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An Investigation on the Effects of Icosapent Ethyl (VascepaTM) on Inflammatory Biomarkers in Individuals With COVID-19

Phase 2
Completed
Conditions
COVID-19
Inflammatory Response
Interventions
Registration Number
NCT04412018
Lead Sponsor
Canadian Medical and Surgical Knowledge Translation Research Group
Brief Summary

This is a 14-day long prospective, multi-site, two-armed, randomized, open-label study that will enroll approximately 100 adult outpatients in Canada who have received a positive SARS-CoV-2 test result within the preceding 72 hours. Participants will be randomized (1:1) to receive either icosapent ethyl (4 g BID for 3 days, then 2 g BID for the subsequent 11 days) or usual care. Blood samples will be collected to determine if icosapent ethyl use lowers circulating pro-inflammatory biomarkers.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  1. Positive local SARS-CoV-2 test result within the preceding 72 hours

  2. At least one of the following symptoms

    1. Fever
    2. Cough
    3. Sore throat
    4. Shortness of breath
    5. Myalgia
Exclusion Criteria
  1. Individuals currently participating in another interventional trial that will or may interfere with the primary outcome
  2. Hospitalized individuals
  3. Individuals who have a current medical condition for which life expectancy is less than 3 months
  4. Individuals with a history of acute end-organ injury (e.g. myocardial infarction, stroke, hospitalization for acute lung, liver or kidney disease) within the last month
  5. Individuals with active severe liver disease
  6. Individuals with a history of acute or chronic pancreatitis
  7. Women who are pregnant, may be pregnant, are planning on becoming pregnant, or are lactating
  8. Women of child-bearing potential who are not using at least one form of highly effective (hormonal contraceptives [e.g. combined oral contraceptives, patch, vaginal ring, injectables, and implants]; intrauterine device or intrauterine system; tubal ligation or whose partner has had a vasectomy) and one effective (barrier methods such male condom, female condom, cervical cap, diaphragm, or contraceptive sponge) method of contraception
  9. Individuals with a history of hemodynamic instability within past 72 hours including a systolic blood pressure of <95 mmHg and/or a diastolic blood pressure of <50 mmHg
  10. Individuals with known hypersensitivity to fish and/or shellfish, or ingredients of IPE
  11. Individuals with any other condition which, in the opinion of the Investigator, would place the participant at increased risk, preclude obtaining voluntary consent or confound the objectives of study
  12. Individuals who are unable to swallow IPE capsules whole

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Icosapent EthylIcosapent ethylParticipants in this arm will take icosapent ethyl (4 g BID for 3 days, then 2 g BID for the subsequent 11 days)
Primary Outcome Measures
NameTimeMethod
Change in hs-CRP levels from the randomization visit (Day 1) to the Day 14 visit14 days
Secondary Outcome Measures
NameTimeMethod
Change in neutrophil-to-lymphocyte ratio (NLR) from the randomization visit (Day 1) to the Day 14 visit14 days
Change in differential count from the randomization visit (Day 1) to the Day 14 visit14 days
Change in serum albumin levels from the randomization visit (Day 1) to the Day 14 visit14 days
Change in D-dimer levels from the randomization visit (Day 1) to the Day 14 visit14 days
Change in erythrocyte sedimentation rate from the randomization visit (Day 1) to the Day 14 visit14 days
Change in complete blood count from the randomization visit (Day 1) to the Day 14 visit14 days
Change in systemic immune-inflammation index from the randomization visit (Day 1) to the Day 14 visit14 days

Trial Locations

Locations (1)

North York Diagnostic and Cardiology Clinic

🇨🇦

Toronto, Ontario, Canada

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