Adult respiratory distress syndrome (ARDS) secondary to SARS-CoV-2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of SARS-CoV-2 by testing the polymerase chain reaction performed on a respiratory sample; 2. Pneumonia confirmed by radiological imaging test; 3. ARDS Criteria: (i) bilateral infiltrates; (ii) PO2/FiO2 =65 years) yes F.1.3.1 Number of subjects for this age range 65
Exclusion criteria
Exclusion criteria: 1. Age <18 years; 2. Less than 5 days from the onset of symptoms to randomization; 3. Pregnancy; 4. Hypersensitivity or known allergy to methylprednisolone; 5. Bacterial infection: not drained abscess, intravascular infection, bacterial pneumonia, septic shock, disseminated fungal infection; 6. Participation in another trial in the previous 30 days; 7. Acquired immunodeficiency syndrome; 8. Previous use of corticosteroids (cumulative dose of prednisone [or equivalent] of more than 300 mg in the last 21 days; or more than 15 mg/day in the last 7 days before randomization); 9. Cytotoxic treatment in the last 3 weeks; 10. Known or suspected adrenal insufficiency; 11. Lung or bone marrow transplant; 12. Severe liver disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of methylprednisolone treatment, added to the standard treatment, in patients with ARDS secondary tp SARS-CoV-2 .;Secondary Objective: To evaluate the safety of methylprednisolone treatment, added to the standard treatment, in patients with ARDS secondary to SARS-CoV-2.;Primary end point(s): The primary end point of efficacy will be death for any cause in the first 28 days after randomization.;Timepoint(s) of evaluation of this end point: The first 28 days after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The secondary end points of efficacy will be: • Mortality from any cause on days 7 and 14 after randomization. • Days without mechanical ventilation (invasive or non-invasive) within the first 28 days after randomization. • Duration of hospitalization (in survivors). The secondary end points of safety will be: • Adverse reactions in the first 28 days after randomization.;Timepoint(s) of evaluation of this end point: In the first 28 days after randomization. On 7 and 14 days after randomization ( mortality for any cause) | — |
Countries
Spain
Contacts
Fundación para la Investigación Biomédica Hospital Ramón y Cajal