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NCT04399356

Niclosamide for Mild to Moderate COVID-19

Completed Phase 2 Results posted Last updated 12 April 2022
What this trial tests

Phase 2 trial testing Niclosamide in COVID-19 in 73 participants. Completed in 19 August 2021.

Timeline
1 October 2020
Primary endpoint
20 April 2021
19 August 2021

Quick facts

Lead sponsorTufts Medical Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment73
Start date1 October 2020
Primary completion20 April 2021
Estimated completion19 August 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Tufts 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.

Time to Respiratory Viral Clearance Primary · Reduction in viral shedding as measured by oropharyngeal swab on days, 3, 7, 10, 14.

Respiratory viral clearance is defined as the first day a participant's oropharyngeal (oral) sample result is negative, provided that none of the subsequent oral sample results are positive. We will calculate the time to clearance since Day 1.

GroupValue95% CI
Niclosamide- Experimental Group3.391.88 – 4.91
Control Group3.442.23 – 4.65
Time to Fecal Viral Clearance Secondary · Reduction in fecal viral shedding as measured by fecal PCR on days, 3, 7, 10, 14 and 21.

Reduction in fecal viral shedding as measured by fecal PCR on days, 3, 7, 10, 14 and 21. Fecal viral clearance is defined as the first day a participant's fecal sample result is negative, provided that none of the subsequent fecal sample results are positive; calculated as the time to clearance since Day 1.

GroupValue95% CI
Niclosamide- Experimental Group6.123.51 – 8.73
Control Group5.773.3 – 8.23
Number of Participants With Progression to Severe COVID-19 Disease Secondary · Day 1- 30

Defined as 1) O2 saturation \<92% on room air (in two consecutive measurements at least 2 hours apart) OR 2) requirement of hospitalization OR 3) need for artificial ventilation OR 4) death. 1) We will compare the proportion of participants who progressed to severe COVID disease between groups.

GroupValue95% CI
Niclosamide- Experimental Group0
Control Group1
Number of Days to Resolution of a Fever Secondary · Day 1-30

Mean time to fever resolution (symptom no longer reported).

GroupValue95% CI
Niclosamide- Experimental Group10.21.86 – 18.54
Control Group3.62.07 – 5.13

Adverse events — posted to ClinicalTrials.gov

Time frame: 30 days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Niclosamide- Experimental Group
Serious: 0/33 (0%)
Deaths: 0/33
Control Group
Serious: 0/34 (0%)
Deaths: 0/34
Other adverse events (3 terms — click to expand)

ReactionSystemNiclosamide- Experimental …Control Group
NauseaGastrointestinal disorders
Skin rashSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders

Data from ClinicalTrials.gov NCT04399356 adverse events section.

Sponsor's own description

This study will evaluate the antihelmintic drug, Niclosamide, as a potential treatment for mild to moderate coronavirus disease 2019 (COVID-19).

Publications & conference data

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

  1. SARS-CoV-2 Antiviral Therapy.
    Tao K, Tzou PL, Nouhin J, Bonilla H, et al · · 2021 · cited 80× · PMID 34319150 · DOI 10.1128/cmr.00109-21
  2. Small molecules in the treatment of COVID-19.
    Lei S, Chen X, Wu J, Duan X, et al · · 2022 · cited 74× · PMID 36464706 · DOI 10.1038/s41392-022-01249-8
  3. Short linear motif candidates in the cell entry system used by SARS-CoV-2 and their potential therapeutic implications.
    Mészáros B, Sámano-Sánchez H, Alvarado-Valverde J, Čalyševa J, et al · · 2021 · cited 69× · PMID 33436497 · DOI 10.1126/scisignal.abd0334
  4. Races of small molecule clinical trials for the treatment of COVID-19: An up-to-date comprehensive review.
    Hu S, Jiang S, Qi X, Bai R, et al · · 2022 · cited 68× · PMID 34762760 · DOI 10.1002/ddr.21895
  5. Niclosamide-A promising treatment for COVID-19.
    Singh S, Weiss A, Goodman J, Fisk M, et al · · 2022 · cited 64× · PMID 35348204 · DOI 10.1111/bph.15843
  6. The mechanism underlying extrapulmonary complications of the coronavirus disease 2019 and its therapeutic implication.
    Ning Q, Wu D, Wang X, Xi D, et al · · 2022 · cited 64× · PMID 35197452 · DOI 10.1038/s41392-022-00907-1
  7. Efficacy of Niclosamide vs Placebo in SARS-CoV-2 Respiratory Viral Clearance, Viral Shedding, and Duration of Symptoms Among Patients With Mild to Moderate COVID-19: A Phase 2 Randomized Clinical Trial.
    Cairns DM, Dulko D, Griffiths JK, Golan Y, et al · · 2022 · cited 47× · PMID 35138402 · DOI 10.1001/jamanetworkopen.2021.44942
  8. TMPRSS2 and RNA-Dependent RNA Polymerase Are Effective Targets of Therapeutic Intervention for Treatment of COVID-19 Caused by SARS-CoV-2 Variants (B.1.1.7 and B.1.351).
    Lee J, Lee J, Kim HJ, Ko M, et al · · 2021 · cited 24× · PMID 34378968 · DOI 10.1128/spectrum.00472-21

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