2,240
Participants
Start Date
February 19, 2021
Primary Completion Date
April 16, 2025
Study Completion Date
April 16, 2025
Niclosamide
140μL 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.
Placebo
140μL 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.
Ciclesonide
"Participants will be prescribed ciclesonide once daily, administered as follows:~Two puffs (320 μg) inhaled via mouth sequentially One puff (160 μg) 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."
Placebo
"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."
Sotrovimab
"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."
Placebo
There will be a single infusion placebo, in the form of 100mL 0.9% sodium chloride, administered at the beginning of the study.
Cambridge University Hospitals NHS Foundation Trust, Cambridge
NHS Lanarkshire - University Hospital Monklands, Airdrie
University Hospitals Birmingham NHS Foundation Trust, Birmingham
Betsi Cadwaladr University Health Board, Bodelwyddan
Brighton and Sussex University Hospitals NHS Trust, Brighton
North Bristol NHS Trust, Bristol
West Suffolk NHS Foundation Trust, Bury St Edmunds
Royal Papworth Hospital NHS Foundation Trust, Cambridge
East Kent Hospitals University NHS Foundation Trust, Canterbury
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
Dorset County Hospital NHS Foundation Trust, Dorchester
NHS Tayside, Dundee
The Royal Devon and Exeter NHS Foundation Trust, Exeter
James Paget University Hospital NHS Foundation Trust, Great Yarmouth
Hull University Teaching Hospitals NHS Trust, Hull
Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust, Kings Lynn
Leeds Teaching Hospitals NHS Trust, Leeds
University Hospitals of Leicester NHS Trust, Leicester
Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool
Barts Health NHS Trust, London
Guy's and St Thomas' NHS Foundation Trust, London
Imperial College Healthcare NHS Trust, London
King's College Hospital NHS Foundation Trust, London
Royal Free NHS Foundation Trust, London
St George's University Hospitals NHS Foundation Trust, London
Manchester University NHS Foundation Trust, Manchester
Wirral University Teaching Hospital NHS Foundation Trust, Metropolitan Borough of Wirral
South Tees Hospitals NHS Foundation Trust, Middlesbrough
Nottingham University Hospitals NHS Trust, Nottingham
Oxford University Hospitals NHS Foundation Trust, Oxford
North West Anglia NHS Foundation Trust, Peterborough
University Hospitals Plymouth NHS Trust, Plymouth
Portsmouth Hospitals NHS Trust, Portsmouth
Royal Berkshire NHS Foundation, Reading
Salford Royal NHS Foundation, Salford
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield
The Shrewsbury and Telford Hospital NHS Trust, Shrewsbury
East and North Hertfordshire NHS Trust, Stevenage
South Tyneside and Sunderland NHS Foundation Trust, Sunderland
The Royal Wolverhampton NHS Trust, Wolverhampton
York Teaching Hospital NHS Foundation Trust, York
Collaborators (3)
Life Arc
UNKNOWN
Kidney Research UK (KRUK)
UNKNOWN
UNION therapeutics
INDUSTRY
Addenbrookes Charitable Trust
OTHER
GlaxoSmithKline
INDUSTRY
National Institute for Health Research, United Kingdom
OTHER_GOV
Cambridge University Hospitals NHS Foundation Trust
OTHER