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Therapeutic clinical trials to combat COVID-19 pandemic in India: analysis from trial registry
Angelika Batta1, Raj Khirasaria2, Vinod Kapoor1
1Department of Pharmacology, Faculty of Medical & Health Sciences, SGT Medical College, Hospital and Research Institute, SGT University, Gurugram, Haryana, India.
Objectives:
With the emergence of Novel corona virus, hunt for finding a preventive and therapeutic treatment options has already begun at a rapid pace with faster clinical development programs. The present study was carried out to give an insight of therapeutic interventional trials registered under clinical trial registry of India (CTRI) for COVID-19 pandemic.
Methods:
All trials registered under CTRI were evaluated using keyword "COVID" from its inception till 9th June 2020. Out of which, therapeutic interventional studies were chosen for further analysis. Following information was collected for each trial: type of therapeutic intervention (preventive/therapeutic), treatment given, no. of centers (single center/multicentric), type of institution (government/private), study design (randomized/single-blinded/double-blinded) and sponsors (Government/private). Microsoft Office Excel 2007 was used for tabulation and analysis.
Results:
The search yielded total of 205 trials, out of which, 127 (62%) trials were interventional trials. Out of these, 71 (56%) were AYUSH interventions, 36 (28.3%) tested drugs, 9 (7%) tested a nondrug intervention, rest were nutraceuticals and vaccines. About 66 (56%) were therapeutic trials. Majority were single-centered trials, i.e. 87 (73.7%). Trials were government funded in 57 (48.3%) studies. Majority were randomized controlled trials, i.e. 67 (56.8%). AYUSH preparations included AYUSH-64, Arsenic Album, SamshamaniVati etc.
Conclusions:
The number of therapeutic interventional clinical trials was fair in India. A clear-cut need exists for an increase in both quantity and quality of clinical trials for COVID-19. Drug repurposing approach in all systems of medicine can facilitate prompt clinical decisions at lower costs than de novo drug development.
Insights
Clinical trials in India for COVID-19 show a fair number of therapeutic interventions, with AYUSH-based treatments being most common. Further improvements in trial quality and quantity are needed, alongside exploring drug repurposing for faster decisions.
Area of Science:
- Clinical Research
- Public Health
- Pharmacology
Background:
- The COVID-19 pandemic necessitated rapid development of preventive and therapeutic options.
- Clinical trials are crucial for evaluating treatment efficacy and safety.
Purpose of the Study:
- To analyze therapeutic interventional clinical trials registered in India for COVID-19.
- To provide insights into the landscape of COVID-19 clinical trials in India.
Main Methods:
- Searched the Clinical Trial Registry of India (CTRI) for trials using the keyword "COVID" until June 9, 2020.
- Filtered for therapeutic interventional studies and collected data on intervention type, treatment, centers, institution type, study design, and sponsors.
- Analyzed data using Microsoft Office Excel 2007.
Main Results:
- 127 interventional trials were identified, with 71 (56%) involving AYUSH interventions, 36 (28.3%) testing drugs, and 66 (56%) being therapeutic.
- The majority of trials were single-centered (73.7%), government-funded (48.3%), and randomized controlled trials (56.8%).
- Examples of AYUSH interventions included AYUSH-64, Arsenic Album, and SamshamaniVati.
Conclusions:
- India demonstrated a reasonable number of therapeutic interventional trials for COVID-19.
- There is a need to enhance both the quantity and quality of clinical trials for COVID-19.
- Drug repurposing across different medical systems offers a cost-effective approach for prompt clinical decisions compared to de novo drug development.
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