Cyclosporine in Patients With Moderate COVID-19

  • STATUS
    Recruiting
  • participants needed
    20
  • sponsor
    University of Pennsylvania
Updated on 19 February 2024
estimated creatinine clearance
cyclosporine
covid-19
SARS
oxygen supplementation
cyclosporin a
acute respiratory syndrome (sars)

Summary

Phase 1 safety study to determine the tolerability, clinical effects, and changes in laboratory parameters of short course oral or IV cyclosporine (CSA) administration in patients with COVID-19 disease requiring oxygen supplementation but not requiring ventilator support.

Description

Our overall hypothesis is that CSA is safe in this patient population and that it will have antiviral and anti-cytokine effects as measured in laboratory tests.

The initial dose will be 9 mg/kg/day oral divided q12h or 3 mg/kg/day by continuous IV infusion. Oral administration is generally preferred, however IV administration can be used if oral administration is not feasible or cannot be tolerated, or at the physician-investigator's clinical discretion. The dose will be adjusted to target a trough level of 200 to 300 ng/ml, which is in alignment with common clinical practice. The planned duration of CSA treatment is up to 14 days, with planned discontinuation upon discharge from the hospital. Dose reduction of 25% to 50% can be made for patients who experience adverse events such as hypertension or serum creatinine elevation.

The end of study will be study day 30 for those patients who have been discharged from the hospital. If the patient remains in the hospital, the subject will still complete the end of study visit at day 30 as planned, but will continue to be followed until date of discharge.

Details
Condition Covid 19
Age 18years - 100years
Treatment Cyclosporine
Clinical Study IdentifierNCT04412785
SponsorUniversity of Pennsylvania
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Male or female, aged >18\
Admitted to hospital with laboratory confirmation of SARS-CoV-2 infection
Estimated creatinine clearance >50 ml/min using standard Cockcroft-Gault formula

Exclusion Criteria

Are admitted to the ICU at time of enrollment
Have an active uncontrolled infection with a non-COVID-19 agent
Have an active malignancy, not including non-melanoma skin cancer, superficial cervical or bladder cancer, MGUS, or prostate cancer with PSA <1.0
Are on chronic immune suppressive medications, including
corticosteroid therapy at a prednisone equivalent dose of 10 mg per day or higher; therapy with calcineurin inhibitors or mTOR inhibitors
Are pregnant
Are lactating
Have a known allergic reaction to components of the CSA or its diluents
Are receiving investigational vaccine for SARS-CoV-2
Clear my responses

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