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Acute Respiratory Distress Syndrome (ARDS)Phase 3LidoCovidNCT04609865

Impact of Intravenous Lidocaine on Clinical Outcomes of Patients With ARDS During COVID-19 Pandemia

A Phase 3 study testing Lidocaine 2% in people with Acute Respiratory Distress Syndrome (ARDS) and COVID-19, run by University Hospital, Strasbourg, France at 1 site in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of our prospective monocentric, randomized, controlled trial is to evaluate the effects of intravenous lidocaine on gas exchange and inflammation in acute respiratory distress syndrome (ARDS) due or not to Covid-19 pneumonia. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Lidocaine 2%
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
14 participants
Where
1 siteFrance
Study dates
4 Nov 2020to 17 Mar 2022
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years
  • Hospitalized in ICU
  • Presence of all of the following conditions, within one week of a clinical insult or new or worsening respiratory symptoms:
  • PaO2/FiO2 <300 mmHg with positive end-expiratory pressure (PEEP) ≥5 cmH2O
  • Bilateral opacities not fully explained by cardiac failure or fluid overload
  • Intubated and sedated for mechanical protective ventilation
Show all 10Show fewer
  • Affiliation to the French Sociale security
  • Beta HCG negative for women
  • For Covid-19 subgroup:
  • Covid-19 infection (RT-PCR < 7 days and/or another approved diagnostic technique and/or typical CT appearance of COVID-19 pneumonia

Who cannot join

  • Allergy to amide local anesthetics
  • Acute porphyria
  • Disorders of atrioventricular conduction requiring a non-done permanent electrosystolic pacing
  • Uncontrolled epilepsy
  • Fluvoxamine treatment
  • Class III antiarrythmic agent treatments (amiodarone, dronedarone)
Show all 11Show fewer
  • Class I antiarythmic agent (quinidine, disopyramide, hydroquinidine, flecainid, propafenone)
  • Hepatocellular insufficiency defined by PT<15% in the absence of anti-vitamin K
  • Patient under a tutelage measure or placed under judicial protection
  • Known pregnancy
  • Breastfeeding

Trial locations and contacts

1 site in 1 country.

France1 site
  • University Hospital of Hautepierre

    Strasbourg, Bas-Rhin, 67000

Other trials in France

About this study

The purpose of our prospective monocentric, randomized, controlled trial is to evaluate the effects of intravenous lidocaine on gas exchange and inflammation in acute respiratory distress syndrome (ARDS) due or not to Covid-19 pneumonia.

Half of the patients will receive intravenous lidocaine and the other half will receive intravenous NaCl 0,9 % as placebo.

Being tested
Lidocaine 2%, Control
Medical subject headings
Respiratory Distress Syndrome, COVID-19, Coronavirus Infections

What participants receive

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

  • Lidocaine 2%Drug

    the lidocaine infusion protocol is a bolus of 1 mg/kg (ideal weight), followed by 3mg/kg/h for the first hour, 1.5 mg/kg/h for the second hour, 0.72 mg/kg/h for the next 22 hours, and then 0.6mg/kg/h for 14 days or until extubation.

  • ControlDrug

    The NaCl 0,9% infusion protocol is a bolus of 0.05 ml/kg (ideal weight), followed by 0.15 ml/kg/h for the first hour, 0.075 ml/kg/h for the second hour, 0.36 ml/kg/h for the next 22 hours, and then 0.03 ml/kg/h for 14 days or until extubation.

Study groups in NCT04609865
Study groupRoleWhat they receive
Lidocaine 2%ExperimentalThe lidocaine infusion protocol is a bolus of 1 mg/kg (ideal weight), followed by 3mg/kg/h for the first hour, 1.5 mg/kg/h for the second hour, 0.72 mg/kg/h for the next 22 hours,and then 0.6mg/kg/h for 14 days or until extubation.
Receives: Drug: Lidocaine 2%
ControlPlacebo comparatorThe NaCl 0,9% infusion protocol is a bolus of 0.05 ml/kg (ideal weight), followed by 0.15 ml/kg/h for the first hour, 0.075 ml/kg/h for the second hour, 0.36 ml/kg/h for the next 22 hours, and then 0.03 ml/kg/h for 14 days or until extubation.
Receives: Drug: Control

What is being measured

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

  1. alveolar-capillary gas exchange after two days of treatment

    PaO2/FiO2 ratio

    Measured: At 48 hours after the first treatment administration

Secondary outcomes (28)
  1. alveolar-capillary gas exchange From day 0 to day 21 or until coming out of intensive care

    PaO2/FiO2 ratio : a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: From day 0 to day 21 or until coming out of intensive care

  2. Ventilator-free days

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At day 28 and at day 90

  3. Measure the effects of Intravenous Lidocaine on Biomarkers : Ferritin

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  4. Measure the effects of Intravenous Lidocaine on Biomarkers : bicarbonates

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  5. Measure the effects of Intravenous Lidocaine on Biomarkers : CRP

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  6. Measure the effects of Intravenous Lidocaine on Biomarkers : LDH

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  7. Measure the effects of Intravenous Lidocaine on Biomarkers : IL-6

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  8. Measure the effects of Intravenous Lidocaine on Biomarkers : Tropo HS

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  9. Measure the effects of Intravenous Lidocaine on Biomarkers : Triglycerides

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  10. Measure the effects of Intravenous Lidocaine on Biomarkers : CBC with lymphocytes count

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  11. Antithrombotic activity of Intravenous Lidocaine on platelets

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  12. Antithrombotic activity of Intravenous Lidocaine on ACT ratio

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  13. Antithrombotic activity of Intravenous Lidocaine on fibrinogen

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  14. Antithrombotic activity of Intravenous Lidocaine on D-Dimers

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  15. Antithrombotic activity of Intravenous Lidocaine on TEG

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  16. Antithrombotic activity of Intravenous Lidocaine on thromboembolic events

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: At Day 0, day 2, day 7, day 14 and at day 21

  17. Plasma concentration of albumin and Lidocaine

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: 4 hours after first administration, at day 2, day 7, day 14 and at day 21

  18. Search for hemodynamic dysfynction: Blood pressure measurement in mmHg

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Blood pressure in mmHg will be measured

    Measured: daily from day one to day 14

  19. Search for hemodynamic dysfynction: Cardiac frequency in beats per minute will be assessed

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Cardiac frequency in beats per minute will be assessed

    Measured: daily from day one to day 14

  20. Search for hemodynamic dysfynction: Sinus rythm will be assessed

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Sinus rythm will be assessed

    Measured: daily from day one to day 14

  21. Search for hemodynamic dysfynction: Vasopressors and inotropes drugs use will be reported

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Vasopressors and inotropes drugs use will be reported

    Measured: daily from day one to day 14

  22. Search for hemodynamic dysfynction: EKG : PR, QRS, QTc intervals in ms will be measured

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    EKG : PR, QRS, QTc intervals in ms will be measured

    Measured: daily from day one to day 14

  23. ICU ileus: laxation response

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: daily from Day 0 to Day 28

  24. Opioids, sedative and curare sparing effect (drugs dosage)

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: daily from Day 0 to Day 28

  25. Evaluate the impact of Lidocaine IV on ICU outcomes : re-intubation

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: From Day0 to Day28 and at Day90

  26. Evaluate the impact of Lidocaine IV on ICU outcomes : ICU length of stay

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: From Day0 to Day28 and at Day90

  27. Evaluate the impact of Lidocaine IV on ICU outcomes : ICU complications

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: From Day0 to Day28 and at Day90

  28. Cough at extubation time or in the 24 hours after extubation or weaning from respiratory support (in case of tracheostomy)

    a comparison will be made between Lidocaine and control groups in patients with acute respiratory distress syndrome (ARDS) due to Covid-19 and in patients with ARDS without Covid-19.

    Measured: extubation day

Timeline

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

  1. First posted30 Oct 2020
  2. Study start4 Nov 2020
  3. Primary completion17 Mar 2022
  4. Study completion17 Mar 2022

Why it stopped: departure of the principal investigator and inclusion difficulties

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
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04609865
Sponsor's protocol ID
7820
Acronym
LidoCovid
Status last verified
May 2024
First submitted
23 Oct 2020
Last updated
30 May 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Muller M, Lefebvre F, Harlay ML, Glady L, Becker G, Muller C, Aberkane O, Tawk M, Julians M, Romoli A, Hecketsweiler S, Schneider F, Pottecher J, Chamaraux-Tran TN. Impact of intravenous lidocaine on clinical outcomes of patients with ARDS during COVID-19 pandemia (LidoCovid): A structured summary of a study protocol for a randomised controlled trial. Trials. 2021 Feb 11;22(1):131. doi: 10.1186/s13063-021-05095-x.

    PubMed 33573681

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lidocaine 2% in people with Acute Respiratory Distress Syndrome (ARDS) and COVID-19, run by University Hospital, Strasbourg, France at 1 site in France.

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 10 inclusion and 11 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: stopped early, as of the sponsor's last update on 30 May 2024. 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 France. 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. Some participants in this study may receive a placebo. 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 was stopped early (reason given: departure of the principal investigator and inclusion difficulties). Results are not available in the source record.

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?

alveolar-capillary gas exchange after two days of treatment (time frame: At 48 hours after the first treatment administration). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04609865, which also lists 1 linked publication.

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 30 May 2024.

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