A Nasal Treatment for COVID-19

NCT ID: NCT05799521

Last Updated: 2025-12-22

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-27

Study Completion Date

2026-03-30

Brief Summary

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The goal of this study is to test an investigational new inhaled medication called Optate.

Detailed Description

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The goal of this study is to test an investigational new inhaled medication called Optate. Investigational means it has not been approved by the Food and Drug Administration (FDA) for this use. The investigators hypothesize that Optate will reduce the length of symptoms and disease severity in patients with COVID-19 (Coronavirus disease of 2019) through inhibition of SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) viral replication within the upper and lower airways. Testing this hypothesis is important because treatments for COVID-19 are needed alongside vaccines. COVID-19 begins in the nasal passages, so targeted therapies to the nasal passages at early stages of the disease may prevent severe disease from occurring.

Conditions

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COVID-19 Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study model arms will include participants with COVID-19 receiving treatment (experimental type), participants with COVID-19 receiving placebo (placebo comparator type), healthy controls receiving treatment (experimental type), and healthy controls receiving placebo.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Providing pharmacy will randomize doses and provide blinded doses

Study Groups

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Participants with COVID-19:Treatment

Participants with COVID-19:Treatment - subjects on this treatment arm will receive study drug

Group Type EXPERIMENTAL

Optate

Intervention Type DRUG

Alkaline Buffer

Participants with COVID-19: Placebo

Participants with COVID-19: Placebo - subjects on this arm will get placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Normal Saline

Healthy Controls: Treatment

Healthy Controls: Treatment - subjects on this treatment arm will receive study drug

Group Type EXPERIMENTAL

Optate

Intervention Type DRUG

Alkaline Buffer

Healthy Controls: Placebo

Healthy Controls: Placebo - subjects on this arm will get placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Normal Saline

Interventions

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Optate

Alkaline Buffer

Intervention Type DRUG

Placebo

Normal Saline

Intervention Type DRUG

Other Intervention Names

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Glycine Normal Saline

Eligibility Criteria

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Inclusion Criteria

* positive rapid COVID-19 test
* Ordinal Scale for Clinical Improvement \< 3 (OSCI, Appendix 2) and/or
* Fever \> 100 degree F and/or
* Nasal congestion


* negative rapid COVID-19 test
* No known medical problems or taking any medication that, in the investigator's opinion, would make them unsuitable for participation.

Exclusion Criteria

* FEV1 (Forced Exhaled Volume) \< 55% predicted on the day of study procedures
* OSCI ≥ 3 (Objective Structured Clinical Exam)
* Pregnancy
* Inability to follow commands or perform study procedures including spirometry, coordinated inhalation of study medication


* Pregnancy
* Inability to follow commands or perform study procedures including spirometry, coordinated inhalation of study medication
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Indiana University

OTHER

Sponsor Role lead

Responsible Party

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James F. Chmiel

Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Charles Clem

Role: CONTACT

Phone: 317-274-8899

Email: [email protected]

Kenzie Mahan

Role: CONTACT

Phone: 317-274-8899

Email: [email protected]

Facility Contacts

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Charles Clem

Role: primary

Kenzie Mahan

Role: backup

References

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Paget-Brown AO, Ngamtrakulpanit L, Smith A, Bunyan D, Hom S, Nguyen A, Hunt JF. Normative data for pH of exhaled breath condensate. Chest. 2006 Feb;129(2):426-430. doi: 10.1378/chest.129.2.426.

Reference Type BACKGROUND
PMID: 16478862 (View on PubMed)

Davis MD, Donn SM, Ward RM. Administration of Inhaled Pulmonary Vasodilators to the Mechanically Ventilated Neonatal Patient. Paediatr Drugs. 2017 Jun;19(3):183-192. doi: 10.1007/s40272-017-0221-9.

Reference Type BACKGROUND
PMID: 28374138 (View on PubMed)

Davis MD, Hunt J. Exhaled breath condensate pH assays. Immunol Allergy Clin North Am. 2012 Aug;32(3):377-86. doi: 10.1016/j.iac.2012.06.003. Epub 2012 Jul 10.

Reference Type BACKGROUND
PMID: 22877616 (View on PubMed)

Davis MD, Walsh BK, Dwyer ST, Combs C, Vehse N, Paget-Brown A, Pajewski T, Hunt JF. Safety of an alkalinizing buffer designed for inhaled medications in humans. Respir Care. 2013 Jul;58(7):1226-32. doi: 10.4187/respcare.01753. Epub 2012 Dec 18.

Reference Type BACKGROUND
PMID: 23258576 (View on PubMed)

Hunt JF, Fang K, Malik R, Snyder A, Malhotra N, Platts-Mills TA, Gaston B. Endogenous airway acidification. Implications for asthma pathophysiology. Am J Respir Crit Care Med. 2000 Mar;161(3 Pt 1):694-9. doi: 10.1164/ajrccm.161.3.9911005.

Reference Type BACKGROUND
PMID: 10712309 (View on PubMed)

Ngamtrakulpanit L, Yu Y, Adjei A, Amoah G, Gaston B, Hunt J. Identification of Intrinsic Airway Acidification in Pulmonary Tuberculosis. Glob J Health Sci. 2010 Apr;2(1):106-110. doi: 10.5539/gjhs.v2n1p106.

Reference Type BACKGROUND
PMID: 21197384 (View on PubMed)

Ricciardolo FL, Gaston B, Hunt J. Acid stress in the pathology of asthma. J Allergy Clin Immunol. 2004 Apr;113(4):610-9. doi: 10.1016/j.jaci.2003.12.034.

Reference Type BACKGROUND
PMID: 15100663 (View on PubMed)

Shin HW, Shelley DA, Henderson EM, Fitzpatrick A, Gaston B, George SC. Airway nitric oxide release is reduced after PBS inhalation in asthma. J Appl Physiol (1985). 2007 Mar;102(3):1028-33. doi: 10.1152/japplphysiol.01012.2006. Epub 2006 Nov 16.

Reference Type BACKGROUND
PMID: 17110506 (View on PubMed)

Hoffmann M, Kleine-Weber H, Schroeder S, Kruger N, Herrler T, Erichsen S, Schiergens TS, Herrler G, Wu NH, Nitsche A, Muller MA, Drosten C, Pohlmann S. SARS-CoV-2 Cell Entry Depends on ACE2 and TMPRSS2 and Is Blocked by a Clinically Proven Protease Inhibitor. Cell. 2020 Apr 16;181(2):271-280.e8. doi: 10.1016/j.cell.2020.02.052. Epub 2020 Mar 5.

Reference Type BACKGROUND
PMID: 32142651 (View on PubMed)

Other Identifiers

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15989

Identifier Type: -

Identifier Source: org_study_id