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Due to the Omicron version of SARS-CoV-2 the COVID-pneumonia patients ran out
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COVID-19 pneumonia manifests among others with a thick bronhial secretion. It contains an increased number of neutrophil extracellular traps (NETs), formed during netosis. DNA is a major component in NETs. DNAse alfa (Pulmozyme®, Roche) is a recombinant human enzyme, registered for inhalations in patients with Cystic fibrosis, in which NETs are also a typical characteristic. DNAse alfa inhalations are typically well tolerated and with no major side effects. Some initial reports exist of using DNAse alfa inhalations in COVID-19 patients, that had benefitial effects. There are some trials registered with ClinicalTrials, investigating the usufulness of DNAse alfa in intubated patients, but the investigators have no knowledge of a trial, investigating the usufulness of this drug in patients receiving High Flow Nasal Oxygen therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 4% saline | Active Comparator | 4% Saline inhalations twice daily |
|
| Pulmosyme | Experimental | DNAse alpha inhalations twice daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dornase Alfa | Drug | inhalations twice daily |
| |
| Saline |
| Measure | Description | Time Frame |
|---|---|---|
| Intubations | Number of intubations necessary | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| PaO2/FiO2 | Increase in PaO2/FiO2 ratio | 7 days |
| inflamation | Reduction of inflamation | 7 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Centre Ljubljana | Ljubljana | 1000 | Slovenia |
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| ID | Term |
|---|---|
| C568813 | dornase alfa |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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Double blind randomised
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| Drug |
inhalations twice daily |
|
|
| D017670 |
| Sodium Compounds |