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NCT04383002

High Dose Inhaled Nitric Oxide for COVID-19 (ICU Patients)

Completed Phase 1 Last updated 11 April 2022
What this trial tests

Phase 1 trial testing Nitric Oxide in COVID-19 in 21 participants. Completed in 11 June 2021.

Timeline
2 September 2020
Primary endpoint
11 May 2021
11 June 2021

Quick facts

Lead sponsorUniversity Health Network, Toronto
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment21
Start date2 September 2020
Primary completion11 May 2021
Estimated completion11 June 2021
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

University Health Network, Toronto

Who can join

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

Sponsor's own description

Novel therapies are desperately needed for treatment of COVID-19 patients. At present, there are no proven interventions to prevent progression of the disease or to rapidly treat patients with COVID-19 related respiratory failure. Data on the original coronavirus -SARS pneumonia suggested that high dose (\>160ppm) inhaled Nitric Oxide could have beneficial effects also on COVID-19, due to the genomic similarities between these two coronaviruses (1-3). This study will test whether high dose inhaled nitric oxide is safe and can reverse virus burden and respiratory failure in patients on mechanical ventilation.

Publications & conference data

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

  1. The role of NO in COVID-19 and potential therapeutic strategies.
    Fang W, Fang W, Jiang J, Su L, et al · · 2021 · cited 72× · PMID 33347987 · DOI 10.1016/j.freeradbiomed.2020.12.008
  2. Nitric Oxide to Fight Viral Infections.
    Lisi F, Zelikin AN, Chandrawati R. · · 2021 · cited 65× · PMID 33850691 · DOI 10.1002/advs.202003895
  3. Home Nitric Oxide Therapy for COVID-19.
    Alvarez RA, Berra L, Gladwin MT. · · 2020 · cited 63× · PMID 32437250 · DOI 10.1164/rccm.202005-1906ed
  4. Multi-omics-based identification of SARS-CoV-2 infection biology and candidate drugs against COVID-19.
    Barh D, Tiwari S, Weener ME, Azevedo V, et al · · 2020 · cited 57× · PMID 33131530 · DOI 10.1016/j.compbiomed.2020.104051
  5. Thromboinflammation in COVID-19 acute lung injury.
    Mitchell WB. · · 2020 · cited 54× · PMID 32653469 · DOI 10.1016/j.prrv.2020.06.004
  6. Emerging Mechanisms of Pulmonary Vasoconstriction in SARS-CoV-2-Induced Acute Respiratory Distress Syndrome (ARDS) and Potential Therapeutic Targets.
    Karmouty-Quintana H, Thandavarayan RA, Keller SP, Sahay S, et al · · 2020 · cited 42× · PMID 33138181 · DOI 10.3390/ijms21218081
  7. Cancer, immune suppression and Coronavirus Disease-19 (COVID-19): Need to manage drug safety (French Society for Oncology Pharmacy [SFPO] guidelines).
    Slimano F, Baudouin A, Zerbit J, Toulemonde-Deldicque A, et al · · 2020 · cited 29× · PMID 32623296 · DOI 10.1016/j.ctrv.2020.102063
  8. Nitric oxide: Clinical applications in critically ill patients.
    Redaelli S, Magliocca A, Malhotra R, Ristagno G, et al · · 2022 · cited 28× · PMID 35123061 · DOI 10.1016/j.niox.2022.01.007

Verify or expand the search:

Other trials of Nitric Oxide

Trials testing the same drug.

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Other University Health Network, Toronto trials

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