CClinicalTrials.gg
Status unknownNCT04521400Updated Aug 20, 2020

the Investigation Into Beneficial Effects of High-dose Interferon Beta 1-a, Compared to Low-dose Interferon Beta 1-a in Moderate to Severe Covid-19

A Phase 2 interventional study of High dose Interferon-beta 1a and Lopinavir/Ritonavir in Covid19, sponsored by Shahid Beheshti University of Medical Sciences. Status unknown. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-08-20.

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

The sponsor has not verified this record recently (last verified Aug 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 100 Years
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 two 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 high-dose Interferon Beta 1a, Compared to low-dose Interferon Beta 1a (the base therapeutic regimen) in Moderate to Severe COVID-19.

Previous studies demonstrate that IFN-β 1a could be used against some coronaviruses including avium infectious, bronchitis virus, murine hepatitis virus, and SARS- CoV because they are susceptible in vitro or in vivo. In a current study, the efficacy of IFN-β 1a in COVID-19 patients were evaluated, and they found than IFN-β 1a reduced the disease symptoms.

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.

02

Conditions studied

  • Covid19

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Keywords

  • COVID-19
  • Interferons
  • Ritonavir
  • Lopinavir
  • Interferon-beta
  • Antiviral Agents
  • Anti-Infective Agents
  • Immunologic Factors
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 planned enrollment of 100 is close to 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 to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age ≥ 18
  • COVID-19 Confirmed Cases (Either RT-PCR or CT Scan Confirmed)
  • at least one of the following: radiation contactless body temperature ≥37.5, cough, shortness of breath, nasal congestion/ discharge, myalgia/arthralgia, diarrhea/vomiting, headache or fatigue on admission.
  • Time of onset of the symptoms should be acute (Days ≤ 14)
  • NEWS2 ≥ 1 on admission (National Early Warning Score 2)

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate expressed by patient or legally authorized representative if they are present
  • Patients using drugs with potential interaction with Lopinavir/Ritonavir or Interferon-β 1a
  • 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.
  • The patients who were intubated less than one hours after admission to the hospital
05

Study design

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

Study arms

  • Experimental
    Arm1

    Lopinavir /Ritonavir +high dose Interferon-β 1a

    Drug: High dose Interferon-beta 1a · Drug: Lopinavir/Ritonavir

  • Experimental
    Arm2

    Lopinavir /Ritonavir + Low dose Interferon-β 1a

    Drug: Lopinavir/Ritonavir · Drug: Low dose Interferon-beta 1a

Interventions

  • DrugHigh dose Interferon-beta 1a

    High dose IFN-β1a (Recigen) (Subcutaneous injections of 88μg (24,000 IU) on days 1, 3, 6)

  • DrugLopinavir/Ritonavir

    Lopinavir/Ritonavir (Kaletra) \[IFN-β1a group\] (400mg/100 mg twice a day for 10 days

  • DrugLow dose Interferon-beta 1a

    Low doseIFN-β1a (Recigen) (Subcutaneous injections of 44μg (12,000 IU) on days 1, 3, 6)

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

    Time frame: From date of randomization until 14 days later

  4. Duration of hospitalization

    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

  5. Cumulative incidence of serious adverse events

    With the incidence of any serious adverse effects, the outcome has happened

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

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Yan R, Zhang Y, Li Y, Xia L, Guo Y, Zhou Q. Structural basis for the recognition of SARS-CoV-2 by full-length human ACE2. Science. 2020 Mar 27;367(6485):1444-1448. doi: 10.1126/science.abb2762. Epub 2020 Mar 4. PubMed 32132184 ↗
  • Ou X, Liu Y, Lei X, Li P, Mi D, Ren L, Guo L, Guo R, Chen T, Hu J, Xiang Z, Mu Z, Chen X, Chen J, Hu K, Jin Q, Wang J, Qian Z. Characterization of spike glycoprotein of SARS-CoV-2 on virus entry and its immune cross-reactivity with SARS-CoV. Nat Commun. 2020 Mar 27;11(1):1620. doi: 10.1038/s41467-020-15562-9. Erratum In: Nat Commun. 2021 Apr 1;12(1):2144. doi: 10.1038/s41467-021-22614-1. PubMed 32221306 ↗
  • Zheng HY, Zhang M, Yang CX, Zhang N, Wang XC, Yang XP, Dong XQ, Zheng YT. Elevated exhaustion levels and reduced functional diversity of T cells in peripheral blood may predict severe progression in COVID-19 patients. Cell Mol Immunol. 2020 May;17(5):541-543. doi: 10.1038/s41423-020-0401-3. Epub 2020 Mar 17. No abstract available. PubMed 32203186 ↗
  • Wang BX, Fish EN. Global virus outbreaks: Interferons as 1st responders. Semin Immunol. 2019 Jun;43:101300. doi: 10.1016/j.smim.2019.101300. PubMed 31771760 ↗
  • Hung IF, Lung KC, Tso EY, Liu R, Chung TW, Chu MY, Ng YY, Lo J, Chan J, Tam AR, Shum HP, Chan V, Wu AK, Sin KM, Leung WS, Law WL, Lung DC, Sin S, Yeung P, Yip CC, Zhang RR, Fung AY, Yan EY, Leung KH, Ip JD, Chu AW, Chan WM, Ng AC, Lee R, Fung K, Yeung A, Wu TC, Chan JW, Yan WW, Chan WM, Chan JF, Lie AK, Tsang OT, Cheng VC, Que TL, Lau CS, Chan KH, To KK, Yuen KY. Triple combination of interferon beta-1b, lopinavir-ritonavir, and ribavirin in the treatment of patients admitted to hospital with COVID-19: an open-label, randomised, phase 2 trial. Lancet. 2020 May 30;395(10238):1695-1704. doi: 10.1016/S0140-6736(20)31042-4. Epub 2020 May 10. PubMed 32401715 ↗
  • 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 ↗
  • Dastan F, Nadji SA, Saffaei A, Marjani M, Moniri A, Jamaati H, Hashemian SM, Baghaei P, Abedini A, Varahram M, Yousefian S, Tabarsi P. Subcutaneous administration of interferon beta-1a for COVID-19: A non-controlled prospective trial. Int Immunopharmacol. 2020 Aug;85:106688. doi: 10.1016/j.intimp.2020.106688. Epub 2020 Jun 7. PubMed 32544867 ↗
  • Alavi Darazam I, Hatami F, Mahdi Rabiei M, Amin Pourhoseingholi M, Shabani M, Shokouhi S, Mardani M, Moradi O, Javandoust Gharehbagh F, Mirtalaee N, Negahban H, Amirdosara M, Zangi M, Hajiesmaeili M, Kazempour M, Shafigh N. An investigation into the beneficial effects of high-dose interferon beta 1-a, compared to low-dose interferon beta 1-a in severe COVID-19: The COVIFERON II randomized controlled trial. Int Immunopharmacol. 2021 Oct;99:107916. doi: 10.1016/j.intimp.2021.107916. Epub 2021 Jun 29. PubMed 34224994 ↗
  • Alavi Darazam I, Hatami F, Rabiei MM, Pourhoseingholi MA, Moradi O, Shokouhi S, Hajesmaeili MR, Shabani M, Irvani SSN. An investigation into the beneficial effects of high-dose interferon beta 1-a, compared to low-dose interferon beta 1-a (the base therapeutic regimen) in moderate to severe COVID-19: A structured summary of a study protocol for a randomized controlled l trial. Trials. 2020 Oct 26;21(1):880. doi: 10.1186/s13063-020-04812-2. PubMed 33106183 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04521400
Lead sponsor
Shahid Beheshti University of Medical Sciences
Responsible party
Ilad Alavi Darazam (Dr. Ilad Alavi Darazam, MD, Shahid Beheshti University of Medical Sciences) — Principal investigator
First posted
Aug 20, 2020
Start date
Aug 20, 2020 (estimated)
Primary completion
Sep 4, 2020 (estimated)
Completion
Sep 11, 2020 (estimated)
Last update
Aug 20, 2020

Study contacts

Ilad Alavi Darazam, MD
Contact
ilad13@yahoo.com
+98-914-149-1958
Ilad Alavi Darazam, M.D
study chair · Shahid Beheshti University of Medical Sciences
Firouze Hatami, M.D
principal investigator · Shahid Beheshti University of Medical Sciences
Mohammad Mahdi Rabiei, M.D
principal investigator · Shahid Beheshti University of Medical Sciences
Omid Moradi
principal investigator · Shahid Beheshti University of Medical Sciences
Behnam Rahimi, M.D
principal investigator · Shahid Beheshti University of Medical Sciences
Shervin Shokouhi, M.D
study director · Shahid Beheshti University of Medical Sciences
Mohammad Reza Hajesmaeili, M.D
principal investigator · Shahid Beheshti University of Medical Sciences
Minoosh Shabani, M.D
principal investigator · Shahid Beheshti University of Medical Sciences
Seyed Sina Naghibi Irvani, M.D
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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