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NCT04560231: RC19LGH

Remdesivir in COVID-19 Lahore General Hospital

Status unknown EARLY_PHASE1 Last updated 25 September 2020
What this trial tests

EARLY_PHASE1 trial testing Remdesivir in SARS-CoV Infection in 30 participants. Status unknown.

Timeline
1 June 2020
Primary endpoint
30 November 2020
30 November 2020

Quick facts

Lead sponsorLahore General Hospital
PhaseEARLY_PHASE1
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment30
Start date1 June 2020
Primary completion30 November 2020
Estimated completion30 November 2020
Sites1 location across Pakistan

Drugs / interventions tested

Conditions studied

Sponsor

Lahore General Hospital

Who can join

Adults 15 to 80, any sex, with SARS-CoV Infection. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Remdesivir is a monophosphoramidate prodrug of an adenosine analogue and it has a broad-spectrum antiviral activity against paramyxoviruses, falviviruses and coronaviruses. It showed in vitro activity on human airway epithelial cells against SARS-CoV-2. It is an investigational drug and granted an Emergency Use Authorization by Food and Drug Administration FDA, so it is under clinical trial. The potent mechanism of action of this drug is still unclear but it effects through several processes. It can interfere with nsp12 polymerase even when exoribonuclease proofreading is intact. It can also produce nucleoside triphosphate NTP that acts pharmacologically active alternate substrate of RNA-chain terminator, as a result NTP can constrain active triphosphates into viral RNA of coronaviruses. There is evidence of high genetic barrier to develop resistance against Remdesivir in coronavirus as a result of which is maintains its effectiveness in antiviral therapies against these viruses. Effectiveness of Remdesivir has been reported against different groups of coronaviruses including Alphacoronavirus NL63 and several SARS/MERS-CoV coronaviruses.

Publications & conference data

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

  1. Remdesivir for treatment of COVID-19; an updated systematic review and meta-analysis.
    Rezagholizadeh A, Khiali S, Sarbakhsh P, Entezari-Maleki T. · · 2021 · cited 85× · PMID 33549577 · DOI 10.1016/j.ejphar.2021.173926
  2. 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
  3. 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
  4. Potential Anti-SARS-CoV-2 Prodrugs Activated by Phosphorylation and Their Role in the Aged Population.
    Chavda VP, Teli D, Balar PC, Vaghela D, et al · · 2023 · cited 3× · PMID 36903575 · DOI 10.3390/molecules28052332

Verify or expand the search:

Other trials of Remdesivir

Trials testing the same drug.

Other recruiting trials for SARS-CoV Infection

Currently open trials in the same condition.

Other Lahore General Hospital trials

Trials by the same sponsor.

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Data sources for this page

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