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CompletedNCT05398705Updated Aug 25, 2022

Study of Oral High/Low-dose Cepharanthine Compared With Placebo in Non Hospitalized Adults With COVID-19

A Phase 2 interventional study of Cepharanthine and Placebo in Asymptomatic COVID-19, sponsored by Shanghai Jiao Tong University School of Medicine. Completed at 2 sites in China. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2022-08-25.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
16 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of high/low-dose cepharanthine for the Treatment of COVID-19 in asymptomatic and non-pneumonia mild adult participants with COVID-19 who do not need to be in the hospital, but in alternate care site.

Read the detailed description

Screening participants will sign the appropriate informed consent form (ICF) prior to completion of any study procedures.

Patients will be randomized to one of three arms, all participants will receive standardized medical treatment (SMT) according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor and Chinese traditional medicine, etc.

  • low-dose experimental arm:cepharanthine 60mg/day + SMT
  • high-dose experimental arm:cepharanthine 120mg/day + SMT
  • placebo control arm:placebo + SMT

The primary outcome measure is the time to viral clearance which defined as first positive nucleic acid test to the date of the first negative test (in two consecutive point). SARS-CoV-2 viral load was detected and quantified by RT-PCR using nasopharyngeal swabs . Ct value>35 for both ORF1ab and N gene was considered as negativity.

02

Conditions studied

  • Asymptomatic COVID-19

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Keywords

  • Asymptomatic COVID-19
  • cepharanthine
  • adult
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 450 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Shanghai Jiao Tong University School of Medicine is the lead sponsor of 358 studies on the registry; 104 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • aged over 16 years old with all genders
  • SARS-CoV-2 positive(laboratory-confirmed reverse transcription polymerase chain reaction (RT PCR) test)
  • patient or immediate adult family member agrees to participate in this study and signs an informed consent form
  • asymptomatic or patients with mild covid-19 symptoms
  • confirmed SARS-CoV-2 infection within 5 days prior to randomization

Exclusion criteria

Exclusion Criteria:

  • Confirmed SARS-CoV-2 infection within > 5 days prior to randomization
  • CT shows pneumonia on admission
  • diagnosed as severe or critical COVID-19 before intervention
  • has a history of chronic underlying disease and acute exacerbation of that underlying disease at the time of admission
  • Females who are pregnant or breastfeeding
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
450 participants (actual)

Study arms

  • Experimental
    Low-dose cepharanthine + standardized medical treatment

    Drug: cepharanthine (tablet) Day 1\~5: 20mg, Q8H X 5 days + standardized medical treatment

    Drug: Cepharanthine

  • Experimental
    High-dose cepharanthine + standardized medical treatment

    Drug: cepharanthine (tablet) Day 1\~5: 40mg, Q8H X 5 days + standardized medical treatment

    Drug: Cepharanthine

  • Placebo comparator
    placebo+standardized medical treatment

    Drug: cepharanthine placebo (tablet) Day 1\~5: placebo + standardized medical treatment

    Drug: Placebo

Interventions

  • DrugCepharanthine

    Low-dose: Day 1\~5: 20mg, Q8H X 5 days (60mg/day)+SMT

    Also known as: Low- dose Cepharanthine (tablet)

  • DrugPlacebo

    Day 1\~5: placebo+SMT SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor, antiviral drug and Chinese medicine treatment, etc.

    Also known as: Placebo (tablet)

  • DrugCepharanthine

    High-dose: Day 1\~5: 40mg, Q8H X 5 days (120mg/day) +SMT SMT:standardized medical treatment according to Scheme for Diagnosis and Treatment of 2019 Novel Coronavirus Pneumonia (The 9th Trial Edition) from health commission of China, including bed rest, adequate energy and nutrition, pay attention to water and electrolyte balance to maintain a stable internal environment, closely monitor and Chinese traditional medicine, etc.

    Also known as: High- dose Cepharanthine (tablet)

06

What researchers measure

Primary outcomes

  1. Time to viral clearance

    The time to viral clearance was defined as first positive nucleic acid test(or randomization) to the date of the first negative test (in two consecutive point)

    Time frame: Day 1 through Day 28

  2. SARS-CoV-2 viral load

    SARS-CoV-2 viral load was detected and quantified by RT-PCR using nasopharyngeal swabs . Ct value\>35 for both ORF1ab and N gene was considered as negativity.

    Time frame: Day 1 through Day 28

Secondary outcomes

  1. Proportion of participants developing COVID-19 pneumonia

    Time frame: Day 1 through Day 28

  2. Proportion of participants developing severe pneumonia

    Time frame: Day 1 through Day 28

  3. Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)of CEP relative to placebo.

    Time frame: Day 1 through Day 28

  4. Number of days from the onset of fever until the temperature drops below 37.3°C

    Time frame: Day 1 through Day 28

07

Study locations

2 sites
  • Xinhua Hospital Affiliated To Shanghai Jiao Tong University School Of Medicine
    Shanghai, Shanghai 200000, China
  • Ren Ji Hospital, School of Medicine, Shanghai Jiao TongUniversity
    Shanghai, Shanghai, China
08

References and documents

Publications

  • Shen Y, Ai J, Lin N, Zhang H, Li Y, Wang H, Wang S, Wang Z, Li T, Sun F, Fan Z, Li L, Lu Y, Meng X, Xiao H, Hu H, Ling Y, Li F, Li H, Xi C, Gu L, Zhang W, Fan X. An open, prospective cohort study of VV116 in Chinese participants infected with SARS-CoV-2 omicron variants. Emerg Microbes Infect. 2022 Dec;11(1):1518-1523. doi: 10.1080/22221751.2022.2078230. PubMed 35579892 ↗
  • Hammond J, Leister-Tebbe H, Gardner A, Abreu P, Bao W, Wisemandle W, Baniecki M, Hendrick VM, Damle B, Simon-Campos A, Pypstra R, Rusnak JM; EPIC-HR Investigators. Oral Nirmatrelvir for High-Risk, Nonhospitalized Adults with Covid-19. N Engl J Med. 2022 Apr 14;386(15):1397-1408. doi: 10.1056/NEJMoa2118542. Epub 2022 Feb 16. PubMed 35172054 ↗

Individual participant data

Plan to share: Undecided — If shared, including protocol, case report form (CRF), Statistical Analysis Plan (SAP), etc.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05398705
Lead sponsor
Shanghai Jiao Tong University School of Medicine
Collaborators
YUNNAN BAIYAO GROUP CO.,LTD
Responsible party
Hai Li (professor of department of gastroenterological division, Renji Hospital, Shanghai Jiao Tong University School of Medicine) — Principal investigator
First posted
Jun 1, 2022
Start date
May 31, 2022
Primary completion
Aug 10, 2022
Completion
Aug 10, 2022
Last update
Aug 25, 2022

Study contacts

Hai Li, MD
study director · Department of gastroenterology, Renji Hospital, Shanghai Jiaotong University School of Medicine

Oversight

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 Aug 2022. You cannot join it, but the record below documents what was studied.

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