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Contact Information:

Rona Smith, Dr +44 1223336817
ronasmith@doctors.org.uk


Study Location:

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Be Part of Research - Trial Details - PROphylaxis for paTiEnts at Risk of COVID-19 infecTion -V

PROphylaxis for paTiEnts at Risk of COVID-19 infecTion -V

Medical Conditions

COVID-19


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


COVID-19 (SARS-CoV2 virus) was declared a global pandemic by the WHO on 11th March 2020. Currently there are no drugs proven to prevent COVID-19 or to reduce the severity of illness if given as prophylaxis. Although vaccines are now available, there remains a need for other prophylactic agents until vaccine use becomes widespread globally and effectiveness and durability is established, particularly in immunocompromised individuals, for whom vaccine responses may be suboptimal. Efforts are underway to repurpose established drugs with well understood drug interactions and safety profiles.

PROTECT-V is a platform trial to test prophylactic interventions against SARS-CoV2 infection in vulnerable patient populations at particularly high risk of COVID-19 and its complications, seeking to identify treatments that either might prevent the disease from occurring or may reduce the number of cases where the disease becomes serious or life-threatening.

In PROTECT-V, multiple agents can be evaluated on the same platform across vulnerable populations, with the option of adding additional treatments at later time points as these become available. The expectation is for as many sites as possible to recruit to all available trial treatments at any time, however, the platform structure and randomisation/data collection systems allow sites to open the trial treatment arms according to their capacity.

The trial opened with intranasal niclosamide and matched placebo, aiming to recruit 1500 vulnerable renal patients in February 2021. A parallel study protocol, was conducted in India, sponsored by The George Institute. Recruitment of around 750 Indian patients was completed in with the rest of the study arm recruitment in November 2022. The Niclosamide arm of the study was completed in June 2023.

The second agent, intranasal and inhaled ciclesonide and matched placebo, was meant to be added to the platform in mid-2022 in the same renal patient population however it was unable to be included due to other factor.

Sotrovimab and matched placebo have been added to the platform in August 2022 which aim to recruit approximately 800-1000 patients from the main study population with additional patient groups with primary immunodeficiency, any Haematology or Oncology patient who is currently receiving or has received chemotherapy or who is immunocompromised as a result of their disease or treatment, those with a diagnosis of an autoimmune or inflammatory disease receiving immunosuppression and also haematopoietic stem cell transplant recipients.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Feb 2021 Jul 2024

INTERVENTIONAL

Intervention Type : DRUG
Intervention Description : 140ÎĽL of a 1% niclosamide ethanolamine solution in each nostril twice daily, equivalent to 1.4mg of niclosamide ethanolamine salt per nostril twice daily, approximately 12 hours apart. Total daily dose 5.6mg niclosamide ethanolamine salt (4.7mg free niclosamide acid). Treatment duration will be 6-9 months or up to 28 days after COVID-19 diagnosis unless hospitalised. Participants hospitalised with a diagnosis of COVID-19 should stop the randomised treatment immediately.

Intervention Arm Group : Niclosamide;

Intervention Type : DRUG
Intervention Description : 140ÎĽL of a matching placebo solution in each nostril twice daily. Treatment duration will be 6-9 months or up to 28 days after COVID-19 diagnosis unless hospitalised. Participants hospitalised with a diagnosis of COVID-19 should stop the randomised treatment immediately.

Intervention Arm Group : Placebo niclosamide;

Intervention Type : DRUG
Intervention Description : Participants will be prescribed ciclesonide once daily, administered as follows:

Two puffs (320 ÎĽg) inhaled via mouth sequentially One puff (160 ÎĽg) inhaled via nose Treatment duration will be 6-9 months or up to 28 days after COVID-19 diagnosis unless hospitalised. Participants hospitalised with a diagnosis of COVID-19 should stop the randomised treatment immediately.

Intervention Arm Group : Ciclesonide;

Intervention Type : DRUG
Intervention Description : Matched placebo: two puffs inhaled via mouth sequentially and one puff inhaled via nose.

Treatment duration will be 6-9 months or up to 28 days after COVID-19 diagnosis unless hospitalised. Participants hospitalised with a diagnosis of COVID-19 should stop the randomised treatment immediately.

Intervention Arm Group : Placebo ciclesonide;

Intervention Type : DRUG
Intervention Description : There will be a single infusion of sotrovimab administered at the beginning of the study.

500mg of sotrovimab solution (8mL) will be diluted in 42mL of 0.9% sodium chloride and administered by intravenous infusion. 50mLs to be infused over 30 minutes with a 0.2 micrometre inline filter. Four vials will be required for a 2000 mg dose.

Intervention Arm Group : Sotrovimab;

Intervention Type : DRUG
Intervention Description : There will be a single infusion placebo, in the form of 100mL 0.9% sodium chloride, administered at the beginning of the study.

Intervention Arm Group : Placebo sotrovimab;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Guy's and St Thomas' NHS Foundation Trust
    London
  • Cambridge University Hospitals NHS Foundation Trust
    Cambridge
    Cambridgeshire
    CB2 0QQ
  • Sheffield Teaching Hospitals NHS Foundation Trust
    Sheffield
  • Barts Health NHS Trust
    London
  • The Royal Wolverhampton NHS Trust
    Wolverhampton
  • Oxford University Hospitals NHS Foundation Trust
    Oxford
  • North Bristol NHS Trust
    Bristol
  • Leeds Teaching Hospitals NHS Trust
    Leeds
  • Royal Liverpool and Broadgreen University Hospitals NHS Trust
    Liverpool
  • Imperial College Healthcare NHS Trust
    London
  • St George's University Hospitals NHS Foundation Trust
    London
  • Brighton and Sussex University Hospitals NHS Trust
    Brighton
  • University Hospitals Plymouth NHS Trust
    Plymouth
  • Manchester University NHS Foundation Trust
    Manchester
  • North West Anglia NHS Foundation Trust
    Peterborough
  • Portsmouth Hospitals NHS Trust
    Portsmouth
  • Royal Papworth Hospital NHS Foundation Trust
    Cambridge
  • NHS Tayside
    Dundee
  • University Hospitals of Leicester NHS Trust
    Leicester
  • York Teaching Hospital NHS Foundation Trust
    York
  • South Tyneside and Sunderland NHS Foundation Trust
    Sunderland
  • Betsi Cadwaladr University Health Board
    Bodelwyddan
  • East Kent Hospitals University NHS Foundation Trust
    Canterbury
  • Hull University Teaching Hospitals NHS Trust
    Hull
  • Dorset County Hospital NHS Foundation Trust
    Dorchester
  • Cardiff & Vale University Health Board
    Cardiff
  • Epsom and St Helier University Hospitals NHS Trust
    Carshalton
  • Ayrshire & Arran NHS Trust
    Crosshouse
  • Dartford and Gravesham NHS Trust
    Dartford
  • University Hospitals of Derby and Burton NHS Trust
    Derby
  • The Royal Devon and Exeter NHS Foundation Trust
    Exeter
  • James Paget University Hospital NHS Foundation Trust
    Great Yarmouth
  • Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust
    King's Lynn
  • Royal Free NHS Foundation Trust
    London
  • Royal Berkshire NHS Foundation
    Reading
  • Salford Royal NHS Foundation
    Salford
  • East and North Hertfordshire NHS Trust
    Stevenage
  • Wirral University Teaching Hospital NHS Foundation Trust
    Wirral
  • West Suffolk NHS Foundation Trust
    Bury Saint Edmunds
  • South Tees Hospitals NHS Foundation Trust
    Middlesbrough
  • NHS Lanarkshire - University Hospital Monklands
    Airdrie
  • The Shrewsbury and Telford Hospital NHS Trust
    Shrewsbury
  • University Hospitals Birmingham NHS Foundation Trust
    Birmingham
  • King's College Hospital NHS Foundation Trust
    London
  • Nottingham University Hospitals NHS Trust
    Nottingham


The study is sponsored by Cambridge University Hospitals NHS Foundation Trust and is in collaboration with Life Arc; Kidney Research UK (KRUK); UNION therapeutics; Addenbrookes Charitable Trust; GlaxoSmithKline; National Institute for Health Research, United Kingdom.




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Read full details for Trial ID: NCT04870333
Last updated 20 March 2024

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