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. 2022 Nov 17;2022(11):CD014963. doi: 10.1002/14651858.CD014963.pub2

NCT04513184.

Study name Randomised clinical trial of intranasal dexamethasone as an adjuvant in patients with COVID‐19
Methods Trial design: multicentre, double‐masked (participant, care provider), RCT
Sample size: 60
Setting: inpatient
Language: Spanish, English
Number of centres: 3
Type of intervention (treatment/prevention): treatment
Participants Inclusion criteria
  • 18 to 75 years old

  • Positive diagnosis of SARS‐CoV‐2 by real‐time RT‐PCR in oropharyngeal sample ≥ 7 days after the start of the infection

  • Hospitalised patients with moderate to severe respiratory complications that have not received mechanical ventilation

  • Patients receiving standard therapy at the Hospital General de México Eduardo Liceaga

  • Signing of the informed consent form

  • Patients of both sexes (non‐pregnant female) ≥ 18 years of age will be eligible if they have a positive diagnostic sample by RT‐PCR, pneumonia confirmed by chest imaging and oxygen saturation (SaO2) < 93% at ambient air or PaO2: FiO2 at ≤ 300 mmHg


Exclusion criteria
  • Patients participating in another research protocol

  • Patients receiving oral or IV glucocorticoids

  • Immunosuppressed patients (including HIV infection)

  • Glaucoma patients

  • Patients with allergy to dexamethasone

  • Pregnant or lactating women

  • Concomitant autoimmune diseases

  • Refusal by the patient or family to participate in the study

Interventions Details of intervention
  • Dose: 6 mg dexamethasone from day 1 to 10 after randomisation

  • Route of administration: IV


Treatment details of control group (e.g. dose, route of administration): nasal dexamethasone 0.12 mg/kg/daily for 3 days from day 1, followed by 0.06 mg/kg/daily from day 4 to 10 after randomisation
Concomitant therapy: no information
Outcomes Primary outcome
  • Evaluation of the clinical status of patients after randomisation, defined as a 2‐point improvement in the WHO 7‐point Ordinal Scale

  • Time of clinical improvement (time frame: 10 days after randomisation)

Starting date 14 July 2020
Contact information Graciela A Cárdenas‐Hernández, PhD: +525556063822 ext 2012 
Email: gracielacardenas@yahoo.com.mx
Notes Recruitment status: recruiting
Prospective completion date: primary completion date 30 March 2021 estimated study completion date 31 July 2021
Date last update was posted: 12 November 2020
Sponsor/funding: Edda Sciutto Conde