Inhalation of Ciclesonide for Patients With COVID-19: A Randomised Open Treatment Study (HALT COVID-19)

NCT ID: NCT04381364

Last Updated: 2022-02-02

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

PHASE2

Total Enrollment

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-29

Study Completion Date

2022-01-31

Brief Summary

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Randomized open label clinical trial carried out at study centers in Sweden, including Karolinska University Hospital, S:t Göran Hospital, Danderyd Hospital and Västmanlands Hospital. Patients with COVID-19 who are hospitalized with oxygen therapy are eligible for inclusion. Subjects are randomized to 14 days of inhalation with ciclesonide 360 µg twice daily or to standard of care. Primary outcome is duration of received supplemental oxygen therapy. Key secondary outcome is a composite outcome of death and received invasive mechanical ventilation within 30 days.

Detailed Description

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Conditions

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Covid-19 Pneumonia, Viral Sars-CoV2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This multicenter study is an open-labelled, randomized clinical trial for 1:1 ratio of ciclesonide or control arm
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Medical treatment

Treatment with ciclesonide

Group Type EXPERIMENTAL

Ciclesonide Inhalation Aerosol

Intervention Type DRUG

Ciclesonide 320 µg twice daily for 14 days.

Standard of Care

Standard Medical Care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ciclesonide Inhalation Aerosol

Ciclesonide 320 µg twice daily for 14 days.

Intervention Type DRUG

Other Intervention Names

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Alvesco

Eligibility Criteria

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Inclusion Criteria

* Patients 18 years of age or older who have given their written consent to participate in the study.
* Hospitalized and treated with oxygen for a maximum of 48 hours.
* Verified Covid-19: Positive sample for Sars-Cov2 RNA or a positive Sars-Cov2 antigen test from the upper respiratory tract
* Receives oxygen treatment.
* Negative pregnancy test (women of childbearing potential)
* Willing to exercise contraception categorized as "very effective" according to the Clinical Trial Facilitation Group during ongoing study treatment + 7 days (Appendix 2). (female research participant of childbearing potential)

Exclusion Criteria

* Pregnancy, breast-feeding or planned pregnancy.
* Hypersensitivity to ciclesonide or to any of the excipients.
* Concomitant medication with cortisone, ketoconazole, itraconazole, ritonavir or nelfinavir.
* Treatment with\> 8 l oxygen / min or supply of \> 50% oxygen with nasal high-flow cannula
* Ongoing palliative care or expected survival of less than 72 hours.
* Expected admission to the intensive care unit within 48 hours.
* Active or inactive pulmonary tuberculosis.
* Severe Liver Failure (Child-Pugh C)
* Diagnosed with pulmonary arterial hypertension (PAH) or fibrosis.
* Mental inability, reluctance or language difficulties that make it difficult to understand the meaning of participating in the study.
* Participates in or has recently participated in a clinical trial in the last 30 days. Previous participation in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Karolinska University Hospital

OTHER

Sponsor Role collaborator

Danderyd Hospital

OTHER

Sponsor Role collaborator

Centrallasarettet Västerås

OTHER

Sponsor Role collaborator

Ola Blennow, MD, PhD

OTHER

Sponsor Role lead

Responsible Party

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Ola Blennow, MD, PhD

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Daniel P Andersson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska University Hospital

Ola Blennow, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Capio S:t Görans Hospital and Karolinska University Hospital

Locations

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Södra Älvsborg hospital

Borås, , Sweden

Site Status

Danderyd Hospital

Danderyd, , Sweden

Site Status

Halmstad hospital

Halmstad, , Sweden

Site Status

Karlskoga Hospital

Karlskoga, , Sweden

Site Status

Örebro University Hospital

Örebro, , Sweden

Site Status

Östersund hospital

Östersund, , Sweden

Site Status

Capio S:t Görans Hospital

Stockholm, , Sweden

Site Status

Karolinska University Hospital Huddinge

Stockholm, , Sweden

Site Status

Växsjö Hospital

Vaxjo, , Sweden

Site Status

Västmanland County Hospital Västerås

Västerås, , Sweden

Site Status

Visby Hospital

Visby, , Sweden

Site Status

Countries

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Sweden

References

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Brodin D, Tornhammar P, Ueda P, Krifors A, Westerlund E, Athlin S, Wojt S, Elvstam O, Neumann A, Elshani A, Giesecke J, Edvardsson-Kallkvist J, Bunpuckdee S, Unge C, Larsson M, Johansson B, Ljungberg J, Lindell J, Hansson J, Blennow O, Andersson DP. Inhaled ciclesonide in adults hospitalised with COVID-19: a randomised controlled open-label trial (HALT COVID-19). BMJ Open. 2023 Feb 22;13(2):e064374. doi: 10.1136/bmjopen-2022-064374.

Reference Type DERIVED
PMID: 36813503 (View on PubMed)

Other Identifiers

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2020-02183

Identifier Type: -

Identifier Source: org_study_id

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