WU352: Hydroxychloroquine,Hydroxychloroquine,Azithromycin in the Treatment of SARS CoV-2 Infection
Study Details
Study Description
Brief Summary
This Phase III trial four treatment strategies non-critically ill hospitalized participants (not requiring ICU admission and/or mechanical ventilation) with SARS CoV-2 infection, Participants will receive hydroxychloroquine or chloroquine with or without azithromycin.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
This Phase III trial will utilize four treatment strategies in non-critically ill hospitalized participants (not requiring mechanical ventilation) with SARS CoV-2 infection, Participants will receive hydroxychloroquine or chloroquine with or without azithromycin. Investigators are primarily interested in the time to recovery. In addition to study medications there will be daily symptom surveys for 14 days, then weekly thereafter for 4 weeks resulting in a total duration of follow up of 42 days. During hospitalization, daily symptom surveys will be completed in conjunction withthe study coordinators. On discharge participants will have the option to complete electronic symptom surveys or complete symptom surveys via telephone with study coordinator. In the event that the participant opts for electronic symptom surveys on discharge participants will in addition receive a follow up call from a study coordination every 7 days during the initial 14 day period. In addition, failure to submit a symptom survey will prompt a study follow up call. Data from SOC will be collected from medical records.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Hydroxychloroquine alone Arm 1: Hydroxychloroquine 400mg orally twice a day for one day, followed by 200mg twice a day for four consecutive days (Five days in total). The drug will be supplied in 200mg tablets. |
Drug: Hydroxychloroquine Sulfate
anti-rheumatic drug (DMARD)
Other Names:
|
Active Comparator: Hydroxychloroquine plus azithromycin Arm 2: Hydroxychloroquine 400mg orally twice a day for one day, followed by 200mg twice a day for four consecutive days (Five days in total). The drug will be supplied in 200mg tablets. AND Azithromycin 500mg orally once, followed by 250mg daily for four consecutive days (five days total). The drug will be supplied in 250mg tablets. |
Drug: Hydroxychloroquine Sulfate
anti-rheumatic drug (DMARD)
Other Names:
Drug: Azithromycin
Antibiotic
Other Names:
|
Active Comparator: Chloroquine alone Arm 3: Chloroquine phosphate 1000mg orally once, followed in 12 hours by 500mg, then 500mg orally twice daily for 4 days (Five days in total). The drug will be supplied in 500mg tablets. |
Drug: Chloroquine Sulfate
Antimalarial
Other Names:
|
Active Comparator: Chloroquine plus azithromycin Arm 4: Chloroquine phosphate 1000mg orally once, followed in 12 hours by 500mg, then 500mg orally twice daily for 4 days (Five days in total). The drug will be supplied in 500mg tablets. AND Azithromycin 500mg orally once, followed by 250mg daily for 4 consecutive days (5 days total).The drug will be supplied in 250mg tablets. |
Drug: Azithromycin
Antibiotic
Other Names:
Drug: Chloroquine Sulfate
Antimalarial
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Hours to recovery [42 days]
Time (hours) from randomization to recovery defined as 1) absence of fever, as defined as at least 48 hours since last temperature ≥ 38.0°C without the use of fever-reducing medications AND 2) absence of symptoms of greater than mild severity for 24 hours AND 3) not requiring supplemental oxygen beyond pre-COVID baseline AND 4) freedom from mechanical ventilation or death
Secondary Outcome Measures
- Time fever resolution [42 days]
Time to resolution of fever defined as at least 48 hours since last temperature ≥ 38.0°C without the use of fever-reducing medications
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Hospitalization for management of SARS CoV-2 infection
-
Positive SARS CoV-2 test
-
Age >=18 years
-
Provision of informed consent
-
Electrocardiogram (ECG) ≤48 hours prior to enrollment
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Complete blood count, glucose-6 phosphate-dehydrogenase (G6PD), comprehensive metabolic panel and magnesium ≤48 hours prior to enrollment from standard of care.
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If participating in sexual activity that could lead to pregnancy, individuals of reproductive potential who can become pregnant must agree to use contraception throughout the study. At least one of the following must be used throughout the study:
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Condom (male or female) with or without spermicide
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Diaphragm or cervical cap with spermicide
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Intrauterine device (IUD)
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Hormone-based contraceptive
Exclusion Criteria:
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Contraindication or allergy to chloroquine, hydroxychloroquine or azithromycin
-
Current use hydroxychloroquine, chloroquine or azithromycin
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Concurrent use of another investigational agent
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Invasive mechanical ventilation
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Participants who have any severe and/or uncontrolled medical conditions such as:
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unstable angina pectoris,
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symptomatic congestive heart failure,
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myocardial infarction,
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cardiac arrhythmias or know prolonged QTc >470 males, >480 female on ECG
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pulmonary insufficiency,
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epilepsy (interaction with chloroquine),
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Prior retinal eye disease
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Concurrent malignancy requiring chemotherapy
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Known Chronic Kidney disease, eGFR<10 or dialysis
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G-6-PD deficiency, if unknown requires G6PD testing prior to enrollment
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Known Porphyria
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Known myasthenia gravis
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Currently pregnant or planning on getting pregnant while on study
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Breast feeding
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AST/ALT >five times the upper limit of normal ULN*
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Bilirubin >five times the ULN*
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Magnesium <1.4 mEq/L*
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Calcium <8.4mg/dL >10.6mg/dL*
-
Potassium <3.3 >5.5 mEg/L*
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Washington University School of Medicine Infectious Disease Clinical Research Unit | Saint Louis | Missouri | United States | 63110 |
2 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
Sponsors and Collaborators
- Washington University School of Medicine
Investigators
- Principal Investigator: Jane O'Halloran, MD PhD, Washington University School of Medicine (ID-CRU)
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 202003188