Trial of Combination Therapy to Treat COVID-19 Infection
A Phase I Double-Blind Randomized Placebo-Controlled Trial of Combination Therapy to Treat COVID-19 Infection
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
California
-
Ventura, California, United States, 93003
- ProgenaBiome
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed informed consent, demonstrating that the subject understands the procedures required for the study and the purpose of the study
- Healthy male or female subjects at least 18 years of age
- Diabetic and obese (BMI > 30) patients will be included in the Trial but randomization will be stratified.
- Positive test for COVID-19 by RT-PCR or rapid antigen test at screening
- Subjects must agree to practice at least two highly effective methods of birth control for the duration of the study. One of these must be a barrier method. Exceptions for females and partners of females that are not of childbearing potential. (e.g. surgically sterilized, post-menopausal)
- Subjects must agree they will attend the treatment facility daily for 10d in the event of failure to attend, the patient will be visited at their home to collect the nasal swab and review data.
Exclusion Criteria:
- Refusal to sign informed consent form
- Negative test for COVID-19 by RT-PCR at screening
- Severe disease symptomatically including pneumonia, respiratory distress, tachypnea, shortness of breath, temperature > 104.0 degrees F, pleuritic pain, or frequent cough.
- Known drug allergy to any of the investigational medications
- Currently taking medication with known drug interactions with investigational medications, found in Appendix II
- Prescription or other antiviral medications
- Any comorbidities which constitute health risk for the subject including known cardiac arrhythmias - but will be limited to those on hydroxychloroquine
- Inability to attend daily for 10 days
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Active Arm
Patients will be treated with a combination of Ivermectin, Doxycycline, Zinc, Vitamin D3 and Vitamin C
|
Treatment days 1, 4, and 8
Other Names:
10 day treatment
Other Names:
10 Day treatment
Other Names:
10 day treatment
Other Names:
10 day treatment
Other Names:
|
|
Placebo Comparator: Placebo
Placebo and Vitamin D3, Vitamin C, and Zinc
|
10 Day treatment
Other Names:
10 day treatment
Other Names:
10 day treatment
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to Non-Infectivity by RT-PCR
Time Frame: 6 months
|
Time to negative RT-PRC result indicating that patient is no longer infective
|
6 months
|
|
Time to Symptom progression in days as measured by NEWS scoring system (National Early Warning Score)
Time Frame: 6 months
|
Time to reduced symptoms in each treatment group as indicated by NEWS scores, which rate patient status based on a zero to three scale for 8 parameters.
These values are added up to create the NEWS score.
The lower the NEWS score, the better the patient's clinical condition.
Zero is the lowest possible score, whereas 7 or greater represents a high degree of clinical risk.
|
6 months
|
|
Time to Symptom improvement as measured by NEWS scoring system (National Early Warning Score)
Time Frame: 6 months
|
Time to reduced symptoms in each treatment group as indicated by NEWS scores, which rate patient status based on a zero to three scale for 8 parameters.
These values are added up to create the NEWS score.
The lower the NEWS score, the better the patient's clinical condition.
Zero is the lowest possible score, whereas 7 or greater represents a high degree of clinical risk.
|
6 months
|
|
Efficacy of Treatment as measured by Titer
Time Frame: 6 months
|
Patients will have serum stored for titer testing to compare antibody levels over time
|
6 months
|
|
Efficacy of Treatment as measured by RT-PCR
Time Frame: 10 days
|
Number of patients testing negative for SARS-CoV-2 by RT-PCR after 10 days of treatment
|
10 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety of Treatment as Measured by D-Dimer
Time Frame: 6 Months
|
Blood D-Dimer levels
|
6 Months
|
|
Safety of Treatment as Measured by Pro-Calcitonin
Time Frame: 6 Months
|
Blood Pro-Calcitonin levels
|
6 Months
|
|
Safety of Treatment as Measured by C-Reactive Protein
Time Frame: 6 Months
|
Blood CRP levels
|
6 Months
|
|
Safety of Treatment as Measured by Ferritin
Time Frame: 6 Months
|
Blood ferritin levels
|
6 Months
|
|
Safety of Treatment as Measured by Liver Enzymes
Time Frame: 6 Months
|
Blood enzyme levels
|
6 Months
|
|
Safety of Treatment as Measured by Complete Blood Count
Time Frame: 6 Months
|
CBC
|
6 Months
|
|
Safety of Treatment as Measured by Electrolyte Levels
Time Frame: 6 Months
|
Blood electrolytes
|
6 Months
|
|
Safety of Treatment as Measured by Treatment Related Adverse Events
Time Frame: 6 months
|
Presence or absence of Grade 3 or high treatment related adverse events
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Thomas Borody, MD, Topelia Therpeutics
- Study Director: Sabine Hazan, MD, ProgenaBiome
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- Disease Attributes
- Severe Acute Respiratory Syndrome
- COVID-19
- Coronavirus Infections
- Infections
- Communicable Diseases
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Protective Agents
- Dermatologic Agents
- Trace Elements
- Micronutrients
- Anti-Bacterial Agents
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Antiprotozoal Agents
- Antiparasitic Agents
- Antioxidants
- Antimalarials
- Astringents
- Vitamin D
- Cholecalciferol
- Doxycycline
- Vitamins
- Ascorbic Acid
- Ivermectin
- Zinc
- Zinc Sulfate
Other Study ID Numbers
Other Study ID Numbers
- PRG-049
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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