Status:

TERMINATED

Estradiol and Progesterone in Hospitalized COVID-19 Patients

Lead Sponsor:

Tulane University

Conditions:

Covid19

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine to what extent a short systemic steroid therapy with estradiol and progesterone, administered early to hospitalized and confirmed COVID-19 positive patients o...

Detailed Description

Severe Acute Respiratory Syndrome Associated Corona Virus (SARS-CoV-2), causing COVID-19, has killed over 2.8 million people globally, including 550,000 in the US as of March 2021. Although, the vacci...

Eligibility Criteria

Inclusion

  • Hospitalization at Tulane Medical Center in the Department of General Internal Medicine and Geriatrics with COVID-19 (WHO Ordinal scale score 3-5) and confirmed by SARS-CoV-2 Polymerase Chain Reaction (PCR).
  • Respiratory symptoms (fever, shortness of breath or cough) or abnormal lung exam or chest imaging characteristic of mild to severe COVID-19 pneumonia.
  • Patient and/or legally authorized representative (LAR) agrees to comply with study procedures and the collection of blood samples per protocol.
  • Patient and/or LAR agrees to be placed on prophylactic dose of anticoagulation for prevention of deep venous thrombosis (DVT) (if necessary).
  • Patient or legally authorized representative has signed informed consent.
  • Women of childbearing age with a negative pregnancy test on admission.

Exclusion

  • Patient under 18 years of age.
  • Critical COVID-19 (respiratory failure requiring intubation and mechanical ventilation, shock, multi-organ failure).
  • Pregnant women confirmed by pregnancy test.
  • Women who are within six weeks of postpartum.
  • Patient is not hospitalized at Tulane Medical Center with confirmed COVID-19.
  • Patient included in another COVID-19 trial (excluding hydroxychloroquine and dexamethasone).
  • Women already treated by estrogen and or progestogen therapy two weeks prior to admission.
  • Men already treated by testosterone therapy prior to admission.
  • History of breast or endometrial cancer.
  • Abnormal genital bleeding.
  • Active or recent (e.g., within the past year) stroke or myocardial infarction.
  • History of blood clots including deep vein thrombosis related to clotting disease, or pulmonary emboli (prior to hospitalization).
  • History of liver dysfunction or disease.
  • Patients with end-stage renal disease
  • Patients taking inhibitors of CYP3A4 such as erythromycin, clarithromycin, ketoconazole, itraconazole, and ritonavir.
  • Patients taking St. John's Wort preparations (Hypericum perforatum), phenobarbital, carbamazepine, and rifampin.
  • Patients within 6 weeks of major orthopedic surgery.

Key Trial Info

Start Date :

July 22 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 25 2022

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT04865029

Start Date

July 22 2021

End Date

January 25 2022

Last Update

June 27 2023

Active Locations (1)

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Tulane University Medical Center

New Orleans, Louisiana, United States, 70112