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Usefulness of DORNASE in COVID-19 on HFNO

Phase 4
Terminated
Conditions
COVID-19 Pneumonia
Interventions
Drug: Saline
Registration Number
NCT05139901
Lead Sponsor
University Medical Centre Ljubljana
Brief Summary

COVID-19 pneumonia manifests among others with a thick bronhial secretion. It contains an increased number of neutrophil extracellular traps (NETs), formed during netosis. DNA is a major component in NETs. DNAse alfa (Pulmozyme®, Roche) is a recombinant human enzyme, registered for inhalations in patients with Cystic fibrosis, in which NETs are also a typical characteristic. DNAse alfa inhalations are typically well tolerated and with no major side effects. Some initial reports exist of using DNAse alfa inhalations in COVID-19 patients, that had benefitial effects. There are some trials registered with ClinicalTrials, investigating the usufulness of DNAse alfa in intubated patients, but the investigators have no knowledge of a trial, investigating the usufulness of this drug in patients receiving High Flow Nasal Oxygen therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Positive SARS-CoV-2 RNA PCR swab
  • inflamatory phase of infection
  • HFNO
Exclusion Criteria
  • pregnancy
  • previous treatment with DNAse alfa

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
4% salineSaline4% Saline inhalations twice daily
PulmosymeDornase AlfaDNAse alpha inhalations twice daily
Primary Outcome Measures
NameTimeMethod
Intubations7 days

Number of intubations necessary

Secondary Outcome Measures
NameTimeMethod
PaO2/FiO27 days

Increase in PaO2/FiO2 ratio

inflamation7 days

Reduction of inflamation

Trial Locations

Locations (1)

University Medical Centre Ljubljana

🇸🇮

Ljubljana, Slovenia

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