Leflunomide for the Treatment of Ambulatory Patients With Mild COVID-19
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 入组人数
- 11
- 试验地点
- 1
- 主要终点
- Tolerability of high dose leflunomide as measured by discontinuation of leflunomide
研究概览
简要总结
This study aims to examine the tolerability of high dose of leflunomide in patients with COVID-19 who are being managed in the outpatient setting.
详细描述
This is a single are and single-center tolerability study of high dose leflunomide therapy in outpatient adult participants with mild COVID-19. In vitro studies have shown antiviral effects of leflunomide against SARS CoV-2, but the clinical outcomes in the disease have been variable. Our hypothesis is that targeting high risk patients earlier in the disease course and with a higher dose regimen are both required to see improvement in disease outcome measures in COVID-19. This study aims to prove the tolerability of high dose leflunomide in this setting.
Patients are selected based on identification of mild COVID-19 symptoms. Investigators will enroll twenty patients and perform a detailed Tele-helath interview to ensure they meet eligibility criteria and provide informed consent. 100 mg leflunomide daily for three days followed by 30 mg day will be prescribed. The subjects will be required to monitor their temperatures twice daily and a daily telephone call with an investigatory will review symptoms of disease and potential side effects of the drug. Subjects can discontinue the drug after five days if they no longer have fever, or take the drug for up to ten days if required for fever resolution.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being tested positive for SARS-Cov-2 in outpatient setting in drive-thru, ED, or ambulatory clinics at the University of Chicago within 72 hours of enrollment.
- •Mild COVID-19, defined as the presence of any symptom consistent with an upper respiratory tract infection, including dry cough, sore throat, nasal congestion, fatigue, myalgia, headaches
排除标准
- •Participation in any other clinical trial of an experimental agent treatment for COVID-19
- •Current hospitalization
- •Known hypersensitivity to leflunomide
- •Currently taking methotrexate
- •Currently taking terliflunomide
- •Known chronic kidney disease, stage 4-5, or receiving dialysis
- •History of liver disease
- •History of interstitial lung disease
- •Pregnancy and lactation - pregnancy test required for females
- •Inability to monitor body temperature (oral, axillary, tympanic or frontal) at least twice a day from study enrollment day (Day 1) to the end of the study (Day 14).
- •Inability to provide informed consent to the study.
研究组 & 干预措施
Leflunomide
Leflunomide 300 mg once daily administered for three days followed by 30 mg once daily administered for two days or until fevers abate (maximum ten days of treatment allowed).
If patients report symptoms attributed to the medication, the dose will be administered at 50 mg once daily for the loading dose followed by 20 mg once daily.
干预措施: Leflunomide (Drug)
结局指标
主要结局
Tolerability of high dose leflunomide as measured by discontinuation of leflunomide
时间窗: 14 days
Number of subjects that discontinue leflunomide
Tolerability of high dose leflunomide as measured by leflunomide dose modifications
时间窗: 14 days
Number of subjects requiring leflunomide dose modifications
Tolerability of high dose leflunomide as measured by Adverse Events
时间窗: 14 days
Number of Adverse Events observed in all subjects for the duration of the study
次要结局
- Time to defervescence as measured in days while on treatment protocol(14 days)
- Resolution of other COVID-19 symptoms measured in days while on treatment protocol(14 days)