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临床试验/RPCEC00000311
RPCEC00000311招募中未知

Treatment of patients with severe SARS-CoV-2 pneumonia with the anti-CD6 monoclonal antibody itolizumab. (COVID-19) - VICTORIA

Center of Molecular Immunology (CIM)0 个研究点目标入组 80 人开始时间: 2020年5月12日最近更新:
适应症

试验速览

阶段
未知
状态
招募中
发起方
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
N/a: Single Arm Study. Masking: Open. Control Group: Uncontrolled. Assignment: Single Group. Purpose: Treatment

入排标准

年龄范围
18 years old 至 none(—)
性别
All

入选标准

  • Any gender and skin color
  • Age equal to or greater than 18 years
  • SARS-CoV2 infection diagnosed by PCR-RT or rapid test to the COVID 19 positive
  • Confirmed Multifocal interstitial pneumonia
  • Need for oxygen therapy to maintain saturation of O2>93%
  • Worsening of lung involvement, defined as one of the following criteria:
  • o Worsening oxygen saturation >3 percentage points or decrease in PaO2 >10%, with FiO2 stable in the last 24 hours.
  • o Need to increase FiO2 in order to maintain a stable SO2 or new need for mechanical installation in the last 24 hrs.
  • o Increase in the number and/or extent of consolidation lung areas
  • Express willfulness of the patient, family member or impartial witness
  • Alternatively, itolizumab may be used in patients suspecting macrophage activation syndrome, according to the following criteria:
  • Need for oxygen therapy not less than 6L/min plus one of the following conditions:
  • Wheezing or irregular speech (cannot quickly count to 20 after deep inspiration)
  • Respiratory frequency greater than 22 breaths per minute with oxygen therapy at 6L/min
  • PO2: Partial arterial oxygen pressure <65 mm Hg
  • Worsening of the radiological image
  • Fever = 38oC
  • Reduction of initial values of hemoglobin, platelets or neutrophils or Hb< 90 g/L, platelets <100 x109/L, neutrophils <1 x109/L or leukocytes < 4 x109/L.
  • Decreased erythrocyte sedimentation in mismatch with PCR (low erythrocyte sedimentation and PCR increases or does not change)
  • Increased initial value of triglycerides or triglycerides greater than 3 mmol/L.
  • Increased initial ferritin value from 500 ng/ml or absolute ferritin value = 2000 ng/ml.
  • Transaminase aspartate-aminotransferase =30 IU/L
  • Increase in dimer D
  • Fibrinogen < 2.5 g/L
  • Onset of neurological manifestations

排除标准

  • 1.Pregnant and nursing women.

研究者

发起方
Center of Molecular Immunology (CIM)

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