Inhaled Ivermectin and COVID-19

NCT ID: NCT04681053

Last Updated: 2021-02-24

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

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-25

Study Completion Date

2021-12-31

Brief Summary

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Coronavirus disease-19 is global healthcare crisis. Till May 20, 2020, there were approximately 4,789,205 cases and 318,789 related mortalities were identified globally. This dramatic situation led to healthcare service collapse in many countries. Each country developed its own action plan depending on healthcare expertise and the available resources. There is no definitive therapy for Coronavirus disease-19 up till now. Many current and investigational drugs are used nowadays. Recent reports suggest a beneficial role of Ivermectin in the management of Coronavirus disease-19. A notice that necessitates further clinical studies.

The aim of this study is to assess the efficacy and safety of the usage of inhaled ivermectin in the management of Coronavirus disease-19.

Detailed Description

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Coronavirus disease-19 (COVID-19) is a pandemic disease which is caused by the SARS-CoV2 virus. It is one of the biggest single-stranded RNA viruses. SARS-CoV2 Viral polyproteins are responsible for viral replication and transcription while its protease enzymes are responsible for polypeptides cleaving and immune system blockage. They are considered to be an important therapeutic target.

Host immunological response against SARS-CoV2 could affect the disease outcome. Patients requiring ICU admission have higher levels of interleukins 6 - 10, tumor necrosis factor α (TNF-α), and fewer CD4+ and CD8+ T cells. The level of cytokines and lymphopenia is associated with pulmonary damage and respiratory distress.

Till now, there is no definitive therapy for COVID-19. Multiple current and investigational drugs are used such as Hydroxychloroquine, lopinavir/ritonavir, and Remdesivir.

Ivermectin: A potent anti-parasitic drug has shown to have an in-vitro antiviral activity against a broad range of viruses. It inhibits the interaction between the human immunodeficiency virus-1 (HIV-1) integrase protein (IN) and the importin (IMP) α/β1. But on the other hand, Ivermectin showed limited efficacy against DENV in phase III clinical trial that was done in Thailand in 2014-2017. Recent Studies proved the In-vitro effect and "subsequently" the possible therapeutic role of Ivermectin in the management of SARS-CoV2.

Conditions

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COVID-19

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

All current study participants will be classified into 4 equal groups

: Group (A) received both oral and inhaled ivermectin in addition to the standard of care.

Group (B)received inhaled ivermectin only Group (C) received oral ivermectin in addition to the standard of care, Group (D) received the current standard of care only
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group (A) received both oral and inhaled ivermectin in addition to the standard of care.

use oral and inhaled ivermectin

Group Type ACTIVE_COMPARATOR

Ivermectin Powder

Intervention Type DRUG

\- Administration through inhalation (6mg) BID for 3 days

B) received oral ivermectin in addition to the standard of care

receive oral ivermectin

Group Type ACTIVE_COMPARATOR

Ivermectin Powder

Intervention Type DRUG

\- Administration through inhalation (6mg) BID for 3 days

c) received inhaled ivermectin in addition to the standard of care

received inhaled ivermectin

Group Type ACTIVE_COMPARATOR

Ivermectin Powder

Intervention Type DRUG

\- Administration through inhalation (6mg) BID for 3 days

Group (d) received the current standard of care only

received standard of care only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ivermectin Powder

\- Administration through inhalation (6mg) BID for 3 days

Intervention Type DRUG

Other Intervention Names

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Direct antiviarl agents

Eligibility Criteria

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Inclusion Criteria

* Both sexes
* Age above 18
* Test positive for COVID-19 using Reverse transcription polymerase chain reaction (RT-PCR) prior to the start of study.
* Willing to participate in the study
* Mild to moderate severity index according to the WHO criteria

Exclusion Criteria

* Hypersensitivity to the study drug.
* History of co-morbid conditions such as: uncontrolled hypertension and diabetes, retinal problems and chronic liver and renal disease.
* Women who are pregnant or breastfeeding.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mansoura University

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Elbendary

Professor of Tropical Medicine and Hepatogastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mahmoud El-Bendary, M.D

Role: PRINCIPAL_INVESTIGATOR

Mansoura University- Faculty of Medicine

Locations

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Mansoura Faculty of Medicine

Al Mansurah, Dakahlyia, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Mahmoud El-Bendary, M.D

Role: CONTACT

00201002592205

Hatem Elalfy

Role: CONTACT

00201224790518

Facility Contacts

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Mahmoud El-Bendary, M.D

Role: primary

00201002592205

Other Identifiers

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R.20.11.1090.R1

Identifier Type: -

Identifier Source: org_study_id

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