. Other concomitant medication for the treatment of COVID-19 will be also considered.

Detailed Description

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Conditions

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COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Experimental

Patients will receive Lenalidomide as a 5 mg capsule PO daily, days 1, 3, and 5.

Group Type EXPERIMENTAL

Lenalidomide as a 5 mg capsule PO daily, days 1, 3, and 5.

Intervention Type DRUG

Patients will receive Lenalidomide as a 5 mg capsule PO daily, days 1, 3 and 5, together with a prophylactic dose of low molecular weight heparin (LMWH) or therapeutic dose if needed due to previous comorbidity.

Placebo

Patients will receive a placebo capsule PO daily, days 1, 3, and 5.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Patients will receive a placebo capsule PO daily, days 1, 3 and 5, together with a prophylactic dose of low molecular weight heparin (LMWH) or therapeutic dose if needed due to previous comorbidity.

Interventions

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Lenalidomide as a 5 mg capsule PO daily, days 1, 3, and 5.

Patients will receive Lenalidomide as a 5 mg capsule PO daily, days 1, 3 and 5, together with a prophylactic dose of low molecular weight heparin (LMWH) or therapeutic dose if needed due to previous comorbidity.

Intervention Type DRUG

Placebo

Patients will receive a placebo capsule PO daily, days 1, 3 and 5, together with a prophylactic dose of low molecular weight heparin (LMWH) or therapeutic dose if needed due to previous comorbidity.

Intervention Type DRUG

Other Intervention Names

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Revlimid

Eligibility Criteria

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Inclusion Criteria

* Subjects \> 60 years of age
* Diagnosed case (PCR test for COVID-19 if available) or COVID-19 clinical symptoms (defined as fever, dry cough, dyspnea, chest radiography with compatible findings with COVID-19)
* Lymphocyte count ≥ 0.2 x 103/µL and ≤1.0 x 103/µL.
* Neutrophil count ≥ 1.8 x 103/µL, platelets ≥ 150 x 103/µL.
* ROX ≥ 10 index
* Signed informed consent document
* Willing to comply with the lenalidomide Risk Minimization Program (Pregnancy Prevention Program approved)

Exclusion Criteria

* Absolute contraindication of lenalidomide use or hypersensitivity to the active ingredient or any of the excipients.
* Active neoplasia
* Previous autoimmune disease
* Concurrent infection of HBV, HCV or tuberculosis.
* Aspartate transaminase (AST) or alanine transaminase (ALT) \> 3 times the upper limit of normal (ULN).
* Bilirubin levels \> 1.5 times the ULN
* Renal impairment with an estimated GF \< 30ml/min
* Venous thromboembolism events within the previous 3 years
* Significant active heart disease within the previous 6 months, including congestive heart failure (class II-IV NYHA), unstable angina or myocardial infarctions
* Sexually active subjects who refuse the lenalidomide Risk Minimization Program
* Inability to comply with the working protocol under the responsible health professional opinion.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario Getafe

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joaquin De Haro, MD

Role: STUDY_CHAIR

Hospital Universitario Getafe

Locations

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Hospital Universitario de Getafe

Getafe, , Spain

Site Status

Countries

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Spain

Central Contacts

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Joaquin De Haro, MD

Role: CONTACT

Phone: +34 626022977

Email: [email protected]

Facility Contacts

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Joaquin De Haro, MD,PhD

Role: primary

Joaquin De Haro, MD, PhD

Role: backup

Other Identifiers

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COVID19-EC01

Identifier Type: -

Identifier Source: org_study_id