COVID-19 Respiratory InfectionNCT05386459
Study of the Use of the Drug Ingaron in Patients With COVID-19
An observational study of COVID-19 Respiratory Infection and Viral Pneumonia, run by SPP Pharmaclon Ltd. at 1 site in Russia.
Trial summary
Interferon gamma is a powerful endogenous regulatory cytokine that activates the antiviral immune response, while it also has its own antiviral activity. The objective of this study was to evaluate the effectiveness of the proposed treatment regimen with Ingaron (INN: recombinant interferon gamma human, lyophilisate… Read more about this study
- Who is it for?
- Ages 38 to 84 years
- Conditions the study is for
- COVID-19 Respiratory Infection, Viral Pneumonia
- What is being tested?
- Interferon Gamma
- Type of treatment
- Injection or infusion
- How many people
- 36 participants
- Where
- 1 siteRussia
- Study dates
- 21 Apr 2020to 1 Oct 2020
- Phase
- Observational
- 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 38 to 84 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with novel coronavirus infection COVID-19
Who may be able to join
- Patients with viral pneumonia according to CT scan, regardless of:
- degree of damage to the lungs;
- results of a laboratory test for the presence of SARS-CoV-2 RNA;
- epidemiological history.
- Patients of both sexes over 18 years of age.
- Patients who are able to read, understand and independently certify in writing the informed consent form.
- Negative pregnancy test for female patients of reproductive age with preserved reproductive function.
Who cannot join
- Any clinically confirmed or documented history of disease that may make it difficult to interpret the data being assessed.
- No symptoms of a respiratory infection.
- Severe liver or kidney failure, and/or failure of other vital organs, in the stage of decompensation (kidney - creatinine level> 2X ULN, liver tests: liver enzymes (AST and ALT) > 3X ULN).
- Diseases of the central nervous system with severe impairment of intellectual and mnestic functions.
- Any other disease or condition that, in the opinion of the investigator, may confound the results of the study, limit the patient's participation in the study, or place the patient at greater risk.
- Serious diseases and pathological conditions (PE, oncological diseases, etc.) that require emergency medical care or threaten the patient's life.
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- Mild, subclinical, asymptomatic or severe form of the course of the disease.
- Acute respiratory distress syndrome, sepsis, septic shock.
- Contraindications to the use of the investigational medicinal product.
- Individual intolerance to the ingredients that make up the study drug.
- Participation in any clinical trial within 1 month prior to baseline visit (Day 0-1).
- Pregnancy or breastfeeding.
Trial locations and contacts
1 site in 1 country.
Russia1 site
City Clinical Hospital named after M.E. Zhadkevich Moscow City Health Department
Moscow, 121374
About this study
Official title: Prospective Two-week Open-label Application Experimental Randomized Single-center Non-interventional Study of the Drug Ingaron in Patients With a New Coronavirus Infection COVID-19
Interferon gamma is a powerful endogenous regulatory cytokine that activates the antiviral immune response, while it also has its own antiviral activity. The objective of this study was to evaluate the effectiveness of the proposed treatment regimen with Ingaron (INN: recombinant interferon gamma human, lyophilisate for preparing a solution for intramuscular and subcutaneous administration of 500,000 IU) in patients with viral pneumonia.
Read the detailed description
The study drug was prescribed for therapeutic purposes according to the following scheme:
500,000 IU s / c 1 time per day daily for 5 days. A total of 4 visits were scheduled. Visits 0 and 1 could be combined provided that the chronological sequence of screening and randomization procedures was followed.
The main stages of the study:
screening - lasting no more than 1 day; treatment - within 10-14 days, including the use of the investigational medicinal product for 5 days (from the first day of the basic therapy, daily).
The total duration of observation is up to 14 days. Patients who completed participation in the study or dropped out of the study ahead of schedule were followed up by the attending physician in accordance with the rules for managing such patients for a medical institution.
- Conditions
- COVID-19 Respiratory Infection, Viral Pneumonia
- Being tested
- Interferon Gamma
- Keywords
- COVID-19 treatment, interferon gamma
- Medical subject headings
- Pneumonia, Viral
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Interferon GammaDrug
Also called Ingaron, Interferon gamma human recombinant
injection form
| Study group | Role | What they receive |
|---|---|---|
| Main | Ingaron (INN: recombinant human interferon gamma, lyophilizate for solution preparation for intramuscular and subcutaneous administration 500,000 IU) 1 subcutaneous injection 1 time per day (in the morning) daily for 5 days (5 injections in total) against the background of basic antibacterial and symptomatic therapy Receives: Drug: Interferon Gamma | |
| Control | Only basic antibacterial and symptomatic therapy. The use of the study drug was carried out on the basis of the decision of the medical commission with the execution of the protocol and primary medical documentation of the patient |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparative analysis between treatment groups on the WHO Clinical Improvement Scale
The assessment was carried out according to the WHO Clinical Improvement Scale from 0 points - not infected, no manifestations or virological signs of infection, up to 8 points - died, death
Measured: Day 14
Secondary outcomes (13)
Difference between laboratory LDH values
Difference between laboratory LDH values compared to baseline
Measured: Day 14
Difference between laboratory CRP values
Difference between laboratory CRP values compared to baseline
Measured: Day 14
Difference between laboratory ferritin values
Difference between laboratory ferritin values compared to baseline
Measured: Day 14
Changes in laboratory parameter D-dimer
Changes in laboratory parameter D-dimer compared with baseline
Measured: Day 14
Comparative analysis of survival between treatment groups
Comparative assessment of CFR mortality rates
Measured: Day 14
Comparative analysis of survival between treatment groups
Comparative assessment of IFR mortality rates
Measured: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Change from Baseline Patients in Subjective Outcomes Based on: Pulse Oxygen Saturation
Measured: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Change from baseline patient assessments of subjective outcomes based on the indicator: body temperature
Measured: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Change from Baseline Patients in Subjective Outcomes Based on Indicator: Blood Pressure
Measured: Day 14
Comparative analysis between groups by indicators
Comparative analysis between groups by indicators: duration of fever
Measured: Day 14
Comparative analysis between groups by indicators
Comparative analysis between groups by indicators: duration of hospitalization
Measured: Day 14
Comparative analysis between groups on NEWS-2 indicators
Comparative assessment of the score according to the National Early Warning Rating 2 (NEWS-2), where the minimum score is 0, which corresponds to the general rules for managing a patient, from 7 points or more - emergency medical care is required in the ICU
Measured: Day 14
Comparative analysis of the incidence and severity of adverse events
Comparative analysis of the incidence and severity of adverse events according to CTCAE version 4.03 of 2010
Measured: Day 14
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 May 2022
- Study start21 Apr 2020
- Primary completion17 Jun 2020
- Study completion1 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for COVID-19 Respiratory InfectionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- SPP Pharmaclon Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Anatoly I Saulin, Master, Study director, SPP Pharmaclon Ltd.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05386459
- Sponsor's protocol ID
- 2GAMMACOVID-19
- Status last verified
- May 2022
- First submitted
- 20 May 2022
- Last updated
- 27 May 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Myasnikov AL, Berns SA, Talyzin PA, Ershov FI. [Interferon gamma in the treatment of patients with moderate COVID-19]. Vopr Virusol. 2021 Mar 7;66(1):47-54. doi: 10.36233/0507-4088-24. Russian.
PubMed 33683065Myasnikov AL, Berns SA, Erhshov FI. Clinical application of interferon gamma in comprehensive therapy of patients with coronavirus infection. Rossiiskii meditsinskii zhurnal (Medical Journal of the Russian Federation, Russian Journal). 2020;26(6):394-401.
Study at a glance
From the registry record, last updated by the sponsor on 27 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Two-week Open-label Application Experimental Randomized Single-center Non-interventional Study of the Drug Ingaron in Patients With a New Coronavirus Infection COVID-19
- ClinicalTrials.gov ID
- NCT05386459
- Acronym / sponsor ID
- 2GAMMACOVID-19
- Conditions
- COVID-19 Respiratory Infection, Viral Pneumonia
- Keywords
- COVID-19 treatment, interferon gamma
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- SPP Pharmaclon Ltd.Industry (pharma, biotech, devices)
- Study start
- 21 Apr 2020 (actual)
- Primary completion
- 17 Jun 2020 (actual)
- Study completion
- 1 Oct 2020 (actual)
- First posted
- 23 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Interferon gamma is a powerful endogenous regulatory cytokine that activates the antiviral immune response, while it also has its own antiviral activity. The objective of this study was to evaluate the effectiveness of the proposed treatment regimen with Ingaron (INN: recombinant interferon gamma human, lyophilisate for preparing a solution for intramuscular and subcutaneous administration of 500,000 IU) in patients with viral pneumonia.
Detailed description
The study drug was prescribed for therapeutic purposes according to the following scheme:
500,000 IU s / c 1 time per day daily for 5 days. A total of 4 visits were scheduled. Visits 0 and 1 could be combined provided that the chronological sequence of screening and randomization procedures was followed.
The main stages of the study:
screening - lasting no more than 1 day; treatment - within 10-14 days, including the use of the investigational medicinal product for 5 days (from the first day of the basic therapy, daily).
The total duration of observation is up to 14 days. Patients who completed participation in the study or dropped out of the study ahead of schedule were followed up by the attending physician in accordance with the rules for managing such patients for a medical institution.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Main | – | Drug: Interferon GammaIngaron (INN: recombinant human interferon gamma, lyophilizate for solution preparation for intramuscular and subcutaneous administration 500,000 IU) 1 subcutaneous injection 1 time per day (in the morning) daily for 5 days (5 injections in total) against the background of basic antibacterial and symptomatic therapy |
| Control | – | –Only basic antibacterial and symptomatic therapy. The use of the study drug was carried out on the basis of the decision of the medical commission with the execution of the protocol and primary medical documentation of the patient |
Who may qualify
- Ages
- 38 to 84 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with novel coronavirus infection COVID-19
Key inclusion criteria (7 listed)
- Patients with viral pneumonia according to CT scan, regardless of:
- Patients of both sexes over 18 years of age.
- Patients who are able to read, understand and independently certify in writing the informed consent form.
- Negative pregnancy test for female patients of reproductive age with preserved reproductive function.
Key exclusion criteria (12 listed)
- Any clinically confirmed or documented history of disease that may make it difficult to interpret the data being assessed.
- No symptoms of a respiratory infection.
- Severe liver or kidney failure, and/or failure of other vital organs, in the stage of decompensation (kidney - creatinine level> 2X ULN, liver tests: liver enzymes (AST and ALT) > 3X ULN).
- Diseases of the central nervous system with severe impairment of intellectual and mnestic functions.
- Any other disease or condition that, in the opinion of the investigator, may confound the results of the study, limit the patient's participation in the study, or place the patient at greater risk.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Interferon GammaAlso: Ingaron, Interferon gamma human recombinantinjection form | Drug | Main |
Primary outcome
Comparative analysis between treatment groups on the WHO Clinical Improvement Scale
Time frame: Day 14
The assessment was carried out according to the WHO Clinical Improvement Scale from 0 points - not infected, no manifestations or virological signs of infection, up to 8 points - died, death
13 secondary outcomes
Difference between laboratory LDH values
Time frame: Day 14
Difference between laboratory CRP values
Time frame: Day 14
Difference between laboratory ferritin values
Time frame: Day 14
Changes in laboratory parameter D-dimer
Time frame: Day 14
Comparative analysis of survival between treatment groups
Time frame: Day 14
Comparative analysis of survival between treatment groups
Time frame: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Time frame: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Time frame: Day 14
Change from baseline patient ratings of subjective outcomes based on various measures
Time frame: Day 14
Comparative analysis between groups by indicators
Time frame: Day 14
Comparative analysis between groups by indicators
Time frame: Day 14
Comparative analysis between groups on NEWS-2 indicators
Time frame: Day 14
Comparative analysis of the incidence and severity of adverse events
Time frame: Day 14
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 May 2022.
- Results publication: PubMed 33683065Myasnikov AL, Berns SA, Talyzin PA, Ershov FI. [Interferon gamma in the treatment of patients with moderate COVID-19]. Vopr Virusol. 2021 Mar 7;66(1):47-54. doi: 10.36233/0507-4088-24. Russian.
- Results publicationMyasnikov AL, Berns SA, Erhshov FI. Clinical application of interferon gamma in comprehensive therapy of patients with coronavirus infection. Rossiiskii meditsinskii zhurnal (Medical Journal of the Russian Federation, Russian Journal). 2020;26(6):394-401.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anatoly I Saulin, Master study director
SPP Pharmaclon Ltd.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of COVID-19 Respiratory Infection and Viral Pneumonia, run by SPP Pharmaclon Ltd. 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 7 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 27 May 2022. 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.
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?
Comparative analysis between treatment groups on the WHO Clinical Improvement Scale (time frame: Day 14). 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 NCT05386459, which also lists 2 linked publications.
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 27 May 2022.