Status:

UNKNOWN

Pilot Study for Cyproheptadine in Hospitalized Patient for COVID-19

Lead Sponsor:

Ciusss de L'Est de l'Île de Montréal

Conditions:

Viral Pneumonia

COVID-19 Pneumonia

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a Pilot study for evaluating the feasibility, security and efficacy of the use of Cypropheptadine, an antihistaminic and antiserotonin drug, as an adjunct of the standardized treatment in a po...

Detailed Description

Background : Biochemical studies have revealed a significant increase in plasma serotonin levels in patients suffering from COVID-19 multi-organ disease, which appears to be a consequence of platelet...

Eligibility Criteria

Inclusion

  • Women and men aged 18 and over.
  • Requiring treatment for COVID 19 and whose clinical status corresponds to a score equal to or greater than 5 on the WHO Clinical Progression Scale.
  • For the prospective study, able to give informed consent.
  • Not presenting an exclusion criterion

Exclusion

  • Pregnancy
  • Patients with pre-existing terminal condition with life expectancy \< 6 months
  • Patient with clinically frailty according to a score of the clinical frailty scale equal or superior to 7
  • Patients with pre-existing severe lung disease requiring home oxygen therapy.
  • Patients with pre-existing severe hepatic cirrhosis (Grade C according to the Child-Pugh classification)
  • Patients with pre-existing kidney failure (GFR strictly less than 15ml/min/1.73m2 according The KDIGO classification) or requiring renal replacement therapy.
  • Patients with pre-existing angle-closure glaucoma
  • Patient with symptomatic prostatic hypertrophy or bladder neck obstruction
  • Patient with history of seizure disorder
  • Patient with history of adverse reaction to antihistamines or to Cyproheptadine
  • Patients taking routinely SSRI or monoamine oxidase inhibitor therapy.
  • Patients presenting severe hepatic cytolysis with ALP \>5 ULN at the time of study inclusion.

Key Trial Info

Start Date :

June 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 31 2022

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04876573

Start Date

June 1 2021

End Date

January 31 2022

Last Update

May 6 2021

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