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Nebulized enriched heparin to treat no critical patients with Sars-Cov-2: Triple-blind clinical trial.


ABSTRACT:

Background

Coronavirus disease 2019 (COVID-19) is a viral respiratory disease that spreads rapidly, reaching pandemic status, causing the collapse of numerous health systems, and a strong economic and social impact. The treatment so far has not been well established and there are several clinical trials testing known drugs that have antiviral activity, due to the urgency that the global situation imposes. Drugs with specific mechanisms of action can take years to be discovered, while vaccines may also take a long time to be widely distributed while new virus variants emerge. Thus, drug repositioning has been shown to be a good strategy for defining new therapeutic approaches. Studies of the effect of enriched heparin in the replication of severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) in vitro assays justify the advance for clinical tests.

Methods and analysis

A phase I/II triple-blind parallel clinical trial will be conducted. Fifty participants with radiological diagnosis of grade IIA pneumonia will be selected, which will be allocated in 2 arms. Participants allocated in Group 1 (placebo) will receive nebulized 0.9% saline. Participants allocated in Group 2 (intervention) will receive nebulized enriched heparin (2.5 mg/mL 0.9% saline). Both groups will receive the respective solutions on a 4/4 hour basis, for 7 days. The main outcomes of interest will be safety (absence of serious adverse events) and efficacy (measured by the viral load).Protocols will be filled on a daily basis, ranging from day 0 (diagnosis) until day 8.

SUBMITTER: Bertanha M 

PROVIDER: S-EPMC8702290 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Nebulized enriched heparin to treat no critical patients with Sars-Cov-2: Triple-blind clinical trial.

Bertanha Matheus M   Rodrigues Lenize da Silva LDS   Mellucci Filho Pedro Luciano PL   Moroz Andrei A   Pardini Maria Inês de Moura Campos MIMC   Sobreira Marcone Lima ML   Durigon Edison Luiz EL   Machado Rafael Rahal Guaragna RRG   Grotto Rejane Maria Tommasini RMT   Lima Marcelo Andrade de MA   Nader Helena Bonciani HB   Nader Helena Bonciani HB   Moraes Marli Leite de ML   Barbosa Alexandre Naime AN   Medolago Natália Bronzatto NB   Cardoso Fábio Florença FF   Magro Angelo José AJ   Carvalho Cristiane Rodrigues Guzzo CRG   Moraes Leonardo Nazário de LN   Alvarado Rita de Cássia RC   Nunes Helga Caputo HC   Campos Gustavo Constantino de GC   Grillo Vinicius Tadeu Ramos da Silva VTRDS   Sertorio Nathalia Dias ND   Fortaleza Carlos Magno Castelo Branco CMCB  

Medicine 20211201 51


<h4>Background</h4>Coronavirus disease 2019 (COVID-19) is a viral respiratory disease that spreads rapidly, reaching pandemic status, causing the collapse of numerous health systems, and a strong economic and social impact. The treatment so far has not been well established and there are several clinical trials testing known drugs that have antiviral activity, due to the urgency that the global situation imposes. Drugs with specific mechanisms of action can take years to be discovered, while vac  ...[more]

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