Clinical trial NCT04469491: Treatment of COVID-19 by Nebulization of Inteferon Beta 1b Efficiency and Safety Study
Official title: Treatment of COVID-19 by Nebulization of Inteferon Beta 1b Efficiency and Safety Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: PHASE2
Conditions: COVID-19
INTERFERON
NEBULIZATION
Keywords: COVID-19
INTERFERON
NEBULIZATION
Lead sponsor: Centre Hospitalier Universitaire, Amiens
Sponsor class: OTHER
Collaborators: name: CH TOURCOING
name: CH ARROND DE MONTREUIL
name: CH SAINT-QUENTIN
name: CH Compiègne
name: CH Abbeville
name: CH VALENCIENNES
name: Clinique Teissier
name: CHU Toulouse
name: University Hospital, Angers
name: CHU CAEN
name: Nantes University Hospital
First posted: 2020-07-14
Enrollment: 74
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: COVID-19 is causing a serious viral pandemic in terms of health and social impact. To date, no treatment has yet demonstrated Strong efficacy in treating the infectious disease (COVID-19). Pulmonary administration of Interferon (IFN) type I is a therapeutic strategy with high potential,due to higher local concentrations and minimal adverse effects. Type I interferons (including IFN-α and IFN-β) are antiviral defence cytokines and also have the potential to negatively modulate IFN Type II and IL-6 dependent cytokine storm, the latter being induced in the late forms of COVID-19. In vitro, IFN-β were more effective on COVID-19 than IFN-α. In existing preliminary studies, only patients receiving IFN type I modulators have a decrease in viral carriage and a rapid reversal. The purpose of this project is to assess in hospitalized patients with oxygen for COVID 19, the clinical efficacy on oxygen requirements of the addition of inhaled Interferon type I compared to the control arm .


Eligibility criteria: Inclusion Criteria:

* Age ≥ 18 years old
* Patient with laboratory-confirmed SARS-CoV-2 infection as determined by PCR \< 96 h (at initial diagnosis or persistent carriage \<96 h)
* Hospitalized patient with COVID-19 requiring oxygen therapy

And targeting in phase B :

* Patients under oxygen therapy such as nasal cannula/mask or non-invasive ventilation with paO2/FiO2 \> 200 mmHg.
* Patients hospitalized for less than 7 days.
* Patients with symptoms for less than 10 days or RT-PCR (\<96h) with Cycle Treshold \< 25.
* Social security coverage
* signed informed consent (by patient or their legally authorized representative)

Exclusion Criteria:

* Hypersensitivity to natural or recombinant interferon-ß
* Hypersensitivity to human albumin or mannitol
* Recent suicide attempt
* Decompensation of liver failure
* age \< 18 years
* Pregnant or nursing.
* Patients managed on an outpatient basis (i.e. not initially hospitalized).
* Parenteral IFN treatment. In periode B, addition of new exclusion criteria
* Patients with kidney transplant
* Immunocompromised patients
* Patients with severe systemic disease constantly threatening their vital prognosis (ASA ≥ IV: e.g. severe ARF, advanced cancer pathology, recent myocardial IDM, severe valvular dysfunction, dependence on parenteral nutrition on central line, shock, sepsis, trauma, ...).
* Patients in septic shock.
* Patients with documented fungal infection.
* Patients on mechanical ventilation.
* Patients hospitalized for COVID-19 for more than 7 days.

Primary outcomes:
measure: oxygen requirement score at day 0
timeFrame: day 0
measure: oxygen requirement score at day 15
timeFrame: day 15
measure: Variation oxygen requirement score between day 0 and day15
timeFrame: at day 15
Secondary outcomes:
Other outcomes:
Locations:
city: Abbeville
country: France
facility: CH d'Abbeville
city: Amiens
country: France
facility: CHU Amiens
city: Compiegne
country: France
facility: CH Compiègne-Noyon
city: Rang-du-Fliers
country: France
facility: CH de l'Arrondissement de Montreuil-sur-mer
city: Saint-Quentin
country: France
facility: CH de Saint-Quentin
city: Tourcoing
country: France
facility: CH de Tourcoing
city: Valenciennes
country: France
facility: CH de valenciennes
Study officials:
affiliation: CHU Amiens
name: Jean-Philippe Lanoix, MD
role: PRINCIPAL_INVESTIGATOR
References: