Multicenter Clinical Study on the Efficacy and Safety of Xiyanping Injection in the Treatment of New Coronavirus Infection Pneumonia (General and Severe)

Study Overview
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Brief Summary
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In December 2019, Wuhan, in Hubei province, China, became the center of an outbreak of pneumonia of unknown cause. In a short time, Chinese scientists had shared the genome information of a novel coronavirus (2019-nCoV) from these pneumonia patients and developed a real-time reverse transcription PCR (real time RT-PCR) diagnostic assay. In view of the fact that there is currently no effective antiviral therapy, the prevention or treatment of lung injury caused by COVID-19 can be an alternative target for current treatment. Xiyanping injection has anti-inflammatory and immune regulation effects. This study is a Randomized, Parallel Controlled Clinical Study to treat patients with COVID-19 infection.

Detailed Description
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The new coronavirus (COVID-19) [1] belongs to the new beta coronavirus. Current research shows that it has 85% homology with bat SARS-like coronavirus (bat-SL-CoVZC45), but its genetic characteristics are similar to SARSr-CoV. There is a clear difference from MERSr-COV. Since December 2019, Wuhan City, Hubei Province has successively found multiple cases of patients with pneumonia infected by a new type of coronavirus. With the spread of the epidemic, as of 12:00 on February 12, 2020, a total of 44726 confirmed cases nationwide (Hubei Province) 33,366 cases, accounting for 74.6%), with 1,114 deaths (1068 cases in Hubei Province), and a mortality rate of 2.49% (3.20% in Hubei Province). In view of the fact that there is currently no effective antiviral therapy, the prevention or treatment of lung injury caused by COVID-19 can be an alternative target for current treatment. Xiyanping injection has anti-inflammatory and immune regulation effects. In the early clinical practice of treating severe H1N1, it was clinically concerned, and combined with conventional treatment, and achieved good results.

Official Title
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Multicenter Clinical Study on the Efficacy and Safety of Xiyanping Injection in the Treatment of New Coronavirus Infection Pneumonia (General and Severe)

Conditions
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COVID-19

Intervention / Treatment
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* Drug: Lopinavir / ritonavir tablets combined with Xiyanping injection
* Drug: Lopinavir/ritonavir treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged >=18 years; Novel coronavirus pneumonia patients diagnosed by pathogenic testing; The patient himself participated in the study voluntarily, agreed and signed the informed consent. Exclusion Criteria: Meet the diagnostic criteria for severe new-type coronavirus infection pneumonia; Severe primary diseases that affect survival, including: uncontrolled malignant tumors, hematological diseases, and HIV that have not been metastasized in multiple places; Obstructive pneumonia, pulmonary interstitial fibrosis, alveolar proteinosis, and allergic alveolitis caused by lung tumors; Women who are breastfeeding or pregnant; Those who are known to be allergic to the ingredients contained in the research medication, or patients with allergies; Those who have continued to use immunosuppressive agents or organ transplants in the past 6 months; Patients who have participated in other drug clinical trials within 3 months before the screening test; The investigator judges that he or she cannot complete or should not participate in the study (expected death within 48 hours, and the patient refuses active treatment)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group of ordinary COVID-19<br>Lopinavir / ritonavir tablets combined with Xiyanping injection | Drug: Lopinavir / ritonavir tablets combined with Xiyanping injection<br>* Xiyanping injection, 10-20ml daily, Qd, the maximum daily does not exceed 500mg (20mL) + Lopinavir tablet or Ritonavir tablet+Alpha-interferon nebulization, for 7-14 days,<br>|
| Active Comparator: Control group of ordinary COVID-19<br>ritonavir/ritonavir treatment | Drug: Lopinavir/ritonavir treatment<br>* Lopinavir / ritonavir tablets, 2 times a day, 2 tablets at a time; alpha-interferon nebulization<br>|
| Experimental: Experimental group of severe COVID-19<br>Lopinavir / ritonavir tablets combined with Xiyanping injection | Drug: Lopinavir / ritonavir tablets combined with Xiyanping injection<br>* Xiyanping injection, 10-20ml daily, Qd, the maximum daily does not exceed 500mg (20mL) + Lopinavir tablet or Ritonavir tablet+Alpha-interferon nebulization, for 7-14 days,<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical recovery time | The time from study drug use to complete fever reduction and cough recovery is measured in hours. | Up to Day 28 |