NCT04820751

Brief Summary

This randomized controled open label clinical trial is to evaluate the effect of Cyproheptadine on the clinical course of patients presenting a severe SARS-COV 2 pneumonia.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Apr 2021

Shorter than P25 for phase_3

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

March 25, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 29, 2021

Completed
12 days until next milestone

Study Start

First participant enrolled

April 10, 2021

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2022

Completed
Last Updated

April 2, 2021

Status Verified

March 1, 2021

Enrollment Period

7 months

First QC Date

March 25, 2021

Last Update Submit

March 31, 2021

Conditions

Keywords

Covid 19

Outcome Measures

Primary Outcomes (2)

  • Length of hospitalization

    Through study completion, an average of 1 year

  • Need mechanical ventilation (Non invasive or Invasive)

    Through study completion, an average of 1 year

Secondary Outcomes (11)

  • Death

    Day 28

  • Length of hospitalization in the intensive care unit

    Through study completion, an average of 1 year

  • Duration of mechanical ventilation

    Through study completion, an average of 1 year

  • SOFA Score

    At Day 1,3,5,7,10 after randomization

  • Heart rate

    At Day 1,3,5,7,10 after randomization

  • +6 more secondary outcomes

Study Arms (2)

Cyproheptadine and standard care

EXPERIMENTAL

Start Cyproheptadine 8mg three times a day during 5 days. Dose will be reduced to 4mg three times a day if GFR inferior to 30ml/min/1.73m² Standard management of COVID-19 infection according to current international guidelines

Drug: Cyproheptadine Hydrochloride 4 MG

Standard care

NO INTERVENTION

Standard management of COVID-19 infection according to current international guidelines

Interventions

Cyproheptadine associated to standard care

Also known as: Standard Care
Cyproheptadine and standard care

Eligibility Criteria

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

You may qualify if:

  • Men and women age 18 or older
  • Hospitalized and requiring medical care for COVID-19
  • Presenting respiratory failure cause by COVID 19 requiring oxygen and/or mechanical ventilation support
  • With radiographic evidence of pulmonary infiltrate
  • Able to give informed consent or, if unable to do so regarding the medical condition, having relatives able of consenting for the patient

You may not qualify if:

  • Pregnancy
  • Patients with pre-existing terminal condition with life expectancy \< 6 months
  • Patients with pre-existing severe lung disease requiring home O2
  • History of seizure disorder
  • History of adverse reaction to antihistamines or to Cyproheptadine

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Pneumonia, ViralSerotonin SyndromeCOVID-19

Interventions

CyproheptadineStandard of Care

Condition Hierarchy (Ancestors)

PneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesLung DiseasesRespiratory Tract DiseasesDrug-Related Side Effects and Adverse ReactionsChemically-Induced DisordersCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus Infections

Intervention Hierarchy (Ancestors)

DibenzocycloheptenesBenzocycloheptenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPolycyclic CompoundsQuality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 25, 2021

First Posted

March 29, 2021

Study Start

April 10, 2021

Primary Completion

November 1, 2021

Study Completion

January 1, 2022

Last Updated

April 2, 2021

Record last verified: 2021-03