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This is a double-blinded, placebo-controlled parallel, phase II clinical efficacy study evaluating Nitric Oxide Nasal Irrigation (NONI) for the treatment of COVID-19 in individuals with mild COVID-19 Infection.
Up to 50 subjects will be enrolled into one of two cohorts of this study in a ratio of 1:1 (Treatment: Placebo Control). Subjects will be screened and randomized into one of two parallel cohorts.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nitric Oxide Releasing Solution | Experimental | Daily nasal irrigation (240mL) 14.4ppm |
|
| Placebo Isotonic Saline | Placebo Comparator | Daily nasal irrigation (240mL) 0.9% saline |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nitric Oxide-Releasing Drug | Drug | Nasal Spray + Nasal Irrigation |
|
| Measure | Description | Time Frame |
|---|---|---|
| To Measure the efficacy of NONI compared to saline placebo control to shorten the duration of COVID-19 viral infectivity | Measure the SARS-CoV-2 viral load (Cycle threshold) at baseline through Day 6 between NONI and control arms. | 6 Days |
| Measure | Description | Time Frame |
|---|---|---|
| To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection | Measure the proportion of subjects reaching Ct threshold (ie: unmeasurable viral load) between NONI and control | 2, 4 and 6 days |
| To Measure the virucidal effect of NONI compared to placebo in the nasal cavity in subjects with mild COVID-19 infection |
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Inclusion Criteria:
Capable of understanding and providing signed informed consent and ability to adhere to the requirements and restrictions of this protocol;
Men and Women ≥ 18years of age;
Internet access and capability and willingness to use to participate in audio or audio/video engagements with medical professionals, receive texts, emails, and phone calls from study staff and have a device and reasonable cellular data or other internet access to submit daily study required information using a smart phone, tablet, laptop, or desktop computer during the study period;
COVID-19 infection confirmed with a laboratory antigen or SARS-CoV-2 RT-PCR nasal swab;
Specimen collected within the past 48 hours;
Mild COVID /FLU symptoms which may include no symptoms, fever, cough, sore throat, malaise, headache, muscle pain, gastrointestinal symptoms, lack of taste or smell without shortness of breath or dyspnea;
Must be willing to use one highly effective birth control method which include: abstinence, hormonal contraceptives (e.g. combined oral contraceptives, patch, vaginal ring, injectables, and implants); intrauterine device (IUD) or intrauterine system (IUS); vasectomy and tubal ligation or to use two forms of effective birth control methods which include: barrier methods of contraception (e.g. male condom, female condom, cervical cap, diaphragm, contraceptive sponge);
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mike armstrong, MD | Richmond ENT | Principal Investigator |
| Chris Miller, Ph.D | SaNOtize Scientific Advisor | Study Director |
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| ID | Term |
|---|---|
| D045169 | Severe Acute Respiratory Syndrome |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
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| ID | Term |
|---|---|
| D009569 | Nitric Oxide |
| ID | Term |
|---|---|
| D026361 | Reactive Nitrogen Species |
| D005609 | Free Radicals |
| D007287 | Inorganic Chemicals |
| D009589 | Nitrogen Oxides |
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Measure the difference in time-to Ct threshold (ie: unmeasurable viral load) between NONI and control. |
| 2, 4 and 6 days |
| To Measure the efficacy of NONI in prevention of progression of COVID-19 | Measure the proportion of subjects requiring hospitalization or ER/ED visits for COVID-19/flu-like symptoms | 28 days |
| To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life (QoL) in subjects with COVID-19 | Measure the difference in 12-point COVID Symptom PROs score 0-3 (min 0 & max 36) and a QoL score from 0-100 (lower is worse) from baseline between NONI and control arms. | 6 days |
| To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19 | Measure the difference in proportion of subjects experiencing a reduction of ≥ 5 from baseline between NONI and control arms. | 2, 4, 6, 14 and 28 days |
| To measure reduction of patient reported outcome (PRO) of clinical cold score symptoms and quality of life in subjects with COVID-19 | Measure the difference in proportion of subjects with reduction to a score of zero from baseline between NONI and control arms. | 2, 4, 6, 14 and 28 days |
| To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection | Number of participants lost-to-follow-up,discontinuing study treatment or number of treatments due to intolerance | 14 days |
| To measure the tolerance of NONI compared to saline placebo in participants with mild COVID-19 infection | Severity and frequency of adverse events, pain, discomfort or discontinuations of treatment. | 14 days |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| D017672 |
| Nitrogen Compounds |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |
| D009930 | Organic Chemicals |