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CASE STUDY

Coordinating a Triple-Blind COVID-19 Nasal Spray Study with Clinion EDC and RTSM

Overview

An FMCG (fast-moving consumer goods) company’s life sciences division partnered with Clinion to support a multicentric, triple-blind, randomized, placebo-controlled trial testing a nasal spray for preventing SARS-CoV-2 infection in household caregivers of COVID-19 positive individuals, aged 12 to 99. The public trial record classifies the study type as Ayurveda, though project input lists it as allopathic; both are noted here given the discrepancy.

Patients were randomized to the nasal spray or a placebo by computer-generated sequence with centralized concealment, with participants, investigators, and outcome assessors all blinded, per the registry record. Over a 30-day intervention period plus a 7-day safety follow-up, the trial tracked infection rates, viral load differences between arms, disease severity, and safety data, ultimately enrolling 510 subjects against a target of 480.

Clinion EDC and RTSM were used together to support the trial’s randomization and data capture needs across its 7 participating sites in India. RTSM helped manage the trial’s randomized, blinded allocation, while EDC helped the study team capture infection, severity, and safety data consistently across sites during an active phase of the pandemic.

Study Snapshot

Industry

FMCG

Client

FMCG sponsor (life sciences division)

Study Type

Interventional

Therapeutic Area

Infectious Disease (COVID-19

Study Phase

N/A, per registry record

Study Design

Multicentric, randomized, placebo-controlled, triple-blind study

Randomization

Triple blind, computer-generated randomization, centralized concealment, per registry record 

Region

India

Site Count

7 sites

Submission

DCGI, per project input

Study Duration

6 months, per registry record and project input

Products Provided

Challenges

Keeping COVID-19 Prevention Data Consistent Across Randomized, Blinded Sites

This trial combined a randomized, triple-blind, placebo-controlled design with a broad range of infection, severity, and safety outcomes, all captured within a compressed timeframe and across a real-world household exposure setting rather than a controlled inpatient environment. The challenge was capturing this consistently across 7 sites during an active phase of the pandemic.

01

Preserving Triple-Blind Allocation Outside a Clinical Setting

The trial randomized household caregivers to the nasal spray or a placebo by computer-generated sequence, with centralized concealment and participant, investigator, and outcome assessor all blinded, per the registry record. Maintaining this blind in a household exposure setting, rather than a controlled clinical environment, created a need for a randomization setup robust enough to preserve concealment outside a traditional inpatient trial.

02

Coordinating Infection, Severity, and Safety Data Within a 30-Day Window

Endpoints spanned infection rates, viral load differences between arms, disease severity, and safety and tolerability data, all captured within a 30-day intervention period plus a 7-day safety follow-up, per the registry record. Coordinating this range of data within such a compressed timeframe created a need for a structured, responsive data capture approach.

03

Scaling Data Capture Across Sites Mid-Pandemic

Conducted across 7 sites in three states during an active phase of the pandemic, the trial needed consistent enrollment, randomization, and follow-up data capture at every site, ultimately enrolling more subjects than planned. This created a need for a data environment that could scale with enrollment while staying consistent across sites.

Solutions

Connecting Randomization and COVID-19 Outcome Data with Clinion EDC and RTSM

Clinion EDC and RTSM helped the study team manage randomization, blinded assignment, infection-status data, and safety review in one connected trial workflow. This gave the sponsor better control over subject progression across the 7-site prevention study.

Clinion RTSM supported the trial's computer-generated randomization and centralized allocation concealment, helping preserve the triple-blind design across participants, investigators, and outcome assessors.

This helped support:

  • Computer-generated randomization to the nasal spray or placebo arm
  • Centralized allocation concealment
  • Consistent randomization workflows across all 7 sites

This gave the study team a controlled way to manage blinded allocation in a real-world household exposure setting.

Clinion EDC was configured with 30 study-specific CRF pages and 100 edit checks to support the trial's range of infection, severity, and safety data.

This helped support:

  • Structured capture of infection status testing (RT-qPCR, RAT, IgG, IgM)
  • Viral load (CT value) data captured for comparison between arms
  • Disease severity data for subjects who became infected
  • Safety and tolerability data, including adverse event and serious adverse event reporting, across the 30-day intervention period and 7-day safety follow-up

This helped the study team manage a broad range of infection, severity, and safety data within a single structured environment during a compressed study timeline.

With Clinion EDC, all 7 participating sites across three states entered data into a single digital environment, helping the sponsor maintain consistent oversight as enrollment grew beyond its original target.

This helped support:

  • Standardized data entry across all 7 sites
  • Site-wise visibility into data completion
  • Centralized data review and query management

For a multi-site prevention trial conducted during an active pandemic period, this helped reduce variability in how enrollment, randomization, and outcome data were captured from site to site.

Outcomes

Core Results

Clinion EDC and RTSM helped the sponsor manage a blinded COVID-19 prevention study with clearer randomization control and more consistent data capture.

Blinded Allocation Control

RTSM supported randomized nasal spray and placebo assignment across sites.

Infection-Status Visibility

EDC workflows helped capture test results and COVID-19 status across the 30-day study period.

Multisite Data Consistency

A shared data environment helped 7 sites across three states capture trial data the same way, even as enrollment grew beyond its original target.

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Compliance

Fully Compliant with Global Standards

Clinion global compliance badges including FDA 21 CFR Part 11, HIPAA, ISO, ICH, GDPR, and EU compliance
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Clinion’s adherence to global regulatory standards including FDA 21 CFR Part 11, HIPAA, ISO 9001:2015, ISO 27001:2013, ICH, GDPR, and EU Annex 11.