Treatment of COVID-19 by Nebulization of Inteferon Beta 1b Efficiency and Safety Study

NCT ID: NCT04469491

Last Updated: 2025-11-19

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

74 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-20

Study Completion Date

2025-12-31

Brief Summary

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COVID-19 is causing a serious viral pandemic in terms of health and social impact. To date, no treatment has yet demonstrated Strong efficacy in treating the infectious disease (COVID-19). Pulmonary administration of Interferon (IFN) type I is a therapeutic strategy with high potential,due to higher local concentrations and minimal adverse effects. Type I interferons (including IFN-α and IFN-β) are antiviral defence cytokines and also have the potential to negatively modulate IFN Type II and IL-6 dependent cytokine storm, the latter being induced in the late forms of COVID-19. In vitro, IFN-β were more effective on COVID-19 than IFN-α. In existing preliminary studies, only patients receiving IFN type I modulators have a decrease in viral carriage and a rapid reversal. The purpose of this project is to assess in hospitalized patients with oxygen for COVID 19, the clinical efficacy on oxygen requirements of the addition of inhaled Interferon type I compared to the control arm .

Detailed Description

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Conditions

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COVID-19 INTERFERON NEBULIZATION

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Inhaled IFN arm

IFN (Interferon) pulmonary (Inhalation) + routine care (+/- antibiotics; +/- dexamethasone; + appropriate O2 support)

Group Type EXPERIMENTAL

inhaled type I interferon

Intervention Type DRUG

The interventional arm includes inhaled interferon (9.6 MUI x2/d for 48 hours, then 9.6 MUI x1/d for 8 to 16 days or discharge), in addition to standard care. In phase B, maximum treatment duration is 8 days.

Control Arm:

Aerosol (WFI water and routine care (+/- antibiotics;+/- dexamethasone; + appropriate O2 support).

Group Type ACTIVE_COMPARATOR

WFI water nebulization

Intervention Type DRUG

The interventional arm includes a WFI water nebulization comparator.

Interventions

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inhaled type I interferon

The interventional arm includes inhaled interferon (9.6 MUI x2/d for 48 hours, then 9.6 MUI x1/d for 8 to 16 days or discharge), in addition to standard care. In phase B, maximum treatment duration is 8 days.

Intervention Type DRUG

WFI water nebulization

The interventional arm includes a WFI water nebulization comparator.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years old
* Patient with laboratory-confirmed SARS-CoV-2 infection as determined by PCR \< 96 h (at initial diagnosis or persistent carriage \<96 h)
* Hospitalized patient with COVID-19 requiring oxygen therapy

And targeting in phase B :

* Patients under oxygen therapy such as nasal cannula/mask or non-invasive ventilation with paO2/FiO2 \> 200 mmHg.
* Patients hospitalized for less than 7 days.
* Patients with symptoms for less than 10 days or RT-PCR (\<96h) with Cycle Treshold \< 25.
* Social security coverage
* signed informed consent (by patient or their legally authorized representative)

Exclusion Criteria

* Hypersensitivity to natural or recombinant interferon-ß
* Hypersensitivity to human albumin or mannitol
* Recent suicide attempt
* Decompensation of liver failure
* age \< 18 years
* Pregnant or nursing.
* Patients managed on an outpatient basis (i.e. not initially hospitalized).
* Patients with kidney transplant
* Immunocompromised patients
* Patients with severe systemic disease constantly threatening their vital prognosis (ASA ≥ IV: e.g. severe ARF, advanced cancer pathology, recent myocardial IDM, severe valvular dysfunction, dependence on parenteral nutrition on central line, shock, sepsis, trauma, ...).
* Patients in septic shock.
* Patients with documented fungal infection.
* Patients on mechanical ventilation.
* Patients hospitalized for COVID-19 for more than 7 days.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CH TOURCOING

UNKNOWN

Sponsor Role collaborator

CH ARROND DE MONTREUIL

UNKNOWN

Sponsor Role collaborator

CH SAINT-QUENTIN

UNKNOWN

Sponsor Role collaborator

CH Compiègne

UNKNOWN

Sponsor Role collaborator

CH Abbeville

UNKNOWN

Sponsor Role collaborator

CH VALENCIENNES

UNKNOWN

Sponsor Role collaborator

Clinique Teissier

UNKNOWN

Sponsor Role collaborator

University Hospital, Toulouse

OTHER

Sponsor Role collaborator

University Hospital, Angers

OTHER_GOV

Sponsor Role collaborator

CHU CAEN

UNKNOWN

Sponsor Role collaborator

Nantes University Hospital

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire, Amiens

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Philippe Lanoix, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Amiens

Locations

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CH d'Abbeville

Abbeville, , France

Site Status

CHU Amiens

Amiens, , France

Site Status

CH Compiègne-Noyon

Compiègne, , France

Site Status

CH de l'Arrondissement de Montreuil-sur-mer

Rang-du-Fliers, , France

Site Status

CH de Saint-Quentin

Saint-Quentin, , France

Site Status

CH de Tourcoing

Tourcoing, , France

Site Status

CH de valenciennes

Valenciennes, , France

Site Status

Countries

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France

Other Identifiers

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PI2020_843_0041

Identifier Type: -

Identifier Source: org_study_id

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