Nitric Oxide Releasing Solution to Treat and Prevent Exacerbation of Mild COVID-19 Infection
Primary Purpose
SARS-CoV Infection
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Nitric Oxide-Releasing Drug
Sponsored by
About this trial
This is an interventional treatment trial for SARS-CoV Infection
Eligibility Criteria
Inclusion Criteria:
- Capable of understanding and providing signed informed consent and ability to adhere to the requirements and restrictions of this protocol;
- Men and Women ≥ 18years of age;
- Internet access and capability and willingness to use to participate in audio or audio/video engagements with medical professionals, receive texts, emails, and phone calls from study staff and have a device and reasonable cellular data or other internet access to submit daily study required information using a smart phone, tablet, laptop, or desktop computer during the study period;
- COVID-19 infection confirmed with a laboratory antigen or SARS-CoV-2 RT-PCR nasal swab;
- Specimen collected within the past 48 hours;
- Mild COVID /FLU symptoms which may include no symptoms, fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, lack of taste or smell without shortness of breath or dyspnea;
Must be willing to use one highly effective birth control method which include: abstinence, hormonal contraceptives (e.g. combined oral contraceptives, patch, vaginal ring, injectables, and implants); intrauterine device (IUD) or intrauterine system (IUS); vasectomy and tubal ligation or to use two forms of effective birth control methods which include: barrier methods of contraception (e.g. male condom, female condom, cervical cap, diaphragm, contraceptive sponge);
- Hormonal methods and the IUD must be in use at least 30 days prior to first Study drug administration
- Abstinence and barrier methods must be in use at least 14 days prior to Study drug administration
- Vasectomy must be completed 3 months prior to first Study drug administration; or in the alternative that a 0 sperm count will suffice.
Exclusion Criteria:
- Current tracheostomy or laryngectomy;
- Concomitant respiratory therapy such as oxygen or ventilatory support. Positive airway pressure for obstructive sleep apnea is permitted if treatment was established with good compliance at least 3 months before enrolment;
- Need for hospitalization for any reason;
- Inability to safely self-administer nasal irrigation
- Any clinical contraindications, as judged by the Qualified Medical Practitioner;
- Clinical signs indicative of moderate, severe or critical COVID severity symptoms (as defined by FDA COVID-19 Guidance Document)
- Mentally or neurologically disabled patients who are considered not fit to consent to their participation in the study;
- Lactating, pregnant or planning to become pregnant during the study period;
- Diagnosed with prior COVID-19 infection (>48 hours from the time the test is reported prior to the time of screening).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Nitric Oxide Releasing Solution
Placebo Isotonic Saline
Arm Description
Daily nasal irrigation (240mL) 14.4ppm
Daily nasal irrigation (240mL) 0.9% saline
Outcomes
Primary Outcome Measures
To Measure the efficacy of NONI compared to saline placebo control to shorten the duration of COVID-19 viral infectivity
Measure the SARS-CoV-2 viral load (Cycle threshold) at baseline through Day 6 between NONI and control arms.
Secondary Outcome Measures
To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection
Measure the proportion of subjects reaching Ct threshold (ie: unmeasurable viral load) between NONI and control
To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection
Measure the difference in time-to Ct threshold (ie: unmeasurable viral load) between NONI and control.
To Measure the efficacy of NONI in prevention of progression of COVID-19
Measure the proportion of subjects requiring hospitalization or ER/ED visits for COVID-19/flu-like symptoms
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life (QoL) in subjects with COVID-19
Measure the difference in 12-point COVID Symptom PROs score 0-3 (min 0 & max 36) and a QoL score from 0-100 (lower is worse) from baseline between NONI and control arms.
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19
Measure the difference in proportion of subjects experiencing a reduction of ≥ 5 from baseline between NONI and control arms.
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19
Measure the difference in proportion of subjects with reduction to a score of zero from baseline between NONI and control arms.
To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection
Number of participants lost-to-follow-up,discontinuing study treatment or number of treatments due to intolerance
To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection
Severity and frequency of adverse events, pain, discomfort or discontinuations of treatment.
Full Information
NCT ID
NCT04443868
First Posted
June 20, 2020
Last Updated
July 12, 2021
Sponsor
Sanotize Research and Development corp.
1. Study Identification
Unique Protocol Identification Number
NCT04443868
Brief Title
Nitric Oxide Releasing Solution to Treat and Prevent Exacerbation of Mild COVID-19 Infection
Official Title
Double-Blinded, Placebo-Controlled Parallel, Phase II Clinical Efficacy Study Evaluating NORS To Treat and Prevent the Exacerbation of Infection in Individuals With Documented Mild COVID-19
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Withdrawn
Why Stopped
No subjects enrolled
Study Start Date
January 2021 (Anticipated)
Primary Completion Date
April 2021 (Anticipated)
Study Completion Date
July 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanotize Research and Development corp.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a double-blinded, placebo-controlled parallel, phase II clinical efficacy study evaluating Nitric Oxide Nasal Irrigation (NONI) for the treatment of COVID-19 in individuals with mild COVID-19 Infection.
Detailed Description
Up to 50 subjects will be enrolled into one of two cohorts of this study in a ratio of 1:1 (Treatment: Placebo Control). Subjects will be screened and randomized into one of two parallel cohorts.
Treatment (N = up to 25): Subjects will be enrolled and receive daily NONI treatment for 14 days with a follow-up visit on Day 28 post randomization.
Placebo (N = up to 25): Subjects will be enrolled and receive a placebo for 14 days with a follow-up visit on Day 28 post randomization.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
SARS-CoV Infection
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Nitric Oxide Releasing Solution
Arm Type
Experimental
Arm Description
Daily nasal irrigation (240mL) 14.4ppm
Arm Title
Placebo Isotonic Saline
Arm Type
Placebo Comparator
Arm Description
Daily nasal irrigation (240mL) 0.9% saline
Intervention Type
Drug
Intervention Name(s)
Nitric Oxide-Releasing Drug
Other Intervention Name(s)
nitric oxide
Intervention Description
Nasal Spray + Nasal Irrigation
Primary Outcome Measure Information:
Title
To Measure the efficacy of NONI compared to saline placebo control to shorten the duration of COVID-19 viral infectivity
Description
Measure the SARS-CoV-2 viral load (Cycle threshold) at baseline through Day 6 between NONI and control arms.
Time Frame
6 Days
Secondary Outcome Measure Information:
Title
To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection
Description
Measure the proportion of subjects reaching Ct threshold (ie: unmeasurable viral load) between NONI and control
Time Frame
2, 4 and 6 days
Title
To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection
Description
Measure the difference in time-to Ct threshold (ie: unmeasurable viral load) between NONI and control.
Time Frame
2, 4 and 6 days
Title
To Measure the efficacy of NONI in prevention of progression of COVID-19
Description
Measure the proportion of subjects requiring hospitalization or ER/ED visits for COVID-19/flu-like symptoms
Time Frame
28 days
Title
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life (QoL) in subjects with COVID-19
Description
Measure the difference in 12-point COVID Symptom PROs score 0-3 (min 0 & max 36) and a QoL score from 0-100 (lower is worse) from baseline between NONI and control arms.
Time Frame
6 days
Title
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19
Description
Measure the difference in proportion of subjects experiencing a reduction of ≥ 5 from baseline between NONI and control arms.
Time Frame
2, 4, 6, 14 and 28 days
Title
To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19
Description
Measure the difference in proportion of subjects with reduction to a score of zero from baseline between NONI and control arms.
Time Frame
2, 4, 6, 14 and 28 days
Title
To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection
Description
Number of participants lost-to-follow-up,discontinuing study treatment or number of treatments due to intolerance
Time Frame
14 days
Title
To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection
Description
Severity and frequency of adverse events, pain, discomfort or discontinuations of treatment.
Time Frame
14 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Capable of understanding and providing signed informed consent and ability to adhere to the requirements and restrictions of this protocol;
Men and Women ≥ 18years of age;
Internet access and capability and willingness to use to participate in audio or audio/video engagements with medical professionals, receive texts, emails, and phone calls from study staff and have a device and reasonable cellular data or other internet access to submit daily study required information using a smart phone, tablet, laptop, or desktop computer during the study period;
COVID-19 infection confirmed with a laboratory antigen or SARS-CoV-2 RT-PCR nasal swab;
Specimen collected within the past 48 hours;
Mild COVID /FLU symptoms which may include no symptoms, fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, lack of taste or smell without shortness of breath or dyspnea;
Must be willing to use one highly effective birth control method which include: abstinence, hormonal contraceptives (e.g. combined oral contraceptives, patch, vaginal ring, injectables, and implants); intrauterine device (IUD) or intrauterine system (IUS); vasectomy and tubal ligation or to use two forms of effective birth control methods which include: barrier methods of contraception (e.g. male condom, female condom, cervical cap, diaphragm, contraceptive sponge);
Hormonal methods and the IUD must be in use at least 30 days prior to first Study drug administration
Abstinence and barrier methods must be in use at least 14 days prior to Study drug administration
Vasectomy must be completed 3 months prior to first Study drug administration; or in the alternative that a 0 sperm count will suffice.
Exclusion Criteria:
Current tracheostomy or laryngectomy;
Concomitant respiratory therapy such as oxygen or ventilatory support. Positive airway pressure for obstructive sleep apnea is permitted if treatment was established with good compliance at least 3 months before enrolment;
Need for hospitalization for any reason;
Inability to safely self-administer nasal irrigation
Any clinical contraindications, as judged by the Qualified Medical Practitioner;
Clinical signs indicative of moderate, severe or critical COVID severity symptoms (as defined by FDA COVID-19 Guidance Document)
Mentally or neurologically disabled patients who are considered not fit to consent to their participation in the study;
Lactating, pregnant or planning to become pregnant during the study period;
Diagnosed with prior COVID-19 infection (>48 hours from the time the test is reported prior to the time of screening).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mike armstrong, MD
Organizational Affiliation
Richmond ENT
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Chris Miller, Ph.D
Organizational Affiliation
SaNOtize Scientific Advisor
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Nitric Oxide Releasing Solution to Treat and Prevent Exacerbation of Mild COVID-19 Infection
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