A Clinical Trial of Mycobacterium w in Critically Ill COVID 19 Patients
A Clinical Trial to Evaluate the Safety and Efficacy of Mycobacterium W in Critically Ill Patients Suffering From COVID 19 Infection
調査の概要
状態
詳細な説明
In this study, Eligible patients will be enrolled after due consent and will be randomized in balance to receive either test drug (along with the standard of care) or Placebo (along with the standard of care). The enrolled patients will be monitored for any adverse events (AEs) or serious adverse events (SAEs) throughout the study period. All patients will continue to receive standard therapy till considered requisite by the treating physician.
In addition to the standard care for COVID-19, patients randomized to test arm will receive single daily dose of 0.3 ml of Mw, intradermal, for 3 consecutive days while patients randomized to control arm will receive single daily dose of 0.3 ml of Placebo, intradermal, for 3 consecutive days.
Study duration for each patient will be upto 28 days post-randomization.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Chandigarh、インド、160012
- Postgraduate Institute of Medical Education and Research
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Delhi、インド、110029
- All lndia Institute of Medical Science, Delhi
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Chhattisgarh
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Raipur、Chhattisgarh、インド、492099
- All India Institute of Medical Science, Raipur
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Madhya Pradesh
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Bhopal、Madhya Pradesh、インド、462024
- All India Institute of Medical Sciences, Bhopal
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Critically ill patients infected with COVID-19 (clinical/confirmed)
- Patient aged 18 years or more of either gender
Illness of any duration with respiratory rate ≥25 breaths/minute, and at least one of the following:
- Radiographic infiltrates by imaging (chest x-ray, CT scan, etc.), or or
- SpO2 ≤94% on room air, or
- Requiring mechanical ventilation and/or supplemental oxygen
- Female patients of childbearing potential must have a negative pregnancy test within 14 days prior to first dose of study medication.
- Subject (or legally authorized representative) provides written informed consent prior to initiation of any study procedure.
Exclusion Criteria:
- Pregnant or nursing female.
- Patients with history of allergy, hypersensitivity, or any serious reaction to study medication
- Patients with a concomitant medical condition, whose participation, in the opinion of the investigator, may create an unacceptable additional risk.
- Patient previously enrolled into this study.
- Patient participating or having participated in a clinical trial with another investigational drug within the last 28 days except for investigational drugs against cancer, leukaemia or HIV.
- Patients with a life expectancy judged to be less than five days
- ALT/AST > 5 times the upper limit of normal
- Stage 4 severe chronic kidney disease or requiring dialysis (i.e. eGFR < 30)
- Patients not likely to complete the trial as per judgment of the investigator.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的:Suspension of Mw + Standard therapy of COVID-19
0.3 ml (0.1ml x 3 Injection) of intradermal Mw for 3 consecutive days + Standard therapy of COVID-19 |
Patients will be randomized to receive either Mycobacterium w in combination with standard care as per hospital practice or standard care alone in COVID-19 as per hospital practice.
他の名前:
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プラセボコンパレーター:Standard therapy of COVID-19
0.3 ml (0.1ml x 3 Injection) of Placebo intra-dermal for 3 consecutive days
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All patients will continue to receive standard therapy as per hospital practice till considered requisite by the treating physician
他の名前:
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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7-category ordinal scale that ranges from 1 (not hospitalized with resumption of normal activities) to 7 (death)
時間枠:Change in Ordinal scale from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.
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To study the effect of Mw on recovery of organ function as assessed by Ordinal scale
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Change in Ordinal scale from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.
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Sequential Organ Failure Assessment (SOFA) scores
時間枠:Change in SOFA score from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.
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To study the effect of Mw on recovery of organ function as assessed by Sequential Organ Failure Assessment (SOFA) which is based on six different scores, one for each of the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems each scored from 0 to 4 with an increasing score reflecting worsening organ dysfunction
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Change in SOFA score from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Incidence of AE / SAE or event of clinical significance
時間枠:Till day 28
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Any AE / SAE or event of clinical significance observed during the study.
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Till day 28
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SARS-CoV-2 detectable in nasal or oropharyngeal (OP) sample
時間枠:At days 3, 7, 14, 21, and 28
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Percent of subjects with SARS-CoV-2 detectable in nasal or oropharyngeal (OP) sample.
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At days 3, 7, 14, 21, and 28
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ICU length of stay
時間枠:Till day 28
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ICU length of stay
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Till day 28
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Duration of mechanical ventilation
時間枠:Till day 28
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Duration of mechanical ventilation
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Till day 28
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Duration of hospitalization
時間枠:Till day 28
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Duration of hospitalization
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Till day 28
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Clinical improvement
時間枠:From baseline to day 14 & Day 28
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Percentage of subjects having clinical improvement defined as two-point improvement on a seven category ordinal scale.
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From baseline to day 14 & Day 28
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Time (in days) from treatment initiation to death
時間枠:Till day 28
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Time (in days) from treatment initiation to death.
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Till day 28
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All-cause mortality
時間枠:Till day 28
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All-cause mortality
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Till day 28
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協力者と研究者
スポンサー
捜査官
- スタディチェア:Anil Avhad, MBBS、Cadila Pharmaceuticals Limited
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- CRSC20004
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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