- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04537299
COVID-FIS: Pilot in COVID-19 (SARS-CoV-2) of Fisetin in Older Adults in Nursing Homes (COVID-FIS)
April 9, 2024 updated by: James L. Kirkland, MD, PhD, Mayo Clinic
COVID-FIS: A Phase 2 Placebo-Controlled Pilot Study in COVID-19 of Fisetin to Alleviate Dysfunction and Excessive Inflammatory Response in Older Adults in Nursing Homes
The purpose of this study is to test whether Fisetin, a senolytic drug, can assist in preventing an increase in the disease's progression and alleviate complications of coronavirus due to an excessive inflammatory reaction.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
This study is a pilot, randomized, placebo-controlled, single-center study of Fisetin in elderly nursing home participants with non-, mildly-, or moderately-symptomatic and confirmed SARS-CoV-2 infection.
Study Type
Interventional
Enrollment (Actual)
20
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Mayo Clinic
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
65 years and older (Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Men or post-menopausal women age ≥65 years.
- Current nursing home resident.
- CoV severity of moderate or less OR SpO2 ≥ 85% (on room air or ≤ 2 L of supplemental oxygen at time of enrollment.
- SARS-CoV-2 infection confirmed by PCR test at Mayo Clinic or other CLIA certified laboratory within 10 days before randomization.
- Willing and able to provide written informed consent or have a legally authorized representative (LAR) who will provide informed consent.
Exclusion Criteria:
- Presence of any condition that the Investigator or the subject's attending physician, physician's assistant, or nurse-practitioner believes would put the subject at risk or would preclude the patient from successfully completing the trial.
- Pregnancy (note that only post-menopausal women will be enrolled).
- Total bilirubin >3X upper limit of normal or as per clinical judgment.
- Serum aspartate transaminase (AST) or alanine aminotransferase (ALT) >4x the upper limits of normal or as per clinical judgment.
- Hemoglobin <7 g/dL; white blood cell count ≤2,000/mm3 (≤2.0 x 109/L) or ≥25,000/mm3 (≥25 x 109/L); platelet count ≤ 40,000/μL (≤40 x 109/L); absolute neutrophil count ≤1 x 109/L; lymphocyte count <0.3 x 109/L at screening or as per clinical judgment.
- Unstable (as per clinical judgment) major cardiovascular, renal, endocrine, immunological, or hepatic disorder.
- eGFR <25 ml/ min/ 1.73 m2 or as per clinical judgment.
- Plasma and/or serum glucose >300 or as per clinical judgment.
- Human immunodeficiency virus infection.
- Known active hepatitis B or C infection.
- Invasive fungal infection.
- Uncontrolled (as per clinical judgment) pleural/pericardial effusions or ascites.
- New/active invasive cancer except non-melanoma skin cancers as per clinical judgment.
- Known condition associated with major immunodeficiency as per clinical judgment.
- Known hypersensitivity or allergy to Fisetin.
Subjects taking any of the medications listed in Protocol Appendix 1 may participate if they are otherwise eligible AND the medication can be safely held during the following times:
- Immediately before the 1st IP administration (Day 0) until at least 10 hours after the 2nd IP administration (Day 1)
- Immediately before the 3rd IP administration (Day 8) until at least 10 hours after the 4th IP administration (Day 9)
- Participation in other clinical trials involving treatment for COVID-19. Note that institutional standard of care treatment of COVID-19 including glucocorticoids, hydroxychloroquine, azithromycin, remdesivir, anti-spike antibodies, and/or convalescent plasma are not excluded from the study.
- History of diverticulitis or diverticulosis with GI bleeding, as per clinical judgment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Placebo Group
Subjects will receive placebo
|
Placebo looks exactly like the treatment drug, but it contains no active ingredient
|
Experimental: Treatment Group
Subjects will receive treatment drug (Fisetin)
|
~20 mg/kg/day oral, NG or D tube course for 2 consecutive days twice (Days 0 & 1 and Days 8 & 9)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in COVID-19 Severity
Time Frame: baseline, Day 2, 7, 10, 14, 17, 30, 90 and 180
|
Ordinal Scale for Clinical Improvement (minimum=0 and maximum=8; higher score = worse outcome)
|
baseline, Day 2, 7, 10, 14, 17, 30, 90 and 180
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: James L Kirkland, MD, PhD, Mayo Clinic
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 29, 2022
Primary Completion (Estimated)
August 31, 2024
Study Completion (Estimated)
November 30, 2024
Study Registration Dates
First Submitted
September 1, 2020
First Submitted That Met QC Criteria
September 1, 2020
First Posted (Actual)
September 3, 2020
Study Record Updates
Last Update Posted (Actual)
April 11, 2024
Last Update Submitted That Met QC Criteria
April 9, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20-008867
- 1R01AG072301-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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