Pulmozyme to Improve COVID-19 ARDS Outcomes

NCT ID: NCT04402944

Last Updated: 2021-12-17

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-05

Study Completion Date

2021-12-31

Brief Summary

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This is a randomized double-blind placebo-controlled Phase II trial of recombinant human deoxyribonuclease I (rhDNase I) - Pulmozyme - in mechanically ventilated patients with COVID-19 pneumonia.

Patients admitted to the ICU with severe COVID-19 pneumonia who require mechanical ventilation will be invited to participate in this study. Potential subjects will be identified from medical record review or from direct contact with physicians. Investigators will check medical history and confirm eligibility. Informed consent will be obtained from either the patient or designated healthcare proxy.

60 subjects will be enrolled. After obtaining informed consent, patients will be randomized 2:1 to Pulmozyme 2.5 mg BID for up to 28 days or until they are no longer receiving mechanical ventilation, whichever is sooner plus standard of care vs. placebo normal saline 2.5 ml plus standard of care.

Detailed Description

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Conditions

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COVID

Keywords

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Pulmozyme Pneumonia ARDS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Study Drug

Study drug

Group Type EXPERIMENTAL

Pulmozyme

Intervention Type DRUG

Pulmozyme 2.5 mg BID

Placebo

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Saline 2.5 mL BID

Interventions

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Pulmozyme

Pulmozyme 2.5 mg BID

Intervention Type DRUG

Placebo

Saline 2.5 mL BID

Intervention Type DRUG

Other Intervention Names

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Dornase alfa

Eligibility Criteria

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Inclusion Criteria

* ICU admission for pneumonia complicated by respiratory failure.
* RT-PCR (or equivalent) confirmed COVID-19 infection.
* Intubated and on mechanical ventilation within 120 hours of initiation of mechanical ventilation.
* Age ≥ 3 years of age.

Exclusion Criteria

* Allergy or known intolerance to Pulmozyme or Chinese Hamster Ovary cell products
* History of moderate to severe asthma, cystic fibrosis, or severe COPD (baseline FEV1 ≤ 40% predicted)
* Active malignancy other than basal cell melanoma or in situ breast cancer
* Unstable angina
* Chronic liver disease as judged by the investigator that would pose significant risk to participation
* Chronic renal disease as judged by the investigator that would pose significant risk to participation
* Inability to obtain informed consent from patient or legally authorized representative (LAR)
* Pregnant or breastfeeding Use of extracorporeal membrane oxygenation (ECMO)
* Prisoner status
* Concurrent treatment with other inhaled investigational agent for COVID-19\*\*
* Patient, surrogate, or physician not committed to full support (exception: a patient will not be excluded if he/she would receive all supportive care except for attempts at resuscitation from cardiac arrest)
* Moribund patient not expected to survive 24 hours
* Active hemoptysis
Minimum Eligible Age

3 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

South Shore Hospital

OTHER

Sponsor Role collaborator

Boston Children's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Benjamiin Raby

Chief of Respiratory Diseases

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

South Shore Hospital

Weymouth, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Robert Fowler

Role: CONTACT

Phone: 6173551834

Email: [email protected]

Facility Contacts

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Benjamin Raby, MD

Role: primary

Robert Fowler

Role: backup

Rebecca Baron, MD

Role: primary

Katherin Alejandra Zamrano Vera

Role: backup

Stephanie Smith, PhD

Role: primary

Other Identifiers

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P00035140

Identifier Type: -

Identifier Source: org_study_id