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NCT04328272 | Unknown status | COVID19


Effectiveness of Hydroxychloroquine in Covid-19 Patients
Sponsor:

Prof. Dr. Umar Farooq

Information provided by (Responsible Party):

Prof. Dr. Umar Farooq

Brief Summary:

To find the effectiveness of hydroxychloroquine alone and adjuvant with azithromycin in mild to severe Covide-19 pneumonia patients admitted to Coronavirus cell/ward of Ayub Teaching hospital, Abbottabad Pakistan. A single centered, single-blind randomized control trial study.

Condition or disease

COVID19

Intervention/treatment

Hydroxychloroquine 200 Mg Oral Tablet

Azithromycin 500Mg Oral Tablet

Glucose tablets

Phase

Phase 3

Detailed Description:

Coronavirus (SARS-nCoV-2) is a member family coronaviridae, order Nidovirales. It is single-stranded, positive sense enveloped RNA discovered in early 1960s. Coronavirus pandemic put a lot of lives at stake. By 19 March 2020, a total of 219238 confirmed cases with 8967 being dead and 85742 recovered cases have been reported. Worldwide, in 9 days, the confirmed death cases have been doubled. The average death rate of Covid-19 per day is approximately 88 patients as of the given date. Unlike, SARS-CoV and MERS-CoV, the disease progression and mortality rate of Covid-19 is startling. The pre-pathogenic course of novel Covid-19 is yet to be determined, so the risk factors, clinical picture and medical intervention too. Only supportive therapy is being practised. Yet many trials of antimalarial drug, chloroquine and quinolone is currently taking place worldwide. According to Cortegiani A, 23 ongoing trials from China have been registered. Clinical experience from recent Wuhan epidemic came up with promising results of chloroquine and hydroxychloroquine in Covid-19 positive patients. Some in-vitro studies suggest that these immunomodulant drugs can interfere with SARS-nCov-2 replication. These are federal drug authority approved medicine for malaria. Yet their effectiveness and safety in treating Covid-19 pneumonia is a question mark.}}

Study Type : Interventional
Estimated Enrollment : 75 participants
Masking : Single
Masking Description : Single blinded: As, the disease is novel and putting the lives at risk is unethical. therefore, It is important for investigator to know the group and carry close regular monitoring of participants so that proper further intervention can be made when required.
Primary Purpose : Treatment
Official Title : Effectiveness of Hydroxychloroquine in Covid-19 Patients: A Single Centred Single-blind RCT Study
Actual Study Start Date : March 28, 2020
Estimated Primary Completion Date : May 28, 2020
Estimated Study Completion Date : June 28, 2020
Arm Intervention/treatment

Experimental: Hydroxychloroquine

tablet hydroxychloroquine (HCQ). Day-1 (initial) 1st dose, 3 tablets (200 mg per tablet), 2nd dose after 6 hours, 3 tablets (200 mg per tablet) per oral. From day 2 to 7 (maintenance dose), 2 tablets twice a day.

Drug: Hydroxychloroquine 200 Mg Oral Tablet

Active Comparator: Azithromycin

Tablet azithromycin (AZC) 500 mg orally as a single dose on day 1, followed by 250 mg orally once a day on days 2 to 7.

Drug: Hydroxychloroquine 200 Mg Oral Tablet

Placebo Comparator: Sugar Tablets

Placebo (sugar tablet) twice daily for 7 days

Drug: Azithromycin 500Mg Oral Tablet

Ages Eligible for Study: 18 Years to 50 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Confirmed cases of Covid-19 (all by RT-PCR from same laboratory)
  • Mild to severe clinical presentation (identified at the time of admission to ward by National Early Warning Score NEWS-2; mild 0-4; severe 5-6)
Exclusion Criteria
  • Covid-19 critically ill patients (NEWS-2 score <7),
  • Unable to take oral medication,
  • Immunocompromised,
  • Creatinine clearance (CCL) < 30 ml/min,
  • Aspartate transaminase (AST) or alanine transaminase (ALT) > 5 times Upper limit of normal (ULN),
  • d-dimer > 2microgram per liter, or
  • Known comorbid condition like hypertension, cardiovascular disease, diabetes mellites, asthma, COPD, cerebrovascular disorder, malignancy of any type, pregnancy,
  • BMI less than 18
  • Smoking history (one pack per day) for past six months

Effectiveness of Hydroxychloroquine in Covid-19 Patients

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Effectiveness of Hydroxychloroquine in Covid-19 Patients

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Locations


Not yet recruiting

Pakistan, K.p.k

Ayub Teaching Institution

Abbottabad, K.p.k, Pakistan, 00532

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