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临床试验/LBCTR2021014651
LBCTR2021014651尚未招募3 期

Managing Endothelial Dysfunction in COVID-19: A Randomized Clinical Trial at the Lebanese American University Medical Center- Rizk Hospital - MEDIC-LAUMCRH

AUMCRH0 个研究点目标入组 80 人开始时间: 2021年2月8日最近更新:
适应症

试验速览

阶段
3 期
状态
尚未招募
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
Randomized controlled trial
主要目的
Treatment
盲法
Blinded (masking used)

入排标准

年龄范围
18 至 99(—)
性别
All

入选标准

  • INCLUSION CRITERIA: Firstly, participants must be in-patient adults 18
  • years of age and above. Secondly, having PCR-confirmed COVID-19
  • classified as mild, moderate or severe disease as per the FDA and
  • admitted to the hospital for inpatient treatment as per the standard
  • of care, with mild being a positive testing by standard RT-PCR assay or
  • equivalent test and symptoms of mild illness with COVID-19 that
  • could include fever, cough, sore throat, malaise, headache, muscle
  • pain, gastrointestinal symptoms, without shortness of breath or
  • dyspnea. No clinical signs indicative of Moderate, Severe, or Critical
  • Severity. Moderate defined as positive testing by standard RT-PCR
  • assay or equivalent testing and symptoms of moderate illness which
  • could include any symptom of mild illness or shortness of breath with
  • exertion. Clinical signs suggestive of moderate illness with COVID-19
  • include respiratory rate = 20 breaths per minute, saturation of oxygen
  • (SpO2) > 93% on room air at sea level, heart rate = 90 beats per
  • minute without clinical signs indicative of Severe or Critical Illness
  • Severity. Severe symptoms could include any symptom of moderate
  • illness or shortness of breath at rest, or respiratory distress. Clinical
  • signs indicative of severe systemic illness with COVID-19 include
  • respiratory rate = 30 per minute, heart rate = 125 per minute, SpO2 =
  • 93% on room air at sea level or PaO2/FiO2 < 300. No criteria for
  • Critical Severity.

排除标准

  • EXCLUSION CRITERIA:
  • Patients unable to tolerate oral
  • medications. Patients who are already on beta-blockers,
  • statins or Nicorandil, PDE5 inhibitors, Riociguat.. In addition to
  • those with shock as defined by SBP<90 for more than 30
  • minutes not responding to IV fluids with evidence of end organ
  • damage. Patients with severe bradycardia (<50 bpm) and heart
  • block greater than first-degree (except in patients with a
  • functioning artificial pacemaker) should be definitely excluded,
  • along with those who suffer from decompensated heart failure
  • and sick sinus syndrome (unless a permanent pacemaker is in
  • place). Severe hepatic impairment (Child-Pugh class C) or
  • active liver disease are absolute reasons not to be included
  • especially those with unexplained persistent elevations of
  • serum transaminases. Pregnancy or breastfeeding and
  • hypersensitivity to any of the medications are to be excluded
  • as well. Myocarditis. Acute pulmonary edema. Hypovolemia.
  • Patients enrolled in a different randomized study and/or
  • COVID interventional study.

研究者

发起方
AUMCRH

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