ClinicalTrials.gg
CompletedNCT06383819Updated Jun 3, 2025

Efficacy and Safety of Longidaza® for the Treatment of Patients With Residual Changes in the Lungs After COVID-19

A Phase 3 interventional study of Longidaza® and Placebo in Post-Acute COVID-19 Syndrome, Lung Disease With Polymyositis and Fibrosis, sponsored by NPO Petrovax. Completed at 30 sites in Russian Federation. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-06-03.

Sponsored by NPO Petrovax · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Apr 2022, registered Apr 2024).
Phase
Phase 3
Study type
Interventional
Enrollment
392
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The goal of this clinical study is to evaluate the efficacy and safety of Longidaza®, lyophilisate for preparation of solution for injection, at a dose of 3000 IU compared to placebo in the treatment of adult patients with residual changes in the lungs after COVID-19 infection

Read the detailed description

The main objective of the clinical study was to prove the superiority of the efficacy of the drug Longidaza® over placebo when used in adult patients with residual changes in the lungs after COVID-19 infection based on the dynamics of respiratory function

02

Conditions studied

  • Post-Acute COVID-19 Syndrome
  • Lung Disease With Polymyositis
  • Fibrosis
  • Lung Diseases, Interstitial
  • Lung; Disease, Interstitial, With Fibrosis

Keywords

  • Lung Diseases
  • COVID-19
03

In context

Post-Acute COVID-19 Syndrome

604 studies on the registry are indexed under Post-Acute COVID-19 Syndrome; 201 are open to participants now.

This study's enrollment of 392 is above the median of 60 across 416 interventional studies indexed under Post-Acute COVID-19 Syndrome.

Browse Post-Acute COVID-19 Syndrome studies →

Lead sponsor

NPO Petrovax is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 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

  1. Male and female patients aged 18 to 80 years, who signed an form.
  2. The condition after infection with COVID-19, documented in the period from 1 to 12 months before screening (ICD-10: U07.1, U07.2), including accompanied by hospitalization of the patient.
  3. The presence of a negative result of the polymerase chain reaction test (PCR) during screening and an express test for the SARS-CoV-2 antigen at visit 2.
  4. The presence of respiratory symptoms (at least dyspnea), while the severity of dyspnea on the mMRC during screening is ≥ 1 point.
  5. The value of oxygen saturation: SpO2 \< 95% at rest at the screening; and/or desaturation (decrease of SpO2 by ≥ 4% in the 6MWT relative to the value at rest) at the screening.
  6. The presence of residual changes in the lung parenchyma characteristic of previous COVID-19 infection, > 10% of the area, according to CT at the screening
  7. Respiratory dysfunction of the restrictive type at the screening: FVC \< 80%, FVC 1 / FVC > 70%.

Exclusion criteria

Exclusion Criteria:

  1. A history of chronic respiratory diseases (interstitial lung disease, , bronchial asthma, bronchiectasis, lung cancer).
  2. Clinical signs or anamnesis data on the presence of diseases that, according to the researcher, can lead to restrictive changes in respiratory function (pronounced kyphoscoliosis, pleural effusion, neuromuscular diseases), pathological obesity, etc.
  3. Clinical signs or anamnesis data on the presence of unstable angina pectoris, stable angina pectoris of high functional class, cardiac arrhythmias, chronic heart failure, pulmonary hypertension, suffered pulmonary embolism or acute myocardial infarction in within 6 months prior to screening.
  4. Dyspnea of any other etiology: thyrotoxicosis, anemia ( less than 100 g/l), pathological obesity ( ≥ 40 kg/m2), metabolic acidosis, neuromuscular diseases according to anamnesis or screening examination.
  5. The presence of an acute infectious process of any etiology and localization.
  6. Allergic reactions to the administration of azoximer bovhyaluronidase or an auxiliary component of the studied drug (mannitol) in the anamnesis.
  7. Clinical signs of pulmonary hemorrhage and/or hemoptysis during examination and in the anamnesis.
  8. Confirmed eye injuries with vitreous hemorrhage during the last 6 months according to the medical history.
  9. Malignant neoplasms of any localization in the anamnesis, with the exception of in situ carcinoma, which required only surgical treatment.
  10. Renal failure.
  11. Taking drugs of prohibited therapy since the start of screening in this study.
  12. Serological test positive for infection, viral and C.
  13. Pregnancy or breastfeeding.
  14. Participation in clinical trials of an experimental drug within 30 days prior to screening for participation in the current study.
  15. Any other medical or social conditions that, in the opinion of the research physician, do not allow the patient to participate in this study.
Terms in these criteria, in plain language(7)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
392 participants (actual)

Study arms

  • Experimental
    Longidaza®

    Bovhyaluronidase azoximer, 3000 IU

    Drug: Longidaza®

  • Placebo comparator
    Placebo

    The placebo will contain no active pharmaceutical ingredients.

    Drug: Placebo

Interventions

  • DrugLongidaza®

    dose 3000 IU intramuscularly once every 5 days, 15 injections

    Also known as: Bovhyaluronidase azoximer

  • DrugPlacebo

    intramuscularly once every 5 days, 15 injections

06

What researchers measure

Primary outcomes

  1. Change in Forced vital capacity (FVC) (visit 4)

    Change in the FVC (%) compared with the initial data according to spirometry data after completion of the course of therapy

    Time frame: Baseline to Day 71±1

Secondary outcomes

  1. Slowing the decline in respiratory function

    Slowing the decline in respiratory function (FVC (%) compared with the initial data after the end of the observation period

    Time frame: Baseline to Day 180±3

  2. Change in FVC (visit 5)

    Change in the FVC (%) compared with the initial data after the end of the observation period

    Time frame: Baseline to Day 180±3

  3. The proportion of patients with an increase in the FVC (%)

    The proportion of patients with an increase in the FVC (%) by 10% or more compared to the initial values after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  4. Dynamics of hemoglobin oxygen saturation (SpO2)

    Dynamics of SpO2 values at rest after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  5. The proportion of patients with SpO2 ≥ 93% and < 93%

    The proportion of patients with SpO2 value at rest ≥ 93% and \< 93% after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  6. The proportion of patients with desaturation

    The proportion of patients with desaturation, defined as a decrease in SpO2 by ≥ 4% after 6-minute walk test (6MWT) after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  7. The proportion of patients with an increase in the distance of 6MWT

    The proportion of patients with an increase in the distance of 6MWT by 50 m or more after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  8. The proportion of patients with a decrease in the severity of dyspnea on the Borg scale

    The proportion of patients with a decrease in the severity of dyspnea on the Borg scale by ≥ 2 points after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  9. The proportion of patients with a decrease in the severity of dyspnea on the Modified Medical Research Council Dyspnea Scale (mMRC)

    The proportion of patients with a decrease in the severity of dyspnea on the mMRC by ≥ 1 point after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  10. Change in cough severity on the Visual Analogue Scale (VAS)

    Change in cough severity on the VAS after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

  11. Change in the assessment of the quality of life according to the European Quality of Life 5-Dimension 5-Level Questionnaire (EuroQol-5D-5L)

    Change in the assessment of the quality of life according to the EuroQol-5D-5L after Visit 4 and Visit 5

    Time frame: Baseline, Day 71±1, Day 180±3

07

Study locations

30 sites
  • State Autonomous Healthcare Institution of the Sverdlovsk region "Aramil City Hospital"
    Aramil, 624000, Russian Federation
  • Private healthcare institution "Clinical Hospital "RZD-Medicine" of the city of Chelyabinsk"
    Chelyabinsk, 454000, Russian Federation
  • State Budgetary Healthcare Institution "Regional Clinical Hospital No. 3"
    Chelyabinsk, 454021, Russian Federation
  • Ural research Institute of Phthisiopulmonology
    Ekaterinburg, 620039, Russian Federation
  • Alliance Biomedical-Ural Group LLC
    Izhevsk, 426061, Russian Federation
  • Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" of the Ministry of Health of the Russian Federation. The State Autonomous healthcare institution "Hospital for War Veterans of Kazan"
    Kazan, 420012, Russian Federation
  • Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" of the Ministry of Health of the Russian Federation
    Kazan, 420012, Russian Federation
  • State Autonomous Healthcare Institution "Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky"
    Kemerovo, 650000, Russian Federation
  • Medical Center Rhevma-Med LLC
    Kemerovo, 650070, Russian Federation
  • Federal State Budgetary Educational Institution of Higher Education "Kirov State Medical University" of the Ministry of Health of the Russian Federation
    Kirov, 610027, Russian Federation
  • Federal State Budgetary Institution "National Medical Research Center for Therapy and Preventive Medicine" of the Ministry of Health of the Russian Federation
    Moscow, 101990, Russian Federation
  • Federal Budgetary Institution of Science "Central Research Institute of Epidemiology" of the Federal Service for Supervision of Consumer Rights Protection and Human Well-being
    Moscow, 111123, Russian Federation
  • Unimed-S Zao
    Moscow, 119571, Russian Federation
  • I.M. Sechenov First Moscow State Medical University
    Moscow, 119991, Russian Federation
  • ErSi Medical LLC
    Novosibirsk, 630005, Russian Federation
  • Professorial Clinic LLC
    Perm, 614070, Russian Federation
  • Energia Zdoroviya LLC
    Saint Petersburg, 194156, Russian Federation
  • Medical Center Reavita Med SPb LLC
    Saint Petersburg, 194354, Russian Federation
  • Reavita Med SPb Medical Center LLC
    Saint Petersburg, 194354, Russian Federation
  • St. Petersburg State Budgetary Healthcare Institution "City Consultative and Diagnostic Center No. 1".
    Saint Petersburg, 194354, Russian Federation
  • Eco-Safety Research Center LLC
    Saint Petersburg, 196143, Russian Federation
  • Federal State Budgetary Institution "Consultative and Diagnostic Center with Polyclinic" of the Office of the President of the Russian Federation
    Saint Petersburg, 197110, Russian Federation
  • St. Petersburg State Budgetary Healthcare Institution "Consultative and Diagnostic Center No.85"
    Saint Petersburg, 198260, Russian Federation
  • Astarta LLC
    Saint Petersburg, 199226, Russian Federation
  • Federal State Budgetary Educational Institution of Higher Education "Saratov State Medical University named after V.I. Razumovsky" of the Ministry of Health of the Russian Federation
    Saratov, 410012, Russian Federation
  • Regional State budgetary healthcare institution "Clinical Hospital No. 1"
    Smolensk, 214006, Russian Federation
  • Federal State Budgetary Educational Institution of Higher Education "Siberian State Medical University" of the Ministry of Health of the Russian Federation
    Tomsk, 634050, Russian Federation
  • Budgetary healthcare institution of the Voronezh region "Voronezh Regional Clinical Hospital No. 1"
    Voronezh, 394066, Russian Federation
  • Medical Center for Diagnosis and Prevention plus LLC
    Yaroslavl, 150040, Russian Federation
  • The State Autonomous Healthcare Institution of the Yaroslavl region "Clinical Hospital No. 9"
    Yaroslavl, 150042, Russian Federation
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2022 to primary completion in Dec 2023, 20 months.

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

Registered
Apr 24, 2024
First posted
Apr 25, 2024
StartActual
Apr 8, 2022
Primary completionActual
Dec 31, 2023
CompletionActual
Dec 31, 2023
Last update
Jun 3, 2025
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 Jun 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06383819
Lead sponsor
NPO Petrovax
Responsible party
Sponsor
First posted
Apr 25, 2024
Start date
Apr 8, 2022
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Jun 3, 2025

Study contacts

Sergey Avdeev, DM
principal investigator · I.M. Sechenov First Moscow State Medical University

Oversight

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

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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