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Acute Respiratory Tract InfectionPhase 3NCT04346693

An Open Randomized Study of Dalargin Efectiveness in Combination With Leitragin Drug in Patients With Severe and Critical Manifestations of SARS-COVID-19

A Phase 3 study testing Standard therapy recommended by the Ministry of Health of the Russian Federation., Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection and Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalation in people with Acute Respiratory Tract Infection and Acute Respiratory Insufficiency, run by Burnasyan Federal Medical Biophysical Center at 1 site in Russia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to evaluate an effectiveness of the drug Dalargin in combination with Leitragin for the prevention and treatment of severe pulmonary complications symptoms associated with severe and critical coronavirus infection cases (SARS COVID19, expanded as Severe acute respiratory syndrome Cоrona… Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Standard therapy recommended by the Ministry of Health of the Russian Federation., Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection and Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
320 participants
Where
1 siteRussia
Study dates
8 Apr 2020to 20 Nov 2020
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients from the age of 18 years male and female;
  • Coronavirus infection confirmed by results of Polymerase chain reaction test;
  • Hospitalization of the patient;
  • The presence of a signed informed consent to participate in the study.

Who cannot join

  • Revocation of informed consent by the patient.
  • Patient mismatch inclusion criteria.
  • First identified conditions and / or diseases described in the non-inclusion criteria.
  • The criteria for early termination of patient participation in the study during the period of use of the study drug are:
  • Patient withdrawal of informed consent.
  • First identified conditions and / or diseases described in the non-inclusion criteria.
Show all 12Show fewer
  • The occurrence of serious adverse events.
  • Adverse events that do not meet the criteria of severity, the development of which, according to the researcher, further participation in the study may be detrimental to the health or well-being of the patient.
  • Administrative reasons (termination of the study by the Sponsor or regulatory authorities), as well as gross protocol violations that may affect the results of the study.
  • The patient receives / needs additional treatment that may affect the outcome of the study or patient safety
  • Individual intolerance to research drugs
  • Incorrect inclusion (for example, the patient was included in violation of the criteria for inclusion / non-inclusion of the protocol)

Trial locations and contacts

1 site in 1 country.

Russia1 site
  • Burnasyan Federal Medical Biophysical Center FMBA of Russia

    Moscow, 123098

Other trials in Russia

About this study

Official title: An Open Randomized Study of Dalargin Efectiveness in Combination With Leitragin Drug for the Prevention and Treatment of Symptoms of Pulmonary Complications in Patients With Coronavirus Infection (SARS-COVID-19)

The purpose of the study is to evaluate an effectiveness of the drug Dalargin in combination with Leitragin for the prevention and treatment of severe pulmonary complications symptoms associated with severe and critical coronavirus infection cases (SARS COVID19, expanded as Severe acute respiratory syndrome Cоrona Virus Disease 2019 ).

Test drugs that will be administered to patients are:

  • Leitragin, solution for inhalation administration,
  • Dalargin, solution for intravenous and intramuscular administration.
Read the detailed description

Research objectives are:

  1. To study the effectiveness of the drug Leitragin, a solution for inhalation, for the prevention of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  2. To study the effectiveness of the drug Leitragin, a solution for inhalation, for the treatment of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  3. To study the effectiveness of the drug Dalargin, a solution for intravenous and intramuscular administration, for the prevention of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  4. To study the effectiveness of the drug Dalargin, a solution for intravenous and intramuscular administration, for the treatment of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  5. To evaluate the safety and tolerability of the use of the drug Leitragin, a solution for inhalation administration, for the prevention of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  6. To evaluate the safety and tolerability of the use of the drug Leitragin, a solution for inhalation administration, for the treatment of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  7. To evaluate the safety and tolerability of the use of the drug Dalargin, a solution for intravenous and intramuscular administration, for the prevention of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19);
  8. To evaluate the safety and tolerability of the use of the drug Dalargin, a solution for intravenous and intramuscular administration, for the treatment of severe pulmonary complications in patients with coronavirus infection (SARS-COVID-19).

Upon admission to a specialized hospital for all patients with suspected COVID-19 Polymerase chain reaction (PCR) is being conducted. Only patients with confirmed coronavirus infection are included in the study.

It is an open, randomized clinical trial of the drug Dalargin in combination with Leitragin for the prevention and treatment of severe pulmonary complications symptoms in patients with coronavirus infection (SARS-COVID-19)

Being tested
Standard therapy recommended by the Ministry of Health of the Russian Federation., Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection, Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalation, Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection combined with Leitragin inhalation
Medical subject headings
Pneumonia, Shock, Septic, Hypoxia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard therapy recommended by the Ministry of Health of the Russian Federation.Procedure or surgery

    Hydroxychloroquine + azithromycin + / - tocilizumab. Hydroxychloroquine intake is conducted according to the following schedule: 400 mg twice per day for 1-2 days of the treatment and 200 mg twice per day during six days of the treatment course.

    For the tocilizumab, 400 mg intravenously drip slowly (for at least 1 hour), with insufficient effect, administration is repeated the after 12 hours. Simultaneously no more than 800 mg of tocilizumab could be administered.

    For the azithromycin admission 500mg on day 1 is prescribed followed by 250mg per day, the next four days

  • Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injectionProcedure or surgery

    Hydroxychloroquine + azithromycin + / - tocilizumab. Hydroxychloroquine intake is conducted according to the following schedule: 400 mg twice per day for 1-2 days of the treatment and 200 mg twice per day during six days of the treatment course.

    For the tocilizumab, 400 mg intravenously drip slowly (for at least 1 hour), with insufficient effect, administration is repeated the after 12 hours. Simultaneously no more than 800 mg of tocilizumab could be administered.

    For the azithromycin admission 500mg on day 1 is prescribed followed by 250mg per day, the next four days.

    Additional intramuscular injection of the drug Dalargin (solution for intravenous and intramuscular doses) under dosage of 1 mg daily once per day for 10 days

  • Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalationProcedure or surgery

    Hydroxychloroquine + azithromycin + / - tocilizumab. Hydroxychloroquine intake is conducted according to the following schedule: 400 mg twice per day for 1-2 days of the treatment and 200 mg twice per day during six days of the treatment course.

    For the tocilizumab, 400 mg intravenously drip slowly (for at least 1 hour), with insufficient effect, administration is repeated the after 12 hours. Simultaneously no more than 800 mg of tocilizumab could be administered.

    For the azithromycin admission 500mg on day 1 is prescribed followed by 250mg per day, the next four days.

    Additional inhalation of the drug Leitragin, at a dose of 10 mg daily once per day until the symptoms of pulmonary complications will be ceased.

  • Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection combined with Leitragin inhalationProcedure or surgery

    Hydroxychloroquine + azithromycin + / - tocilizumab. Hydroxychloroquine intake is conducted according to the following schedule: 400 mg twice per day for 1-2 days of the treatment and 200 mg twice per day during six days of the treatment course.

    For the tocilizumab, 400 mg intravenously drip slowly (for at least 1 hour), with insufficient effect, administration is repeated the after 12 hours. Simultaneously no more than 800 mg of tocilizumab could be administered.

    For the azithromycin admission 500mg on day 1 is prescribed followed by 250mg per day, the next four days.

    Additional inhalation of the drug Leitragin, at a dose of 10 mg daily once per day until the symptoms of pulmonary complications will be ceased.

    Additional intramuscular injection of the drug Dalargin (solution for intravenous and intramuscular doses) under dosage of 1 mg daily once per day for 10 days

Study groups in NCT04346693
Study groupRoleWhat they receive
group 1Active comparator80 patients with moderate and critical severity of the COVID19 with respiratory symptoms without Acute Respiratory Distress Syndrome (ADRS). Standard therapy is prescribed recommended by the Ministry of Health of the Russian Federation.
Receives: Procedure: Standard therapy recommended by the Ministry of Health of the Russian Federation.
group 2Experimental80 patients with moderate to critical severity of the COVID19 with respiratory symptoms without Acute Respiratory Distress Syndrome (ADRS). A standard concomitant therapy will be given recommended by the Ministry of Health of the Russian Federation, with the additional intramuscular injection of the drug Dalargin (solution for intravenous and intramuscular doses of 1 mg once a day for 10 days).
Receives: Procedure: Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection
group 3Experimental80 patients with moderate to critical severity of the COVID19 with respiratory symptoms without Acute Respiratory Distress Syndrome. A standard concomitant therapy will be given recommended by the Ministry of Health of the Russian Federation, with the additional inhalation of the drug Leitragin, at a dose of 10 mg daily once a day until the symptoms of pulmonary complications will be ceased.
Receives: Procedure: Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalation
group 4Experimental80 patients with moderate to critical severity of the disease with respiratory symptoms without Acute Respiratory Distress Syndrome. A standard concomitant therapy will be given recommended by the Ministry of Health of the Russian Federation, with the additional intramuscular administration of the drug Dalargin (solution for intravenous and intramuscular doses of 1 mg once a day for 10 days) in conjunction with inhalation of the drug Leitragin, at a dose of 10 mg daily once a day until the symptoms of pulmonary complications will be ceased.
Receives: Procedure: Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection combined with Leitragin inhalation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The change of viral load in patients with SARS-COVID-19.

    Estimated by Polymerase chain reaction (PCR)

    Measured: Upon patient inclusion in the study, after 96 hours and on the 10day;

  2. The frequency of development of Acute Respiratory Distress Syndrome (ADRS)

    Assessed through the entire patient participation in the study

    Measured: up to 10 days

  3. Duration of hospitalization

    The number of days a patient is hospitalized

    Measured: up to 10 days

  4. The frequency of early mortality

    Early mortality from all causes will be estimated

    Measured: up to 30 days

  5. The frequency of late mortality

    Late mortality from all causes will be estimated

    Measured: up to 90 days

  6. Clinical status at the time of completion of participation in the study

    Clinical status at the time of completion of participation in the study will be estimated based upon the following criteria:

    1. Death;
    2. Hospitalization is extended, on invasive mechanical ventilation of the lungs with extracorporeal membrane oxygenation;
    3. Hospitalization extended, on non-invasive ventilation;
    4. Hospitalization is extended, needs additional oxygen;
    5. Hospitalization is extended, additional oxygen is not required;
    6. Discharged.

    Measured: an average of 10 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Apr 2020
  2. Study start8 Apr 2020
  3. Primary completion1 Nov 2020
  4. Study completion20 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04346693
Sponsor's protocol ID
DAL-05-04-2020
Status last verified
Oct 2021
First submitted
8 Apr 2020
Last updated
13 Oct 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Standard therapy recommended by the Ministry of Health of the Russian Federation., Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin intramuscular injection and Standard therapy recommended by the Ministry of Health of the Russian Federation and Leitragin inhalation in people with Acute Respiratory Tract Infection and Acute Respiratory Insufficiency, run by Burnasyan Federal Medical Biophysical Center at 1 site in Russia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Russia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The change of viral load in patients with SARS-COVID-19. (time frame: Upon patient inclusion in the study, after 96 hours and on the 10day;). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Oct 2021.

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