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临床试验/NCT05276375
NCT05276375已完成2 期

Effect of Bronchipret on Antiviral Immune Response in Patients With Mild COVID-19 (BroVID)

Dr. Frank Behrens1 个研究点 分布在 1 个国家目标入组 21 人开始时间: 2022年1月14日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
21
试验地点
1
主要终点
Change in average concentration of immunologic markers - Interferon y

研究概览

简要总结

There is currently an urgent need for effective and safe treatments of Coronavirus Disease (COVID) - 19 and the cytokine storm that is responsible for the development of patient's Acute Respiratory Distress Syndrome (ARDS).

As Bronchipret has been proven to be a very safe medicine, it is not expected that it would lead to the development of severe adverse effects in COVID-19 patients. Bronchipret can therefore be recommended as effective and safe supplementary treatments of COVID-19, even more so considering the positive effects shown in vitro. Thus, this randomized study is conducted to assess the effect of Bronchipret on the immune response and recovery in patients with mild COVID-19 by assessing several blood parameters as well as the symptom recovery and improvement in comparison to patients who do not receive Bronchipret. Another aim of this feasibility study is to determine the best possible primary endpoint, i.e. which shows the greatest effect according to Cohen.

详细描述

Although intensive research efforts have been underway worldwide, so far, only few effective treatment against the disease has been brought to the market in Germany. Based on the pathological features and different clinical phases of COVID-19, particularly in patients with moderate to severe COVID- 19, the classes of drugs used are antiviral agents (e.g., remdesivir), inflammation inhibitors/antirheumatic drugs (e.g., dexamethasone), low molecular weight heparins, plasma, and hyperimmune immunoglobulins Bronchipret exhibits multidirectional anti-inflammatory effects as demonstrated in vitro and in vivo studies. Several clinical trials have demonstrated positive effects of Bronchipret, a fixed combination of thyme herb and ivy leaf fluid extracts, on symptom relieve and recovery time in patients with acute bronchitis and cough. There is currently an urgent need for effective and safe treatments of COVID- 19 and the cytokine storm that is responsible for the development of Acute Respiratory Distress Syndrome (ARDS).

As Bronchipret has been proven to be a very safe medicine, it is not expected that it would lead to the development of severe adverse effects in COVID-19 patients. Bronchipret can therefore be recommended as effective and safe supplementary treatments of COVID-19, even more so considering the positive effects shown in vitro. Thus, this randomized study will be conducted to assess the effect of Bronchipret on the immune response and recovery in patients with mild COVID-19 by assessing several blood parameters as well as the symptom recovery and improvement in comparison to patients who do not receive Bronchipret. Another aim of this feasibility study is to determine the best possible primary endpoint, i.e. which shows the greatest effect according to Cohen.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

盲法说明

open-label

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients ≥ 18 years and ≤ 75 years
  • o If > 50 years, complete COVID-19 vaccination mandatory
  • SARS-CoV-2 infection confirmed by PCR test ≤ 4 days before screening/baseline visit
  • Onset of the earliest symptoms < 7 days before screening/baseline visit
  • Mild COVID-19 with the following symptoms (outpatient management/non hospitalized patients):
  • ᴑ Cough and ᴑ At least one other symptom (e.g., sore throat, nasal congestion, headache, nausea, low energy/fatigue, muscle or body ache, shortness of breath, fever, diarrhea, altered sense of smell or taste)
  • Written informed consent obtained prior to the initiation of any protocol-required procedures by the patient
  • Willingness to comply to study procedures and study protocol

排除标准

  • WHO score ≥ 3
  • Other advanced or chronic lung diseases (Chronic obstructive pulmonary disease (COPD), silicosis, bronchial asthma)
  • Unable to take oral medication
  • Body mass index (BMI) > 35 or ≤ 43kg
  • Requirement for oxygen administration
  • Current hospitalization
  • Known hypersensitivity to the active substances ivy, thyme, plants of the aralia family or other labiates (Lamiaceae), birch, mugwort, celery or to any of the excipients
  • Patients with rare hereditary fructose intolerance
  • Inability to monitor body temperature
  • Patients regularly taking immune suppressive medication, nonsteroidal anti-rheumatic drug(s) (NSARs) or steroids (e.g., because of underlying disease)
  • Known significant concomitant diseases or serious and/or uncontrolled diseases that are likely to interfere with the evaluation of the patient's safety and with the study outcome such as stem cell or organ transplantation within the last 5 years, cardiovascular disease, diabetes mellitus, chronic liver disease, chronic kidney disease including dialysis patients, sickle cell anemia or thalassemia, and other forms of immunosuppression (e.g. tumor patients, HIV-infected patients with weakened immune system, iatrogenic immunosuppression) as judged by the study physician according to patient's reports.
  • COVID-19 vaccination planned within study period and/or COVID-19 vaccination within the last 28 days
  • Women pregnant (patient reported at pre-Screening and confirmation via pregnancy test at Screening/baseline) or nursing
  • Males or females of reproductive potential not willing to use effective contraception (defined as PEARL index <1 - e.g. contraceptive pills/intra-uterine devices (IUD))
  • Alcohol, drug or chemical abuse
  • Current participation in another interventional clinical trial

研究组 & 干预措施

Bronchipret

Active Comparator

Bronchipret syrup (3x 5,4 ml daily, according to summary of product characteristics) until day 14

干预措施: Bronchipret (Drug)

结局指标

主要结局

Change in average concentration of immunologic markers - Interferon y

时间窗: Comparison Baseline to day 7

concentration of interferon (INF) y

Change in average number of immunologic markers - monocytes

时间窗: Comparison Baseline to day 7

number of monocytes

Change in average concentration of immunologic markers

时间窗: Comparison Baseline to day 7

concentration of Interleukin 2 (IL-2)

Change in average concentration of immunologic markers - IL4

时间窗: Comparison Baseline to day 7

concentration of Interleukin (IL) 4

Change in average concentration of immunologic markers - Interleukin (IL)-6

时间窗: Comparison Baseline to day 7

concentration of IL-6

Change in average concentration of immunologic markers - IL-8

时间窗: Comparison Baseline to day 7

concentration of IL-8

Change in average concentration of immunologic markers- c-reactive protein (CRP)

时间窗: Comparison Baseline to day 7

concentration of c-reactive protein (CRP)

Change in average number of immunologic markers - neutrophils

时间窗: Comparison Baseline to day 7

number of neutrophils

Change in average number of immunologic markers - eosinophils

时间窗: Comparison Baseline to day 7

number of eosinophils

Change in average number of immunologic markers - basophils

时间窗: Comparison Baseline to day 7

number of basophils

Change in average concentration of immunologic markers - IL-10

时间窗: Comparison Baseline to day 7

concentration of IL-10

Change in average concentration of immunologic markers - IL-1β

时间窗: Comparison Baseline to day 7

concentration of IL-1β

Change in average concentration of immunologic markers - Interferon (INF) α

时间窗: Comparison Baseline to day 7

concentration of INFα

Change in average concentration of immunologic markers - TNFα

时间窗: Comparison Baseline to day 7

concentration of tumor necrosis factor alpha (TNFα)

Change in average number of immunologic markers - lymphocytes

时间窗: Comparison Baseline to day 7

number of lymphocytes

Change in average number of immunologic markers - platelets

时间窗: Comparison Baseline to day 7

number of platelets

次要结局

  • proportion of patients with fever(Day 28)
  • IL-6/IL-10 ratio(Day 14)
  • proportions of patients with COVID-19 vaccination(Day 28)
  • Concentration of blood parameters and change to BL - IL2(Day 4)
  • Concentration of blood parameters and change to BL (absolute change): IL2(Day 14)
  • Concentration of blood parameters and change to BL (absolute change) IL4(Day 14)
  • Concentration of blood parameters and change to BL (percentage) IL8(Day 4)
  • Concentration of blood parameters and change to BL (INFy percentage):(Day 4)
  • Concentration of blood parameters and change to BL (percentage): CRP(Day 14)
  • Concentration of blood parameters and change to BL (percentage): TNFα,(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): neutrophils(Day 14)
  • Concentration of blood parameters and change to BL (absolute change) IL8(Day 4)
  • Concentration of blood parameters and change to BL (absolute change IL8):(Day 14)
  • Concentration of blood parameters and change to BL (percentage): INFy(Day 14)
  • Concentration of blood parameters and change to BL(Day 4)
  • Concentration of blood parameters and change to BL (percentage): IL2(Day 14)
  • Concentration of blood parameters and change to BL (percentage) IL4(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): IL4(Day 7)
  • Concentration of blood parameters and change to BL (absolute change):(Day 14)
  • Concentration of blood parameters and change to BL (absolute change IL10):(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): lymphocytes(Day 14)
  • Assessment of defervescence - number of patients(Day 28)
  • Concentration of blood parameters and change to BL (absolute change) IL6(Day 14)
  • Concentration of blood parameters and change to BL (percentage) IL6(Day 14)
  • Concentration of blood parameters and change to BL (percentage): IL10(Day 14)
  • Concentration of blood parameters and change to BL (absolute change):INFα(Day 7)
  • Neutrophil to lymphocyte ratio(Day 14)
  • IL-6/INFy ratio(Day 4)
  • Concentration of blood parameters and change to BL (percentage):(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): CRP(Day 14)
  • Concentration of blood parameters and change to BL (percentage): INFα(Day 14)
  • Concentration of blood parameters and change to BL (percentage): lymphocytes(Day 14)
  • Concentration of blood parameters and change to BL (percentage): monocytes(Day 14)
  • Concentration of blood parameters and change to BL (percentage): neutrophils(Day 14)
  • Concentration of blood parameters and change to BL (IL10 percentage):(Day 4)
  • Concentration of blood parameters and change to BL (absolute change INFy):(Day 4)
  • Concentration of blood parameters and change to BL (absolute change): INFy(Day 14)
  • Concentration of blood parameters and change to BL (percentage): IL-1β(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): IL-1β(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): INFα(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): TNFα,(Day 14)
  • Concentration of blood parameters and change to BL (percentage): eosinophils(Day 14)
  • Assessment of defervescence(Day 28)
  • Assessment of improvement or absence of coughing(Day 28)
  • Assessment of improvement or absence of coughing - proportion of patients(Day 28)
  • Assessment of intensity and distribution of most bothersome symptom(Day 28)
  • Proportion of patients who return to usual health(Day 28)
  • Requirement of hospitalisation or oxygen supplementation(Day 28)
  • Assessment of intake of concomitant medication(Day 14)
  • Concentration of blood parameters and change to BL (absolute change): monocytes(Day 14)
  • Assessment of symptom distribution(Day 28)
  • proportion of patients who return to usual activity(Day 28)
  • Number of patients with hyposmia or anosmia(Day 28)
  • Number of patients with fever(Day 28)
  • proportion of recovered COVID-19 patients(Day 28)
  • Concentration of blood parameters and change to BL (absolute change): eosinophils(Day 14)
  • Assessment of symptom improvement/worsening(Day 28)
  • Assessment of number of symptoms(Day 28)
  • Number of patients who return to usual health(Day 28)
  • proportion of patients with hyposmia or anosmia(Day 28)
  • Assessment of severe acute respiratory syndrome (SARS)- Corona virus (CoV) -2 negativity(Day 4)
  • Number of adverse events (AE)(through study completion, average 28 days)
  • Assessment of defervescence - portion of patients(Day 28)
  • Disease progression/improvement(Day 28)
  • Number of patients with COVID-19 vaccination(Day 28)
  • Number of recovered COVID-19 patients(Day 28)
  • Seriousness and relatedness of AEs(through study completion, average 28 days)
  • Assessment of improvement or absence of coughing - number of patients(Day 28)
  • Assessment of oxygen saturation(Day 28)
  • Assessment of SARS-CoV-2 negativity(Day 28)
  • Assessment of compliance(Day 14)
  • Number of serious adverse events (SAE)(through study completion, average 28 days)
  • Type and severity of adverse events(through study completion, average 28 days)
  • Type and severity of serious adverse events(through study completion, average 28 days)
  • Seriousness and relatedness of SAEs(through study completion, average 28 days)

研究者

发起方
Dr. Frank Behrens
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Dr. Frank Behrens

Sponsor representative

Fraunhofer Institute for Molecular Biology and Applied Ecology

研究点 (1)

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