Status:

COMPLETED

Defibrotide in COVID-19 Pneumonia

Lead Sponsor:

IRCCS San Raffaele

Conditions:

Patients With COVID-19 Pneumonia Will Allow to Detect an Absolute Reduction in the Rate of Respiratory-failure

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Phase II, prospective, interventional, single-arm, multicentric, open label trial, with a parallel retrospective collection of data on not treated patients from IRCCS, San Raffaele Scientific Institut...

Detailed Description

As of March 12, 2020, coronavirus disease 2019 (COVID-19) has been confirmed in 125 048 people worldwide, carrying a mortality of approximately 3·7%, 1 compared with a mortality rate of less than 1% f...

Eligibility Criteria

Inclusion

  • Documented COVID-19 pneumonia: defined as upper respiratory tract specimen (nasopharyngeal swab (NPS) or viral throat swab) positive for COVID-19 and/or imaging at computed tomography scan suggestive of COVID-19 pneumonia
  • Oxygen saturation (SaO2) of 92% or less without oxygen support, or reduction of 3% from basal value of SaO2, or a ratio of the partial pressure of oxygen (PaO2) to the fraction of inspired oxygen (FiO2) (PaO2/FiO2) below 300.
  • Any gender
  • Age \>= 18 years
  • Written informed consent or as per Ethical Committee indication in case of patients not able to express written informed consent

Exclusion

  • Onset of COVID-19 pneumonia \>14 days
  • Orotracheal intubation
  • Uncontrolled systemic infection (other than COVID-19)
  • Concomitant use of thrombolytic therapy Concomitant systemic anticoagulant therapy (e.g. heparin, warfarin, direct thrombin inhibitors and direct factor Xa inhibitors)
  • Haemodynamic instability, defined as inability to maintain mean arterial pressure with single pressor support
  • Hypersensitivity to the active substance or to any of the excipients of the experimental drug
  • Patients who, based on the investigator's clinical judgement, are not able to receive the treatment
  • Pregnancy or breastfeeding patient

Key Trial Info

Start Date :

May 20 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 28 2021

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT04335201

Start Date

May 20 2020

End Date

May 28 2021

Last Update

July 19 2022

Active Locations (1)

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1

Ospedale San Raffaele

Milan, Lombardy, Italy, 20132