The Use of Amantadine in the Prevention of Progression and Treatment of COVID-19 Symptoms

  • End date
    May 31, 2022
  • participants needed
  • sponsor
    Independent Public Clinical Hospital No. 4 in Lublin
Updated on 22 August 2021


The use of amantadine in the prevention of progression and treatment of COVID-19 symptoms in patients infected with the SARS-CoV-2 virus. Multicenter randomized, double-blind, placebo-controlled, non-commercial clinical trial

Condition *COVID-19, Covid-19, Sars Cov 2
Treatment Placebo, Amantadine hydrochloride
Clinical Study IdentifierNCT04854759
SponsorIndependent Public Clinical Hospital No. 4 in Lublin
Last Modified on22 August 2021


Yes No Not Sure

Inclusion Criteria

Men and women aged 18 and over
Can give informed consent
Confirmed positive result for SARS-CoV-2 within 72 hours from the date the result was issued (according to the laboratory report)
Patient presently symptomatic with one or more of the following symptoms: fever, cough, myalgia, mild dyspnoea, chest pain, diarrhea, nausea, vomiting, anosmia, lack of taste, sore throat, nasal congestion
At initial screening, the subject will report at least one and no more than 3 of the following risk factors for clinical worsening: age 40, obesity, hypertension, diabetes, pulmonary disease (e.g., asthma, COPD), and immune disorders (e.g. rheumatoid arthritis, lupus), neurological diseases: e.g. after a distant stroke or trauma to the brain, multiple sclerosis, dementia and other neurodegenerative diseases)
Patients hospitalized due to meeting the above criteria and requiring observation in a hospital or outpatient setting

Exclusion Criteria

Disease severe enough to meet the study's primary endpoint of clinical worsening (eg, current O2 saturation <92% with patient exposure to room air, current use of supplemental oxygen to maintain O2 saturation 92%)
WHO score 4 (requires oxygen therapy during hospitalization)
Concomitant diseases which, in the opinion of the attending physician, prevent the patient from participating in the study, such as: decompensated cirrhosis, active ulcer disease, epilepsy and symptomatic convulsions, untreated angle-closure glaucoma determined on the basis of the patient's interview and / or medical documentation . In addition, immunocompromised patients (solid organ transplant, BMT, AIDS, renal failure (patients with renal impairment may develop drug poisoning) or other diseases not mentioned and other diseases treated with biological, immunological and / or steroids in high doses will not be eligible for the study. doses (> 20 mg prednisone daily)
Hypersensitivity to any component of the preparation, severe congestive heart failure, cardiomyopathy, myocarditis, II-III degree AV block, bradycardia, clinically significant prolongation of the QT interval, or a family history of congenital long QT syndrome, severe ventricular arrhythmias (including torsade de pointes), concomitant use of drugs that prolong the QT interval, hypokalaemia, hypomagnesaemia
Pregnancy, the period of breastfeeding
Parallel intake of memantine or other drugs acting on the CNS (neuroleptics, anxiolytics, antiepileptic drugs, antidepressants)
Other neurological conditions with agitation or confusion, delirium syndromes or psychoses
Receipt of a partial or full vaccination schedule against SARS-CoV-2 is also an exclusion criterion from the study
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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