CovidResearchTrials by Shray Alag


CovidResearchTrials Covid 19 Research using Clinical Trials (Home Page)


Dexamethasone (high dose)Wiki

Developed by Shray Alag
Clinical Trial MeSH HPO Drug Gene SNP Protein Mutation


Correlated Drug Terms (3)


Name (Synonyms) Correlation
drug2197 Sarilumab Wiki 0.45
drug262 Azithromycin Wiki 0.17
drug1086 Hydroxychloroquine Wiki 0.10

Correlated MeSH Terms (3)


Name (Synonyms) Correlation
D055371 Acute Lung Injury NIH 0.10
D012127 Respiratory Distress Syndrome, Newborn NIH 0.10
D012128 Respiratory Distress Syndrome, Adult NIH 0.09

Correlated HPO Terms (0)


Name (Synonyms) Correlation

There is one clinical trial.

Clinical Trials


1 High Versus Low Dose Dexamethasone for the Treatment of COVID-19 Related ARDS: a Multicenter and Randomized Open-label Clinical Trial

There is compelling data indicating that there is an excessive inflammatory response in some patients with COVID-19 leading them to develop ARDS that can be severe with a very poor prognosis. Many of these patients require very long mechanical ventilation times to survive, which have led to the collapse of the health system in some regions of the world. The current evidence for the treatment of these severe forms is inconsistent and most scientific societies and governmental or international organizations recommend evaluating treatments with randomized clinical trials. Corticosteroids, being non-specific anti-inflammatory drugs, could shorten the duration of respiratory failure and improve the prognosis. Due to the lack of solid data available regarding this serious disease, our objective is to randomly evaluate the efficacy and safety of the use of dexamethasone, a parenteral corticosteroid approved in Argentina, in patients with ARDS with confirmed respiratory infection due to SARS-CoV-2 (COVID-19). After RECOVERY trial prepublication, low dose (6 mg QD for 10 days) dexamethasone was recommended as the usual care treatment for severe COVID-19. At this time only 3 patients had been included in the trial. Thus, we updated our recommendations for centers and decided to compare two different doses of this glucocorticoid for the treatment of ADRS due to COVID-19.

NCT04395105 Respiratory Distress Syndrome, Adult Covid-19 Drug: Dexamethasone (high dose)
MeSH:Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Acute Lung Injury

Primary Outcomes

Description: Days without ventilator support in the first 28 days following randomization

Measure: Ventilator-free days at 28 days

Time: 28 days after randomization

Secondary Outcomes

Description: Dead rate within 28 days of randomization

Measure: 28-days mortality

Time: 28 days after randomization

Description: Frequency of ventilator associated pneumonia, blood stream infection or candidemia in the first 28 days following randomization

Measure: Frequency of nosocomila infections

Time: 28 days after randomization

Description: Frequency of positive PCR on nasopharingeal swab

Measure: Viral shedding

Time: 28 days after randomization

Description: Change from baseline CPR

Measure: Serum C-reactive Protein variation

Time: 10 days after randomization

Description: Variation in SOFA over the first 10 days after randomization

Measure: SOFA variation

Time: 10 days after randomization

Description: Cumulative hours spent on prone position

Measure: Use of prone position

Time: 10 days after randomization

Description: Frequency of delirium at ICU discharge

Measure: Delirium

Time: 28 days after randomization

Description: mMRC score at ICU discharge

Measure: Muscle weakness

Time: 28 days after randomization

Description: Death rate within 90 days of randomization

Measure: 90-day mortality

Time: 90 days after randomization


No related HPO nodes (Using clinical trials)