The Efficacy of Different Anti-viral Drugs in COVID 19 Infected Patients

NCT ID: NCT04321616

Last Updated: 2020-04-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

700 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-28

Study Completion Date

2020-11-30

Brief Summary

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The (World Health Organization) WHO NOR- (Coronavirus infectious disease) COVID 19 study is a multi-centre, adaptive, randomized, open clinical trial to evaluate the safety and efficacy of hydroxychloroquine, remdesivir and standard of care in hospitalized adult patients diagnosed with COVID-19. This trial will follow the core WHO protocol but has additional efficacy, safety and explorative endpoints.

Detailed Description

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Conditions

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SARS-CoV Infection COVID 19 Acute Respiratory Distress Syndrome ARDS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

An open randomized adaptive controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hydroxychloroquine

Group Type ACTIVE_COMPARATOR

Remdesivir

Intervention Type DRUG

Remdesivir will be given intravenously 100 mg daily for the duration of the hospitalization and up to 10 days total course. A loading dose of 200 mg at inclusion will be given.

(Standard of Care) SoC

Intervention Type OTHER

The standard of care will be supplied to all patients not receiving a drug intervention.

Remdesivir

Group Type ACTIVE_COMPARATOR

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine will be given orally (in the ICU in gastrointestinal tubes) with 800 mg x 2 loading dose followed by 400 mg x 2 every day for a total of 10 days.

(Standard of Care) SoC

Intervention Type OTHER

The standard of care will be supplied to all patients not receiving a drug intervention.

Control group - SoC

Group Type ACTIVE_COMPARATOR

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine will be given orally (in the ICU in gastrointestinal tubes) with 800 mg x 2 loading dose followed by 400 mg x 2 every day for a total of 10 days.

Remdesivir

Intervention Type DRUG

Remdesivir will be given intravenously 100 mg daily for the duration of the hospitalization and up to 10 days total course. A loading dose of 200 mg at inclusion will be given.

Interventions

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Hydroxychloroquine

Hydroxychloroquine will be given orally (in the ICU in gastrointestinal tubes) with 800 mg x 2 loading dose followed by 400 mg x 2 every day for a total of 10 days.

Intervention Type DRUG

Remdesivir

Remdesivir will be given intravenously 100 mg daily for the duration of the hospitalization and up to 10 days total course. A loading dose of 200 mg at inclusion will be given.

Intervention Type DRUG

(Standard of Care) SoC

The standard of care will be supplied to all patients not receiving a drug intervention.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Adult patients, 18 years and above
2. Confirmed SARS-2-CoV-2 infection by PCR
3. Admitted to the hospital ward or the ICU
4. Subjects (or legally authorized representative) provides written informed consent prior to initiation of the study

Exclusion Criteria

1. Severe co-morbidity with life expectancy \<3 months according to investigators assessment
2. (Aspartate Transaminase/ Alanine Aminotransferase) ASAT/ALAT \> 5 times the upper limit of normal
3. Acute co-morbidity within 7 days before inclusion such as myocardial infarction
4. Known intolerance to the available study drugs
5. Pregnancy, possible pregnancy or breast feeding
6. Any reason why, in the opinion of the investigators, the patient should not participate
7. Subject participates in a potentially confounding drug or device trial during the course of the study
8. Prolonged QT interval (\>450 ms)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Andreas Barratt-Due

Principal investigator, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paul Aukrust, MD, Professor

Role: STUDY_CHAIR

Oslo University Hospital

Andreas Barratt-Due, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Trine Kåsine, MD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Katerina Nezvalova-Henriksen, Pharm D, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo Hospital Pharmacies

Anne Margarita Dyrhol Riise, MD, Professor

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Marius Trøseid, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Inge Christoffer Olsen, PhD

Role: PRINCIPAL_INVESTIGATOR

NorCRIN

Locations

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Andreas Barratt-Due

Oslo, , Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Paul Aukrust, MD, Professor

Role: CONTACT

0047 46778374

Andreas Barratt-Due, MD, PhD

Role: CONTACT

0047 98209974

Facility Contacts

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ANDREAS BARRATT-DUE, PhD

Role: primary

+47 98209974

Pål Aukrust, PhD

Role: backup

+47 46778374

References

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Patrick-Brown TDJH, Barratt-Due A, Troseid M, Dyrhol-Riise AM, Nezvalova-Henriksen K, Kasine T, Aukrust P, Olsen IC; NOR Solidarity consortium. The effects of remdesivir on long-term symptoms in patients hospitalised for COVID-19: a pre-specified exploratory analysis. Commun Med (Lond). 2024 Nov 12;4(1):231. doi: 10.1038/s43856-024-00650-4.

Reference Type DERIVED
PMID: 39533001 (View on PubMed)

Grundeis F, Ansems K, Dahms K, Thieme V, Metzendorf MI, Skoetz N, Benstoem C, Mikolajewska A, Griesel M, Fichtner F, Stegemann M. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2023 Jan 25;1(1):CD014962. doi: 10.1002/14651858.CD014962.pub2.

Reference Type DERIVED
PMID: 36695483 (View on PubMed)

Tveita A, Murphy SL, Holter JC, Kildal AB, Michelsen AE, Lerum TV, Kaarbo M, Heggelund L, Holten AR, Finbraten AK, Muller KE, Mathiessen A, Boe S, Fevang B, Granerud BK, Tonby K, Lind A, Dudman SG, Henriksen KN, Muller F, Skjonsberg OH, Troseid M, Barratt-Due A, Dyrhol-Riise AM, Aukrust P, Halvorsen B, Dahl TB, Ueland T; NOR-SOLIDARITY Consortium and the Norwegian SARS-CoV-2 Study Group Investigators. High Circulating Levels of the Homeostatic Chemokines CCL19 and CCL21 Predict Mortality and Disease Severity in COVID-19. J Infect Dis. 2022 Dec 13;226(12):2150-2160. doi: 10.1093/infdis/jiac313.

Reference Type DERIVED
PMID: 35876699 (View on PubMed)

Ansems K, Grundeis F, Dahms K, Mikolajewska A, Thieme V, Piechotta V, Metzendorf MI, Stegemann M, Benstoem C, Fichtner F. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD014962. doi: 10.1002/14651858.CD014962.

Reference Type DERIVED
PMID: 34350582 (View on PubMed)

Barratt-Due A, Olsen IC, Nezvalova-Henriksen K, Kasine T, Lund-Johansen F, Hoel H, Holten AR, Tveita A, Mathiessen A, Haugli M, Eiken R, Kildal AB, Berg A, Johannessen A, Heggelund L, Dahl TB, Skara KH, Mielnik P, Le LAK, Thoresen L, Ernst G, Hoff DAL, Skudal H, Kittang BR, Olsen RB, Tholin B, Ystrom CM, Skei NV, Tran T, Dudman S, Andersen JT, Hannula R, Dalgard O, Finbraten AK, Tonby K, Blomberg B, Aballi S, Fladeby C, Steffensen A, Muller F, Dyrhol-Riise AM, Troseid M, Aukrust P; NOR-Solidarity trial. Evaluation of the Effects of Remdesivir and Hydroxychloroquine on Viral Clearance in COVID-19 : A Randomized Trial. Ann Intern Med. 2021 Sep;174(9):1261-1269. doi: 10.7326/M21-0653. Epub 2021 Jul 13.

Reference Type DERIVED
PMID: 34251903 (View on PubMed)

Other Identifiers

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118684

Identifier Type: -

Identifier Source: org_study_id

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