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Evaluation of Ganovo (Danoprevir ) Combined With Ritonavir in the Treatment of SARS-CoV-2 Infection

Phase 4
Completed
Conditions
COVID-19
Interventions
Drug: Ganovo+ritonavir+/-Interferon nebulization
Registration Number
NCT04291729
Lead Sponsor
The Ninth Hospital of Nanchang
Brief Summary

Evaluation of the efficacy and safety of Ganovo combined with ritonavir for patients infected with SARS-CoV-2.

Detailed Description

Given no specific antiviral therapies for new coronavirus pneumonia approved yet and Ganovo, an oral Hepatitis C virus protease inhibitor, approved in China in June 2018 , this open, controlled trial will evaluate the efficacy and safety of Ganovo in hospitalized patients infected with SARS-CoV-2.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Aged 18-75 years old;
  • Pneumonia patients with new coronavirus infection were confirmed to be positive by RT-PCR and clinical manifestations. The diagnosis standard refers to the diagnosis and treatment plan for pneumonia with new coronavirus infection (Current Trial Version);
  • Patients with newly diagnosed respiratory system discomfort who have been hospitalized (the diagnosis time of respiratory system discomfort shall not exceed 7 days);
  • Women and their partners who have no planned pregnancy for nearly half a year and are willing to take effective contraceptive measures within 30 days from the first administration of the study drug to the last administration;
  • Agree not to participate in other clinical research within 30 days from the first administration of the study drug to the last administration;
  • Patients who voluntarily sign informed consent.
Exclusion Criteria
  • The pneumonia patients with severe new coronavirus infection met one of the following conditions: respiratory distress, RR >= 30 times / min; or SaO2 / SpO2 <93% in resting state; or arterial partial pressure of oxygen (PaO2) / concentration of oxygen (FiO2) <300MMHG (1mmhg = 0.133kpa);
  • Pneumonia patients with severe new coronavirus infection meet one of the following conditions: respiratory failure and need mechanical ventilation; or shock; or other organ failure combined with ICU monitoring treatment;
  • Severe liver disease (such as child Pugh score >=C, AST > 5 times upper limit);
  • Patients with contraindications specified in the instructions of ritonavir tablets;
  • The pregnancy test of female subjects in the screening period was positive;
  • The researchers judged that it was not suitable to participate in this clinical trial (for example, patients who may be transferred to another hospital during the study period; patients with multiple basic diseases, etc.).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Ganovo+ritonavir with or without interferon nebulizationGanovo+ritonavir+/-Interferon nebulization-
Primary Outcome Measures
NameTimeMethod
Rate of composite adverse outcomes14 days

Defined as SPO2≤ 93% without oxygen supplementation, PaO2/FiO2 ≤300mmHg or a respiratory rate ≥30 breaths per min without supplemental oxygen

Secondary Outcome Measures
NameTimeMethod
Rate of no fever14 days

Rate of no fever

Rate of mechanical ventilation14 days

Rate of mechanical ventilation

Rate of ICU admission14 days

Rate of ICU admission

Rate of no cough14 days

Rate of no cough

Time to recovery14 days

Clinical recovery was defined as sustained (48 hours) alleviation of illness based on symptom scores (fever, cough, diarrhea, myalgia, dyspnea) all being absent and no evidence for progression (newly-presented dyspnea, SpO2 decline ≥3%, respiratory rate ≥ 24 breaths per min without supplemental oxygen).

Rate of no dyspnea14 days

Rate of no dyspnea

Rate of no requiring supplemental oxygen14 days

Rate of no requiring supplemental oxygen

Rate of undetectable New coronavirus pathogen nucleic acid14 days

Rate of undetectable New coronavirus pathogen nucleic acid

Rate of serious adverse event14 days

Rate of serious adverse event

Trial Locations

Locations (1)

The Ninth Hospital of Nanchang

🇨🇳

Nanchang, Jiangxi, China

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