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临床试验/NCT04642950
NCT04642950已完成2 期

A Phase II/III Study of Sargramostim in Patients With Coronavirus Disease-2019 (COVID-19)

Nobelpharma7 个研究点 分布在 1 个国家目标入组 70 人开始时间: 2020年12月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
70
试验地点
7
主要终点
2-rank Improvement on a 7-point Ordinal Scale

研究概览

简要总结

This is a randomized, placebo-controlled, double-blind, group comparison, multicenter study to evaluate the efficacy and safety of inhalation administration of sargramostim for 5 days, in principle (up to 10 days) as Add-on treatment to the standard treatment in COVID-19 patients.

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
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
20 Years 至 85 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Japanese male or female subjects who have been confirmed to meet all the following criteria.
  • Hospitalized patients under treatment who were severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] positive by polymerase chain reaction (PCR) test.
  • Patients with clinically diagnosed pneumonia and a percutaneous oxygen saturation [SpO2] of 93% or less on breathing of room air at bed rest.
  • Patients for whom written informed consent has been obtained from those themselves or the legally acceptable representatives.
  • Patients aged 20 years or older and younger than 85 years at the time of obtaining informed consent.

排除标准

  • Subjects who meet any of the following criteria will be excluded. Unless otherwise stated, the following criteria refer to those at the time of screening.
  • Patients who have been participating in other intervention studies, such as studies on unapproved pharmacotherapy, within 90 days prior to screening.
  • Patients who have experienced off-label use of approved drugs (including those for COVID-19 treatment other than steroids as standard treatment) within 7 days prior to screening.
  • Patients who are not expected to survive longer than 24 hours after commencement of study drug administration.
  • Patients who are using invasive ventilator or extracorporeal membrane oxygenation (ECMO).
  • Patients who have a chronic respiratory disease requiring continuous home oxygen therapy or ventilator use.
  • Patients with an underlying condition that is considered very unlikely to withdraw ventilator (e.g., motor neuron disease, Duchenne muscular dystrophy, rapidly progressive interstitial pulmonary fibrosis).
  • Patients who have a disease including bronchial asthma, lower respiratory tract infections, and interstitial lung diseases that may affect the assessment of the clinical study, since before the symptom onset of COVID-
  • Patients who have a disease including leukemia and leukocytosis that causes leukocytosis.
  • Patients who have a chronic kidney disease requiring dialysis.
  • Patients who have severe liver failure (Child Pugh grade C).
  • Patients aged 80 years or older with any of heart failure, cerebrovascular disease, obesity (BMI 30 or higher), dyslipidemia, hypertension or diabetes.

研究组 & 干预措施

NPC-26

Experimental

Sargramostim (125 μg) will be administered by inhalation twice daily for 5 days, in principle (up to 10 days) as Add-on treatment to the standard treatment.

干预措施: Sargramostim (Drug)

NP-26 Placebo

Placebo Comparator

Physiological saline will be administered by inhalation twice daily for 5 days, in principle (up to 10 days) as Add-on treatment to the standard treatment.

干预措施: Placebo (Drug)

结局指标

主要结局

2-rank Improvement on a 7-point Ordinal Scale

时间窗: Period until Day 28 (including the case after discharge).

Number of days to achieve at least 2-rank improvement on a 7-point ordinal scale from baseline until Day 28.

次要结局

  • Changes From Baseline in Alveolar-arterial Oxygen Partial Pressure Gradient (A-aDO)(Period until Day 28 (including the case after discharge).)
  • Number of Days Until Discharge From Baseline(Period until Day 28 (including the case after discharge).)
  • Proportion of Subjects Whose Category Has Shifted to Category 1 or 2(Period until Day 28 (including the case after discharge).)

研究者

发起方
Nobelpharma
申办方类型
Industry
责任方
Sponsor

研究点 (7)

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