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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

117 participants

Primary outcome timeframe

15 days

Results posted on

2022-05-04

Participant Flow

Participant milestones

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

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

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 days

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.

Outcome measures

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 days

Population: 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

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 days

The 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

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 days

The 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

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 days

Participants 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

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 days

Outcome is reported as the mean number of emergency department and clinic presentations combined per participant in each arm.

Outcome measures

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 days

Outcome 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

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 days

Viral load is measured as number of viral genetic copies per mL.

Outcome measures

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 days

Viral load is measured as number of viral genetic copies per mL.

Outcome measures

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 days

Outcome reported as the percent of participants in each arm who require ICU admission by day 15 following randomization.

Outcome measures

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 days

Outcome reported as the percent of participants in each arm who require oxygen therapy by day 15 following randomization.

Outcome measures

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

Serious events: 3 serious events
Other events: 43 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

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

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

Christopher Tignanelli

University of Minnesota

Phone: 612-626-1968

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place