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S-Nitrosylation Therapy for COVID-19

Phase < 1
Waitlist Available
Led By Robert Schilz, DO, PhD
Research Sponsored by Robert Schilz
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients enrolled and able to start ENO treatment after oxygen stabilization
Spontaneously breathing subjects receiving > 4 liters/min of oxygen
Must not have
COVID-19 patients receiving supplemental oxygen with active ventilatory support, CPAP, etc
Individuals with an inherited or acquired blood coagulation disorder, congenital methemoglobinemia, or a familial hemoglobinopathy that impacts oxygen delivery (e.g. sickle cell)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 30, 60 days

Summary

This trial is testing a therapy for people with severe symptoms of Covid-19.

Who is the study for?
This trial is for adults aged 18-89 with confirmed COVID-19, experiencing mild respiratory distress and needing more than 4 liters/min of oxygen but not on active ventilatory support. They must be able to consent or have a representative who can. Excluded are pregnant/breastfeeding individuals, those with certain heart/lung/kidney diseases, anemia, taking specific medications that could interact negatively, or at high risk of methemoglobin formation.
What is being tested?
The study tests S-nitrosylation therapy using SNO and nitrogen gas in treating severe acute respiratory syndrome coronavirus (SARS-CoV2) infection. It aims to see if this treatment can help patients breathe better without the need for more intensive breathing support like ventilators.
What are the potential side effects?
Potential side effects may include issues related to inhaling gases such as discomfort or difficulty due to prolonged mask use. There might also be risks associated with nitrosylation therapy itself which aren't specified here but could involve changes in blood chemistry.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I can start ENO treatment after my oxygen levels are stable.
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I need more than 4 liters per minute of oxygen to breathe on my own.
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I am between 18 and 89 years old.
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I have mild breathing difficulties.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am a COVID-19 patient using extra oxygen or a machine to help me breathe.
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I have a blood disorder that affects clotting or oxygen delivery.
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I am not taking medication that affects blood pressure or oxygen levels.
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I am currently taking nitrates for my condition.
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I am on a heart-lung machine or intubated with a ventilator.
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I have a history of lung cancer, lung removal, or lung transplant.
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I have COVID-19 but little to no trouble breathing.
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I have had a cardiac arrest and received CPR for more than 30 minutes.
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I am a COVID-19 patient needing high levels of oxygen.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~30, 60 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and 30, 60 days for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Frequency of Intubation
Progression to use of ECMO
Treatment Emergent Adverse Events
Secondary study objectives
All-Cause Mortality
Clinical Status
Discontinuation of Oxygen Therapy
+4 more

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: SNOExperimental Treatment1 Intervention
12 patients in the S-nitrosylation arm will receive SNO (six-hour treatment with a sequential increasing dose regimen of 20 ppm x 2 hr, 40 ppm x 2 hr, 80 ppm x 2 hr).
Group II: PlaceboPlacebo Group1 Intervention
12 patients in the placebo arm will receive nitrogen gas (six-hour treatment).

Find a Location

Who is running the clinical trial?

Robert SchilzLead Sponsor
James ReynoldsLead Sponsor
2 Previous Clinical Trials
84 Total Patients Enrolled
Case Western Reserve UniversityOTHER
309 Previous Clinical Trials
251,235 Total Patients Enrolled
Robert Schilz, DO, PhDPrincipal InvestigatorUniversity Hospitals Cleveland Medical Center

Media Library

Nitrogen gas (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04528771 — Phase < 1
~2 spots leftby Mar 2025