Table 1 Ongoing and planned clinical trials of inflammasome pathway inhibition in COVID-19

From: Inflammasome activation at the crux of severe COVID-19

Trial

Type, size and inclusion

Intervention and end points

Targeting NLRP3

Novartis DFV890 (NCT04382053)

Multicentre, randomized, controlled; 143 participants

Administered for 14 days in addition to standard of care; day 15 APACHE II severity or day of discharge

Olatec Therapeutics Dapansutrile (NCT04540120)

Randomized, double blind, placebo controlled; 80 participants

Initial dose of 8 × 250 mg on first day; 4 × 250-mg capsules for 14 days; proportion of participants with clinical deterioration at day 15, defined as COVID-19-related hospitalization or both worsening shortness of breath and oxygen saturation less than 92% on room air

Targeting gasdermin D

University of California, San Francisco Disulfiram for COVID-19 (DISCO) trial (NCT04485130)

Randomized, dose escalation, placebo controlled, double blind; 60 participants

1,000 mg per day for 5 days or 2,000 mg per day for 5 days; plasma levels of IL-1β, IL-6 and other cytokines at 31 days

ETICA Disulfiram (NCT04594343)

Randomized, double blind, placebo controlled; 200 participants

500 mg per day for 14 days; plasma IL-18 level at day 7

University of Oxford RECOVERY trial Dimethyl fumarate (NCT04381936)

Randomized, open label

120 mg every 12 hours for 2 days and 240 mg every 12 hours for 8 days; mortality 28 days after randomization

  1. APACHE II, acute physiology and chronic health evaluation II.