Trial Outcomes & Findings for Losartan for Patients With COVID-19 Not Requiring Hospitalization (NCT NCT04311177)
NCT ID: NCT04311177
Last Updated: 2022-05-04
Results Overview
Outcome reported as the percentage of participants per arm admitted to inpatient hospital care due to COVID-19-related disease within 15 days of randomization. Currently, there is a pre-planned pooled analysis with a national trial network under development.
COMPLETED
PHASE2
117 participants
15 days
2022-05-04
Participant Flow
Participant milestones
| Measure |
Losartan
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Overall Study
STARTED
|
58
|
59
|
|
Overall Study
COMPLETED
|
50
|
55
|
|
Overall Study
NOT COMPLETED
|
8
|
4
|
Reasons for withdrawal
| Measure |
Losartan
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Overall Study
Adverse Event
|
3
|
1
|
|
Overall Study
Physician Decision
|
4
|
3
|
|
Overall Study
Withdrawal by Subject
|
1
|
0
|
Baseline Characteristics
Losartan for Patients With COVID-19 Not Requiring Hospitalization
Baseline characteristics by cohort
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
Total
n=117 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
55 Participants
n=39 Participants
|
59 Participants
n=41 Participants
|
114 Participants
n=35 Participants
|
|
Age, Categorical
>=65 years
|
3 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
3 Participants
n=35 Participants
|
|
Sex: Female, Male
Female
|
33 Participants
n=39 Participants
|
25 Participants
n=41 Participants
|
58 Participants
n=35 Participants
|
|
Sex: Female, Male
Male
|
25 Participants
n=39 Participants
|
34 Participants
n=41 Participants
|
59 Participants
n=35 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=39 Participants
|
5 Participants
n=41 Participants
|
6 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Black or African American
|
4 Participants
n=39 Participants
|
4 Participants
n=41 Participants
|
8 Participants
n=35 Participants
|
|
Race (NIH/OMB)
White
|
45 Participants
n=39 Participants
|
40 Participants
n=41 Participants
|
85 Participants
n=35 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=39 Participants
|
0 Participants
n=41 Participants
|
0 Participants
n=35 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
8 Participants
n=39 Participants
|
10 Participants
n=41 Participants
|
18 Participants
n=35 Participants
|
PRIMARY outcome
Timeframe: 15 daysOutcome reported as the percentage of participants per arm admitted to inpatient hospital care due to COVID-19-related disease within 15 days of randomization. Currently, there is a pre-planned pooled analysis with a national trial network under development.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Percentage of Participants Admitted to the Hospital
|
5.2 percentage of participants
Interval 1.1 to 14.4
|
1.7 percentage of participants
Interval 0.0 to 9.1
|
SECONDARY outcome
Timeframe: 10 daysPopulation: Only 50 patients were analyzed for this outcome measure due to loss to follow-up or refusal to complete the survey resulting in data missingness.
The PROMIS dyspnea scale consists of 4 subscales. 3 (1. general shortness of breath, 2. intensity, and 3. Frequency) are scored from 0 (no symptoms) to 10 (most severe). The 4th subscale is scored from 0-4 in response to the question "I've been short of breath" with 0 representing none and 4 the most severe, for a total range of 0-34. Results are difference between enrollment and day 10. There are no units.
Outcome measures
| Measure |
Losartan
n=50 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=50 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Change in PROMIS Dyspnea Scale
|
-0.4 score on a scale
Standard Deviation 0.9
|
-0.5 score on a scale
Standard Deviation 0.7
|
SECONDARY outcome
Timeframe: 10 daysThe SF-12 is a self-reported validated outcome measure assessing the impact of health on an individual's everyday life. Patients fill out a 12 question survey which is then scored by a clinician or researcher. Physical score is computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. The 33-item Severity bank assesses the severity of difficulty breathing during various specific activities (the same 33 activities assessed in Dyspnea Functional Limitations). Each activity is rated in terms of degree of dyspnea (0 = no shortness of breath, 1 = mildly short of breath, 2 = moderately short of breath, 3 = severely short of breath) while engaging in the activity over the past 7 days. Total scores range from 0 to 99 with higher scores reflecting greater levels of dyspnea during daily activity.
Outcome measures
| Measure |
Losartan
n=31 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=39 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Change in SF-12 Physical Composite Score
|
1.4 score
Standard Deviation 9.1
|
0.2 score
Standard Deviation 6.5
|
SECONDARY outcome
Timeframe: 10 daysThe SF-12 is a self-reported validated outcome measure assessing the impact of health on an individual's everyday life. Patients fill out a 12 question survey which is then scored by a clinician or researcher. Mental composite score is computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health.
Outcome measures
| Measure |
Losartan
n=31 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=39 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Change in SF-12 Mental Composite Score
|
-0.1 score
Standard Deviation 6.5
|
-0.3 score
Standard Deviation 5.7
|
SECONDARY outcome
Timeframe: 10 daysParticipants will report their maximum daily oral temperature to the study team. Outcome is reported as the mean maximum daily body temperature (in degrees Celsius) over 10 days.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Daily Maximum Temperature
|
97.7 degrees Farenheit
Standard Error 0.097
|
97.8 degrees Farenheit
Standard Error 0.092
|
SECONDARY outcome
Timeframe: 28 daysOutcome is reported as the mean number of emergency department and clinic presentations combined per participant in each arm.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Count of Participants With an Emergency Department or Clinic Presentation
|
10 Participants
|
5 Participants
|
SECONDARY outcome
Timeframe: 15 daysOutcome reported as the number of participants in each arm who fall into each of 7 categories. Lower scores indicate greater condition severity. The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 1) Death; 2) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4) Hospitalized, requiring supplemental oxygen; 5) Hospitalized, not requiring supplemental oxygen; 6) Not hospitalized, limitation on activities; 7) Not hospitalized, no limitations on activities.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Disease Severity Rating Day 15
|
5.8 score
Standard Deviation 0.5
|
5.9 score
Standard Deviation 0.7
|
SECONDARY outcome
Timeframe: 9 daysViral load is measured as number of viral genetic copies per mL.
Outcome measures
| Measure |
Losartan
n=32 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=35 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Change in Viral Load by Nasopharyngeal Swab at Day 9
|
-3.8 log10 copies/mL
Standard Error 0.3
|
-3.6 log10 copies/mL
Standard Error 0.29
|
SECONDARY outcome
Timeframe: 15 daysViral load is measured as number of viral genetic copies per mL.
Outcome measures
| Measure |
Losartan
n=35 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=25 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Change in Viral Load by Nasopharyngeal Swab at Day 15
|
-3.7 log10 copies/mL
Standard Error 0.33
|
-4 log10 copies/mL
Standard Error 0.29
|
SECONDARY outcome
Timeframe: 15 daysOutcome reported as the percent of participants in each arm who require ICU admission by day 15 following randomization.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Percentage of Patients Admitted to the Intensive Care Unit Within 15 Days
|
1.7 percentage of participants
Interval 0.0 to 9.2
|
1.7 percentage of participants
Interval 0.0 to 9.1
|
SECONDARY outcome
Timeframe: 15 daysOutcome reported as the percent of participants in each arm who require oxygen therapy by day 15 following randomization.
Outcome measures
| Measure |
Losartan
n=58 Participants
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 Participants
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Need for Oxygen Therapy at 15 Days
|
1.7 percentage of participants
Interval 0.0 to 9.2
|
1.7 percentage of participants
Interval 0.0 to 9.1
|
Adverse Events
Losartan
Placebo
Serious adverse events
| Measure |
Losartan
n=58 participants at risk
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 participants at risk
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Hospital Admission
|
5.2%
3/58 • Number of events 3 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
1.7%
1/59 • Number of events 1 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
Other adverse events
| Measure |
Losartan
n=58 participants at risk
Participants in this arm will receive the study drug, Losartan.
Losartan: Losartan; 25 mg daily; oral administration
|
Placebo
n=59 participants at risk
Participants in this arm will receive a placebo treatment.
Placebo: Placebo (microcrystalline methylcellulose, gelatin capsule); oral administration
|
|---|---|---|
|
Cardiac disorders
Cardiovascular
|
15.5%
9/58 • Number of events 9 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
10.2%
6/59 • Number of events 6 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Social circumstances
Constitutional
|
10.3%
6/58 • Number of events 6 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
22.0%
13/59 • Number of events 13 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Ear and labyrinth disorders
Ear, Nose, and Throat
|
12.1%
7/58 • Number of events 7 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
6.8%
4/59 • Number of events 4 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Gastrointestinal disorders
Gastrointestinal
|
6.9%
4/58 • Number of events 4 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
6.8%
4/59 • Number of events 4 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Nervous system disorders
Neurologic
|
5.2%
3/58 • Number of events 3 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
3.4%
2/59 • Number of events 2 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Renal and urinary disorders
Renal
|
3.4%
2/58 • Number of events 2 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
8.5%
5/59 • Number of events 5 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory
|
15.5%
9/58 • Number of events 9 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
37.3%
22/59 • Number of events 22 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
|
Skin and subcutaneous tissue disorders
Skin
|
5.2%
3/58 • Number of events 3 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
0.00%
0/59 • 28 days
Events were monitored / assessed without regard to specific adverse event term, but rather by systems.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place