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CompletedNCT04347174Updated Jan 27, 2021

A Clinical Trial of Mycobacterium w in Critically Ill COVID 19 Patients

An interventional study of Suspension of heat killed (autoclaved) Mycobacterium w and Placebo in COVID-19, sponsored by Cadila Pharnmaceuticals. Completed at 4 sites in India. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-27.

Sponsored by Cadila Pharnmaceuticals · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The trial is randomized, blinded, two arms, active comparator controlled, clinical trial to evaluate the safety and efficacy of Mycobacterium w in combination with standard care as per hospital practice versus standard care alone in critically ill adult patients suffering from COVID-19 infection.

Read the detailed description

In this study, Eligible patients will be enrolled after due consent and will be randomized in balance to receive either test drug (along with the standard of care) or Placebo (along with the standard of care). The enrolled patients will be monitored for any adverse events (AEs) or serious adverse events (SAEs) throughout the study period. All patients will continue to receive standard therapy till considered requisite by the treating physician.

In addition to the standard care for COVID-19, patients randomized to test arm will receive single daily dose of 0.3 ml of Mw, intradermal, for 3 consecutive days while patients randomized to control arm will receive single daily dose of 0.3 ml of Placebo, intradermal, for 3 consecutive days.

Study duration for each patient will be upto 28 days post-randomization.

02

Conditions studied

  • COVID-19

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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 40 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Cadila Pharnmaceuticals is the lead sponsor of 11 studies on the registry; none 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

  • Critically ill patients infected with COVID-19 (clinical/confirmed)
  • Patient aged 18 years or more of either gender
  • Illness of any duration with respiratory rate ≥25 breaths/minute, and at least one of the following:

    • Radiographic infiltrates by imaging (chest x-ray, CT scan, etc.), or or
    • SpO2 ≤94% on room air, or
    • Requiring mechanical ventilation and/or supplemental oxygen
  • Female patients of childbearing potential must have a negative pregnancy test within 14 days prior to first dose of study medication.
  • Subject (or legally authorized representative) provides written informed consent prior to initiation of any study procedure.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or nursing female.
  • Patients with history of allergy, hypersensitivity, or any serious reaction to study medication
  • Patients with a concomitant medical condition, whose participation, in the opinion of the investigator, may create an unacceptable additional risk.
  • Patient previously enrolled into this study.
  • Patient participating or having participated in a clinical trial with another investigational drug within the last 28 days except for investigational drugs against cancer, leukaemia or HIV.
  • Patients with a life expectancy judged to be less than five days
  • ALT/AST > 5 times the upper limit of normal
  • Stage 4 severe chronic kidney disease or requiring dialysis (i.e. eGFR \< 30)
  • Patients not likely to complete the trial as per judgment of the investigator.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Suspension of Mw + Standard therapy of COVID-19

    0.3 ml (0.1ml x 3 Injection) of intradermal Mw for 3 consecutive days + Standard therapy of COVID-19

    Drug: Suspension of heat killed (autoclaved) Mycobacterium w

  • Placebo comparator
    Standard therapy of COVID-19

    0.3 ml (0.1ml x 3 Injection) of Placebo intra-dermal for 3 consecutive days

    Drug: Placebo

Interventions

  • DrugSuspension of heat killed (autoclaved) Mycobacterium w

    Patients will be randomized to receive either Mycobacterium w in combination with standard care as per hospital practice or standard care alone in COVID-19 as per hospital practice.

    Also known as: Standard care of treatment for COVID-19 as per hospital practice

  • DrugPlacebo

    All patients will continue to receive standard therapy as per hospital practice till considered requisite by the treating physician

    Also known as: Standard care of treatment for COVID-19 as per hospital practice

06

What researchers measure

Primary outcomes

  1. 7-category ordinal scale that ranges from 1 (not hospitalized with resumption of normal activities) to 7 (death)

    To study the effect of Mw on recovery of organ function as assessed by Ordinal scale

    Time frame: Change in Ordinal scale from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.

  2. Sequential Organ Failure Assessment (SOFA) scores

    To study the effect of Mw on recovery of organ function as assessed by Sequential Organ Failure Assessment (SOFA) which is based on six different scores, one for each of the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems each scored from 0 to 4 with an increasing score reflecting worsening organ dysfunction

    Time frame: Change in SOFA score from baseline to day 3, day 7, day 14, day 21 and day 28 and day of transfer from ICU, if discharged earlier than 28 days post-randomization.

Secondary outcomes

  1. Incidence of AE / SAE or event of clinical significance

    Any AE / SAE or event of clinical significance observed during the study.

    Time frame: Till day 28

  2. SARS-CoV-2 detectable in nasal or oropharyngeal (OP) sample

    Percent of subjects with SARS-CoV-2 detectable in nasal or oropharyngeal (OP) sample.

    Time frame: At days 3, 7, 14, 21, and 28

  3. ICU length of stay

    ICU length of stay

    Time frame: Till day 28

  4. Duration of mechanical ventilation

    Duration of mechanical ventilation

    Time frame: Till day 28

  5. Duration of hospitalization

    Duration of hospitalization

    Time frame: Till day 28

  6. Clinical improvement

    Percentage of subjects having clinical improvement defined as two-point improvement on a seven category ordinal scale.

    Time frame: From baseline to day 14 & Day 28

  7. Time (in days) from treatment initiation to death

    Time (in days) from treatment initiation to death.

    Time frame: Till day 28

  8. All-cause mortality

    All-cause mortality

    Time frame: Till day 28

07

Study locations

4 sites
  • All India Institute of Medical Science, Raipur
    Raipur, Chhattisgarh 492099, India
  • All India Institute of Medical Sciences, Bhopal
    Bhopal, Madhya Pradesh 462024, India
  • Postgraduate Institute of Medical Education and Research
    Chandigarh, 160012, India
  • All lndia Institute of Medical Science, Delhi
    Delhi, 110029, India
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04347174
Lead sponsor
Cadila Pharnmaceuticals
Collaborators
Council of Scientific and Industrial Research, India
Responsible party
Sponsor
First posted
Apr 15, 2020
Start date
Apr 30, 2020
Primary completion
Aug 10, 2020
Completion
Aug 21, 2020
Last update
Jan 27, 2021

Study contacts

Anil Avhad, MBBS
study chair · Cadila Pharmaceuticals Limited

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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