NCT04352465

Brief Summary

The aim of this study is to evaluate the efficacy and safety of MTX-loaded nanoparticles in three different doses to treat severe COVID-19 patients.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
42

participants targeted

Target at P25-P50 for phase_1 covid19

Timeline
Completed

Started May 2020

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 15, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 20, 2020

Completed
11 days until next milestone

Study Start

First participant enrolled

May 1, 2020

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2020

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2020

Completed
Last Updated

April 29, 2020

Status Verified

April 1, 2020

Enrollment Period

2 months

First QC Date

April 15, 2020

Last Update Submit

April 27, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in clinical conditions

    Clinical condition will be measured by lung injuries

    21 days

Secondary Outcomes (8)

  • Change of Clinical symptoms - respiratory rate

    21 days

  • Hypoxia

    21 days

  • Changes of blood oxygen

    21 days

  • Inflammatory parameters

    21 days

  • Evolution of Acute Respiratory Syndrome

    21 days

  • +3 more secondary outcomes

Study Arms (3)

A

EXPERIMENTAL

Phase A: subjects will be dosed 20 mg of MTX IV, once per week (total of 4 doses).

Drug: Methotrexate

B

EXPERIMENTAL

Phase B: will only start after 2nd or 3rd administration of phase A. Subjects will be dosed 30 mg of MTX IV, once per week (total of 4 doses).

Drug: Methotrexate

C

EXPERIMENTAL

Phase C: will only start after 2nd or 3rd administration of phase B. Subjects will be dosed 40 mg of MTX IV, once per week (total of 4 doses).

Drug: Methotrexate

Interventions

Phase A: Subjects will be dosed 20 mg of MTX IV, once per week (total of 4 doses).

Also known as: MTX-loaded nanoparticles
A

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent from patient or legal representative.
  • Male or female, aged ≥ 18 years;
  • Acute respiratory distress syndrome; with imminent risk of death, and with chest CT scan with pulmonary impairment greater than 50%;
  • Confirmed or pending diagnosis of COVID-19.

You may not qualify if:

  • Pleural effusion \> 150mL or ascites \> 200mL;
  • Chronic liver disease;
  • ALT and AST serum levels \>= three times the upper limit of normality;
  • Renal failure (dialysis)
  • Multiple organ failure
  • \. Concomitant use or use in the last 7 days of cell therapy with stem cells; 8. Any clinical or laboratory condition or comorbidity that, at medical discretion, 9. Known hypersensitivity to the investigational product; 10. Subject who is pregnant or lactating

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Prevent Senior Private Operadora de Saúde LTDA.

São Paulo, Brazil

Location

MeSH Terms

Conditions

COVID-19

Interventions

Methotrexate

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

AminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: The study will be divided in 3 phases: Phase A: subjects will be dosed 20 mg of MTX IV, once per week (total of 4 doses). Phase B: will only start after 2nd or 3rd administration of phase A. Subjects will be dosed 30 mg of MTX IV, once per week (total of 4 doses). Phase C: will only start after 2nd or 3rd administration of phase B. Subjects will be dosed 40 mg of MTX IV, once per week (total of 4 doses).
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 15, 2020

First Posted

April 20, 2020

Study Start

May 1, 2020

Primary Completion

June 30, 2020

Study Completion

November 30, 2020

Last Updated

April 29, 2020

Record last verified: 2020-04

Locations