Efficacy and Safety of Hydroxychloroquine and Azithromycin for the Treatment of Ambulatory Patients With Mild COVID-19

Sponsor
Azidus Brasil (Industry)
Overall Status
Suspended
CT.gov ID
NCT04348474
Collaborator
(none)
200
1
1
3.4
59.7

Study Details

Study Description

Brief Summary

This is an exploratory study to evaluate the efficacy of hydroxychloroquine (400 mg BID on D1 and 400 mg/day on D2 to D7) and azithromycin (500 mg/ 5 days) to treat mild ambulatory COVID-19 patients.

Condition or Disease Intervention/Treatment Phase
  • Drug: Hydroxychloroquine Sulfate
  • Drug: Azithromycin Tablets
Early Phase 1

Detailed Description

This is an exploratory study to evaluate the efficacy of hydroxychloroquine (400 mg BID on D1 and 400 mg/day on D2 to D7) and azithromycin (500 mg/ 5 days) to treat mild ambulatory COVID-19 patients.

We aim to demonstrate decrease in hospital related complications among ambulatory patients with mild COVID-19 by treating them with HCQ and AZT on top of standard care compared to patients who receive standard care only.

Ambulatory patients on day 3 of symptoms and with confirmed diagnosis of COVID-19 will receive the treatment.

Patients that do not fulfill the inclusion/exclusion criteria or that is not willing to participate in the study will be invited to consent the use of their data as part of a "control" group.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
200 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Open Label, Multicentric, Non Randomized, Exploratory Clinical Trial to Assess the Efficacy and Safety of Hydroxychloroquine and Azithromycin for the Treatment of Mild Acute Respiratory Syndrome (COVID-19) Caused by SARS-CoV-2 Virus
Anticipated Study Start Date :
Apr 20, 2020
Anticipated Primary Completion Date :
Jun 30, 2020
Anticipated Study Completion Date :
Jul 31, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: HCQ + AZT

All patients included in the study will receive hydroxychloroquine (HCQ) 400 mg (00 mg BID on D1 and 400 mg/day on D2 to D7) and azithromycin (AZT) (500 mg/ 5 days) on top of standard care.

Drug: Hydroxychloroquine Sulfate
All patients included in the study will receive HCQ (400 mg BID on D1 and 400 mg/day on D2 to D7) for 7 days.
Other Names:
  • Reuquinol
  • Drug: Azithromycin Tablets
    All patients included in the study will receive AZT 500 mg per day for 5 days.
    Other Names:
  • Azithromycin
  • Outcome Measures

    Primary Outcome Measures

    1. Change in Clinical Condition [28 days]

      Ordinal scale (7 points ordinal scale that measures illness severity over time)

    Secondary Outcome Measures

    1. Hospitalization [28 days]

      Number of patients that needed to be hospitalized

    2. Change in Clinical Condition [28 days]

      Time for normalization of body temperature

    3. Change in Clinical Condition [28 days]

      Time for normalization of of respiratory rate

    4. Change in Clinical Condition [28 days]

      Time for cough relief

    5. Rate of mortality within 28-days [28 days]

      Evaluation of change in acute respiratory syndrome

    6. Change in Clinical Condition related to comorbidity [28 days]

      Subgroup analysis by comorbidities

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Informed consent from patient or legal representative.

    2. Male or female, and:

    3. aged ≥ 70 years; or

    4. aged < 70 with associated risk factors (chronic obstructive pulmonary disease; heart failure, immunosuppressed, obesity (BMI ≥ 35) uncontrolled diabetes and uncontrolled systemic arterial hypertension)

    5. One or more mild symptoms characteristic of COVID-19 for 3 days, such as fever, cough and signs of respiratory distress, which do not require hospitalization.

    Exclusion Criteria:
    1. Participating in another RCT in the past 12 months;

    2. Known allergy to HCQ or chloroquine

    3. Any contraindication to HTC or AZT, including retinopathy and prolonged QT,

    4. Severely reduced LV function

    5. Severely reduced renal function;

    6. Pregnancy or breast feeding

    7. Any other clinical condition which, in the opinion of the principal investigator, would not allow safe completion of the protocol and safe administration of the investigational products

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Prevent Senior Private Operadora de Saúde LTDA. São Paulo Brazil

    Sponsors and Collaborators

    • Azidus Brasil

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Azidus Brasil
    ClinicalTrials.gov Identifier:
    NCT04348474
    Other Study ID Numbers:
    • HIAPRE0420OR
    First Posted:
    Apr 16, 2020
    Last Update Posted:
    Apr 22, 2020
    Last Verified:
    Apr 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Apr 22, 2020