ClinicalTrials.gg
TerminatedNCT04343248Updated Jul 8, 2024Results posted

Trial to Evaluate the Efficacy and Safety of Nitazoxanide (NTZ) for Post-Exposure Prophylaxis of COVID-19 and Other Viral Respiratory Illnesses in Elderly Residents of Long-Term Care Facilities (LTCF)

A Phase 3 interventional study of Nitazoxanide and Placebo in COVID-19 and Viral Respiratory Illnesses, sponsored by Romark Laboratories L.C.. Terminated at 4 sites in United States. Open to participants aged 55 Years to 120 Years. Per ClinicalTrials.gov, last updated 2024-07-08.

Sponsored by Romark Laboratories L.C. · Phase 3, Interventional, and Prevention

Why this study was terminated
Study recruitment was halted prematurely as widespread vaccination of the study population made completion infeasible.
Phase
Phase 3
Study type
Interventional
Enrollment
190
Allocation
Randomized
Ages
55 Years to 120 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 24 studies testing nitazoxanide in COVID-19 — 2 open to participants now, 2 under way, none of them phase 3. nitazoxanide · COVID-19.

Enrollment
12th of 24
190 · median 163
Started
2020
with 17 others
Phase 3
6 of 24
none open now
Registered
2nd of 24
by date
Lead sponsor
5 of 24
Romark Laboratories L.C.

Among the 24 studies testing nitazoxanide in COVID-19, this one is the 12th largest by enrollment, is one of 18 that started in 2020, is one of 6 in phase 3, and was the 2nd registered.

COVID-19

7,992 studies on the registry are indexed under COVID-19; 466 are open to participants now.

Browse COVID-19 studies →

Open to participants now

2 of the 24 studies testing nitazoxanide in COVID-19 are open now, in 7 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About nitazoxanide

nitazoxanide: first FDA approval 2002 (ALINIA). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 356 COVID-19 studies recruiting now, 206 (58%) set no upper age limit and 83 (23%) stop at 75 or younger; 91 take children under 18; 135 take healthy volunteers.

This study: 55 Years to 120 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 24 studies testing nitazoxanide in COVID-19, or all of them as a file.
02

Study summary

Trial to evaluate the efficacy and safety of NTZ for post-exposure prophylaxis of COVID-19 and other VRIs in elderly LTCF residents.

Read the detailed description

Multicenter, randomized, double-blind, placebo-controlled trial to evaluate the efficacy and safety of NTZ for post-exposure prophylaxis of COVID-19 and other VRIs in elderly LTCF residents.

03

Conditions studied

  • COVID-19
  • Viral Respiratory Illnesses

Browse trials for

Keywords

  • COVID-19
  • Viral Respiratory Illnesses
04

Who can participate

Ages eligible
55 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female residents of LTCFs at least 55 years of age.
  • Willing and able to provide written and comply with the requirements of the protocol.
  • At least one symptomatic laboratory-confirmed COVID-19 illness identified among residents or staff of the LTCF within 10 days prior to randomization.

Exclusion criteria

Exclusion Criteria:

  • Alzheimer's disease, dementia, or other mental incapacity which precludes comprehension of the study requirements or symptom diary.
  • Subjects expected to require hospitalization within the 8-week treatment and follow-up period.
  • Subjects with a history of COVID-19 or known to have developed anti-SARS- CoV-2 antibodies.
  • Subjects who experienced a previous episode of acute upper respiratory tract infection, otitis, bronchitis or sinusitis or received antibiotics for these conditions or antiviral therapy for influenza within two weeks prior to and including study day 1.
  • Receipt of any dose of NTZ within 7 days prior to screening.
  • Treatment with any drug or vaccine within 30 days prior to screening or unwilling to avoid them during the course of the study.
  • Known sensitivity to NTZ or any of the comprising the study medication.
  • Subjects unable to swallow oral tablets or capsules.
  • Subjects taking medications considered to be major CYP2C8 substrates.
  • Subjects who, in the judgment of the Investigator, will be unlikely to comply with the requirements of this protocol.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
190 participants (actual)

Study arms

  • Active comparator
    Nitazoxanide

    Two Nitazoxanide 300 mg tablets orally twice daily for 6 weeks

    Drug: Nitazoxanide · Dietary Supplement: Vitamin Super B-Complex

  • Placebo comparator
    Placebo

    Two placebo tablets orally twice daily for 6 weeks

    Drug: Placebo · Dietary Supplement: Vitamin Super B-Complex

Interventions

  • Nitazoxanide 600 mg administered orally twice daily for six weeks

    Also known as: NTZ (nitazoxanide), NT-300

  • DrugPlacebo

    Placebo administered orally twice daily for six weeks

  • Dietary supplementVitamin Super B-Complex

    Vitamin Super B-Complex administered orally twice daily to maintain the blind

06

What researchers measure

Primary outcomes

  1. Symptomatic Laboratory-confirmed COVID-19

    The proportion of subjects with symptomatic laboratory-confirmed COVID-19 identified after start of treatment and before the end of the 6-week treatment period. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

    Time frame: up to 6 weeks

  2. Symptomatic Laboratory-confirmed VRI

    The proportion of subjects with symptomatic laboratory-confirmed VRI identified after the start of treatment and before the end of the 6-week treatment period. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

    Time frame: up to 6 weeks

Secondary outcomes

  1. Hospitalization Due to COVID-19 or Complications Thereof

    Proportion of subjects hospitalized due to COVID-19 or complications thereof. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations

    Time frame: Up to 6 weeks

  2. Mortality Due to COVID-19 or Complications Thereof

    Proportion of subjects experiencing mortality due to COVID-19 or complications thereof. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

    Time frame: Up to 6 weeks

  3. Presence of Anti-SARS-CoV-2 at Weeks 6 or 8

    Proportion of subjects with anti-SARS-CoV-2 antibodies at Week 6 or 8 visits. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

    Time frame: Up to 8 weeks

07

Results

Posted Jul 8, 2024
Limitations and caveats
It was no longer possible to enroll eligible participants in the trial after vaccines were distributed to residents of long-term care facilities. Therefore, enrollment was terminated before the planned enrollment was completed. Study results are summarized descriptively, but no statistical analyses were performed.

Participant flow

Participant flow — Overall Study
MilestoneNitazoxanidePlacebo
Started9793
Completed8178
Not completed1615
Withdrew: Withdrawal by subject56
Withdrew: Death12
Withdrew: Lost to follow-up96
Withdrew: Physician decision01
Withdrew: Adverse event10

Outcome measures

PrimarySymptomatic Laboratory-confirmed COVID-19

The proportion of subjects with symptomatic laboratory-confirmed COVID-19 identified after start of treatment and before the end of the 6-week treatment period. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

Time frame:
up to 6 weeks
Reported as:
Number · proportion of subjects
Symptomatic Laboratory-confirmed COVID-19
proportion of subjectsNitazoxanidePlacebo
Symptomatic Laboratory-confirmed COVID-190.010.00
PrimarySymptomatic Laboratory-confirmed VRI

The proportion of subjects with symptomatic laboratory-confirmed VRI identified after the start of treatment and before the end of the 6-week treatment period. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

Time frame:
up to 6 weeks
Reported as:
Number · proportion of subjects
Symptomatic Laboratory-confirmed VRI
proportion of subjectsNitazoxanidePlacebo
Symptomatic Laboratory-confirmed VRI0.010.00
SecondaryHospitalization Due to COVID-19 or Complications Thereof

Proportion of subjects hospitalized due to COVID-19 or complications thereof. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations

Time frame:
Up to 6 weeks
Reported as:
Number · proportion of subjects
Hospitalization Due to COVID-19 or Complications Thereof
proportion of subjectsNitazoxanidePlacebo
Hospitalization Due to COVID-19 or Complications Thereof0.000.00
SecondaryMortality Due to COVID-19 or Complications Thereof

Proportion of subjects experiencing mortality due to COVID-19 or complications thereof. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

Time frame:
Up to 6 weeks
Reported as:
Number · proportion of subjects
Mortality Due to COVID-19 or Complications Thereof
proportion of subjectsNitazoxanidePlacebo
Mortality Due to COVID-19 or Complications Thereof0.000.00
SecondaryPresence of Anti-SARS-CoV-2 at Weeks 6 or 8

Proportion of subjects with anti-SARS-CoV-2 antibodies at Week 6 or 8 visits. NOTE: No statistical analyses were performed as enrollment was terminated early. See caveats and limitations.

Time frame:
Up to 8 weeks
Reported as:
Number · proportion of subjects
Presence of Anti-SARS-CoV-2 at Weeks 6 or 8
proportion of subjectsNitazoxanidePlacebo
Presence of Anti-SARS-CoV-2 at Weeks 6 or 80.210.27

Adverse events

Collected over 8 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nitazoxanide1/97 (1%)10/97 (10.3%)8/97 (8.2%)
Placebo2/93 (2.2%)8/93 (8.6%)9/93 (9.7%)
Most frequent serious events
Showing 10 of 17
Most frequent serious events
EventNitazoxanidePlacebo
Cardiac arrestCardiac disorders0/971/93
Cardiovascular disorderCardiac disorders0/971/93
DiarrhoeaGastrointestinal disorders0/971/93
Urinary tract infectionInfections and infestations1/971/93
Musculoskeletal chest painMusculoskeletal and connective tissue disorders0/971/93
Cerebrovascular accidentNervous system disorders0/971/93
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/971/93
Peripheral ischaemiaVascular disorders0/971/93
Cardiac failure acuteCardiac disorders1/970/93
Cardiac failure congestiveCardiac disorders1/970/93
Most frequent other events
Most frequent other events
EventNitazoxanidePlacebo
DiarrhoeaGastrointestinal disorders4/975/93
Urinary tract infectionInfections and infestations4/975/93

Baseline characteristics

The safety population includes all subjects who received at least one dose of study medication.

Age, Continuous
Age, Continuous(years)NitazoxanidePlaceboTotal
Mean75 ± 9.173 ± 10.074 ± 9.6
Sex: Female, Male
Sex: Female, Male(Participants)NitazoxanidePlaceboTotal
Female393675
Male5857115
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)NitazoxanidePlaceboTotal
Hispanic or Latino9615
Not Hispanic or Latino8786173
Unknown or Not Reported112
Race (NIH/OMB)
Race (NIH/OMB)(Participants)NitazoxanidePlaceboTotal
American Indian or Alaska Native123
Asian101
Native Hawaiian or Other Pacific Islander011
Black or African American191736
White7673149
More than one race000
Unknown or Not Reported000
Presence of anti-SARS-CoV-2 antibodies
Presence of anti-SARS-CoV-2 antibodies(Participants)NitazoxanidePlaceboTotal
Anti-SARS-CoV-2 antibodies present142034
Anti-SARS-CoV-2 antibodies absent7865143
Unknown5813
08

Study locations

4 sites
  • The Chappel Group Research
    Kissimmee, Florida 34744, United States
  • Clinical Trial Specialists, Inc.
    Acworth, Georgia 30101, United States
  • Centex Studies, Inc.
    Lake Charles, Louisiana 70601, United States
  • Centex Studies, Inc.
    Houston, Texas 77058, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2020 to primary completion in Feb 2021, 8 months.

Results were first posted in Jul 2024, 3 years 5 months after primary completion. A results delay was requested in Jun 2022.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 8, 2020
First posted
Apr 13, 2020
StartActual
May 12, 2020
Primary completionActual
Feb 1, 2021
CompletionActual
Feb 1, 2021
Results delay requested
Jun 28, 2022
Results first posted
Jul 8, 2024
Last update
Jul 8, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04343248
Responsible party
Sponsor
First posted
Apr 13, 2020
Start date
May 12, 2020
Primary completion
Feb 1, 2021
Completion
Feb 1, 2021
Results posted
Jul 8, 2024
Last update
Jul 8, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Nitazoxanide

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