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Clinical efficacy of Nafamostat for COVID-19 pneumonia

Treatment effect of Nafamostat mesilate in patients with COVID-19 pneumonia: open labelled randomized controlled clinical trial

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
CRIS
Registry ID
KCT0005003
Enrollment
84
Registered
2020-05-11
Start date
2020-05-25
Completion date
Unknown
Last updated
2020-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

Drug : 1. Control group: Conventional treatment * Conventional treatment: Treatments with Lopinavir / ritonavir, Hydroxychloroquine, Oxygen therapy, Non-invasive and invasive ventilaton, antibiotic t
DW infusion, followed by continuous infusion over 24 hours. - Duration of administration: The researcher administers for 10-14 days considering the severity and underlying disease of the clinical tria

Sponsors

Gyeongsang National University Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. 18 years old or older 2. Patients who have been confirmed of COVID-19 infection and has evidence for pneumonia A. Confirmation of COVID-19 infection by RT-PCR of SARS-CoV-2 B. Definite diagnosis of new infiltration of the lungs by chest CT scan of chest radiographic inspection 3. Patients who are within 72 hours of COVID-19 pneumonia confirmation 4. Patients with 3 (hospitalization, not requiring supplemental oxygen) or higher in seven-category ordinal scale of clinical status 5. Patients who are eligible for diagnosis/evaluation to chest CT scan and related to it 6. Patients should be able to understand the essence of the clinical trial and to submit a written consent document. For the patients who can understand the nature of the research but cannot sign the document, a relative can agree to the study.

Exclusion criteria

Exclusion criteria: 1. Patients who have a record of HIV or AIDS 2. Female patients, either who are pregnant within 6 months before the investigation, who breast-fed babies within 3 months before the investigation, or who may get pregnant or breast-feed within 1 month after the investigation is over 3. Patients at high risk of death within 3 days of randomized assignment, by the judge of the investigator 4. Patients with liver cirrhosis whose Child-Puch score is B or C 5. Patients who have liver disease abnormalities with ALT or AST > 5 times ULN 6. Patients who can be in danger or who shows clinically-important other conditions which may interfere with the evaluation or completion of the test procedure, as the investigator’s opinion 7. Patients who are not appropriate for the test, as the investigator’s opinion 8. Patients who have hypersensitivity to the investigational drug

Design outcomes

Primary

MeasureTime frame
Proportion of patients with clinical improvement as defined by live discharge from hospital or a decline of 2 categories on the seven-category ordinal scale of clinical status

Secondary

MeasureTime frame
Time from randomization to a decline of 2 categories on the seven-category ordinal scale of clinical status or live discharge from the hospital, whichever came first.;Clinical status assessed by 7-category ordinal scale;Change in National Early Warning Score (NEWS);Time to National Early Warning Score (NEWS) of = 2 and maintained for 24 hours;Duration of hospitalization;Duration of new non-invasive ventilation or high flow oxygen use;Incidence of new non-invasive ventilation or high flow oxygen use;Duration of new supplement oxygen use;Incidence of new supplement oxygen use;Duration of new ventilator or extracorporeal membrane oxygenation (ECMO) use;Incidence of new ventilator or extracorporeal membrane oxygenation (ECMO) use;Mortality at day 28;Time (days) from treatment initiation to death;Viral load change (log10 viral load) of nasopharyngeal swab and sputum sample for SARS-CoV-2 quantitative RT-PCR;Adverse events that occurred during treatment

Countries

Korea, Republic of

Contacts

Public ContactIN-GYU BAE

Gyeongsang National University Hospital

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026