Study to Evaluate the Efficacy of COVID19-0001-USR in Patients With Mild/or Moderate COVID-19 Infection in Outpatient

NCT ID: NCT04595136

Last Updated: 2021-05-26

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

PHASE1/PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-02

Study Completion Date

2021-08-30

Brief Summary

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Determine the efficacy and safety of COVID19-0001-USR in the treatment of SARS-COV-2 infection in mild to moderate manifestations administered via nebulization/inhalation.

Detailed Description

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This is an interventional, randomized controlled, double-blind study (i.e., active and passive control), 1 intervention group will be randomized with COVID 19-001-USR, and a control group to receive a placebo intervention to assess efficacy, tolerance, and decrease viral load and clinical manifestation on patients infected with SARS-COV-2. This will be a self-administered study drug 3 times a day for 7 days

Conditions

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SARS-CoV-2 Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Interventional study, randomized controlled, double-blind (i.e., active and passive control), 1 intervention group with investigative medicine, and a control group that will receive placebo intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
The mapping sequence will be hidden from the researcher by enrolling and evaluating participants in sequentially numbered, sealed, and stapled envelopes. To avoid the subversion of the allocation sequence, the name and date of birth of the participant will be written in the envelope, a second researcher verifies the process. The corresponding envelopes will be opened only after the enrolled participants complete all the reference assessments and assignment of the intervention by the protocol

Study Groups

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COVID19-0001-USR

Group 1 Patients with SARS-COV-2 (COVID19) positive test will receive Investigational Drug administer by nebulization ( COVID-19-0001-USR) Dosage: 3ml Frequency and Duration: Three times a day for 7 days

Group Type EXPERIMENTAL

Drug COVID19-0001-USR

Intervention Type DRUG

COVID19-0001-USR by nebulization for patients with mild and/or moderate SARS- COV-2

Normal Saline

Group 2 of patients with positive tests intervention SARS-COV-2 (COVID19) with placebo (i.e., normal saline 0.9% NS) plus standard baseline treatment for covid provided by Primary care provider ( Azithromycin, dexamethasone, and/or anticoagulants) Dosage: 3ml Frequency and Duration: Three times a day for 7 days

Group Type PLACEBO_COMPARATOR

normal saline

Intervention Type DRUG

0.9% NS via nebulization

Interventions

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Drug COVID19-0001-USR

COVID19-0001-USR by nebulization for patients with mild and/or moderate SARS- COV-2

Intervention Type DRUG

normal saline

0.9% NS via nebulization

Intervention Type DRUG

Other Intervention Names

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Nebulized 0.9% NS

Eligibility Criteria

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Inclusion Criteria

* Provide written consent before being included in the essay.
* Positive cases of COVID-19 (based on polymerase chain reaction or positive antigen test for SARS-CoV-2),
* Being diagnosed with mild to moderate SARS-COV-2 disease (COVID19)
* Symptomatic or asymptomatic patient, with good clinical appearance, Sat O2 at rest \> 94% with room air, and without desaturation with ambulation, and without tachypnea,
* Respiratory rate \< 20.
* Suspected cases of COVID-19, based on 3 criteria:

* Fever \> 38 Degrees Celsius
* O2 saturation ≤94
* Abnormal laboratory indicators, any of them:

* Lymphopenia \<1500 cells/m3
* C reactive protein \>2 mg/L
* Ferritin \>300g/L

Exclusion Criteria

* Existing decompensated conditions such as Diabetes Mellitus, Hypertension, Coronary Insufficiency, Coronary Artery Disease, Chronic Obstructive Pulmonary Disease (or any chronic or severe lung disease), Chronic Kidney Disease, Cancer, Immunosuppression, Mood Change
* Respiratory Frequency \> 20 / min, Pulse \> 120 bpm, systolic \< 90 mmHg, diastolic \< 60 mmHg
* The patient seems toxic and distressed, or, O2 at rest \<93% in ambient air, or desaturation when ambulating
* Being diagnosed with severe SARS-COV-2 disease (COVID19)
* Patients with low oxygen saturation levels, need for ICU entry, need or likelihood of invasive mechanical ventilation
* Patients requiring bronchodilator treatment
* Patients with a known history of asthma and/or lung disease
* Patients with severe decompensated Chronic Obstructive Pulmonary Disease
* Patients who are unable to give consent or who are unable to follow up on the test group will be excluded
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United Medical Specialties

OTHER

Sponsor Role lead

Responsible Party

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JUAN J JALLER-RAD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juan Jaller, MD

Role: PRINCIPAL_INVESTIGATOR

United Medical Specialties

Carlos A Riveros, MD

Role: STUDY_DIRECTOR

United Medical Specialties

Locations

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Cimedical

Barranquilla, Atlántico, Colombia

Site Status RECRUITING

Countries

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Colombia

Central Contacts

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Carlos A Riveros, MD

Role: CONTACT

305-224-2201

Juan Jaller, MD

Role: CONTACT

57-310-630-3530

Facility Contacts

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Juan Jaller, MD

Role: primary

57-5-345-0085

Viviana Fernandez, Nurse

Role: backup

57-5-345-0085

References

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Pena-Silva R, Duffull SB, Steer AC, Jaramillo-Rincon SX, Gwee A, Zhu X. Pharmacokinetic considerations on the repurposing of ivermectin for treatment of COVID-19. Br J Clin Pharmacol. 2021 Mar;87(3):1589-1590. doi: 10.1111/bcp.14476. Epub 2020 Jul 17. No abstract available.

Reference Type BACKGROUND
PMID: 32779815 (View on PubMed)

Chan JF, Yip CC, To KK, Tang TH, Wong SC, Leung KH, Fung AY, Ng AC, Zou Z, Tsoi HW, Choi GK, Tam AR, Cheng VC, Chan KH, Tsang OT, Yuen KY. Improved Molecular Diagnosis of COVID-19 by the Novel, Highly Sensitive and Specific COVID-19-RdRp/Hel Real-Time Reverse Transcription-PCR Assay Validated In Vitro and with Clinical Specimens. J Clin Microbiol. 2020 Apr 23;58(5):e00310-20. doi: 10.1128/JCM.00310-20. Print 2020 Apr 23.

Reference Type BACKGROUND
PMID: 32132196 (View on PubMed)

Zou L, Ruan F, Huang M, Liang L, Huang H, Hong Z, Yu J, Kang M, Song Y, Xia J, Guo Q, Song T, He J, Yen HL, Peiris M, Wu J. SARS-CoV-2 Viral Load in Upper Respiratory Specimens of Infected Patients. N Engl J Med. 2020 Mar 19;382(12):1177-1179. doi: 10.1056/NEJMc2001737. Epub 2020 Feb 19. No abstract available.

Reference Type BACKGROUND
PMID: 32074444 (View on PubMed)

Zheng S, Fan J, Yu F, Feng B, Lou B, Zou Q, Xie G, Lin S, Wang R, Yang X, Chen W, Wang Q, Zhang D, Liu Y, Gong R, Ma Z, Lu S, Xiao Y, Gu Y, Zhang J, Yao H, Xu K, Lu X, Wei G, Zhou J, Fang Q, Cai H, Qiu Y, Sheng J, Chen Y, Liang T. Viral load dynamics and disease severity in patients infected with SARS-CoV-2 in Zhejiang province, China, January-March 2020: retrospective cohort study. BMJ. 2020 Apr 21;369:m1443. doi: 10.1136/bmj.m1443.

Reference Type BACKGROUND
PMID: 32317267 (View on PubMed)

Mitja O, Clotet B. Use of antiviral drugs to reduce COVID-19 transmission. Lancet Glob Health. 2020 May;8(5):e639-e640. doi: 10.1016/S2214-109X(20)30114-5. Epub 2020 Mar 19. No abstract available.

Reference Type BACKGROUND
PMID: 32199468 (View on PubMed)

Zhao J, Yuan Q, Wang H, Liu W, Liao X, Su Y, Wang X, Yuan J, Li T, Li J, Qian S, Hong C, Wang F, Liu Y, Wang Z, He Q, Li Z, He B, Zhang T, Fu Y, Ge S, Liu L, Zhang J, Xia N, Zhang Z. Antibody Responses to SARS-CoV-2 in Patients With Novel Coronavirus Disease 2019. Clin Infect Dis. 2020 Nov 19;71(16):2027-2034. doi: 10.1093/cid/ciaa344.

Reference Type BACKGROUND
PMID: 32221519 (View on PubMed)

Wagstaff KM, Sivakumaran H, Heaton SM, Harrich D, Jans DA. Ivermectin is a specific inhibitor of importin alpha/beta-mediated nuclear import able to inhibit replication of HIV-1 and dengue virus. Biochem J. 2012 May 1;443(3):851-6. doi: 10.1042/BJ20120150.

Reference Type BACKGROUND
PMID: 22417684 (View on PubMed)

Mastrangelo E, Pezzullo M, De Burghgraeve T, Kaptein S, Pastorino B, Dallmeier K, de Lamballerie X, Neyts J, Hanson AM, Frick DN, Bolognesi M, Milani M. Ivermectin is a potent inhibitor of flavivirus replication specifically targeting NS3 helicase activity: new prospects for an old drug. J Antimicrob Chemother. 2012 Aug;67(8):1884-94. doi: 10.1093/jac/dks147. Epub 2012 Apr 25.

Reference Type BACKGROUND
PMID: 22535622 (View on PubMed)

Yang SNY, Atkinson SC, Wang C, Lee A, Bogoyevitch MA, Borg NA, Jans DA. The broad spectrum antiviral ivermectin targets the host nuclear transport importin alpha/beta1 heterodimer. Antiviral Res. 2020 May;177:104760. doi: 10.1016/j.antiviral.2020.104760. Epub 2020 Mar 3.

Reference Type BACKGROUND
PMID: 32135219 (View on PubMed)

Related Links

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https://www.researchsquare.com/article/rs-64501/v1

Nebulized ivermectin for COVID-19 and other respiratory diseases, a proof of concept, dose-ranging study in rats

Other Identifiers

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COVID19-0001-USR

Identifier Type: -

Identifier Source: org_study_id

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