The aim of this study is to evaluate the efficacy and safety of MTX-loaded nanoparticles in three different doses to treat severe COVID-19 patients.
Patients with acute lung injury caused by COVID-19 disease are experiencing an inflammatory reaction that can be harmful and worsen the severity of the clinical condition. Thus, the use of MTX-loaded nanoparticules in patients with acute lung injury secondary to COVID-19 aims to decrease the exacerbated inflammatory reaction leading to a decrease in cell damage caused by this inflammatory process in patients. The study will be divided in 3 phases: Phase A (n=4): IV administration of 20 mg of MTX-loaded nanoparticles. Four doses of Investigational Product (IP) will be administered, once per week. If patients show clinical improvement after 2nd or 3rd administration, the next phase will start. Phase B (n=12): IV administration of 30 mg of MTX-loaded nanoparticles. Four doses of Investigational Product (IP) will be administered, once per week. If patients show clinical improvement after 2nd or 3rd administration, the next phase will start. Fase C (n=26): IV administration of 40 mg of MTX-loaded nanoparticules. Four doses of Investigational Product (IP) will be administered, once per week.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
42
Phase A: Subjects will be dosed 20 mg of MTX IV, once per week (total of 4 doses).
Phase B: Subjects will be dosed 30 mg of MTX IV, once per week (total of 4 doses).
Phase C: Subjects will be dosed 40 mg of MTX IV, once per week (total of 4 doses).
Prevent Senior Private Operadora de Saúde LTDA.
São Paulo, Brazil
Change in clinical conditions
Clinical condition will be measured by lung injuries
Time frame: 21 days
Change of Clinical symptoms - respiratory rate
Evaluation of Pneumonia change
Time frame: 21 days
Hypoxia
oxygen saturation
Time frame: 21 days
Changes of blood oxygen
PaO2 / FiO2 ratio
Time frame: 21 days
Inflammatory parameters
C-reactive protein and ferritin
Time frame: 21 days
Evolution of Acute Respiratory Syndrome
Time to wean off oxygen invasive ventilatory support
Time frame: 21 days
Hospital discharge
Time to be discharged from hospital
Time frame: 21 dyas
ICU discharge
Time to be discharged from ICU
Time frame: 21 days
Rate of mortality
Evaluation of change in acute respiratory syndrome
Time frame: 4 months
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