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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Withdrawn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
Sanotize Research and Development corp.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for SARS-CoV Infection

Eligibility Criteria

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

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

    First Posted
    June 20, 2020
    Last Updated
    July 12, 2021
    Sponsor
    Sanotize Research and Development corp.
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    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

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    Nitric Oxide Releasing Solution to Treat and Prevent Exacerbation of Mild COVID-19 Infection

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