Prophylaxis for patients at risk of COVID-19 infection: results from the intranasal niclosamide randomised, double blinded, placebo controlled arm of the PROTECT-V platform trial
Toby Jl Humphrey, Wendi Qian, Michael Chen-Xu, Francis Dowling, Katrina Gatley, Rakshya Adhikari, Tracey Hensman, Louise Stockley, Abhinav Bassi, Nikita Bathla, Indranil Dasgupta, Davinder Ps Dosanjh, Mads Jellingsø, Morten Lind Jensen, Anne Weibel Callesen, John R Bradley, Vivekanand Jha, Morten Oa Sommer, Thomas F Hiemstra, Rona M Smith
Background PROTECT-V (PROphylaxis for paTiEnts at risk of COVID-19 infecTion) is a platform trial testing multiple pre-exposure COVID-19 prophylactic agents in vulnerable patient cohorts. The aim is to determine if these agents can confer additional protection, over and above vaccination, in patients who typically mount sub-optimal vaccine responses or are at particular risk of adverse clinical outcomes from COVID-19 infection. This paper reports the results from the intranasal niclosamide arm of the trial.
This preprint research paper has not been peer reviewed. Electronic copy available at: https://ssrn.com/abstract=4519538 P r e p r i n t n o t p e e r r e v i e w e d Supplementary Figure 2 : Participant withdrawal according to treatment allocation
References
Bingham, Looney, Deodhar, Halsey, Greenwald et al., Immunization responses in rheumatoid arthritis patients treated with rituximab: Results from a controlled clinical trial, Arthritis Rheum
Braga, Ali, Secco, Chiavacci, Neves et al., Drugs that inhibit TMEM16 proteins block SARS-CoV-2 spike-induced syncytia, Nature
Caillard, Thaunat, COVID-19 vaccination in kidney transplant recipients, Nat Rev Nephrol
Gassen, Niemeyer, Muth, Corman, Martinelli et al., SKP2 attenuates autophagy through Beclin1-ubiquitination and its inhibition reduces MERS-Coronavirus infection, Nat Commun
Gupta, Gonzalez-Rojas, Juarez, Casal, Moya et al., Early Treatment for Covid-19 with SARS-CoV-2 Neutralizing Antibody Sotrovimab, N Engl J Med,
doi:10.1056/NEJMoa2107934
Humphrey, Dosanjh, Hiemstra, Richter, Chen-Xu et al., PROphylaxis for paTiEnts at risk of COVID-19 infecTion (PROTECT-V), Trials,
doi:10.1186/s13063-023-07128-z
Jeon, Ko, Lee, Choi, Byun et al., Identification of Antiviral Drug Candidates against SARS-CoV-2 from FDA-Approved Drugs, Antimicrob Agents Chemother,
doi:10.1128/AAC.00819-20
Krueger, Ison, Ghossein, Practical Guide to Vaccination in All Stages of CKD, Including Patients Treated by Dialysis or Kidney Transplantation, Am J Kidney Dis
Levin, Ustianowski, De, Launay, Avila et al., Intramuscular AZD7442 (Tixagevimab-Cilgavimab) for Prevention of Covid-19, N Engl J Med
Pindiprolu, Pindiprolu, Plausible mechanisms of Niclosamide as an antiviral agent against COVID-19, Med Hypotheses
Pinto, Park, Beltramello, Walls, Tortorici et al., Crossneutralization of SARS-CoV-2 by a human monoclonal SARS-CoV antibody, Nature
Singh, Weiss, Goodman, Fisk, Kulkarni et al., Niclosamide-A promising treatment for COVID-19, Br J Pharmacol,
doi:10.1111/bph.15843
Smith, Cooper, Doffinger, Stacey, Al-Mohammad et al., SARS-COV-2 vaccine responses in renal patient populations, BMC Nephrol,
doi:10.1186/s12882-022-02792-w
Van Assen, Holvast, Benne, Posthumus, Van Leeuwen et al., Humoral responses after influenza vaccination are severely reduced in patients with rheumatoid arthritis treated with rituximab, Arthritis Rheum,
doi:10.1002/art.25033
Weiss, Hendrickx, Stensgaard, Jellingsø, Sommer, Kidney Transplant and Dialysis Patients Remain at Increased Risk for Succumbing to COVID-19, Transplantation,
doi:10.1097/TP.0000000000004462
Weiss, Touret, Baronti, Gilles, Hoen et al., Niclosamide shows strong antiviral activity in a human airway model of SARS-CoV-2 infection and a conserved potency against the Alpha (B.1.1.7), Beta (B.1.351) and Delta variant (B.1.617, PLoS One
{ 'indexed': {'date-parts': [[2023, 7, 26]], 'date-time': '2023-07-26T16:10:36Z', 'timestamp': 1690387836011},
'posted': {'date-parts': [[2023]]},
'group-title': 'SSRN',
'reference-count': 0,
'publisher': 'Elsevier BV',
'content-domain': {'domain': [], 'crossmark-restriction': False},
'DOI': '10.2139/ssrn.4519538',
'type': 'posted-content',
'created': {'date-parts': [[2023, 7, 26]], 'date-time': '2023-07-26T15:49:36Z', 'timestamp': 1690386576000},
'source': 'Crossref',
'is-referenced-by-count': 0,
'title': 'Prophylaxis for Patients at Risk of COVID-19 Infection: Results from the Intranasal Niclosamide '
'Randomised, Double Blinded, Placebo Controlled Arm of the PROTECT-V Platform Trial',
'prefix': '10.2139',
'author': [ {'given': 'Toby JL', 'family': 'Humphrey', 'sequence': 'first', 'affiliation': []},
{'given': 'Wendi', 'family': 'Qian', 'sequence': 'additional', 'affiliation': []},
{'given': 'Michael', 'family': 'Chen-Xu', 'sequence': 'additional', 'affiliation': []},
{'given': 'Francis', 'family': 'Dowling', 'sequence': 'additional', 'affiliation': []},
{'given': 'Katrina', 'family': 'Gatley', 'sequence': 'additional', 'affiliation': []},
{'given': 'Rakshya', 'family': 'Adhikari', 'sequence': 'additional', 'affiliation': []},
{'given': 'Tracey', 'family': 'Hensman', 'sequence': 'additional', 'affiliation': []},
{'given': 'Louise', 'family': 'Stockley', 'sequence': 'additional', 'affiliation': []},
{'given': 'Abhinav', 'family': 'Bassi', 'sequence': 'additional', 'affiliation': []},
{'given': 'Nikita', 'family': 'Bathla', 'sequence': 'additional', 'affiliation': []},
{'given': 'Indranil', 'family': 'Dasgupta', 'sequence': 'additional', 'affiliation': []},
{'given': 'Davinder PS', 'family': 'Dosanjh', 'sequence': 'additional', 'affiliation': []},
{'given': 'Mads', 'family': 'Jellingso', 'sequence': 'additional', 'affiliation': []},
{'given': 'Per', 'family': 'Soerensen', 'sequence': 'additional', 'affiliation': []},
{'given': 'Morten', 'family': 'Lind Jensen', 'sequence': 'additional', 'affiliation': []},
{'given': 'Anne', 'family': 'Weibal Callesen', 'sequence': 'additional', 'affiliation': []},
{'given': 'John', 'family': 'Bradley', 'sequence': 'additional', 'affiliation': []},
{'given': 'Vivekanand', 'family': 'Jha', 'sequence': 'additional', 'affiliation': []},
{'given': 'Morten AO', 'family': 'Sommer', 'sequence': 'additional', 'affiliation': []},
{'given': 'Thomas F.', 'family': 'Hiemstra', 'sequence': 'additional', 'affiliation': []},
{'given': 'Rona M.', 'family': 'Smith', 'sequence': 'additional', 'affiliation': []},
{'given': 'PROTECT-V Study', 'family': 'Group', 'sequence': 'additional', 'affiliation': []}],
'member': '78',
'container-title': [],
'original-title': [],
'deposited': { 'date-parts': [[2023, 7, 26]],
'date-time': '2023-07-26T15:49:36Z',
'timestamp': 1690386576000},
'score': 1,
'resource': {'primary': {'URL': 'https://www.ssrn.com/abstract=4519538'}},
'subtitle': [],
'short-title': [],
'issued': {'date-parts': [[2023]]},
'references-count': 0,
'URL': 'http://dx.doi.org/10.2139/ssrn.4519538',
'relation': {},
'published': {'date-parts': [[2023]]},
'subtype': 'preprint'}