Clinical trial

Topical Antibacterial Agents for Prevention of COVID-19

Name
2000032248
Description
The primary objective of this study is to determine whether intranasal application of aminoglycoside (Neosporin) increases local nasal innate immune responses compared to placebo control in healthy participants.
Trial arms
Trial start
2022-09-01
Estimated PCD
2023-09-22
Trial end
2023-09-22
Status
Completed
Phase
Early phase I
Treatment
Neosporin
Neosporin is neomycin, bacitracin and polymyxin B with formulation 3.5mg/400 units/5,000 units. The subject will self-apply a small amount (approximately 0.5 g) of the ointment topically into each nostril (intranasal) twice daily (morning and evening) for seven days. Subjects are to pinch the nose to spread the cream.
Arms:
Neosporin
Vaseline
The subject will self-apply a small amount (approximately 0.5 g) of the ointment topically into each nostril (intranasal) twice daily (morning and evening) for seven days. Subjects are to pinch the nose to spread the cream.
Arms:
Vaseline or equivalent
Size
67
Primary endpoint
Change in in interferon response profile from nasal samples collected measured by a multiplex ELISA assay
From baseline up to Month 1
Change in in interferon response gene expression profile from nasal samples collected measured by RT-PCR
From baseline up to Month 1
Change in RNA expression profile of ISGs using RNAseq assay
Day 1and Day 8
Change in RNA expression profile of ISGs using single cell RNAseq assay
Day 1 and Day 8
Eligibility criteria
Inclusion Criteria: * Completion of written informed consent * Covid-negative within 48 hours of enrollment based on PCR or Antigen test. If subjects are found to be positive, the PI will recommend appropriate follow-ups. * In good general health as evidenced by medical history * Ability to take Nasal medication and be willing to adhere to the nasal agent regimen Exclusion Criteria: * Participant with active nasal or respiratory symptoms. * Participant with active or chronic respiratory nasal or respiratory infections and or is currently on antibiotics * Participant who has been treated with oral or topical antibiotics with the past 14 days * Participant who is on intranasal or oral corticosteroids or systemic immunosuppression medication * Participant who has immunocompromised conditions such as rheumatological diseases, HIV, cancer on chemotherapy or biologic therapies. * Participant who is on any intranasally applied medications (prescription or over the counter) including nonmedical nasal products and the use of Netipot or other nasal flush products. * Participant with known allergic history to Neosporin (allergic history to neomycin or bacitracin or polymyxcin or pramoxine or the inactive ingredients that include cocoa butter, cottonseed oil, olive oil, sodium pyruvate, tocopheryl acetate and white petrolatum) * Participant with known allergies to aminoglycoside antibiotics (neomycin, tobramycin, gentamycin, others) * Participant with history of COVID-19 infection in the past 8 weeks. * Participant who is pregnant
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Run-in cohort to test optimal sampling and storage conditions: For 6 participants, the investigator will test 50:50 with Neosporin vs Placebo participant nasal sampling and shipping protocol to evaluate signal to noise of interferon-stimulated genes (ISG) measures. If needed, we will rerun the power calculations.', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'DOUBLE', 'maskingDescription': 'Blinding will be achieved by masking and packaging the products in an identical fashion. Investigational product will be filled in empty Aluminum Ointment Tubes 15 g (Supplied via HealthCareLogistics, Item # 10201-01). The empty Aluminum Ointment Tubes are sterilized by gamma irradiation and have protective inner (epoxy phenolic) coating to prevent ointments from sticking to the sides and reacting with the aluminum.\n\nEach tube will be filled with approximately 15 g of the Neosporin ointment investigational product, or Vaseline Petroleum Jelly its matching placebo, and labeled in a blinded fashion.\n\nPatient or clinicians requesting unblinding will contact the principal investigator (PI).', 'whoMasked': ['PARTICIPANT', 'INVESTIGATOR']}}, 'enrollmentInfo': {'count': 67, 'type': 'ACTUAL'}}
Updated at
2023-10-03

1 organization

1 product

1 indication

Organization
Yale University
Product
Neosporin
Indication
COVID-19