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Completed

NCT Number: NCT04793984

Efficacy and Safety Evaluation of Inhaleen Inhalation in Hospitalized COVID-19 Patients

The current study will investigate the tolerability and efficacy of inhaled Carragelose® versus saline in hospitalized COVID-19 patients. As SARS-CoV-2 replicates readily in the lung, it is planed to apply Carragelose® in an inhalative form. Hospitalized COVID-19 patients with respiratory symptoms will inhale Inhaleen for 5 days.

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Key information

About this study

The tolerability and efficacy of inhaled Carragelose® will be investigated in a randomized, double blind, placebo-controlled trial in hospitalized COVID-19 patients.

Patients will inhale Inhaleen or Placebo 3 times a day for 7 minutes for 5 days.

The primary objective of the trial is to demonstrate that Inhaleen inhalation improves the clinical status of hospitalized COVID-19 patients on day 8 compared to placebo inhalation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Written informed consent obtained before any trial related procedures are performed
  • Age ≥ 18 years
  • Hospitalized patients with PCR confirmed SARS-CoV-2 infection and symptom onset ≤ 10 days before randomization
  • Patients with respiratory COVID-19 symptoms
  • Randomization ≤ 48h from admission
  • Peripheral capillary oxygen saturation (SpO2) ≥ 90% on room air or supplemental oxygen at screening
  • Patient agrees to refrain from taking other carragelose products (e.g. throat spray, lozenges)

Exclusion criteria

  • No informed consent
  • Persistent hypoxemia with SpO2 < 90% despite supplemental oxygen of > 6LO2/min at screening.
  • Patients with predominantly extrapulmonary COVID-19 symptoms (e.g. gastrointestinal, neurological, etc.)
  • Subjects who demonstrate respiratory and/or cardiac instability that is considered by the investigator as a reason for exclusion. Additionally, any other clinically significant disease that could interfere with participation in the study, with the intervention being studied, or with the evaluation of symptoms. Specific exclusions are asthma, immune deficiency, autoimmune disease, clinically significant cardiovascular, endocrinological, neurological, respiratory, gastrointestinal disease or any disease that is considered by the investigator as a reason for exclusion.
  • Known hypersensitivity or allergy to any component of the test product
  • The subject is related to any study personnel or has any other close ties or conflicts of interest with the study sponsor.
  • The subject has received any investigational drug or participated in a clinical trial within 4 weeks of entry to this study
  • Current medication other than oral contraception,that is considered by the investigator as a reason for exclusion.
  • Pregnant/lactating women at the time of recruitment will be excluded from the study
  • Participation in another antiviral clinical trial

Treatment and study plan

Carragelose

Device

inhalation 3 times a day

Other names: iota-Carageenan

NaCl

Device

inhalation 3 times a day

Other names: saline

Primary outcomes

  1. Clinical status of subjects as expressed on the WHO-8-Category ordinal scale:

    Time frame: day 8

    • Not hospitalized and no limitations of activities
    • Not hospitalized, with limitations of activities, home oxygen requirement, or both
    • Hospitalized, not requiring supplemental oxygen and no longer requiring ongoing medical care (used if hospitalization was extended for infections-control or other nonmedical reasons)
    • Hospitalized not requiring supplemental oxygen but requiring ongoing medical care related to COVID-19) or to other medical conditions)
    • Hospitalized requiring any supplemental oxygen
    • Hospitalized requiring non-invasive ventilation or use of high-flow oxygen devices
    • Hospitalized receiving invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
    • Death

Secondary outcomes

  1. Cycle threshold of SARS-CoV-2 PCR·

    Time frame: until day 15

  2. multiplex viral examination

    Time frame: until day 15

    NxTAG® Respiratory Pathogen Panel + SARS-CoV-2 (Luminex, Cat: X056C0470) detects and differentiates nucleic acids from SARS-CoV-2 and the following organism types and subtypes: Influenza A, Influenza A H1, Influenza A H3, Influenza B, Influenza A 2009 H1N1, Legionella pneumophila, Respiratory Syncytial Virus A, Respiratory Syncytial Virus B, Coronavirus 229E, Coronavirus OC43, Coronavirus NL63, Coronavirus HKU1, Human Metapneumovirus, Rhinovirus/Enterovirus, Adenovirus, Parainfluenza virus 1, Parainfluenza virus 2, Parainfluenza virus 3, Parainfluenza virus 4, Human Bocavirus, Chlamydophila pneumoniae, and Mycoplasma pneumoniae.

  3. supplemental oxygen requirement

    Time frame: until day 15

  4. modified 10 point BORG scale

    Time frame: day 1 to day 5

    a higher score means a worse condition

Sponsors and collaborators

Lead sponsor

Marinomed Biotech AG

Industry

Registry information

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Mar 11, 2021
Registry last updated
Aug 29, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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