GOTCHA: GlitazOne Treatment for Coronavirus HypoxiA, a Safety and Tolerability Open Label With Matching Cohort Pilot Study
Study Details
Study Description
Brief Summary
Pioglitazone is an approved anti-hyperglycemic medication and is thought to have anti-inflammatory properties. This study seeks to gather safety and tolerability data related to pioglitazone when given to patients who require hospital admission for confirmed positive COVID-19 infections with elevated blood sugar levels as compared to patients who did not receive pioglitazone during their hospitalization for COVID-19.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Pioglitazone group Participants will receive pioglitazone 15mg to 30mg daily oral or enteral during hospitalization for up to 30 days in addition to standard of care |
Drug: Pioglitazone
Receive pioglitazone 15mg - 30mg daily
|
No Intervention: Matching cohort group Participants will standard of care |
Outcome Measures
Primary Outcome Measures
- Adverse events outcomes without attribution [Baseline, until 30 days after last dose]
Number and type of adverse events
- Adverse events attributable [Baseline, until 30 days after last dose]
Number and type of adverse events
Secondary Outcome Measures
- Clinical improvement [Baseline, until 30 days after last dose]
Disease severity as measured by 7 point ordinal scale
- Levels of treatment [Baseline, until 30 days after last dose]
Type of oxygen support treatment
- d-Dimer [Baseline, until 30 days after last dose]
Change from Baseline of d-Dimer
- C Reactive Protein [Baseline, until 30 days after last dose]
Change from Baseline of CRP
- Ferritin [Baseline, until 30 days after last dose]
Change from Baseline of Ferritin
- Lactate dehydrogenase [Baseline, until 30 days after last dose]
Change from Baseline of Lactate dehydrogenase
- A1c [Baseline, until 30 days after last dose]
Change from Baseline of A1c
Eligibility Criteria
Criteria
Inclusion Criteria:
-
18 years or older
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Laboratory confirmed COVID-19 requiring hospitalization
-
A1c greater than 5.6% as measured in the last 30 days
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Women of child-bearing potential who agree to use highly effective method of contraception (defined as either abstinence, condom, diaphragm, and/or oral or injected hormonal contraception) during dosing and for 30 days after last dose
-
MRSA PCR screen negative
Exclusion Criteria:
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Pregnancy or nursing
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Congestive Heart Failure all classes (NYHA Class I, II, III or IV)
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Liver enzyme ALT greater than 2.5 times upper limit of normal
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End stage renal disease
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Hypersensitivity or allergy to a TZD (thiazolidinedione)
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Active bladder cancer
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Currently taking a beta blocker, a CYP2C8 inhibitor or inducer such as gemfibrozil or rifampin, a TZD
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Other current or historical illness that in the opinion of the investigator at attending provider would interfere with the subject's ability to complete the study or make it not in the best interest of the subject to participate
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Good Samaritan Hospital Corvallis | Corvallis | Oregon | United States | 97330 |
Sponsors and Collaborators
- Samaritan Health Services
Investigators
- Principal Investigator: Brian Delmonaco, MD, Samaritan Health Services
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB20-042