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Efficacy of Breathox Device Inhalation Therapy in the Treatment of Acute Symptoms Associated With COVID-19 and in the Prevention of the Use of Health Resources (BREATH)

Primary Purpose

COVID-19

Status
Recruiting
Phase
Phase 2
Locations
Brazil
Study Type
Interventional
Intervention
BREATHOX 5 sessions
BREATHOX 10 sessions
Sponsored by
UPECLIN HC FM Botucatu Unesp
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for COVID-19 focused on measuring SARS-CoV-2, sodium chloride

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

A. Adult males or females (≥ 18 years of age), not hospitalized, diagnosed with SARS-CoV-2 infection by oropharyngeal RT-PCR or swab antigen test, with mild symptoms of infection.

B. Symptomatic participants must have at least 1 of the following symptoms at inclusion: fever or fever perceived for more than 24 hours, headache, sore throat, nasal obstruction, dry cough, fatigue, chest pain, or choking sensation (no associated respiratory distress ), myalgia, anosmia, ageusia or gastrointestinal symptoms within 10 days of onset; C. Participants with arterial pulse oximetry (SpO2) saturation ≥ 92% in room air at inclusion;

D. Participants with the following hematological and biochemical laboratory parameters obtained within 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 by Cockcroft-Gault formula
  • Rapid negative pregnancy test for women of childbearing age. and. Participants must understand, sign and date the voluntary written consent form at the visit prior to any protocol-specific procedure; f. Participants must be able and willing to comply with study visits and procedures as per protocol.

Exclusion Criteria:

A. Moderate or severe acute respiratory failure, or requiring non-invasive ventilation or oxygen, or with SpO2 <92% or tachypnea (respiratory rate ≥30 breaths/minute);

B. Serious and uncontrolled preexisting organ insufficiency, which prevents participation in the study by the investigator's judgment;

C. Diagnosis of previous asthma using inhaled or oral corticosteroids in the last four weeks;

D. Previous use, in the last ten days of randomization, of inhaled, oral or intravenous corticosteroids; hydroxychloroquine and dewormers.

E. Previous diagnosis of chronic obstructive pulmonary disease, even when not using any inhaled medication;

F. Pregnant or lactating women;

G. Use of any investigational or unrecorded product within the 3 month period or the 5 half-lives period prior to the baseline period, whichever is longer;

H. Any condition that, in the investigator's opinion, could compromise the participant's safety or adherence to the study protocol.

Sites / Locations

  • Hospital das Clínicas da Faculdade de Medicina de BotucatuRecruiting

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

Outcomes

Primary Outcome Measures

Symptomatic clinic improvement

Secondary Outcome Measures

Full Information

First Posted
January 17, 2022
Last Updated
January 17, 2022
Sponsor
UPECLIN HC FM Botucatu Unesp
Collaborators
Liita Holdings LTD
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1. Study Identification

Unique Protocol Identification Number
NCT05196581
Brief Title
Efficacy of Breathox Device Inhalation Therapy in the Treatment of Acute Symptoms Associated With COVID-19 and in the Prevention of the Use of Health Resources
Acronym
BREATH
Official Title
Randomized, Open-label Study to Evaluate the Efficacy of Breathox Device Inhalation Therapy 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
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 1, 2021 (Actual)
Primary Completion Date
July 1, 2022 (Anticipated)
Study Completion Date
December 31, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
UPECLIN HC FM Botucatu Unesp
Collaborators
Liita Holdings LTD

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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, in vitro intervention with high concentrations of sodium chloride has shown some favorable results in the inactivation of the disease Objective: to determine the effectiveness of inhaled sodium chloride therapy (BREATHOX®) in preventing the use of health resources in patients ≥ 18 years of age in 28 days compared to usual care. Method: Pilot, open randomized clinical trial study, including 100 patients with COVID-19 confirmed and symptomatic with up to 10 days of symptom onset. The included participants will be randomized according to a ratio of 1:1:1 into three groups: (Group 1) Standard of care + BREATHOX® one session (two oral inhalations and more nasal instillation in each nostril) every hour with a total of 10 sessions per day for 10 days; (Group 2) standard of care + BREATHOX® one session (two oral inhalations and more nasal instillation in each nostril) every three hours for a total of 5 sessions per day for 10 days; (Group 3) standard of care. After collecting the signed informed consent form, research participants will be evaluated on the tenth day of device use and re-evaluated on D28 for safety assessment. Recovery time for symptoms related to COVID-19 infection will be measured.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
SARS-CoV-2, sodium chloride

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
No intervation
Arm Type
No Intervention
Arm Title
Experimental intervation one
Arm Type
Active Comparator
Arm Title
Experimental intervation two
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
BREATHOX 5 sessions
Intervention Description
5 sessions
Intervention Type
Drug
Intervention Name(s)
BREATHOX 10 sessions
Intervention Description
10 sessions
Primary Outcome Measure Information:
Title
Symptomatic clinic improvement
Time Frame
10 days after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A. Adult males or females (≥ 18 years of age), not hospitalized, diagnosed with SARS-CoV-2 infection by oropharyngeal RT-PCR or swab antigen test, with mild symptoms of infection. B. Symptomatic participants must have at least 1 of the following symptoms at inclusion: fever or fever perceived for more than 24 hours, headache, sore throat, nasal obstruction, dry cough, fatigue, chest pain, or choking sensation (no associated respiratory distress ), myalgia, anosmia, ageusia or gastrointestinal symptoms within 10 days of onset; C. Participants with arterial pulse oximetry (SpO2) saturation ≥ 92% in room air at inclusion; D. Participants with the following hematological and biochemical laboratory parameters obtained within 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 by Cockcroft-Gault formula Rapid negative pregnancy test for women of childbearing age. and. Participants must understand, sign and date the voluntary written consent form at the visit prior to any protocol-specific procedure; f. Participants must be able and willing to comply with study visits and procedures as per protocol. Exclusion Criteria: A. Moderate or severe acute respiratory failure, or requiring non-invasive ventilation or oxygen, or with SpO2 <92% or tachypnea (respiratory rate ≥30 breaths/minute); B. Serious and uncontrolled preexisting organ insufficiency, which prevents participation in the study by the investigator's judgment; C. Diagnosis of previous asthma using inhaled or oral corticosteroids in the last four weeks; D. Previous use, in the last ten days of randomization, of inhaled, oral or intravenous corticosteroids; hydroxychloroquine and dewormers. E. Previous diagnosis of chronic obstructive pulmonary disease, even when not using any inhaled medication; F. Pregnant or lactating women; G. Use of any investigational or unrecorded product within the 3 month period or the 5 half-lives period prior to the baseline period, whichever is longer; H. Any condition that, in the investigator's opinion, could compromise the participant's safety or adherence to the study protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Suzana Minamoto, Ph.D.
Phone
+551438801663
Email
suzana.tanni@unesp.br
First Name & Middle Initial & Last Name or Official Title & Degree
Luana Pagan, PhD
Phone
+551438801663
Email
luanapagan@alunos.fmb.unesp.br
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
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Suzana Minamoto, Ph.D.
First Name & Middle Initial & Last Name & Degree
Suzana Minamoto, Ph.D.

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Efficacy of Breathox Device Inhalation Therapy in the Treatment of Acute Symptoms Associated With COVID-19 and in the Prevention of the Use of Health Resources

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