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Continuous low dose subcutaneous lidocaine for treatment of pneumonia in COVID*19 patients.   A randomised controlled (RCT) open*label phase III study.

Continuous low dose subcutaneous lidocaine for treatment of pneumonia in COVID*19 patients.   A randomised controlled (RCT) open*label phase III study. - Not applicable

Status
Unknown
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON49706
Enrollment
100
Registered
2020-04-22
Start date
Unknown
Completion date
Unknown
Last updated
2024-04-15

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

Conditions

corona virus COVID-19

Interventions

Under normal conditions, a stable lidocaine plasma levels of 0.5 to 2 mcg/ ml (well under the toxic levels of at plasma  concentrations of 5 mcg/ ml or above) can be achieved with a continuous subcuta

Sponsors

Stichting Dutch Covid19 Lidocaine ARDS
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. Age *18 years.  2. Acute disease with radiographic* confirmed pneumonia with a positive test for COVID*19. 3.Patients admitted to the hospital ward with spontaneous breathing are eligible  for inclusion in the study.

Exclusion criteria

Exclusion criteria: 1. Patients known with allergy or hypersensitivity to lidocaine, xylocaine or ligno caine.   2. Treatment with Ivermectin. Reportedly, Ivermectin inhibits the in* vitro replication of SARS*1 CoV*2. 3. Treatment with methylprednisolone as sepsis therapy.

Design outcomes

Primary

MeasureTime frame
The disappearance of the main symptoms of the COVID*19* induced pneumonia within 5 days after the initiation of the  continuous low dose subcutaneous infusion of lidocaine in 50% of the patients. T he relief of these symptoms must be  maintained for at least 48 hours.

Secondary

MeasureTime frame
1. Reduction in time to clinical recovery (TTCR) defined as disappearance of dyspno ea, return of fever to normal  body temperature and relief of cough in the treatment group compared to control  group.  2. Reduction of progression to ARDS after admission to the hospital in patients wit h confirmed COVID*19 ARDS  by 50% in the treatment group compared to the control group.   3. Reduction of hospital stay in the treatment group compared to the control group.  In addition, reduction of  the duration of mechanical ventilation and reduction of the length of ICU stay i n patients who deteriorate  and require mechanical ventilation after the inclusion in the study, in the trea tment group compared to the  control group.   4. Improvement of the illness severity (delta qSOFA of minus 2 points or from *2 po ints to

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)