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NCT04335123

Study of Open Label Losartan in COVID-19

Completed Phase 1 Results posted Last updated 2 August 2024
What this trial tests

Phase 1 trial testing Losartan in COVID-19 in 34 participants. Completed in 17 August 2020.

Timeline
4 April 2020
Primary endpoint
21 June 2020
17 August 2020

Quick facts

Lead sponsorUniversity of Kansas Medical Center
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment34
Start date4 April 2020
Primary completion21 June 2020
Estimated completion17 August 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Kansas Medical Center

Who can join

18 and older, any sex, with COVID-19. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment-related Adverse Events as Assessed by Protocol Definition of AE Primary · 14 days of losartan treatment

Safety will be reported based on Protocol defined AEs. For the purpose of this protocol, an AE will be defined as as any untoward medical occurrence in a subject during the study listed under DMSB - Anticipated Adverse Events and Grading Scale section of this protocol as well as safety monitoring data listed on protocol table 1 as well as stoppage criteria for losartan. The event does not necessarily have a causal relationship with the treatment. AEs will be collected for both study groups, treatment and control from the time the ICF is signed until the subject completes study participation.

GroupValue95% CI
Open Label Losartan24
External Controls44
Number of Days on Supplemental Oxygen in Respiratory Failure Due to COVID-19 Secondary · 14 days of losartan treatment

Number of days on supplemental oxygen in respiratory failure due to COVID-19

GroupValue95% CI
Open Label Losartan42 – 6
External Controls40 – 9
Number of Participants With Mechanical Ventilation Use Secondary · 14 days of losartan treatment

Number of participants with mechanical ventilation use

GroupValue95% CI
Open Label Losartan2
External Controls9
Days on Mechanical Ventilation Secondary · 14 days of losartan treatment

Days on mechanical ventilation

GroupValue95% CI
Open Label Losartan00 – 0
External Controls118 – 14
Number of Participants With Non-invasive Positive Pressure Ventilation or Heated High Flow Nasal Cannula Use Secondary · 14 days of losartan treatment

Number of participants with non-invasive positive pressure ventilation or heated high flow nasal cannula use

GroupValue95% CI
Open Label Losartan6
External Controls3
Days on Non-invasive Positive Pressure Ventilation or High Flow Nasal Cannula Secondary · 14 days of losartan treatment

Days on non-invasive positive pressure ventilation or high flow nasal cannula

GroupValue95% CI
Open Label Losartan00 – 0
External Controls53.5 – 7.5
ICU Length of Stay (Days) Secondary · 14 days of losartan treatment

ICU length of stay (days)

GroupValue95% CI
Open Label Losartan00 – 11.5
External Controls107.5 – 13.5
in Hospital Mortality Rate Secondary · 14 days after study enrollment

in hospital mortality rate

GroupValue95% CI
Open Label Losartan1
External Controls3
Hospital Length of Stay (Days) Secondary · from enrollment through hospital discharge

Hospital length of stay (days)

GroupValue95% CI
Open Label Losartan96 – 14.75
External Controls74 – 13.5
Cumulative Number of Participants With of Severe Adverse Events Secondary · 14 days of losartan treatment

Cumulative number of participants with severe adverse events

GroupValue95% CI
Open Label Losartan0
External Controls0
Number of Participants With Increase of Supplemental Oxygen Needs From Baseline. Secondary · 14 days of losartan treatment

Number of participants with increase in supplemental oxygen needs from baseline.

GroupValue95% CI
Open Label Losartan4
External Controls12
Number of Participants With Medications With Possible Antiviral Activity (Hydroxychloroquine, Lopinavir/Ritonavir, Ribavirin or Remdesivir) or Adjunctive Therapy Use (e.g., Tocilizumab) Secondary · 14 days of losartan treatment

Number of participants with medications with possible antiviral activity (hydroxychloroquine, lopinavir/ritonavir, ribavirin or remdesivir) or adjunctive therapy use (e.g., tocilizumab)

GroupValue95% CI
Open Label Losartan30
External Controls30

Adverse events — posted to ClinicalTrials.gov

Time frame: From enrollment to hospital discharge, up to day 14.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Open Label Losartan
Serious: 0/30 (0%)
Deaths: 1/30
External Controls
Serious: 0/46 (0%)
Deaths: 3/46
Other adverse events (9 terms — click to expand)

ReactionSystemOpen Label LosartanExternal Controls
Low hemoglobinBlood and lymphatic system disorders
Elevated ASTHepatobiliary disorders
Elevated ALTHepatobiliary disorders
hypotensionVascular disorders
Elevated Alkaline phosphataseHepatobiliary disorders
Elevated potassiumRenal and urinary disorders
LeukopeniaBlood and lymphatic system disorders
Elevated creatinineRenal and urinary disorders
Low plateletsBlood and lymphatic system disorders

Data from ClinicalTrials.gov NCT04335123 adverse events section.

Sponsor's own description

This is an open label, phase 1 clinical trial to evaluate the safety of losartan in respiratory failure due to COVID-19. Briefly, 34 patients with COVID-19 and respiratory failure who meet eligibility criteria and agree to participation in the study will be placed on losartan 25 mg daily on study day 0. If parameters are met the dose of losartan will be increased to 50 mg once daily on study day 3. Participants will continue losartan until they experience resolution of respiratory failure (normal oxygen levels on room air), are discharged from the hospital, meet stoppage criteria (detailed below) or complete 14 days of therapy. Patients and/or surrogate decision maker who do not give consent to treatment will be asked to allow collection of data from their medical record for use as a control group. We will also collect medical information relating to safety criteria on historical controls treated at the University of Kansas Hospital in the 30 days prior to the study start date and during the study period.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Drug repurposing approach to fight COVID-19.
    Singh TU, Parida S, Lingaraju MC, Kesavan M, et al · · 2020 · cited 299× · PMID 32889701 · DOI 10.1007/s43440-020-00155-6
  2. Contribution of monocytes and macrophages to the local tissue inflammation and cytokine storm in COVID-19: Lessons from SARS and MERS, and potential therapeutic interventions.
    Jafarzadeh A, Chauhan P, Saha B, Jafarzadeh S, et al · · 2020 · cited 246× · PMID 32687918 · DOI 10.1016/j.lfs.2020.118102
  3. COVID-19 and heart failure: from infection to inflammation and angiotensin II stimulation. Searching for evidence from a new disease.
    Tomasoni D, Italia L, Adamo M, Inciardi RM, et al · · 2020 · cited 181× · PMID 32412156 · DOI 10.1002/ejhf.1871
  4. Cognitive impact of COVID-19: looking beyond the short term.
    Miners S, Kehoe PG, Love S. · · 2020 · cited 142× · PMID 33380345 · DOI 10.1186/s13195-020-00744-w
  5. A hypothesis for pathobiology and treatment of COVID-19: The centrality of ACE1/ACE2 imbalance.
    Sriram K, Insel PA. · · 2020 · cited 137× · PMID 32333398 · DOI 10.1111/bph.15082
  6. ACE2 imbalance as a key player for the poor outcomes in COVID-19 patients with age-related comorbidities - Role of gut microbiota dysbiosis.
    Viana SD, Nunes S, Reis F. · · 2020 · cited 122× · PMID 32683039 · DOI 10.1016/j.arr.2020.101123
  7. Sex differences in SARS-CoV-2 infection rates and the potential link to prostate cancer.
    Chakravarty D, Nair SS, Hammouda N, Ratnani P, et al · · 2020 · cited 114× · PMID 32641750 · DOI 10.1038/s42003-020-1088-9
  8. Comprehensive analysis of drugs to treat SARS‑CoV‑2 infection: Mechanistic insights into current COVID‑19 therapies (Review).
    Nitulescu GM, Paunescu H, Moschos SA, Petrakis D, et al · · 2020 · cited 93× · PMID 32468014 · DOI 10.3892/ijmm.2020.4608

Verify or expand the search:

Other trials of Losartan

Trials testing the same drug.

Other recruiting trials for COVID-19

Currently open trials in the same condition.

Other University of Kansas Medical Center trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04335123.

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