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. 2022 Mar 4;2022(3):CD013739. doi: 10.1002/14651858.CD013739.pub2

NCT04397510.

Study name Nebulized heparin vs. placebo for the treatment of COVID‐19 induced lung injury
Starting date 1 June 2020
Contact information Thomas Smoot
Frederick Health Hospital, Frederick, Maryland, USA
Methods Multicentre, single‐masking (outcomes assessor), investigator‐sponsored, 2‐armed, parallel‐assignment RCT
Participants 50 participants, ≥ 18 years, female and male
Inclusion criteria
  • Age ≥ 18 years

  • Admitted to the ICU

  • Positive COVID‐19 PCR

  • Mechanical ventilation for ≤ 48 h

  • PaO2/FiO2 ≤ 300


Exclusion criteria
  • Heparin allergy

  • Active bleeding

  • Death or withdrawal of care anticipated by intensivist within 24 h

  • Platelets < 50,000 cells/µL

  • Clinically significant coagulopathy, as decided by the intensivist

  • O2‐dependent at baseline

Interventions Experimental: nebulised heparin 5000 units/mL IV formulation diluted with 3 mL of 0.9% sodium chloride. Dose: 10,000 units. Frequency: every 4 h. Duration: 10 days
Comparator: placebo. 0.9% sodium chloride. Dose: 5 mL. Frequency: every 4 h. Duration: 10 days
Outcomes Primary
  • Mean daily PaO2 to FiO2 ratio (time frame: 10 days)


Secondary
  • Duration of mechanical ventilation (time frame: 30 days)

  • ICU length of stay (time frame: 30 days)

  • Mortality rate (time frame: 30 days)

  • Incidence of adverse drug events (time frame: 10 days)

Notes NCT04397510 | FHHep518 | No data provided