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Niclosamide in COVID-19

Phase 2
Withdrawn
Conditions
Covid19
Interventions
Registration Number
NCT04542434
Lead Sponsor
Entero Therapeutics
Brief Summary

This is a two-part, Phase 2, multicentre, randomized, double blind, 2-arm placebo-controlled study in adults with moderate COVID-19 with gastrointestinal signs and symptoms

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Part 1 only: Patients hospitalized with a primary diagnosis of COVID-19 with or without pneumonia, who are expected to remain in hospital at least seven days after the randomization and who accept continuing to be assessed for the study procedures (home or outpatient unit) up to 6 weeks in case of discharge.

Part 2 only: Patients with a primary diagnosis of COVID-19 with or without pneumonia who are not planned to be hospitalized.

  • Patients who prior to developing COVID-19 usually have normal bowel habits defined as at least solid-formed 3 stools per week and no more than 3 solid-formed stools per day.
  • SARS-CoV-2 RNA presence in rectal swab (or stool test) ≤2 days before randomization by local or central lab.
  • Diarrhea defined as at least 3 watery stools in the last 24 hours prior to enrolment
Exclusion Criteria
  • At the time of randomization patients requiring ICU admission or patients with severe respiratory insufficiency requiring mechanical ventilation or with rapid worsening of respiratory function leading to expectation for mechanical ventilation or ICU admission.
  • Evidence of rapid clinical deterioration or existence of any life-threatening co-morbidity or any other medical condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
NiclosamideNiclosamide Oral Tablet-
Primary Outcome Measures
NameTimeMethod
SAEsFrom Day 1 to end of study

Serious adverse event (SAE) coded by System Organ Class (SOC) and Preferred Term (PT), using the Medical Dictionary for Regulatory Activities (MedDRA)

TEAEFrom Day 1 to 6 weeks

Proportion of patients with Treatment Emergent Adverse Events (TEAE) leading to study drug discontinuation

MortalityFrom Day 1 to 6 weeks

All-cause mortality

Body temperatureFrom Day 1 to 6 weeks

Change in body temperature from baseline to 6 weeks summarized descriptively by visit and presented as shift tables

SaO2From Day 1 to 6 weeks

Change in SaO2 from baseline to 6 weeks summarized descriptively by visit and presented as shift tables

Safety laboratoryFrom Day 1 to 6 weeks

Change in safety laboratory tests from baseline to 6 weeks, the number of subjects with values low, normal, and high compared to the normal ranges pretreatment versus post-treatment will be provided

Blood pressureFrom Day 1 to 6 weeks

Change in sitting systolic and diastolic blood pressure from baseline to 6 weeks summarized descriptively by visit and presented as shift tables

ECGFrom Day 1 to 6 weeks

Change in ECG parameters including: 1. PR interval 2. RR interval 3. QRS interval 4 QT interval 5. HR interval 6. QtcF interval. All intervals summarized descriptively by visit from baseline to 6 weeks

fecal RNA virus clearanceFrom Day 1 to 6 weeks

time to fecal RNA virus clearance (rectal swab or stool sample) assessed by RT-qPCR in the niclosamide group, compared to the placebo group (Part 2 only)

Heart rateFrom Day 1 to 6 weeks

Change in heart rate from baseline to 6 weeks summarized descriptively by visit and presented as shift tables

Secondary Outcome Measures
NameTimeMethod
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