CClinicalTrials.gg
CompletedNCT04343768COVIFERONUpdated May 5, 2020

An Investigation Into Beneficial Effects of Interferon Beta 1a, Compared to Interferon Beta 1b And The Base Therapeutic Regiment in Moderate to Severe COVID-19: A Randomized Clinical Trial

A Phase 2 interventional study of Hydroxychloroquine and Lopinavir / Ritonavir in COVID-19, sponsored by Shahid Beheshti University of Medical Sciences. Completed at 1 site in Iran, Islamic Republic of. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-05-05.

Sponsored by Shahid Beheshti University of Medical Sciences · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The present study is a randomized clinical trial, with the approval of the ethics committee will be conducted on patients who have a positive test confirming COVID-19 in Loghman Hakim Medical Education Center in Tehran. Patients will be randomly assigned to the three arms of the study and after completing the course of treatment and collecting and analyzing the necessary information from each patient, the results of the study will be published both on this site and in the form of an article in a reputable international journal.

Read the detailed description

According to previous studies, IFN-β has strong antiviral activity and also has an acceptable safety profile. Based on possible therapeutic effects, We decided to lead An Investigation into Beneficial Effects of Interferon Beta 1a, Compared to Interferon Beta 1b And The Base Therapeutic Regiment in Moderate to Severe COVID-19. In a 2003 study, SARS was treated with different human interferons and found that IFN-β was 5 to 10 times more effective than other types of interferons and the strongest antiviral drug possible against SARS-CoV.

The present study is a randomized clinical trial, with the approval of the ethics committee will be conducted on patients who have a positive test confirming COVID-19 in Loghman Hakim Medical Education Center in Tehran.

Patients will be allocated to three therapeutic arms (Hydroxychloroquine + Lopinavir / Ritonavir + Interferon-β 1a group and Hydroxychloroquine + Lopinavir / Ritonavir + Interferon-β 1b group and the Base Therapeutic Regiment Group, i.e., Hydropinchloroquine + / Ritonavir. For this purpose, we will use the method of Balance Block Randomization for three groups.

After completing the course of treatment and collecting and analyzing the necessary information from each patient, the results of the study will be published both on this site and in the form of an article in a reputable international journal.

02

Conditions studied

  • COVID-19

Browse trials for

Keywords

  • COVID-19
  • Novel Coronavirus
  • Interferon Beta 1a
  • Interferon Beta 1b
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 60 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Shahid Beheshti University of Medical Sciences is the lead sponsor of 221 studies on the registry; 19 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18
  • COVID-19 Confirmed Cases By Means of RT-PCR
  • Oxygen saturation (SPO2) ≤ 93% OR respiratory rate ≥ 24
  • At least one of the following: Calibrated contactless infrared forehead thermometry temperature of ≥37.8, cough, sputum production, nasal discharge, myalgia, headache or fatigue on admission.
  • Time of onset of the symptoms should be acute ( Days ≤ 14)

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate expressed by patient or legally authorized representative if they are present
  • Patients with prolonged QT or PR intervals, Second or Third Degree heart block, Arrhythmias including torsade de pointes
  • Patients using drugs with potential interaction with Hydroxychloroquine + Lopinavir/Ritonavir, Interferon-β 1a، Interferon-β 1b.
  • Pregnant or lactating women.
  • History of alcohol or drug addiction in the past 5 years.
  • Blood ALT/AST levels > 5 times the upper limit of normal on laboratory results.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Hydroxychloroquine + Lopinavir / Ritonavir + Interferon-β 1a

    Drug: Hydroxychloroquine · Drug: Lopinavir / Ritonavir · Drug: Interferon Beta-1A

  • Experimental
    Hydroxychloroquine + Lopinavir / Ritonavir + Interferon-β 1b

    Drug: Hydroxychloroquine · Drug: Lopinavir / Ritonavir · Drug: Interferon Beta-1B

  • Active comparator
    Control group: hydroxychloroquine + Lopinavir / Ritonavir

    Drug: Hydroxychloroquine · Drug: Lopinavir / Ritonavir

Interventions

  • DrugHydroxychloroquine

    This Drug will be used in all arms.

  • DrugLopinavir / Ritonavir

    This Drug will be used in all arms.

  • DrugInterferon Beta-1A

    This drug will be only used in Arm 1.

  • DrugInterferon Beta-1B

    This drug will be only used in Arm 2.

06

What researchers measure

Primary outcomes

  1. Time to clinical improvement

    Improvement of two points on a seven-category ordinal scale (recommended by the World Health Organization: Coronavirus disease (COVID-2019) R\&D. Geneva: World Health Organization) or discharge from the hospital, whichever came first.

    Time frame: From date of randomization until 14 days later.

Secondary outcomes

  1. Mortality

    If the patient dies, we have reached an outcome.

    Time frame: From date of randomization until 14 days later.

  2. SpO2 Improvement

    Pulse-oxymetry

    Time frame: Days 1, 2, 3, 4, 5, 6, 7 and 14.

  3. Incidence of new mechanical ventilation use

    Incidence of new mechanical ventilation use

    Time frame: From date of randomization until 14 days later.

  4. Duration of hospitalization

    Duration of hospitalization (days)

    Time frame: From date of randomization until the date of hospital discharge or date of death from any cause, whichever came first, assessed up to 14 days.

07

Study locations

1 site
  • Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences and Health Services
    Tehran, Iran, Islamic Republic of
08

References and documents

Publications

  • Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ, Lu GM, Zhang LJ. Coronavirus Disease 2019 (COVID-19): A Perspective from China. Radiology. 2020 Aug;296(2):E15-E25. doi: 10.1148/radiol.2020200490. Epub 2020 Feb 21. PubMed 32083985 ↗
  • Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, Wang W, Song H, Huang B, Zhu N, Bi Y, Ma X, Zhan F, Wang L, Hu T, Zhou H, Hu Z, Zhou W, Zhao L, Chen J, Meng Y, Wang J, Lin Y, Yuan J, Xie Z, Ma J, Liu WJ, Wang D, Xu W, Holmes EC, Gao GF, Wu G, Chen W, Shi W, Tan W. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet. 2020 Feb 22;395(10224):565-574. doi: 10.1016/S0140-6736(20)30251-8. Epub 2020 Jan 30. PubMed 32007145 ↗
  • Chen Y, Liu Q, Guo D. Emerging coronaviruses: Genome structure, replication, and pathogenesis. J Med Virol. 2020 Apr;92(4):418-423. doi: 10.1002/jmv.25681. Epub 2020 Feb 7. Erratum In: J Med Virol. 2020 Oct;92(10):2249. doi: 10.1002/jmv.26234. PubMed 31967327 ↗
  • Spiegel M, Pichlmair A, Muhlberger E, Haller O, Weber F. The antiviral effect of interferon-beta against SARS-coronavirus is not mediated by MxA protein. J Clin Virol. 2004 Jul;30(3):211-3. doi: 10.1016/j.jcv.2003.11.013. PubMed 15135736 ↗
  • Channappanavar R, Perlman S. Pathogenic human coronavirus infections: causes and consequences of cytokine storm and immunopathology. Semin Immunopathol. 2017 Jul;39(5):529-539. doi: 10.1007/s00281-017-0629-x. Epub 2017 May 2. PubMed 28466096 ↗
  • Cinatl J, Morgenstern B, Bauer G, Chandra P, Rabenau H, Doerr HW. Treatment of SARS with human interferons. Lancet. 2003 Jul 26;362(9380):293-4. doi: 10.1016/s0140-6736(03)13973-6. Erratum In: Lancet. 2003 Aug 30;362(9385):748. PubMed 12892961 ↗
  • Hensley LE, Fritz LE, Jahrling PB, Karp CL, Huggins JW, Geisbert TW. Interferon-beta 1a and SARS coronavirus replication. Emerg Infect Dis. 2004 Feb;10(2):317-9. doi: 10.3201/eid1002.030482. PubMed 15030704 ↗
  • Zeng YM, Xu XL, He XQ, Tang SQ, Li Y, Huang YQ, Harypursat V, Chen YK. Comparative effectiveness and safety of ribavirin plus interferon-alpha, lopinavir/ritonavir plus interferon-alpha, and ribavirin plus lopinavir/ritonavir plus interferon-alpha in patients with mild to moderate novel coronavirus disease 2019: study protocol. Chin Med J (Engl). 2020 May 5;133(9):1132-1134. doi: 10.1097/CM9.0000000000000790. No abstract available. PubMed 32149772 ↗
  • Alavi Darazam I, Shokouhi S, Pourhoseingholi MA, Naghibi Irvani SS, Mokhtari M, Shabani M, Amirdosara M, Torabinavid P, Golmohammadi M, Hashemi S, Azimi A, Jafarazadeh Maivan MH, Rezaei O, Zali A, Hajiesmaeili M, Shabanpour Dehbsneh H, Hoseyni Kusha A, Taleb Shoushtari M, Khalili N, Soleymaninia A, Gachkar L, Khoshkar A. Role of interferon therapy in severe COVID-19: the COVIFERON randomized controlled trial. Sci Rep. 2021 Apr 13;11(1):8059. doi: 10.1038/s41598-021-86859-y. PubMed 33850184 ↗
  • Irvani SSN, Golmohammadi M, Pourhoseingholi MA, Shokouhi S, Darazam IA. Effectiveness of Interferon Beta 1a, compared to Interferon Beta 1b and the usual therapeutic regimen to treat adults with moderate to severe COVID-19: structured summary of a study protocol for a randomized controlled trial. Trials. 2020 Jun 3;21(1):473. doi: 10.1186/s13063-020-04382-3. PubMed 32493468 ↗

Related links

Individual participant data

Plan to share: Yes — One year after the publication of the results in a journal, Qualifying researchers who reach out to Dr. Seyed Sina Naghibi Irvani at "sina.irvani@sbmu.ac.ir" or "sina.irvani@gmail.com" and submit a proposal with a valuable research question can have access to data and supporting information.

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04343768
Lead sponsor
Shahid Beheshti University of Medical Sciences
Responsible party
Seyed Sina Naghibi Irvani, MD, MPH, MBA, Senior Researcher. (Dr., Shahid Beheshti University of Medical Sciences) — Principal investigator
First posted
Apr 13, 2020
Start date
Apr 9, 2020
Primary completion
Apr 27, 2020
Completion
Apr 27, 2020
Last update
May 5, 2020

Study contacts

Ilad Alavi Darazam, MD
study chair · Shahid Beheshti University of Medical Sciences
Shervin Shokouhi, MD
study director · Shahid Beheshti University of Medical Sciences
Minoosh Shabani, MD
principal investigator · Shahid Beheshti University of Medical Sciences
Mohammadreza Haji Esmaelie, MD
principal investigator · Shahid Beheshti University of Medical Sciences
Seyed Sina Naghibi Irvani, MD, MPH, MBA
principal investigator · Shahid Beheshti University of Medical Sciences

Oversight

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

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