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临床试验/CTRI/2021/05/033546
CTRI/2021/05/033546招募中2 期

Multi-Arm Therapeutic Study in Pre-ICU Patients Admitted With Covid-19 â?? Experimental Drugs and Mechanisms - TACTIC-E

Cambridge University Hospitals NHS Foundation Trust0 个研究点目标入组 0 人开始时间: 待定最近更新:

试验速览

阶段
2 期
状态
招募中

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

入选标准

  • Have clinical picture strongly suggestive of COVID-19-related disease (with/without positive COVID-19 test) AND
  • -Risk count (as defined above) >3
  • -Risk count ï?³3 if it includes â??Radiographic severity score >3â??
  • Be considered an appropriate subject for intervention with immunomodulatory or other disease modifying agents in the opinion of the investigator
  • Is able to swallow capsules/tablets
  • Risk count (score 1 point for each of the following):
  • Radiographic severity score >3
  • Male gender
  • Non-white ethnicity
  • Hypertension
  • Neutrophils >8.0 x109/L
  • Age >40 years
  • CRP >40 mgl/

排除标准

  • General exclusion criteria
  • The presence of any of the following will preclude participant inclusion:
  • Inability to supply direct informed consent from patient or from Next of Kin or Independent Healthcare Provider on behalf of patient
  • Invasive mechanical ventilation at time of screening
  • Contraindications to study drugs, including hypersensitivity to the active substances or any of the excipients
  • Currently on any of the study investigational medicinal products
  • Concurrent participation in an interventional clinical trial (observational studies allowed)
  • Patient moribund at presentation or screening
  • Pregnancy at screening
  • Unwilling to stop breastfeeding during treatment period
  • Known severe hepatic impairment (with or without cirrhosis)
  • Stage 4 severe chronic kidney disease or requiring dialysis (i.e. Cockcroft Gault estimated creatinine clearance < 30 ml /min)
  • Inability to swallow at screening visit
  • Any medical history or clinically relevant abnormality that is deemed by the principal investigator and/or medical monitor to make the patient ineligible for inclusion because of a safety concern.
  • Drug specific exclusion criteria
  • EDP1815 Specific Exclusions
  • Patient is taking a systemic immunosuppressive agent such as, but not limited to, oral steroids, methotrexate, azathioprine, ciclosporin or tacrolimus, unless these are given as part of COVID standard of care treatment.
  • Dapagliflozin and Ambrisentan Specific Exclusions
  • Type 1 diabetes
  • Known idiopathic pulmonary fibrosis
  • Previous hospital admission with ketoacidosis
  • History of symptomatic heart failure within 3 months of admission
  • Sustained blood pressure below 90/60 mmHg at admission
  • Metabolic acidosis defined as venous pH < 7.3 (or venous bicarbonate <15 mmol/l) AND ketones > 3.0 mmol/L
  • Alanine transaminase and/or aspartate transaminase (ALT and/or AST) > 3 times the upper limit of normal (only one needs to be measured)

研究者

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