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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05184101
Registration number
NCT05184101
Ethics application status
Date submitted
6/01/2022
Date registered
11/01/2022
Titles & IDs
Public title
Inhaled Heparin for Hospitalised Patients With Coronavirus Disease 2019 (COVID-19)
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Scientific title
INHALEd Nebulised Unfractionated HEParin for the Treatment of Hospitalised Patients With COVID-19 (INHALE-HEP) Australia
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Secondary ID [1]
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INHALE-HEP Australia Version 3
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Universal Trial Number (UTN)
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Trial acronym
INHALE-HEP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
COVID-19
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Condition category
Condition code
Infection
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Unfractionated Heparin
Experimental: Nebulised heparin - Participants assigned to 'nebulised heparin' will receive nebulised heparin in addition to the standard care required as determined by the treating team.
No intervention: Standard care - Participants assigned to 'standard care' will receive the standard care required as determined by the treating team and will not be treated with nebulised heparin.
Treatment: Drugs: Unfractionated Heparin
Heparin sodium will be administered as a nebulised aerosol dose of 25,000 IU heparin three times a day (TDS) via an Aerogen Solo (Aerogen, Ireland) vibrating mesh aerosol drug nebulizer.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Intubation
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Assessment method [1]
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The primary outcome is intubation (or death, for patients who died before intubation) before or at day 28 after randomisation.
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Timepoint [1]
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28 days
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Secondary outcome [1]
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Mortality
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Assessment method [1]
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Survival to hospital discharge censored at day 60
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Timepoint [1]
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60 days
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Secondary outcome [2]
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Oxygenation
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Assessment method [2]
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Daily ratio of oxygen saturation by pulse oximetry (SpO2) to the fraction of inspired oxygen (FiO2): (SpO2/FiO2 ratio, highest and lowest levels)
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Timepoint [2]
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28 days
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Secondary outcome [3]
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Length of hospitalisation
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Assessment method [3]
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Duration of hospital length of stay censored at day 60
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Timepoint [3]
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60 days
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Eligibility
Key inclusion criteria
* Age 18 years or older
* Currently admitted to hospital
* There is a positive sample for COVID-19 within the past 14 days. The sample can be a nasal or pharyngeal swab, sputum, tracheal aspirate, bronchoalveolar lavage, or another sample from the patient
* Requiring oxygenation according to the modified ordinal clinical scale 4-5
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Intubated and on mechanical ventilation, or requiring immediate intubation as per the treating clinician's assessment
* Heparin allergy or heparin-induced thrombocytopaenia
* Activated partial thromboplastin time (APTT) > 120 seconds, not due to anticoagulant therapy and does not correct with administration of fresh frozen plasma
* Platelet count < 20 x 10^9 per L within 48 hours of randomisation
* Pulmonary bleeding or uncontrolled bleeding within 48 hours of randomisation
* Known or suspected pregnancy
* Acute brain injury that may result in long-term disability
* Myopathy, spinal cord injury, or nerve injury or disease with a likely prolonged incapacity to breathe independently e.g. Guillain-Barre syndrome
* Treatment limitations in place, i.e. not for intubation, not for ICU admission
* Death is imminent or inevitable within 24 hours
* Clinician objection
* Participant consent declined
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/08/2023
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/03/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St George Hospital - Kogarah
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Recruitment postcode(s) [1]
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2217 - Kogarah
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Funding & Sponsors
Primary sponsor type
Other
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Name
Australian National University
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The George Institute
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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St George Hospital, Australia
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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St Vincent's Hospital Melbourne
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Address [3]
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Country [3]
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Other collaborator category [4]
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Government body
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Name [4]
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John Hunter Hospital
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Royal North Shore Hospital
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Address [5]
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Country [5]
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Ethics approval
Ethics application status
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Summary
Brief summary
Investigator-initiated, multi-centre, randomised, open-label trial of nebulised heparin sodium in addition to standard care compared to standard care alone in hospitalised patients with COVID-19 infection.
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Trial website
https://clinicaltrials.gov/study/NCT05184101
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Trial related presentations / publications
van Haren FMP, Page C, Laffey JG, Artigas A, Camprubi-Rimblas M, Nunes Q, Smith R, Shute J, Carroll M, Tree J, Carroll M, Singh D, Wilkinson T, Dixon B. Nebulised heparin as a treatment for COVID-19: scientific rationale and a call for randomised evidence. Crit Care. 2020 Jul 22;24(1):454. doi: 10.1186/s13054-020-03148-2. van Haren FMP, Richardson A, Yoon HJ, Artigas A, Laffey JG, Dixon B, Smith R, Vilaseca AB, Barbera RA, Ismail TI, Mahrous RS, Badr M, De Nucci G, Sverdloff C, van Loon LM, Camprubi-Rimblas M, Cosgrave DW, Smoot TL, Staas S, Sann K, Sas C, Belani A, Hillman C, Shute J, Carroll M, Wilkinson T, Carroll M, Singh D, Page C. INHALEd nebulised unfractionated HEParin for the treatment of hospitalised patients with COVID-19 (INHALE-HEP): Protocol and statistical analysis plan for an investigator-initiated international metatrial of randomised studies. Br J Clin Pharmacol. 2021 Aug;87(8):3075-3091. doi: 10.1111/bcp.14714. Epub 2021 Jan 19.
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Public notes
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Contacts
Principal investigator
Name
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Frank MP van Haren, PhD
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Address
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Australian National University
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Planned international meta-trial see NCT04635241
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR), Analytic code
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When will data be available (start and end dates)?
real-time
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05184101