Status:

COMPLETED

Methylprednisolone for Patients With COVID-19 Severe Acute Respiratory Syndrome

Lead Sponsor:

University of Trieste

Conditions:

Severe Acute Respiratory Syndrome (SARS) Pneumonia

Coronavirus Infections

Eligibility:

All Genders

18-80 years

Brief Summary

COVID-19 infection is overwhelming Italian healthcare. There is an urgent need for a solution to the lack of ICU beds and increasing deaths day after day. A recent retrospective Chinese paper (JAMA I...

Detailed Description

Comparison of two groups of patients SARS-CoV-2 positive with severe acute respiratory syndrome: 1. Exposed to low prolonged doses of Methylprednisolone 2. Not exposed to corticosteroids (standard of...

Eligibility Criteria

Inclusion

  • SARS-CoV-2 positive
  • Age \>17 years and \< 80 years
  • P/F \< 250 mmHg
  • Bilateral pneumonia (infiltrates/interstitial)
  • CRP \>10mg/dL (or \>100mg/L)
  • Alternatively to 4-5-6 criteria a diagnosis of ARDS according to the Berlin definition (Ranieri M, et al. JAMA 2012)

Exclusion

  • Heart failure as predominant cause of acute respiratory failure
  • Decompensated liver cirrhosis
  • Cancer
  • Organ transplantation
  • HIV+
  • dialysis
  • long-term oxygen therapy, home mechanical ventilation
  • Idiopathic pulmonary fibrosis
  • Progressive neuromuscular disorders (e.g. Duchenne, Pompe, ALS)
  • Dementia or decompensated psychiatric diseases
  • immunosuppressive treatments
  • Chronic use of corticosteroids
  • Use of Tocilizumab
  • pregnancy

Key Trial Info

Start Date :

March 23 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

May 10 2020

Estimated Enrollment :

173 Patients enrolled

Trial Details

Trial ID

NCT04323592

Start Date

March 23 2020

End Date

May 10 2020

Last Update

June 24 2020

Active Locations (1)

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1

Marco Confalonieri

Trieste, TS, Italy, 34149