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SHIELD Study: Using Naso-oropharyngeal Antiseptic Decolonization to Reduce COVID-19 Viral Shedding

Role of NaSo-oropHaryngeal Antiseptic dEcolonizaiton to Reduce Covid-19 Viral Shedding and Disease Transmission: SHIELD Study

Status
Completed
Phases
Early Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04478019
Acronym
SHIELD
Enrollment
245
Registered
2020-07-20
Start date
2020-07-07
Completion date
2022-06-30
Last updated
2022-07-14

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

Conditions

COVID-19, SARS-CoV 2

Keywords

COVID-19, povidone-iodine, chlorhexidine gluconate, transmission, virology

Brief summary

Essential workers in positions with increased likelihood of exposure to SARS-CoC-2 will be most impacted by the proposed project. Evidence has shown that the SARS-CoV-2 novel coronavirus is easily transmissable through close contact between individuals, especially during aerosol-generating procedures such as intubation of patients. The intervention proposed in this study (nasal and oral decontamination with povidone-iodine and chlorhexidine, respectively) presents an opportunity for a safe, effective, and feasible treatment to decontaminate the primary entry points for SARS-CoV-2. As such, the intervention to be studied in this project may protect healthcare and other essential workers by preventing transmission of SARS-CoV-2 from patients to healthcare workers, as well as the general public to essential worker,. and thus reducing the incidence of COVID-19 in these workers.

Interventions

DRUG10% Povidone-iodine nasal decolonization swab plus 0.12% CHG oral rinse

2 swab sticks of 10% povidone-iodine in each nares and 0.12% CHG oral rinse

Sponsors

University of Wisconsin, Madison
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

Two-period cross-over trial with a wash-out period between two study intervention periods. Participants will be randomized in a 1:1 ratio to two intervention sequences: active intervention followed by a no intervention control; or no intervention control followed by active intervention

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Participant is a essential worker performing at least some in-person job duties (not 100% remote) * Participant is willing and able to perform intervention and data collection procedures. * Participant is able to provide informed consent in English language.

Exclusion criteria

* Diagnosis of COVID-19 within 2 months prior to enrollment, or active respiratory illness symptoms at time of enrollment * Known medical contraindication to chlorhexidine gluconate or povidone-iodine treatment ingredients (such as a known allergy) * Participant has a known medical and/or surgical reason prohibiting nasal swab sampling. * Participant is female who is pregnant, or believes she may be pregnant, at time of enrollment. * Participant is actively taking/using any treatments or interventions as part of any other COVID-19 related investigational trials.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants with COVID-19 diagnosis8 weeksParticipants will be monitored for positive COVID-19 test results during this trial
SARS-Cov-2 Viral Load8 weeksViral load will be measured as a continuous outcome for each participant (three times per week) throughout this trial.

Secondary

MeasureTime frameDescription
Fidelity of the treatment regimen8 weeksAssessment of fidelity (as measured by percentage of compliance) to the treatment regimen will be measured by participants' reporting of intervention doses take through a daily treatment diary.
Feasibility of the treatment regimen2 weeks total: 1 week (pre-intervention) and 1 week after completion of intervention (post-intervention)A survey asking subjects to rank several factors that contribute to overall feasibility of use will be given pre- and post-intervention treatment.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 12, 2026