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Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19 (TRIVID)

Primary Purpose

Covid19

Status
Active
Phase
Phase 2
Locations
Brazil
Study Type
Interventional
Intervention
inhaled beclametasone
Inahaled beclomethasone / formoterol / glycopyrronium
Sponsored by
UPECLIN HC FM Botucatu Unesp
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19 focused on measuring SARS-CoV-2, corticosteroids, Bronchodilators

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: A research participant will be eligible to participate in this study if ALL of the following criteria are met:

  1. Adult men or women (≥ 18 years of age)
  2. PCR positive SarsCoV-2
  3. Symptomatic participants must have at least 1 of the following symptoms in the inclusion: fever or self-reported fever perception in the last 24 hours, headache, sore throat, dry cough, fatigue, chest pain or choking sensation (without associating to respiratory distress), myalgia, anosmia, ageusia or gastrointestinal symptoms with up to 10 days onset.
  4. Participants with arterial pulse oximetry (SpO2) saturation ≥ 92% in room air at inclusion.
  5. Participants with the following hematological and biochemical laboratory parameters obtained in the period of 7 days before D0:

    • Hemoglobin> 9.0 g / dL-1
    • Absolute Neutrophil Count ≥ 1000 mm-³
    • Platelets ≥ 100,000 mm-3
    • Creatinine clearance ≥ 30 mL / min-1 using the Cockcroft-Gault formula
    • Alkaline phosphatase <10 × upper limit of normal (LSN), AST (TGOS) and ALT (TGPS) <10 × LSN.
    • Laboratory pregnancy test (Negative β-hCG).
  6. Participants must understand, sign and date the voluntary informed consent form in writing at the visit prior to any specific protocol procedure.
  7. Participants must be able and willing to comply with study visits and procedures, as per the protocol.

Exclusion Criteria:

Research participants who meet any of the following exclusion criteria will be excluded from the study:

  1. Participants with moderate or severe acute respiratory failure or needing non-invasive ventilation or oxygen, or with SpO2 <92% or tachypnea (respiratory rate ≥ 30 breaths / minute).
  2. Participants with pre-existing, severe and uncontrolled organ failure, which prevents participation in the study by the investigator's judgment (non-relevant cardiac disease)
  3. Participant diagnosed with previous asthma using inhaled or oral corticosteroids in the last four weeks.
  4. Participant with previous use, in the last ten days of randomization, of inhaled, oral or injectable corticosteroids.
  5. Participant with previous diagnosis of chronic obstructive pulmonary disease, even if he is not using any inhaled medication.
  6. Pregnant or lactating women.
  7. Use of any product under investigation or unregistered within 3 months or within 5 half-lives before baseline, whichever is longer.
  8. Hypersensitivity to the drug and / or its excipients.
  9. Any condition that, in the investigator's opinion, could compromise the participant's safety or his adherence to the study protocol.

Sites / Locations

  • Hospital das Clínicas da Faculdade de Medicina de Botucatu

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

No Intervention

Active Comparator

Active Comparator

Arm Label

No intervation

Experimental intervation one

Experimental intervation two

Arm Description

patients receiving standart of care

patients receiving standart of care + inhaled beclometasone

patients receiving standart of care + inhaled beclometasone/ formoterol / glycopyrronium

Outcomes

Primary Outcome Measures

Proportion of patients in preventing the use of health resources in patients

Secondary Outcome Measures

Airway obstruction
Spirometry
Small airway obstruction
computadorized tomography

Full Information

First Posted
June 23, 2021
Last Updated
May 30, 2022
Sponsor
UPECLIN HC FM Botucatu Unesp
Collaborators
Chiesi Farmaceutici S.p.A.
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1. Study Identification

Unique Protocol Identification Number
NCT04937543
Brief Title
Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19
Acronym
TRIVID
Official Title
Randomized, Open-label, Three Arms Study to Evaluate the Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19 and in the Prevention of the Use of Health Resources in Patients With ≥ 18 Years Old (TRIVID Study)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 28, 2021 (Actual)
Primary Completion Date
October 30, 2021 (Actual)
Study Completion Date
May 20, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UPECLIN HC FM Botucatu Unesp
Collaborators
Chiesi Farmaceutici S.p.A.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Introduction: SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), the new coronavirus, causes a disease called COVID-19 that can trigger aggressive inflammatory responses. In this sense, inhaled corticosteroid therapy (IC) has shown some favorable results in controlling the worsening of the disease, given that it has effects on pulmonary inflammation and can be an intervention to be used in the mild manifestations of COVID-19 in order to prevent disease progression and severity. Regarding the role of bronchodilators, studies have suggested that their combination with IC exerts synergistic therapeutic effects. Objective: To determine the efficacy of inhaled therapy of beclomethasone/formoterol/glycopyrronium (BFG) (100/6/12.5mcg) and/or beclomethasone HFA 250 mcg in preventing the use of healthcare resources in patients ≥ 18 years of age at 28 days compared to usual care. Method: participants will be randomized according to a ratio of 1:1:1 into three groups: (Group 1) Standard of care + BFG two doses 2x/day; (Group 2) standard treatment + beclomethasone HFA two doses 2x/day and (Group 3) standard treatment. After collecting the signed informed consent form, research participants will be treated for 28 days and, after two days, will undergo a spirometry test. Therefore, the total duration of the study for a given participant will be up to 30 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
SARS-CoV-2, corticosteroids, Bronchodilators

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
No intervation
Arm Type
No Intervention
Arm Description
patients receiving standart of care
Arm Title
Experimental intervation one
Arm Type
Active Comparator
Arm Description
patients receiving standart of care + inhaled beclometasone
Arm Title
Experimental intervation two
Arm Type
Active Comparator
Arm Description
patients receiving standart of care + inhaled beclometasone/ formoterol / glycopyrronium
Intervention Type
Drug
Intervention Name(s)
inhaled beclametasone
Intervention Description
Adding belcamethasone to standard of care for Covid 19 positive patients
Intervention Type
Drug
Intervention Name(s)
Inahaled beclomethasone / formoterol / glycopyrronium
Intervention Description
Adding belcametasone/ formoterol / glycopyrronium to standard of care for Covid 19 positive patients
Primary Outcome Measure Information:
Title
Proportion of patients in preventing the use of health resources in patients
Time Frame
28 days after treatment
Secondary Outcome Measure Information:
Title
Airway obstruction
Description
Spirometry
Time Frame
28 days after treatment
Title
Small airway obstruction
Description
computadorized tomography
Time Frame
28 days after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A research participant will be eligible to participate in this study if ALL of the following criteria are met: Adult men or women (≥ 18 years of age) PCR positive SarsCoV-2 Symptomatic participants must have at least 1 of the following symptoms in the inclusion: fever or self-reported fever perception in the last 24 hours, headache, sore throat, dry cough, fatigue, chest pain or choking sensation (without associating to respiratory distress), myalgia, anosmia, ageusia or gastrointestinal symptoms with up to 10 days onset. Participants with arterial pulse oximetry (SpO2) saturation ≥ 92% in room air at inclusion. Participants with the following hematological and biochemical laboratory parameters obtained in the period of 7 days before D0: Hemoglobin> 9.0 g / dL-1 Absolute Neutrophil Count ≥ 1000 mm-³ Platelets ≥ 100,000 mm-3 Creatinine clearance ≥ 30 mL / min-1 using the Cockcroft-Gault formula Alkaline phosphatase <10 × upper limit of normal (LSN), AST (TGOS) and ALT (TGPS) <10 × LSN. Laboratory pregnancy test (Negative β-hCG). Participants must understand, sign and date the voluntary informed consent form in writing at the visit prior to any specific protocol procedure. Participants must be able and willing to comply with study visits and procedures, as per the protocol. Exclusion Criteria: Research participants who meet any of the following exclusion criteria will be excluded from the study: Participants with moderate or severe acute respiratory failure or needing non-invasive ventilation or oxygen, or with SpO2 <92% or tachypnea (respiratory rate ≥ 30 breaths / minute). Participants with pre-existing, severe and uncontrolled organ failure, which prevents participation in the study by the investigator's judgment (non-relevant cardiac disease) Participant diagnosed with previous asthma using inhaled or oral corticosteroids in the last four weeks. Participant with previous use, in the last ten days of randomization, of inhaled, oral or injectable corticosteroids. Participant with previous diagnosis of chronic obstructive pulmonary disease, even if he is not using any inhaled medication. Pregnant or lactating women. Use of any product under investigation or unregistered within 3 months or within 5 half-lives before baseline, whichever is longer. Hypersensitivity to the drug and / or its excipients. Any condition that, in the investigator's opinion, could compromise the participant's safety or his adherence to the study protocol.
Facility Information:
Facility Name
Hospital das Clínicas da Faculdade de Medicina de Botucatu
City
Botucatu
State/Province
São Paulo
ZIP/Postal Code
18618687
Country
Brazil

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

Efficacy of Inhaled Therapies in the Treatment of Acute Symptoms Associated With COVID-19

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