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Phase 3 Clinical Study Evaluating Nitric Oxide Nasal Spray (NONS) Efficacy To Treat and Prevent the Exacerbation of Infection in Individuals With Documented Asymptomatic or Mild COVID-19

Primary Purpose

Covid19

Status
Unknown status
Phase
Phase 3
Locations
Bahrain
Study Type
Interventional
Intervention
to be given as a treatment
Sponsored by
Salmaniya Medical Complex
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

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

Inclusion Criteria:

  • Inclusion Criteria:
  • 18 years and above.
  • COVID-19 infection Confirmed with a laboratory SARS-CoV-2 RT-PCR nasal swab or antigen test. COVID-19 test specimen must be collected 48 hours prior to Screenings.
  • Mild COVID-19 Infection defined as:

    • No Pneumonia (negative by chest auscultation or Chest X Ray).
    • No Shortness of breath.
    • No Tachypnea (respiratory rate <20 breathes/min)
    • No Hypoxia (Oxygen saturation >93% on RA)
    • Fever <38 degrees.
    • No Chest Pain.
    • No Mental Status Change.
  • Asymptomatic participants must be high risk defined as (any of the following):

    • Smokers (at least 5 cigarettes per day)
    • BMI (> 40 kg/m2)
    • History of cardiac or chronic lung disease
    • Clotting predisposing conditions (hemophilia, von Willebrand's disease)
    • Sickle cell disease
    • Immunocompromised such as HIV , cancer , on immunosuppressant medications

Exclusion Criteria:

  • Participants diagnosed with another (non-COVID-19) respiratory infection.
  • Participants with a current tracheostomy or laryngectomy.
  • Participants who are receiving concomitant respiratory therapy such as oxygen, positive airway pressure or ventilatory support. NOTE: Positive airway pressure for obstructive sleep apnea is permitted if the treatment was established with good compliance for at least 3 months before study enrollment.
  • Participants with newly diagnosed illnesses that are not deemed stable by the participant's primary care physician), based on Investigator assessment of medical history during Screening.
  • Participants who use intranasally dosed drugs, prescriptions or over-the-counter medications such as fluticasone.
  • Participants who need hospitalization for reasons other than COVID-19 infection.
  • Participants who are unable to safely self-administer the nasal spray as directed.
  • Clinical signs indicative of moderate, severe, or critical COVID severity symptoms (requirement for supplemental oxygen, limitation of activities due to COVID-19 symptoms).
  • Females who are breastfeeding, pregnant, or attempting to become pregnant.
  • Participants who have experienced symptoms of COVID-19 for more than 7 days prior to randomization.
  • Participants who have any other condition that, in the opinion of the Investigator, would interfere with a participant's ability to adhere to the protocol (eg, participants who are mentally or neurologically disabled and who are considered not fit for their participation in the study), interfere with assessment of the investigational product, or compromise the safety of the participant, or the quality of the data.

Sites / Locations

  • Abdulla Kanoo Center,Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

treatment arm

Placebo

Arm Description

Nitric Oxide Nasal Spray "Enovid"

Placebo

Outcomes

Primary Outcome Measures

efficacy of NONS compared to placebo in participants with COVID-19 to reduce the need of urgent care
To evaluate the efficacy of NONS compared to placebo to reduce the need for urgent medical care in term of the need of visiting the emergency room in participants with COVID-19 infection and reduce of symptoms.

Secondary Outcome Measures

efficacy of NONS compared to placebo in participants with COVID-19 to reduce mortality
To evaluate the efficacy of NONS compared to placebo to reduce mortality of participants with COVID-19
efficacy of NONS compared to placebo in participants with COVID-19 on viral load reduction
Viral load reduction measure in copies per ml in participants with mild COVID-19 infection.
efficacy of NONS compared to placebo in participants with COVID-19 to reduce time of clinical symptoms improvement
Median time reduction to COVID-19 clinical symptoms improvement in days
Incidence of Treatment-Emergent Adverse Events
Incidence of Treatment-Emergent Adverse Events to assess Safety and Tolerability]

Full Information

First Posted
August 17, 2021
Last Updated
August 18, 2021
Sponsor
Salmaniya Medical Complex
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1. Study Identification

Unique Protocol Identification Number
NCT05012319
Brief Title
Phase 3 Clinical Study Evaluating Nitric Oxide Nasal Spray (NONS) Efficacy To Treat and Prevent the Exacerbation of Infection in Individuals With Documented Asymptomatic or Mild COVID-19
Official Title
A Double-Blinded, Placebo-Controlled Parallel, Phase 3 Clinical Efficacy Study Evaluating Nitric Oxide Nasal Spray (NONS) To Treat and Prevent the Exacerbation of Infection in Individuals With Documented Asymptomatic or Mild COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Unknown status
Study Start Date
August 5, 2021 (Actual)
Primary Completion Date
March 30, 2022 (Anticipated)
Study Completion Date
March 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Salmaniya Medical Complex

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
Study Design: This is a double-blind, placebo-controlled, Phase 3 clinical efficacy study evaluating NONS in adult volunteers as a treatment for high-risk asymptomatic and symptomatic individuals with mild COVID-19 infection. thru facility).
Detailed Description
Study Design: This is a double-blind, placebo-controlled, Phase 3 clinical efficacy study evaluating NONS in adult volunteers as a treatment for high-risk asymptomatic and symptomatic individuals with mild COVID-19 infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
This is a randomized, double-blind, placebo-controlled, Phase 3 clinical efficacy study evaluating NONS in healthy adult volunteers as a treatment for high-risk asymptomatic and symptomatic individuals with mild COVID-19 infection.
Masking
ParticipantCare ProviderInvestigator
Masking Description
the list of the members of the resrach team who will be blinided have been identiifed and a full procedure has been identified
Allocation
Randomized
Enrollment
500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
treatment arm
Arm Type
Experimental
Arm Description
Nitric Oxide Nasal Spray "Enovid"
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
to be given as a treatment
Intervention Description
Nitric Oxide Nasal Spray "Enovid"
Primary Outcome Measure Information:
Title
efficacy of NONS compared to placebo in participants with COVID-19 to reduce the need of urgent care
Description
To evaluate the efficacy of NONS compared to placebo to reduce the need for urgent medical care in term of the need of visiting the emergency room in participants with COVID-19 infection and reduce of symptoms.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
efficacy of NONS compared to placebo in participants with COVID-19 to reduce mortality
Description
To evaluate the efficacy of NONS compared to placebo to reduce mortality of participants with COVID-19
Time Frame
6 months
Title
efficacy of NONS compared to placebo in participants with COVID-19 on viral load reduction
Description
Viral load reduction measure in copies per ml in participants with mild COVID-19 infection.
Time Frame
6 months
Title
efficacy of NONS compared to placebo in participants with COVID-19 to reduce time of clinical symptoms improvement
Description
Median time reduction to COVID-19 clinical symptoms improvement in days
Time Frame
6 months
Title
Incidence of Treatment-Emergent Adverse Events
Description
Incidence of Treatment-Emergent Adverse Events to assess Safety and Tolerability]
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Inclusion Criteria: 18 years and above. COVID-19 infection Confirmed with a laboratory SARS-CoV-2 RT-PCR nasal swab or antigen test. COVID-19 test specimen must be collected 48 hours prior to Screenings. Mild COVID-19 Infection defined as: No Pneumonia (negative by chest auscultation or Chest X Ray). No Shortness of breath. No Tachypnea (respiratory rate <20 breathes/min) No Hypoxia (Oxygen saturation >93% on RA) Fever <38 degrees. No Chest Pain. No Mental Status Change. Asymptomatic participants must be high risk defined as (any of the following): Smokers (at least 5 cigarettes per day) BMI (> 40 kg/m2) History of cardiac or chronic lung disease Clotting predisposing conditions (hemophilia, von Willebrand's disease) Sickle cell disease Immunocompromised such as HIV , cancer , on immunosuppressant medications Exclusion Criteria: Participants diagnosed with another (non-COVID-19) respiratory infection. Participants with a current tracheostomy or laryngectomy. Participants who are receiving concomitant respiratory therapy such as oxygen, positive airway pressure or ventilatory support. NOTE: Positive airway pressure for obstructive sleep apnea is permitted if the treatment was established with good compliance for at least 3 months before study enrollment. Participants with newly diagnosed illnesses that are not deemed stable by the participant's primary care physician), based on Investigator assessment of medical history during Screening. Participants who use intranasally dosed drugs, prescriptions or over-the-counter medications such as fluticasone. Participants who need hospitalization for reasons other than COVID-19 infection. Participants who are unable to safely self-administer the nasal spray as directed. Clinical signs indicative of moderate, severe, or critical COVID severity symptoms (requirement for supplemental oxygen, limitation of activities due to COVID-19 symptoms). Females who are breastfeeding, pregnant, or attempting to become pregnant. Participants who have experienced symptoms of COVID-19 for more than 7 days prior to randomization. Participants who have any other condition that, in the opinion of the Investigator, would interfere with a participant's ability to adhere to the protocol (eg, participants who are mentally or neurologically disabled and who are considered not fit for their participation in the study), interfere with assessment of the investigational product, or compromise the safety of the participant, or the quality of the data.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
jameela m alsalman, MD
Phone
0097336515138
Email
jsalman@health.gov.bh
First Name & Middle Initial & Last Name or Official Title & Degree
Mariam alalawi, md
Phone
0097339960004
Email
malalawi31@hotmail.com
Facility Information:
Facility Name
Abdulla Kanoo Center,
City
A'ali
State/Province
Building 556
Country
Bahrain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
reem j ahmed
Phone
0097333731313
Email
RAhmed4@health.gov.bh)
First Name & Middle Initial & Last Name & Degree
fatima alnashaba, md
Phone
0097333779876

12. IPD Sharing Statement

Learn more about this trial

Phase 3 Clinical Study Evaluating Nitric Oxide Nasal Spray (NONS) Efficacy To Treat and Prevent the Exacerbation of Infection in Individuals With Documented Asymptomatic or Mild COVID-19

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