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. 2023 Jul 25;2023(7):CD015078. doi: 10.1002/14651858.CD015078

NCT04445623.

Study name Prasugrel in Severe COVID‐19 Pneumonia (PARTISAN)
Methods
  • Trial design: RCT, open‐label, phase 3

  • Type of publication: trial registry

  • Setting: hospital

  • Recruitment dates: not yet recruiting

  • Country: Italy

  • Language: English

  • Number of centres: NR

  • Inclusion criteria: COVID‐19 pneumonia, age over 18 years, willingness to express consent

  • Exclusion criteria: active neoplasia or in maintenance therapy, pregnancy and breastfeeding, any absolute contraindication to the use of antiplatelet drugs, pathological bleeding in progress, recent major bleeding at any location, need to use therapeutic doses of oral anticoagulants or heparins, need to use antiplatelet in combination for clinical indication, hypersensitivity to the active substance prasugrel or any of the excipients, clinical history of stroke or transient ischaemic attack (TIA), severe liver failure (Child‐Pugh class C)

  • Trial registration number: NCT04445623

  • Date of trial registration: 24 June 2020

  • Prospective completion date: January 2021

Participants
  • Age: 18 to 99 years

  • Gender: NR

  • Ethnicity: NR

  • Number of participants (recruited/allocated/evaluated): 128/NR/NR

  • Severity of disease: SARS‐CoV‐2 infection (COVID‐19)

  • Additional diagnoses: thrombosis

  • Previous treatments (e.g. experimental drug therapies, oxygen therapy, ventilation): NR

Interventions
  1. Active comparator: film‐coated tablets of prasugrel hydrochloride (10 mg daily dose after loading dose of 60 mg) orally once daily for 15 days

  2. Placebo comparator: film‐coated tablets of placebo orally once daily for 15 days

  • Concomitant therapy: NR

  • Treatment cross‐overs: NR

  • Duration of follow‐up: NR

  • Treatment cross‐overs: NR

  • Compliance with assigned treatment: NR

Outcomes Primary outcomes
  1. P/F ratio at day 7


Secondary outcomes
  1. Daily P/F ratio

  2. Daily need for oxygen supply

  3. Need for ICU

  4. Death

  5. MOF

  6. Discharge

  7. Clinical progression of the disease SOFA score

  8. Clinical progression of the disease APACHE II

  9. Venous thrombosis/ pulmonary embolism/thrombosis

  10. Need for CT imaging

  11. Daily Temperature

  12. Daily blood pressure

  13. Daily total blood count Hemoglobin

  14. Daily total blood count Red Blood Cells

  15. Daily total blood count Leukocytes

  16. Daily total blood count Platelets

  17. Daily indices of organ damage Liver

  18. Indices of inflammation C‐reactive protein

  19. Indices of haemostasis PT

  20. Daily progression at imaging (chest‐X‐ray)

  21. Major bleeding

  22. Total bleeding

  23. Unexpected clinical or laboratory findings

  24. Indices of inflammation D‐dimer

  25. Indices of inflammation Fibrinogen

  26. Indices of inflammation IL‐6

  27. Indices of inflammation IL‐1

  28. Daily indices of organ damage kidney

  29. Daily indices of organ damage heart

  30. Haemostasis aPTT

  31. Haemostasis VASP PRI

  32. Haemostasis platelet‐leukocytes aggregates


Additional Outcomes: NR
Starting date 1 July 2020
Contact information
  • Contact: Pietro Minuz, Professor 045‐8124414 ext +39 pietro.minuz@univr.it

  • Contact: Marco Cattaneo, Professor 02‐50323095 ext +39 marco.cattaneo@unimi.it

Notes
  • Sponsor/funding: Azienda Ospedaliera Universitaria Integrata Verona

  • COIs: NR

  • Other: NR