Hyperbaric Oxygen Therapy in Non-ventilated COVID-19 Patients

NCT ID: NCT04409886

Last Updated: 2021-06-29

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE4
• Total Enrollment: 1 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-06-01
• Study Completion Date: 2021-01-31

Brief Summary

This study is a prospective randomized controlled, double blind clinical trial performed on laboratory confirmed COVID-19 infection admitted patients in the Shamir Medical Center. The trial will include 30 patients who will undergo either hyperbaric oxygen therapy (HBOT) or Normobaric oxygen therapy (NBOT), randomized on a 2:1 ratio, within 4 days in addition to the standard treatment including oxygen, drugs, steroids, bronchodilators, antibiotics and others.

The evaluation procedure includes symptom monitoring, room air saturation, vital signs monitoring, pulmonary function and blood tests at baseline, one day and one week after the last session. In addition, one hour prior to and post session saturation and vitals will be monitored.

Detailed Description

This study is a prospective randomized controlled, double blind clinical trial performed on laboratory confirmed COVID-19 infection admitted patients at MMC. The trial will include 30 patients who will undergo either HBOT or NBOT, randomized on a 2:1 ratio, within 4 days in addition to the standard treatment including oxygen, drugs, steroids, bronchodilators, antibiotics and others.

Sessions will be provided in an MMC monoplace HBO chamber (RestorixHealth). Since all patients demand oxygen supply at room air, the control group is an active arm receiving 100% oxygen. For HBOT, each session will include breathing 100% oxygen at 2.2 absolute atmospheres (ATA) for 60 minutes. Compression and decompression will occur at 1 meter/minute rate. For NBOT, each session will include breathing 100% oxygen at 1.0 absolute atmospheres (ATA) for 60 minutes. In order to blind the patient, the first 5 minutes will include compression for 1.1 ATA and then decompression to 1.0 within the next 5 minutes.

During the sessions, the symptoms and vitals will be monitored. The evaluation procedure will include symptom monitoring, room air saturation, vital signs monitoring, pulmonary function and blood tests at baseline, one day and one week after the last session. In addition, one hour prior to and post session saturation and vitals will be monitored. Sessions and evaluations procedures will occur as the following:

Protocol Day 1

1. Baseline evaluation: blood test including: arterial blood gases, 2 CBC tubes, 2 Gel tubes (10-15 cc total), vitals (temperature, blood pressure, heart rate, room air saturation), symptoms questionnaire, pulmonary function test.

2. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour prior to session

3. One-hour session NBO/HBO

4. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour after the session.

5. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour before the 2nd session.

6. One-hour session NBO/HBO (8 hours following the first session)

7. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour after the session.

8. Daily oxygen supply dose monitoring. Protocol Day 2-4

1. Daily symptoms questionnaire 2. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour prior to session One-hour session NBO/HBO 3. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour after the session.

4. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour before the 2nd session.

5. One-hour session NBO/HBO (8 hours following the first session) 6. Vitals (temperature, blood pressure, heartrate, room air saturation) one hour after the session.

7. Daily oxygen supply dose monitoring. Follow up Protocol

1. Repeat evaluations one day after the last session and one week after the last session:

• Blood test including: arterial blood gases, 2 CBC tubes, 2 Gel tubes (10-15 cc total)
• Vitals (temperature, blood pressure, heart rate, room air saturation)
• Symptoms questionnaire
• Pulmonary function test.

2. Oropharyngeal swab for SARS-CoV-2 RT-PCR every 3 days for 1 week

3. Clinical monitoring for 30 days

Conditions

COVID, Coronavirus

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

HBOT (Hyperbaric Oxygen Therapy)

Hyperbaric Oxygen Therapy in Non-ventilated COVID-19 Patients (HBOT)

Group Type: EXPERIMENTAL

Hyperbaric Oxygen Therapy

Intervention Type: BIOLOGICAL

Hyperbaric Oxygen Therapy in Non-ventilated COVID-19 Patients (HBOT)

Interventions

Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy in Non-ventilated COVID-19 Patients (HBOT)

Intervention Type: BIOLOGICAL

Eligibility Criteria

Inclusion Criteria

• Within 7 days of patient's need of oxygen supply
• Positive SARS-CoV-2 RT-PCR
• At least one risk factor for bad prognosis of COVID-19: hypertension, diabetes mellitus, ischemic heart disease, smoking, age>50, etc.
• Respiratory insufficiency: Room Air SpO2 <94% or PaO2/FiO2<300mmHg
• Age>18
• Ability to sign an informed consent

Exclusion Criteria

• Negative SARS-CoV-2 RT-PCR
• HBOT contraindication: pneumothorax, pneumomediastinum, claustrophobia, ear/sinus disease which aren't allowed in HBOT, known chronic pulmonary disease: severe emphysema or known pulmonary bullae.
• Pregnancy
• Inability to sign an informed consent

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Maimonides Medical Center

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ory Wiesel, MD

Role: PRINCIPAL_INVESTIGATOR

Maimonides Medical Center

Locations

Maimonides Medical Center

Brooklyn, New York, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

120-20-ASF

Identifier Type: -

Identifier Source: org_study_id