NCT04545008

Brief Summary

The purpose of this trial is to assess the safety and toxicity profile of the combination of famotidine and oral n-acetyl cysteine in adult outpatients with newly diagnosed SARS-CoV-2 infection.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
2

participants targeted

Target at below P25 for phase_1 covid19

Timeline
Completed

Started Oct 2020

Geographic Reach
1 country

3 active sites

Status
terminated

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

September 1, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

September 10, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

October 20, 2020

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 2, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 2, 2021

Completed
9 months until next milestone

Results Posted

Study results publicly available

February 18, 2022

Completed
Last Updated

February 18, 2022

Status Verified

February 1, 2022

Enrollment Period

8 months

First QC Date

September 1, 2020

Results QC Date

February 4, 2022

Last Update Submit

February 16, 2022

Conditions

Keywords

outpatientfamotidinen-acetyl cysteine

Outcome Measures

Primary Outcomes (1)

  • Number of Participants With Treatment-related Adverse Events as Assessed by CTCAE v5.0

    Data will be collected and entered into Case Report Form in local REDCap sever to include MedDRA Code, Grade and all other data required by NIH per Memorandum, "Guidance for Collection of Adverse Events Related to COVID-19 Infection" dated on 25 March 2020. All data will be reported per this memorandum and in accordance with all applicable Institutional Review Board and FDA requirements.

    0 to 30 days

Secondary Outcomes (2)

  • Rate of Hospitalization

    0 to 30 days

  • Time to Symptom Resolution

    0 to 30 days

Study Arms (12)

Low Dose N-Acetyl Cysteine Alone

EXPERIMENTAL

N-Acetyl Cysteine 600 mg three times daily

Drug: N-Acetyl cysteine

Medium Dose N-Acetyl Cysteine

EXPERIMENTAL

N-Acetyl Cysteine 1,200 mg three times daily

Drug: N-Acetyl cysteine

Low Dose N-Acetyl Cysteine and Low Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 600 mg three times daily Famotidine 20 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

High Dose N-Acetyl Cysteine Alone

EXPERIMENTAL

N-Acetyl Cysteine 1,800 mg three times daily

Drug: N-Acetyl cysteine

Medium Dose N-Acetyl Cysteine and Low Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,200 mg three times daily Famotidine 20 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

Low Dose N-Acetyl Cysteine and Medium Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 600 mg three times daily Famotidine 40 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

High Dose N-Acetyl Cysteine and Low Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,800 mg three times daily Famotidine 20 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

Medium Dose N-Acetyl Cysteine and Medium Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,200 mg three times daily Famotidine 40 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

Low Dose N-Acetyl Cysteine and High Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 600 mg three times daily Famotidine 80 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

High Dose N-Acetyl Cysteine and Medium Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,800 mg three times daily Famotidine 40 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

Medium Dose N-Acetyl Cysteine and High Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,200 mg three times daily Famotidine 80 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

High Dose N-Acetyl Cysteine and High Dose Famotidine

EXPERIMENTAL

N-Acetyl Cysteine 1,800 mg three times daily Famotidine 80 mg three times daily

Drug: FamotidineDrug: N-Acetyl cysteine

Interventions

Oral Famotidine

Also known as: Pepcid AC
High Dose N-Acetyl Cysteine and High Dose FamotidineHigh Dose N-Acetyl Cysteine and Low Dose FamotidineHigh Dose N-Acetyl Cysteine and Medium Dose FamotidineLow Dose N-Acetyl Cysteine and High Dose FamotidineLow Dose N-Acetyl Cysteine and Low Dose FamotidineLow Dose N-Acetyl Cysteine and Medium Dose FamotidineMedium Dose N-Acetyl Cysteine and High Dose FamotidineMedium Dose N-Acetyl Cysteine and Low Dose FamotidineMedium Dose N-Acetyl Cysteine and Medium Dose Famotidine

Oral N-Acetyl Cysteine

Also known as: NAC
High Dose N-Acetyl Cysteine AloneHigh Dose N-Acetyl Cysteine and High Dose FamotidineHigh Dose N-Acetyl Cysteine and Low Dose FamotidineHigh Dose N-Acetyl Cysteine and Medium Dose FamotidineLow Dose N-Acetyl Cysteine AloneLow Dose N-Acetyl Cysteine and High Dose FamotidineLow Dose N-Acetyl Cysteine and Low Dose FamotidineLow Dose N-Acetyl Cysteine and Medium Dose FamotidineMedium Dose N-Acetyl CysteineMedium Dose N-Acetyl Cysteine and High Dose FamotidineMedium Dose N-Acetyl Cysteine and Low Dose FamotidineMedium Dose N-Acetyl Cysteine and Medium Dose Famotidine

Eligibility Criteria

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

You may qualify if:

  • Age \> 18
  • performance of a SARS-CoV-2 test within 1 day of enrollment, N.B., must be positive to proceed to treatment phase of the trial

You may not qualify if:

  • All patients under 18
  • Known allergy to N-Acetyl Cysteine
  • Known allergy to famotidine or other H2-receptor antagonists
  • Pregnant or Nursing Mothers
  • Laboratory Evidence or History of Renal Impairment (eGFR \< 30 mL/min/1.73 m2)
  • Taking H2-receptor antagonists, hydroxychloroquine or chloroquine.
  • Patient has been admitted to the hospital prior to study enrollment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Prisma Health Baptist Easley Hospital

Easley, South Carolina, 29640, United States

Location

Prisma Health Greenville Memorial Hospital

Greenville, South Carolina, 29605, United States

Location

Prisma Health Greer Memorial Hospital

Greer, South Carolina, 29650, United States

Location

MeSH Terms

Conditions

COVID-19

Interventions

FamotidineAcetylcysteine

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

ThiazolesSulfur CompoundsOrganic ChemicalsAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsCysteineAmino Acids, SulfurAmino AcidsAmino Acids, Peptides, and Proteins

Limitations and Caveats

Decrease in COVID-19 infections in the area followed by other treatment options led to to poor enrollment (n=2) and early termination of the study.

Results Point of Contact

Title
Dr. Julie Martin - Director, Cancer Research
Organization
Prisma Health

Study Officials

  • John J O'Connell, M.D.

    Prisma Health

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 1, 2020

First Posted

September 10, 2020

Study Start

October 20, 2020

Primary Completion

June 2, 2021

Study Completion

June 2, 2021

Last Updated

February 18, 2022

Results First Posted

February 18, 2022

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will not share

Locations