Comparing the Effects of Different Doses of Dexamethasone to Treat Inpatient COVID-19
Effects of Higher Dose and Lower Dose of Dexamethasone for Hospitalized Patients With COVID-19
1 other identifier
interventional
110
1 country
1
Brief Summary
This open label clinical trial is to evaluate two different doses of dexamethasone on the health outcome using World Health Organization ordinal scale at day 28 in hospitalized patients with COVID-19.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 covid19
Started Jan 2021
Typical duration for phase_4 covid19
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 11, 2021
CompletedFirst Posted
Study publicly available on registry
January 13, 2021
CompletedStudy Start
First participant enrolled
January 21, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 4, 2022
CompletedResults Posted
Study results publicly available
March 29, 2024
CompletedMarch 29, 2024
March 1, 2024
11 months
January 11, 2021
December 4, 2023
March 28, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of Participants With Clinical Improvement of Greater Than or Equal to 2 Points Using the WHO-OSCI at Day 28
the clinical improvement of greater than or equal to 2 points using the WHO-OSCI. 1. Not hospitalized, no limitations on activities 2. Not hospitalized, limitation on activities 3. Hospitalized, not requiring supplemental oxygen 4. Hospitalized, requiring supplemental oxygen by mask or nasal prongs 5. Hospitalized, on non-invasive ventilation or high flow oxygen devices 6. Hospitalized, on invasive mechanical ventilation 7. Hospitalized, on invasive mechanical ventilation + additional organ support (pressors, RRT, ECMO) 8. Death
28 days from study enrollment
Secondary Outcomes (1)
28-day Mortality
28 days from study enrollment
Study Arms (2)
Dexamethasone 20 mg
EXPERIMENTALDexamethasone 20 mg daily for 5 days, followed by dexamethasone 10 mg daily for 5 days
Dexamethasone 6 mg
ACTIVE COMPARATORDexamethasone 6 mg daily for 10 days
Interventions
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years old
- RT-PCR confirmed COVID-19 infection
- Positive pressure ventilation (non-invasive or invasive) or high flow nasal cannula (HFNC) or need supplemental oxygen with oxygen mask or nasal cannula
You may not qualify if:
- Underlying disease requiring chronic corticosteroids
- Severe adverse events before admission, i.e. cardiac arrest;
- Contraindication for corticosteroids;
- Death is deemed to be imminent and inevitable during the next 24 hours
- Recruited in other clinical intervention trial
- Pregnancy
- Patient on judicial protection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Oklahoma Medical Center
Oklahoma City, Oklahoma, 73104, United States
Related Publications (1)
Wu H, Daouk S, Kebbe J, Chaudry F, Harper J, Brown B. Low-dose versus high-dose dexamethasone for hospitalized patients with COVID-19 pneumonia: A randomized clinical trial. PLoS One. 2022 Oct 3;17(10):e0275217. doi: 10.1371/journal.pone.0275217. eCollection 2022.
PMID: 36190994DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Manager of Clinical Trials
- Organization
- University of Oklahoma Health Sciences Center
Study Officials
- PRINCIPAL INVESTIGATOR
Huimin Wu, MD
University of Oklahoma
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 11, 2021
First Posted
January 13, 2021
Study Start
January 21, 2021
Primary Completion
December 31, 2021
Study Completion
March 4, 2022
Last Updated
March 29, 2024
Results First Posted
March 29, 2024
Record last verified: 2024-03