This phase II trial studies low-dose radiation therapy as a treatment for patients with severe COVID-19 pneumonia to improve clinical status.
PRIMARY OBJECTIVE: I. To compare treatment of severe COVID-19 pneumonia between supportive care and standard of care drug therapies versus supportive care and standard of care drug therapies plus low-dose, whole-lung radiation therapy OUTLINE: Patients undergo 1.5Gy of single low-dose radiation therapy. After completion of study treatment, patients are followed up at days 1-7, and 14 after last dose of intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
40
1.5Gy single treatment of whole-lung radiation therapy
Clinical improvement
improvement of oxygen saturation in percentage
Time frame: 28 days after radiation therapy
Temperature
Temperature in degrees (˚C)
Time frame: 28 days after radiation therapy
Heart Rate
Heart rate in beats per minutes
Time frame: 28 days after radiation therapy
Systolic blood pressure
Systolic blood pressure in mm Hg Systolic blood pressure in mm Hg
Time frame: 28 days after radiation therapy
Respirations Respirations Respirations Respirations Respirations Respirations
Respiratory rate in breaths per minute
Time frame: 28 days after radiation therapy
FiO2
Fi02 in percentage
Time frame: 28 days after radiation therapy
PEEP Tidal volume Tidal volume
Positive end expiratory pressure (PEEP) in cm H20
Time frame: 28 days after radiation therapy
Overall survival Overall survival
Survival in percentage
Time frame: 28 days after radiation therapy
Chest CT can
CT scans with volume of consolidation measured in cubic centimeters
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Time frame: 28 days after radiation therapy
Blood Test
Time frame: 28 days after radiation therapy
Urine Test
Time frame: 28 days after radiation therapy