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COVID-19NCT05855395

The Standard of Care Combined With Glucocorticoid in Elderly People With Mild or Moderate COVID-19

A study testing Glucocorticoid in people with COVID-19, run by Huashan Hospital at 15 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study is aimed to explore the dual-dimensional early intervention strategy of standard of care combined with host immunomodulation in elderly patients with mild and moderate COVID-19. Read more about this study

Who is it for?
Ages 65 years and older
Conditions the study is for
COVID-19
What is being tested?
Glucocorticoid
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
5,815 participants
Where
15 sitesChina
Study dates
26 May 2023to 1 Dec 2024
Phase
Interventional
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 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Age ≥ 65;
  • Male or female;
  • Positive test for coronavirus antigen or nucleic acid;
  • Within 7 days of onset (fever and/or cough) ;
  • mild and moderate;Mild: respiratory tract infection is the main manifestation, such as dry throat, sore throat, cough, fever;Moderate: continuous high fever>3 days or (and) cough, shortness of breath, etc., but respiratory rate (RR)<30 times/minute, oxygen saturation>93% when breathing air at rest. Imaging findings of characteristic pneumonia caused by COVID-19 infection;
  • The patient is willing to participate in the trial treatment and follow-up, and sign the informed consent form (if the patient lacks the ability to give informed consent due to his serious medical condition, such as acute respiratory failure or the need for respiratory support, he can obtain the consent of the patient's legal representative);
  • No systemic glucocorticoids treatment in the past 7 days;

Who cannot join

  • Serious and uncontrolled comorbidities;
  • Expected lifetime is less than 1 month;
  • Severe/critical;
  • Other situations that are evaluated by researchers as not suitable for participating the study.
  • Criteria for discontinuation
  • The subject could not benefit after treatment (discontinued patients could be analyzed according to the PP analysis set);
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  • Withdrawal criteria (if any of the following items are required)
  • The subject asked to withdraw from the study;
  • The subject needs to withdraw from the study after clinical observation after discontinuing treatment;
  • The subject died or lost to follow-up.

Trial locations and contacts

15 sites in 1 country.

QiaoLing Ruan, M.D. contact

13661856002

ruan_qiao_ling@163.com

15 sites in 1 country

China15 sites, 15 recruiting
  • The First Affiliated Hospital of Fujian Medical University

    Fuzhou, Fujian, 350004

    Yuekai Hu, M.D.

    Not yet recruiting
  • The People's Hospital Of Xingguo County

    Ganzhou, Jiangxi, 342400

    Fei He, M.D.

    Not yet recruiting
  • The Fifth Affiliated Hospital of Sun Yat-sen University

    Guangzhou, Guangdong, 510000

    Xi Liu, M.D.

    Recruiting
  • Hangzhou Linping District First People's Hospital

    Hanzhou, Zhejiang, 310000

    XiaoQiang Zhang, M.D.

    Not yet recruiting
  • Huaihua First People's Hospital

    Huaihua, Hunan, 418000

    Hongying Yu, M.D.

    Recruiting
  • The First People's Hospital Of YunNan

    Kunming, Yunnan, 650100

    Jiawei Geng, M.D.

    Recruiting
  • Affiliated Hospital of Southwest Medical University

    Luzhou, Sichuan, 646000

    Fuli Huang, M.D.

    Not yet recruiting
  • Nanjing Hospital of Traditional Chinese Medicine

    Nanjing, Jiangsu, 210006

    Yanliang Zhang, M.D.

    Recruiting
  • Affiliated Drum Tower Hospital, Medical School of Nanjing University

    Nanjing, Jiangsu, 210008

    Chao Wu, M.D.

    Not yet recruiting
  • Quanzhou First Hospital

    Quanzhou, Fujian, 362000

    Xueping Yu, M.D.

    Not yet recruiting
  • The First Hospital of Shanxi Medical University

    Taiyuan, Shanxi, 030000

    Liaoyun Zhang, M.D.

    Recruiting
  • People's Hospital of Qiubei County, Yunnan Province

    Wenshan, Yunnan, 663299

    Lili Zhang, M.D., 13619648406

    Recruiting
  • Wenzhou Central Hospital

    Wenzhou, Zhejiang, 325099

    Jichan Shi, M.D.

    Not yet recruiting
  • Wuxi Fifth People's Hospital

    Wuxi, Jiangsu, 214000

    Feng Zhu, M.D.

    Recruiting
  • Attached Hospital of Zunyi Medical College

    Zunyi, Guizhou, 563099

    Yuanbo Lan, M.D.

    Not yet recruiting

Other trials in China

About this study

Official title: A Bidimensional Early Intervention Strategy of Standard of Care Combined With Host Immunomodulation in Elderly Patients With Mild or Moderate COVID-19: A Multicentre, Randomized, Controlled, Adaptive Platform Study

This study is aimed to explore the dual-dimensional early intervention strategy of standard of care combined with host immunomodulation in elderly patients with mild and moderate COVID-19.

Read the detailed description

In this multicentre, randomized, controlled, and adaptive platform trial exploring the efficacy and safety of short-term and low-dose glucocorticoid combined with standard of care in mild or moderate elderly patients (with or without other high-risk factors) who are over 65 years.We are looking for the best treatment strategy to prevent mild or moderate COVID-19 from developing into severe/critical COVID-19, so as to reduce the risk of disease progression and death in the elderly patients and benefit more patients.

Conditions
COVID-19
Being tested
Glucocorticoid
Keywords
Glucocorticoids, Standard of care, Mild and moderate COVID-19
Medical subject headings
COVID-19, Lymphoma, Follicular

What participants receive

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

  • GlucocorticoidDrug

    Also called dexamethasone, prednisone, methylprednisolone

    standard of care combined with glucocorticoid(dexamethasone: 3mg qd x 5 days; or prednisone: 20mg qd x 5 days; or methylprednisolone: 16mg qd x 5 days)

Study groups in NCT05855395
Study groupRoleWhat they receive
Group AExperimentalExperimental group with standard of care combined with glucocorticoid(dexamethasone: 3mg qd x 5 days; or prednisone: 20mg qd x 5 days; or methylprednisolone: 16mg qd x 5 days)
Receives: Drug: Glucocorticoid
Group BNo interventionControl group with standard of care(The clinical standard of care of COVID-19 includes general treatment, oral antiviral drugs, immunotherapy, oxygen therapy and respiratory support, etc.)

What is being measured

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

  1. Proportion of patients who progress to severe or critical COVID-19 within 28 days

    Definition of severe COVID-19

    1. At rest, oxygen saturation ≤ 93% when inhaling air;
    2. Progression due to COVID-19 (defined as >50% of significant progression of lesions within 24~48 hours on lung imaging; or respiratory failure requiring mechanical ventilation; or emergency department visits or hospitalizations with shock) and/or complications (comitant other organ failure requiring intensive care unit monitoring).

    Measured: In 28 days

Secondary outcomes (9)
  1. Duration of antigen or nucleic acid negative conversion

    Duration of antigen or nucleic acid negative conversion

    Measured: In 28 days

  2. Day 14 antigen or nucleic acid conversion rate

    Day 14 antigen or nucleic acid conversion rate

    Measured: Day 14

  3. Time for initial symptom relief,Duration of symptom relief

    Time for initial all symptoms relief (Date when symptoms were first reported as mild or asymptomatic), Duration of all symptoms relief(The date when all symptoms were first reported as mild or asymptomatic, followed by remaining mild or asymptomatic until the 14th day)

    Measured: In 14 days

  4. All-cause mortality

    Short-term case fatality rate defined in the study, including case fatality on day 28

    Measured: In 28 days

  5. Days of respiratory symptoms

    Days of respiratory symptoms

    Measured: In 28 days

  6. Duration of outpatient hospitalization/emergency department visits due to COVID-19 progression(from the date of enrollment)

    Duration of outpatient hospitalization/emergency department visits due to COVID-19 progression(from the date of enrollment)

    Measured: In 28 days

  7. Length of hospital stay for any reason

    Length of hospital stay for any reason

    Measured: In 28 days

  8. Proportion of patients who progress to severe or critical COVID-19 within 28 days

    Oxygen saturation ≤ 93% when inhaling air at rest

    Measured: In 28 days

  9. Proportion of emergency department visits or hospitalizations due to COVID-19 progression

    Progression due to COVID-19 (defined as >50% of significant progression of lesions within 24~48 hours on lung imaging; or respiratory failure requiring mechanical ventilation; or emergency department visits or hospitalizations with shock) and/or complications (comitant other organ failure requiring intensive care unit monitoring).

    Measured: In 28 days

Timeline

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

  1. First posted11 May 2023
  2. Study start26 May 2023
  3. Primary completion1 May 2024 (estimated)
  4. Study completion1 Dec 2024 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
5,815 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05855395
Sponsor's protocol ID
BEAT-COV
Status last verified
Jul 2023
First submitted
27 Feb 2023
Last updated
12 Jul 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: After thesis defense the study will be published internationally to be available for the public.

Publications

  • Agusti A, De Stefano G, Levi A, Munoz X, Romero-Mesones C, Sibila O, Lopez-Giraldo A, Plaza Moral V, Curto E, Echazarreta AL, Marquez SE, Pascual-Guardia S, Santos S, Marin A, Valdes L, Saldarini F, Salgado C, Casanovas G, Varea S, Rios J, Faner R. Add-on inhaled budesonide in the treatment of hospitalised patients with COVID-19: a randomised clinical trial. Eur Respir J. 2022 Mar 10;59(3):2103036. doi: 10.1183/13993003.03036-2021. Print 2022 Mar.

    PubMed 35144989
  • Song JY, Yoon JG, Seo YB, Lee J, Eom JS, Lee JS, Choi WS, Lee EY, Choi YA, Hyun HJ, Seong H, Noh JY, Cheong HJ, Kim WJ. Ciclesonide Inhaler Treatment for Mild-to-Moderate COVID-19: A Randomized, Open-Label, Phase 2 Trial. J Clin Med. 2021 Aug 12;10(16):3545. doi: 10.3390/jcm10163545.

    PubMed 34441840
  • Agarwal A, Hunt B, Stegemann M, Rochwerg B, Lamontagne F, Siemieniuk RA, Agoritsas T, Askie L, Lytvyn L, Leo YS, Macdonald H, Zeng L, Alhadyan A, Muna A, Amin W, da Silva ARA, Aryal D, Barragan FAJ, Bausch FJ, Burhan E, Calfee CS, Cecconi M, Chacko B, Chanda D, Dat VQ, De Sutter A, Du B, Freedman S, Geduld H, Gee P, Haider M, Gotte M, Harley N, Hashimi M, Hui D, Ismail M, Jehan F, Kabra SK, Kanda S, Kim YJ, Kissoon N, Krishna S, Kuppalli K, Kwizera A, Lado Castro-Rial M, Lisboa T, Lodha R, Mahaka I, Manai H, Mendelson M, Migliori GB, Mino G, Nsutebu E, Peter J, Preller J, Pshenichnaya N, Qadir N, Ranganathan SS, Relan P, Rylance J, Sabzwari S, Sarin R, Shankar-Hari M, Sharland M, Shen Y, Souza JP, Swanstrom R, Tshokey T, Ugarte S, Uyeki T, Evangelina VC, Venkatapuram S, Vuyiseka D, Wijewickrama A, Tran L, Zeraatkar D, Bartoszko JJ, Ge L, Brignardello-Petersen R, Owen A, Guyatt G, Diaz J, Kawano-Dourado L, Jacobs M, Vandvik PO. A living WHO guideline on drugs for covid-19. BMJ. 2020 Sep 4;370:m3379. doi: 10.1136/bmj.m3379.

    PubMed 32887691
  • Orchard K, Dignan FL, Lee J, Pearce R, Desai M, McFarlane E, Parkin A, Shearn P, Snowden JA. The NICE COVID-19 rapid guideline on haematopoietic stem cell transplantation: development, implementation and impact. Br J Haematol. 2021 Feb;192(3):467-473. doi: 10.1111/bjh.17280. Epub 2021 Jan 20. No abstract available.

    PubMed 33474730
  • Ruan Q, Zhang Y, Zhao T, Zhu F, Liu X, Cao R, Li Y, Zhang X, Song W, Geng J, Zou D, Li Y, Zhang L, Wu C, Lan Y, Ding X, Huang F, Wu J, Sun F, Shao L, Zhang W. A bidimensional early intervention strategy of standard of care in combination with corticosteroids in elderly patients with mild to moderate COVID-19 (BEAT-COV study): a multicentre, open-label, randomized controlled trial. BMC Infect Dis. 2026 Mar 6;26(1):758. doi: 10.1186/s12879-026-12637-8.

    PubMed 41792630

Questions about this trial

What is this clinical trial studying?

A study testing Glucocorticoid in people with COVID-19, run by Huashan Hospital at 15 sites in China.

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 10 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: status not confirmed, as of the sponsor's last update on 12 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in China. 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?

Results are not available in the source record.

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

Contact QiaoLing Ruan, M.D. (13661856002, ruan_qiao_ling@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients who progress to severe or critical COVID-19 within 28 days (time frame: In 28 days). 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 NCT05855395, which also lists 5 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 12 Jul 2023.

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