Fibrosis after Severe Coronavirus Disease 2019 (COVID-19) Pneumonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged from 18 to 80 years; 2. conformed to epidemic history; 3. fever and respiratory symptoms; 4. normal or decreased leukocyte count in peripheral blood; or decreased lymphocyte count; 5. conformed to imaging features of COVID-19 pneumonia; 6. positive for COVID-19 nucleic acid test or second-generation sequencing of pathogens; 7. serum KL- 61500U / ml; 8. and conforms to any of the following: (1) respiratory distress, RR >=30 beats / min; (2) oxygen saturation <=93% at rest; (3) partial pressure of arterial oxygen (PaO2) / oxygen concentration (FiO2) <=300mmHg (1mmHg=0.133kPa).
Exclusion criteria
Exclusion criteria: 1. people who are allergic to pifenidone capsules; 2. the researchers judged that the compliance of the subjects was not good; 3. those who cannot take drugs through gastrointestinal tract; 4. any significant clinical or laboratory abnormalities that may affect the safety assessment, such as: serum creatinine > 2mg/dL or 176.8mmol sputum alt, AST >=2.5 ULN or TBIL >=1.5 ULN; 5. patients with severe liver disease; 6. pregnant and lactating patients; 7. patients with severe nephropathy or requiring dialysis treatment; 8. those who need to take fluvoxamine at the same time (a drug for the treatment of depression or obsessive-compulsive disorder).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HRCT pulmonary fibrosis score; | — |
Countries
China
Contacts
State Key Laboratory of Respiratory Disease, National Clinical Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University