NCT04364802

Brief Summary

Povidone-iodine (PVP-I) is a broad-spectrum antiseptic with activity against bacteria, fungi, and viruses. It has been previously used in both intranasal preparations against Methicillin Resistant Staphylococcus Aureus (MRSA) as well as oral preparations in in-vitro studies of Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV), Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV), influenza H1N1, and rotavirus with good efficacy. This study will evaluate the efficacy of PVP-I as prophylaxis in Coronavirus Disease 2019 (COVID19)-negative front-line health care workers, hospital patients, and community members.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
98

participants targeted

Target at P25-P50 for phase_2 covid19

Timeline
Completed

Started Apr 2020

Longer than P75 for phase_2 covid19

Geographic Reach
1 country

1 active site

Status
completed

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 25, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 28, 2020

Completed
1 day until next milestone

Study Start

First participant enrolled

April 29, 2020

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 28, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 28, 2022

Completed
10 months until next milestone

Results Posted

Study results publicly available

December 2, 2022

Completed
Last Updated

December 2, 2022

Status Verified

November 1, 2022

Enrollment Period

1.8 years

First QC Date

April 25, 2020

Results QC Date

September 8, 2022

Last Update Submit

November 16, 2022

Conditions

Keywords

COVID-19SARS-CoV 2Health Care WorkersCOVID-19 Prophylaxis

Outcome Measures

Primary Outcomes (3)

  • Percent of Healthcare Workers Testing Positive for COVID-19.

    Percent of healthcare workers that become positive for COVID-19 during the study.

    3 weeks

  • Percent of Patients Testing Positive for COVID-9.

    Percent of patients that become positive for COVID-19 during the study.

    2 weeks

  • Percent of Community Participants Testing Positive for COVID-9.

    Percent of community participants that become positive for COVID-19 during the study.

    3 weeks

Secondary Outcomes (2)

  • PVP-I Ease of Use

    3 weeks

  • PVP-I Comfort

    3 weeks

Other Outcomes (1)

  • Adherence to Treatment Protocol

    3 weeks

Study Arms (6)

Healthcare Workers - Control

NO INTERVENTION

Front-line healthcare workers (FLCHW) who are negative for COVID will receive standard PPE and a pre- and post-study test for COVID-19.

Healthcare Workers - PVP-I

EXPERIMENTAL

Front-line healthcare workers (FLCHW) who are negative for COVID-19 will receive standard PPE and a pre- and post-study test for COVID-19. Additionally, they will receive PVP-I spray and gargle.

Drug: Povidone-Iodine Nasal Spray and Gargle

Inpatients - Control

NO INTERVENTION

Inpatients who have a 7+ day hospitalization or who are set to undergo a significant surgical procedure will receive standard care and a pre- and post-study COVID-19 test.

Inpatients - PVP-I

EXPERIMENTAL

Inpatients who have a 7+ day hospitalization or who are set to undergo a significant surgical procedure will receive standard care and a pre- and post-study COVID-19 test. Additionally, they will receive PVP-I gargle and nasal sprays that will be applied shortly after admission or perioperatively.

Drug: Povidone-Iodine Nasal Spray and Gargle

Community - Control

NO INTERVENTION

Community participants who are negative for COVID-19 will receive a pre- and post-study COVID-19 test.

Community - PVP-I

EXPERIMENTAL

Community participants who are negative for COVID-19 will receive a pre- and post-study COVID-19 test. Additionally, they will receive PVP-I gargle and nasal sprays.

Drug: Povidone-Iodine Nasal Spray and Gargle

Interventions

Healthcare workers will receive standard PPE and a pre- and post-study nasal swab COVID19 test. Additionally, they will receive povidone-iodine nasal spray and gargle (10% diluted 1:30) to use at the beginning of their shift, in the middle, and at the end of their shift.

Healthcare Workers - PVP-I

Eligibility Criteria

Age18 Years - 99 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • healthcare worker OR
  • patient with expected hospital stay of 7+ days OR
  • patient admitted for major surgery OR
  • community member
  • COVID19 negative by nasal swab test
  • asymptomatic for COVID19
  • able to consent

You may not qualify if:

  • positive for COVID19 by nasal swab
  • symptomatic for COVID19
  • unable to consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Kentucky

Lexington, Kentucky, 40536, United States

Location

Related Publications (1)

  • Burton MJ, Clarkson JE, Goulao B, Glenny AM, McBain AJ, Schilder AG, Webster KE, Worthington HV. Use of antimicrobial mouthwashes (gargling) and nasal sprays by healthcare workers to protect them when treating patients with suspected or confirmed COVID-19 infection. Cochrane Database Syst Rev. 2020 Sep 16;9(9):CD013626. doi: 10.1002/14651858.CD013626.pub2.

MeSH Terms

Conditions

COVID-19

Interventions

Mouthwashes

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Biomedical and Dental MaterialsSpecialty Uses of ChemicalsChemical Actions and UsesCosmeticsManufactured MaterialsTechnology, Industry, and Agriculture

Results Point of Contact

Title
Alexandra Kejner
Organization
University of Kentucky

Study Officials

  • Alexandra E Kejner, MD

    Univesity of Kentucky

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

April 25, 2020

First Posted

April 28, 2020

Study Start

April 29, 2020

Primary Completion

January 28, 2022

Study Completion

January 28, 2022

Last Updated

December 2, 2022

Results First Posted

December 2, 2022

Record last verified: 2022-11

Data Sharing

IPD Sharing
Will not share

Locations