Study of Oral High/Low-dose Cepharanthine Compared With Placebo in Non Hospitalized Adults With COVID-19

NCT ID: NCT05398705

Last Updated: 2022-08-25

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-31

Study Completion Date

2022-08-10

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of high/low-dose cepharanthine for the Treatment of COVID-19 in asymptomatic and non-pneumonia mild adult participants with COVID-19 who do not need to be in the hospital, but in alternate care site.

Detailed Description

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Screening participants will sign the appropriate informed consent form (ICF) prior to completion of any study procedures.

Patients will be randomized to one of three arms, all participants will receive standardized medical treatment (SMT) according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor and Chinese traditional medicine, etc.

* low-dose experimental arm:cepharanthine 60mg/day + SMT
* high-dose experimental arm:cepharanthine 120mg/day + SMT
* placebo control arm:placebo + SMT

The primary outcome measure is the time to viral clearance which defined as first positive nucleic acid test to the date of the first negative test (in two consecutive point). SARS-CoV-2 viral load was detected and quantified by RT-PCR using nasopharyngeal swabs . Ct value\>35 for both ORF1ab and N gene was considered as negativity.

Conditions

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Asymptomatic COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Eligible participants with a confirmed diagnosis of SARS-CoV-2 infection in alternate care site will be randomized (1:1:1) to receive low-dose cepharanthine, high-dose cepharanthine or placebo orally every 8 hours for 5 days.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low-dose cepharanthine + standardized medical treatment

Drug: cepharanthine (tablet) Day 1\~5: 20mg, Q8H X 5 days + standardized medical treatment

Group Type EXPERIMENTAL

Cepharanthine

Intervention Type DRUG

Low-dose: Day 1\~5: 20mg, Q8H X 5 days (60mg/day)+SMT

High-dose cepharanthine + standardized medical treatment

Drug: cepharanthine (tablet) Day 1\~5: 40mg, Q8H X 5 days + standardized medical treatment

Group Type EXPERIMENTAL

Cepharanthine

Intervention Type DRUG

High-dose: Day 1\~5: 40mg, Q8H X 5 days (120mg/day) +SMT

SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor and Chinese traditional medicine, etc.

placebo+standardized medical treatment

Drug: cepharanthine placebo (tablet) Day 1\~5: placebo + standardized medical treatment

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Day 1\~5: placebo+SMT

SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor, antiviral drug and Chinese medicine treatment, etc.

Interventions

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Cepharanthine

Low-dose: Day 1\~5: 20mg, Q8H X 5 days (60mg/day)+SMT

Intervention Type DRUG

Placebo

Day 1\~5: placebo+SMT

SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor, antiviral drug and Chinese medicine treatment, etc.

Intervention Type DRUG

Cepharanthine

High-dose: Day 1\~5: 40mg, Q8H X 5 days (120mg/day) +SMT

SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor and Chinese traditional medicine, etc.

Intervention Type DRUG

Other Intervention Names

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Low- dose Cepharanthine (tablet) Placebo (tablet) High- dose Cepharanthine (tablet)

Eligibility Criteria

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Inclusion Criteria

* aged over 16 years old with all genders
* SARS-CoV-2 positive(laboratory-confirmed reverse transcription polymerase chain reaction (RT PCR) test)
* patient or immediate adult family member agrees to participate in this study and signs an informed consent form
* asymptomatic or patients with mild covid-19 symptoms
* confirmed SARS-CoV-2 infection within 5 days prior to randomization

Exclusion Criteria

* Confirmed SARS-CoV-2 infection within \> 5 days prior to randomization
* CT shows pneumonia on admission
* diagnosed as severe or critical COVID-19 before intervention
* has a history of chronic underlying disease and acute exacerbation of that underlying disease at the time of admission
* Females who are pregnant or breastfeeding
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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YUNNAN BAIYAO GROUP CO.,LTD

UNKNOWN

Sponsor Role collaborator

Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Hai Li

professor of department of gastroenterological division, Renji Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hai Li, MD

Role: STUDY_DIRECTOR

Department of gastroenterology, Renji Hospital, Shanghai Jiaotong University School of Medicine

Locations

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Xinhua Hospital Affiliated To Shanghai Jiao Tong University School Of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Ren Ji Hospital, School of Medicine, Shanghai Jiao TongUniversity

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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Shen Y, Ai J, Lin N, Zhang H, Li Y, Wang H, Wang S, Wang Z, Li T, Sun F, Fan Z, Li L, Lu Y, Meng X, Xiao H, Hu H, Ling Y, Li F, Li H, Xi C, Gu L, Zhang W, Fan X. An open, prospective cohort study of VV116 in Chinese participants infected with SARS-CoV-2 omicron variants. Emerg Microbes Infect. 2022 Dec;11(1):1518-1523. doi: 10.1080/22221751.2022.2078230.

Reference Type RESULT
PMID: 35579892 (View on PubMed)

Hammond J, Leister-Tebbe H, Gardner A, Abreu P, Bao W, Wisemandle W, Baniecki M, Hendrick VM, Damle B, Simon-Campos A, Pypstra R, Rusnak JM; EPIC-HR Investigators. Oral Nirmatrelvir for High-Risk, Nonhospitalized Adults with Covid-19. N Engl J Med. 2022 Apr 14;386(15):1397-1408. doi: 10.1056/NEJMoa2118542. Epub 2022 Feb 16.

Reference Type RESULT
PMID: 35172054 (View on PubMed)

Wei J, Liu S, Bian Y, Li L, Qian B, Shen Z, Zhang Y, Abuduaini A, Dong F, Zhang X, Li J, Yu Y, Zhang W, Wang J, Zhai W, Song Q, Zheng Y, Pan W, Yu L, Zhan Q, Zhang N, Zheng J, Pan S, Yao C, Li H. Safety and efficacy of oral administrated cepharanthine in non-hospitalized, asymptomatic or mild COVID-19 patients: a Double-blind, randomized, placebo-controlled trial : Author detials. Sci Rep. 2025 Jan 31;15(1):3875. doi: 10.1038/s41598-024-75891-3.

Reference Type DERIVED
PMID: 39890847 (View on PubMed)

Other Identifiers

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CEP-Omicron

Identifier Type: -

Identifier Source: org_study_id

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