Evaluating Emetine for treating COVID-19 symptoms

Emetine for Viral Outbreaks: Randomized, Double-Blind, Placebo-Controlled, Clinical Trial to Evaluate Oral Emetine Against Covid-19 (EVOLVE)

PHASE2; PHASE3 · Johns Hopkins University · NCT05889793

This study is testing if emetine can help relieve symptoms in people over 30 who have COVID-19 compared to a placebo.

Quick facts

PhasePHASE2; PHASE3
Study typeInterventional
Enrollment600 (estimated)
Ages30 Years and up
SexAll
SponsorJohns Hopkins University (other)
Locations2 sites (Baltimore, Maryland and 1 other locations)
Trial IDNCT05889793 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to assess the efficacy and safety of emetine, an alkaloid with antiviral properties, in treating symptomatic COVID-19 patients aged 30 and above. Participants will receive either emetine or a placebo for 10 days, with daily monitoring of vital signs and symptoms. The study will compare outcomes between the two groups to determine if emetine can effectively alleviate COVID-19 symptoms. The trial is designed to address the urgent need for effective antiviral treatments amid the ongoing pandemic.

Who should consider this trial

Good fit: Ideal candidates are symptomatic COVID-19 patients aged 30 years and older who have tested positive for SARS-CoV-2 within the last 10 days.

Not a fit: Patients who are asymptomatic, critically ill, or have significant cardiac conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new antiviral option for symptomatic COVID-19 patients.

How similar studies have performed: While emetine has shown promise in preliminary screenings against SARS-CoV-2, this specific approach is novel and has not been extensively tested in clinical settings.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 30 years of age or older at time of randomization
* RT-PCR positive for SARS-CoV-2 infection within ≤ 10 days of the screening visit.
* In addition to confirmed RT-PCR, symptomatic Covid-19 patients with at least two or more symptoms within 7 days of the screening visit: Cough, shortness of breath, fever/chills, sore throat, nausea, vomiting, diarrhea, fatigue, body aches, headache
* Ability to give informed consent (administered in local language)

Exclusion Criteria

* Asymptomatic Covid-19 patients
* Pregnant or breastfeeding woman
* Current or recent use of the study drug
* Known allergy to study drug
* Current or planned participation in another interventional trial in next 10 days.
* Critical Covid-19 patients (ARDS) at the time of screening.
* Patients needing intubation, mechanical ventilation, or ICU care at screening
* Patients with prior cardiac disease including cardiac dysrhythmias, heart failure, ischemic heart disease or cardiomyopathies.

Where this trial is running

Baltimore, Maryland and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: COVID-19

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.