Trial Outcomes & Findings for Estradiol and Progesterone in Hospitalized COVID-19 Patients (NCT NCT04865029)

NCT ID: NCT04865029

Last Updated: 2023-06-27

Results Overview

The proportion will be calculated based on WHO ordinal scale for clinical improvement. The scale is from 0 to 8, with a higher score indicating worse clinical status. * Uninfected: No clinical or virological evidence of infection 0 * Ambulatory: No limitation of activities 1 Limitation of activities 2 * Hospitalized Mild Disease Hospitalized, no oxygen therapy 3 Oxygen by mask or nasal prongs 4 * Hospitalized Severe Disease Non-invasive ventilation or high flow oxygen 5 Intubation and mechanical ventilation 6 Ventilation + additional organ support - 7 pressors, Renal Replacement Therapy (RRT), Extracorporeal Membrane Oxygenation (ECMO) * Dead Death 8

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

At discharge, measured up to Day 21

Results posted on

2023-06-27

Participant Flow

Participant milestones

Participant milestones
Measure
Estradiol and Progesterone Arm
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) Corona Virus Disease (COVID-19) Treatment Guidelines
Overall Study
STARTED
5
5
Overall Study
COMPLETED
5
5
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Estradiol and Progesterone in Hospitalized COVID-19 Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
51.4 Years
STANDARD_DEVIATION 12.92 • n=5 Participants
45.6 Years
STANDARD_DEVIATION 13.41 • n=7 Participants
48.5 Years
STANDARD_DEVIATION 12.78 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
5 participants
n=7 Participants
10 participants
n=5 Participants
Body Mass Index
24.5 Kg/m^2
STANDARD_DEVIATION 5.47 • n=5 Participants
38.76 Kg/m^2
STANDARD_DEVIATION 6.87 • n=7 Participants
31.63 Kg/m^2
STANDARD_DEVIATION 9.52 • n=5 Participants
Smoking status
Smokers
4 partipants
n=5 Participants
2 partipants
n=7 Participants
6 partipants
n=5 Participants
Smoking status
Non smokers
1 partipants
n=5 Participants
3 partipants
n=7 Participants
4 partipants
n=5 Participants
Systolic Blood pressure
140.8 mmHg
STANDARD_DEVIATION 18.21 • n=5 Participants
139.4 mmHg
STANDARD_DEVIATION 18.97 • n=7 Participants
140.1 mmHg
STANDARD_DEVIATION 17.54 • n=5 Participants
Diastolic blood pressure
91 mmHg
STANDARD_DEVIATION 18 • n=5 Participants
75.6 mmHg
STANDARD_DEVIATION 14.76 • n=7 Participants
83.3 mmHg
STANDARD_DEVIATION 17.5 • n=5 Participants
Heart rate
94.2 Beats per minute (Bpm)
STANDARD_DEVIATION 14.67 • n=5 Participants
97.6 Beats per minute (Bpm)
STANDARD_DEVIATION 10.19 • n=7 Participants
95.9 Beats per minute (Bpm)
STANDARD_DEVIATION 12.04 • n=5 Participants
O2 saturation
93 Percentage of O2 saturation
STANDARD_DEVIATION 4.8 • n=5 Participants
88.4 Percentage of O2 saturation
STANDARD_DEVIATION 5.18 • n=7 Participants
90.7 Percentage of O2 saturation
STANDARD_DEVIATION 5.29 • n=5 Participants
Temperature
98.38 Fahrenheit
STANDARD_DEVIATION 1.33 • n=5 Participants
100.26 Fahrenheit
STANDARD_DEVIATION 1.07 • n=7 Participants
99.32 Fahrenheit
STANDARD_DEVIATION 1.5 • n=5 Participants
World Health Organization (WHO) Score of 3 to 5 at randomization
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Aspartate aminotransferase (AST)
78.8 Units/L
STANDARD_DEVIATION 74.97 • n=5 Participants
78.2 Units/L
STANDARD_DEVIATION 61.22 • n=7 Participants
78.5 Units/L
STANDARD_DEVIATION 64.53 • n=5 Participants
Alanine transaminase (ALT)
62.6 Units/L
STANDARD_DEVIATION 60.01 • n=5 Participants
70.2 Units/L
STANDARD_DEVIATION 47.52 • n=7 Participants
66.4 Units/L
STANDARD_DEVIATION 51.19 • n=5 Participants
Neutrophil lymphocyte ratio (NLR)
3.96 Ratio
STANDARD_DEVIATION 0.86 • n=5 Participants
3.85 Ratio
STANDARD_DEVIATION 2.61 • n=7 Participants
3.90 Ratio
STANDARD_DEVIATION 1.84 • n=5 Participants
White blood Cells (WBC)
6.62 10^9 cells per liter.
STANDARD_DEVIATION 0.72 • n=5 Participants
6.38 10^9 cells per liter.
STANDARD_DEVIATION 1.91 • n=7 Participants
6.5 10^9 cells per liter.
STANDARD_DEVIATION 1.37 • n=5 Participants
Platelet count
260 10^9 cells per liter
STANDARD_DEVIATION 66.49 • n=5 Participants
157.8 10^9 cells per liter
STANDARD_DEVIATION 39.88 • n=7 Participants
208.9 10^9 cells per liter
STANDARD_DEVIATION 74.65 • n=5 Participants
Charlson Comorbidity Index (CCI)
2.4 units on a scale
STANDARD_DEVIATION 1.82 • n=5 Participants
1.4 units on a scale
STANDARD_DEVIATION 1.34 • n=7 Participants
1.9 units on a scale
STANDARD_DEVIATION 1.6 • n=5 Participants

PRIMARY outcome

Timeframe: At discharge, measured up to Day 21

Population: Number of participants who achieved WHO score of 1 to 2 at discharge, measured up to Day 21

The proportion will be calculated based on WHO ordinal scale for clinical improvement. The scale is from 0 to 8, with a higher score indicating worse clinical status. * Uninfected: No clinical or virological evidence of infection 0 * Ambulatory: No limitation of activities 1 Limitation of activities 2 * Hospitalized Mild Disease Hospitalized, no oxygen therapy 3 Oxygen by mask or nasal prongs 4 * Hospitalized Severe Disease Non-invasive ventilation or high flow oxygen 5 Intubation and mechanical ventilation 6 Ventilation + additional organ support - 7 pressors, Renal Replacement Therapy (RRT), Extracorporeal Membrane Oxygenation (ECMO) * Dead Death 8

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Number of Participants With Scores 1 or 2 on the 9-point World Health Organization (WHO) Ordinal Scale at Discharge, Measured up to Day 21
5 Participants
4 Participants

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Medical records were reviewed at admission to day 60 to determine length of stay.

The investigators will review patients' medical records on day 14 and day 28. Then, the investigators will call patients on day 60. This will be done to determine the efficiency of treatment on length of hospital stay.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Length of Hospital Stay
7.2 Days
Standard Deviation 5.18
10.2 Days
Standard Deviation 7.53

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Medical records were reviewed from baseline to day 60 to determine readmission status

The investigators will review patients' medical records on day 14 and day 28. Then, the investigators will call patients on day 60. This will be done to determine the readmission rates.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Readmission
COVID related readmission number
0 participants
0 participants
Readmission
Non-COVID related readmission number
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Medical records were reviewed baseline to day 60 to determine number of patients requiring invasive mechanical ventilation

The investigators will review patients' medical records on day 14 and day 28. Then, the investigators will call patients on day 60. This will be done to determine the number of patients requiring invasive mechanical ventilation

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Number of Patients Requiring Invasive Mechanical Ventilation
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Medical records were reviewed from baseline to day 60 to determine the number of days death occurred after admission. One person died on day 19 after admission in the control arm.

The investigators will review patients' medical records on day 14 and day 28 and calculate number of deaths that occurred after admission. Then, the investigators will call patients on day 60. This will be done to determine the number of days death occurred after admission.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=1 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Number of Days Death Occurred After Admission
19 Days

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Medical records were reviewed from baseline to day 60 to determine the cause of death that occurred after admission for all 10 participants.

The investigators will review patients' medical records on day 14 and day 28 and determine the cause of death. Then, the investigators will call patients on day 60. This will be done to determine the cause of death.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Number of Participants With Each Cause of Death
Death from COVID-19
0 participants
0 participants
Number of Participants With Each Cause of Death
Death from bacteremia
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Subjects were followed daily for 7 days after initiation of treatment for adverse events. Medical records were reviewed from baseline to day 60 to determine frequency and severity of adverse events in treatment arm vs. control arm.

Subjects will be followed daily for 7 days after initiation of treatment for adverse events. The investigators will review patients' medical records on day 14 and day 28. Then, the investigators will call patients on day 60. This will be done to determine the frequency and severity of adverse events in treatment arm vs. control arm.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Grade 3 Adverse Events Occurrence
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline to day 60

Population: Subjects were followed daily for 7 days after initiation of treatment for serious adverse events. Medical records were reviewed from baseline to day 60 to determine frequency of serious adverse events in treatment arm vs. control arm.

Subjects will be followed daily for 7 days after initiation of treatment for serious adverse events. The investigators will review patients' medical records on day 14 and day 28. Then, the investigators will call patients on day 60. This will be done to determine the frequency of serious adverse events in treatment arm vs. control arm.

Outcome measures

Outcome measures
Measure
Estradiol and Progesterone Arm
n=5 Participants
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 Participants
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Serious Adverse Events Occurrence
0 Participants
1 Participants

Adverse Events

Estradiol and Progesterone Arm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Normal Saline and Folic Acid Arm

Serious events: 1 serious events
Other events: 1 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Estradiol and Progesterone Arm
n=5 participants at risk
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 participants at risk
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Blood and lymphatic system disorders
Death
0.00%
0/5 • Baseline to 60 days.
20.0%
1/5 • Number of events 1 • Baseline to 60 days.

Other adverse events

Other adverse events
Measure
Estradiol and Progesterone Arm
n=5 participants at risk
Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission and Progesterone 200mg by mouth daily for 5 days starting at admission. Estradiol Cypionate 5 mg/ml: Standard of Care along with Estradiol Cypionate 5mg intramuscular injection at admission. Progesterone 200 mg Oral Capsule: Standard of Care along with Progesterone 200mg by mouth daily for 5 days starting at admission.
Normal Saline and Folic Acid Arm
n=5 participants at risk
Standard of Care along with placebo-equivalent injection (1mL Normal Saline intramuscular injection) at admission and placebo-equivalent pill (folic acid 400 mg pill) daily for 5 days starting at admission. Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines. Placebo injection and placebo pill: Standard of Care consistent with the National Institutes of Health (NIH) COVID-19 Treatment Guidelines
Blood and lymphatic system disorders
Thrombophlebitis
0.00%
0/5 • Baseline to 60 days.
20.0%
1/5 • Number of events 1 • Baseline to 60 days.

Additional Information

Franck Mauvais-Jarvis

Tulane University

Phone: 504-259-1139

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place