RecruitingPhase 4NCT06008860

A Pilot Clinical Evaluation of Astepro® Nasal Spray for Management of Early SARS-CoV-2 Infection


Sponsor

University of Chicago

Enrollment

280 participants

Start Date

Jul 1, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The study team proposes to evaluate the efficacy of Astepro® 0.15% nasal spray in treating SARS-CoV-2 infection in adults through a pilot and feasibility clinical trial at the University of Chicago.


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • and up
  • Ability to consent
  • Have a Covid-19 positive saliva sample prior to the start of treatment; or positive rapid antigen test at home confirmed via first COVID-19 positive saliva sample
  • Ability to follow the study instructions and adhere to the study procedures
  • Ability to provide every other day saliva samples throughout the study period 10 days, and report symptoms
  • Subjects that have been vaccinated for Covid-19
  • Does not have any symptoms or only experiencing mild symptoms of Covid-19 (e.g., such as fever below a threshold or no fever, or without severe cough, among others).
  • Ability to consent
  • Ability to follow the study instructions and report side effects
  • Ability to provide saliva samples throughout the study period
  • Subjects that have been vaccinated for Covid-19.

Exclusion Criteria14

  • Women who are breastfeeding, pregnant, or who plan to become pregnant
  • Contradictions to intranasal azelastine (known hypersensitivity)
  • Use of other Covid-19 treatments (steroids, convalescent plasma, therapeutic antibodies, etc.)
  • Intranasal, corticosteroid, immunomodulator, or other medication use which can change the effect of Astepro.
  • Prior Covid infection greater than 5 and less than 30 days before enrollment
  • Subjects who have been involved with any other research study within the last 30 days.
  • A prior hypersensitivity to olopatadine (Patanase), diphenhydramine, hydroxyzine.
  • Subjects that have not been vaccinated for Covid-19. Subjects that have moderate to severe COVID-19 symptoms, or signs of meeting indications (e.g.
  • Shortness of Breath, chest pains) for urgent or emergent therapy (these subjects will be advised to seek emergency medical assistance).
  • Prior Covid infection less than 30 days or greater 5 days prior to enrollment in study
  • Use of other Covid-19 treatments
  • Having a positive rapid home or PCR COVID test prior to the positive test for the primary cohort subject they're associated with
  • Involved with any other research study within the last 30 days
  • Subjects that have not been vaccinated for Covid-19.

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Interventions

DRUGExperimental: Primary Cohort

Astepro (azelastine) is a second generation antihistamine, as well as an anti-inflammatory and mast cell stabilizer8. It is available as a 0.1% and 0.15% nasal spray by prescription in the USA and over-the-counter in the European Union (EU). Dosing for adults and adolescents 12 years and older is 1 or 2 sprays per nostril twice daily (0.1%) or 2 sprays per nostril once daily (0.15%)9. It is approved by the FDA for treatment of seasonal allergic rhinitis symptoms (rhinorrhea, sneezing, and nasal pruritus) in adults and children 2 years and older, perennial allergic rhinitis in adults and children ages 6 months and older, and the symptoms of vasomotor rhinitis (rhinorrhea, nasal congestion and postnasal drip) in adults and adolescents 12 years and older9.

OTHERPlacebo Comparator: Primary Cohort - Placebo

A Placebo will be provided by Bayer which features similar color and packaging as azelastine.


Locations(1)

University of Chicago

Chicago, Illinois, United States

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NCT06008860


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