Status:
ACTIVE_NOT_RECRUITING
COVID-FISETIN: Pilot in SARS-CoV-2 of Fisetin to Alleviate Dysfunction and Inflammation
Lead Sponsor:
Mayo Clinic
Conditions:
Covid19
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
The purpose of this study is to test whether Fisetin, a senolytic drug, can assist in preventing an increase in the disease's progression and alleviate complications of coronavirus due to an excessive...
Detailed Description
To determine if Fisetin treatment can prevent deterioration of oxygenation status as measured by S/F ratio: SpO2/ FiO2, as well as prevent deterioration in physical function (frailty) and hyper-inflam...
Eligibility Criteria
Inclusion
- Inclusion Criteria - Patients must meet all of the following inclusion criteria to be enrolled in this study.
- Men or women 60 years of age or older
- OR
- Age 18 - 59 years WITH at least one of the following comorbidities:
- BMI greater than or equal to 35
- Diabetes
- Asthma/ Chronic Obstructive Pulmonary Disease (COPD)
- Previous Myocardial Infarction
- Previous Stroke/ Cerebrovascular Accident (CVA)
- Hypertension/ Atherosclerosis/ Peripheral Vascular Disease
- Smoking and/or vaping
- Other conditions associated with senescent cell accumulation (i.e. previous chemotherapy or radiation)
- SpO2 greater than or equal to 85% (on room air or less than or equal to 2 L of supplemental oxygen)
- Willing and able to provide written informed consent or have a legally authorized representative (LAR) who will provide informed consent
- SARS-CoV-2 infection confirmed by PCR test at Mayo Clinic (or other CLIA certified) laboratory within 10 days prior to randomization.
- Exclusion Criteria - Patients who meet any of the following exclusion criteria are not to be enrolled in this study.
- General Exclusion Criteria
- Presence of any condition that the Investigator or the subject's attending physician believes would put the subject at risk or would preclude the patient from successfully completing the trial
- Pregnant and/or lactating. Women of childbearing potential (WCBP) must have a negative pregnancy test within 72 hours prior to randomization
- WCBP who are unwilling to abstain from sex or use an adequate method of contraception from the time of the first IP administration through 48 hours after the last IP administration
- Men who are unwilling to abstain from sex with WCBP or use an adequate method of contraception from the time of the first IP administration through 48 hours after the last IP administration
- Laboratory Exclusion Criteria
- Total bilirubin \>3X upper limit of normal or as per clinical judgment.
- Serum aspartate transaminase (AST) or alanine aminotransferase (ALT) \>4x the upper limits of normal or as per clinical judgment.
- Hemoglobin \<7 g/dL; white blood cell count ≤ 2,000/mm3 (\< or = 2.0 x 109/L) or \> or = 20,000/mm3 (\> or = 20 x 109/L); platelet count \< or = 40,000/µL (\< or = 40 x 109/L); absolute neutrophil count \< or = 1 x 109/L; lymphocyte count \<0.3 x 109/L at screening or as per clinical judgment.
- Unstable (as per clinical judgment) major cardiovascular, renal, endocrine, immunological, or hepatic disorder.
- eGFR \<25 ml/ min/ 1.73 m2 or as per clinical judgment.
- Plasma and/or serum glucose \>300 or as per clinical judgment.
- Clinical History Exclusion Criteria
- Human immunodeficiency virus infection.
- Known active hepatitis B or C infection.
- Invasive fungal infection.
- Uncontrolled (as per clinical judgement) pleural/pericardial effusions or ascites.
- New/active invasive cancer except non-melanoma skin cancers.
- Medication Exclusion Criteria (See Appendices 1-3 for additional information)
- Known hypersensitivity or allergy to Fisetin.
- Patients currently using medications which utilize CYP450 2C9 for metabolism. These medications include: Fosphenytoin, Phenytoin, Warfarin, Glimepiride, Diclofenac, Bosentan, and Glyburide. Patients taking any of these medications may participate if the medications can be held immediately before the 1st IP administration until at least 10 hours after the last (2nd) IP administration and the patient is otherwise eligible.
- Patients currently using medications which utilize CYP2C9, CYP2C19, CYP1A2, OATP1B1. These medications include: Olanzapine, Clozapine, Theophylline, Tizanidine, Warfarin, Rameltoen, Tacrine, Duloxetine, Mexiletine, Riluzole, and Atomoxetine. Patients taking any of these medications may participate if the medications can be held immediately before the 1st IP administration until at least 10 hours after the last (2nd) IP administration and the patient is otherwise eligible.
- Patients currently using medications which are strong inhibitors of CYP3A4. These medications include: Atazanavir, Ceritinib, Clarithromycin, Darunavir, Idelalisib, Indinavir, Itraconazole, Ketoconazole, Lopinavir, Mefipristone, Nefazodone, Nelfinavir, Ombitasivir-paritaprevir-ritonivir, Ombitasivir-paritaprevir-ritonivir-plus dasabuvir, Posaconazole, Saquinavir, Telithromycin, Tucatinib, and Voriconazole. Patients taking any of these medications may participate if the medications can be held immediately before the 1st IP administration until at least 10 hours after the last (2nd) IP administration and the patient is otherwise eligible.
- Patients currently using antifungals. If antifungals are absolutely necessary from an infectious disease perspective, then they will be allowed only if the levels are subtherapeutic or therapeutic.
- Patients taking any of these medications may participate if the medications can be held immediately before the 1st IP administration until at least 10 hours after the last (2nd) IP administration and the patient is otherwise eligible:
- Cardiac: digoxin, flecainide, amiodarone
- Psychiatric: lithium, thioridazine
- Neurologic: carbamazepine, phenobarbital
- Antimicrobial/fungal: aminoglycosides (e.g. amikacin, gentamicin, kanamycin, neomycin, netilmicin, paromomysin, streptomycin, tobramycin), rifampin
- Anticoagulants/ Antiplatelets: warfarin
- Others: methotrexate, nitroglycerin, St. John's wort, tyrosine kinase inhibitors, tacrine, diclofenac
- Participation in other clinical trials involving treatment for SARS-CoV-2. (unless reviewed and approved by the Principal Investigator). Note that institutional standard of care treatment of SARS-CoV-2 including glucocorticoids, hydroxychloroquine, azithromycin, remdesivir, anti-spike antibodies, and/or convalescent plasma are not excluded from the study.
Exclusion
Key Trial Info
Start Date :
August 3 2020
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 1 2026
Estimated Enrollment :
80 Patients enrolled
Trial Details
Trial ID
NCT04476953
Start Date
August 3 2020
End Date
September 1 2026
Last Update
October 14 2025
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
Mayo Clinic in Rochester
Rochester, Minnesota, United States, 55905