Hydroxychloroquine, Oseltamivir and Azithromycin for the Treatment of COVID-19 Infection: An RCT

NCT ID: NCT04338698

Last Updated: 2022-02-10

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

550 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-22

Study Completion Date

2020-11-22

Brief Summary

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To evaluate the effectiveness of Hydroxychloroquine Sulfate (200 mg orally 8hr thrice a day for 5 days) vs oseltamivir (75 mg orally twice a day for 5 days) vs Azithromycin (500 mg orally daily on day 1, followed by 250 mg orally twice a day on days 2-5) alone and in combination (in all seven groups), in clearing the coronavirus nucleic acid from throat and nasal swab and in bringing about clinical improvement on day 7 of follow-up (primary outcomes).

Detailed Description

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A scientific taskforce notified by the Ministry of Science and Technology of the Government of Pakistan will oversee a comprehensive cohort study. Within this cohort, a multicenter, adaptive, randomized controlled trial will evaluate, among eligible SARS-Cov-2 (COVID-19) infected patients receiving standard supportive care who consent to randomization following a new diagnosis in Pakistan, if Hydroxychloroquine Sulfate alone (control intervention) vs a series of alternatives (comparator interventions) including Oseltamivir and Azithromycin alone and in combination with Hydroxychloroquine Sulfate is effective in clearing the coronavirus and improving the clinical course of the disease. Those not consenting to randomization will be followed up for outcomes of SARS-Cov-2 infection with supportive care only. Findings of this study are expected to inform clinical care and public health protocols and policies for management of SARS-Cov-2.

Conditions

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COVID 19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Adaptive design (sample size given below is indicative)
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control Intervention

Hydroxychloroquine

Group Type ACTIVE_COMPARATOR

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine Sulfate (200 mg orally thrice a day for 5 days)

Comparator 1

Azithromycin

Group Type EXPERIMENTAL

Azithromycin

Intervention Type DRUG

Azithromycin (500 mg orally once a day on day 1, followed by 250 mg orally daily on days 2-5)

Comparator 2

Oseltamivir

Group Type EXPERIMENTAL

Oseltamivir

Intervention Type DRUG

Oseltamivir (75 mg orally twice a day for 5 days)

Comparator 3

Hydroxychloroquine + Azithromycin

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine Sulfate (200 mg orally thrice a day for 5 days)

Azithromycin

Intervention Type DRUG

Azithromycin (500 mg orally once a day on day 1, followed by 250 mg orally daily on days 2-5)

Comparator 4

Hydroxychloroquine + Oseltamivir

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine Sulfate (200 mg orally thrice a day for 5 days)

Oseltamivir

Intervention Type DRUG

Oseltamivir (75 mg orally twice a day for 5 days)

Comparator 5

Oseltamivir + Azithromycin

Group Type EXPERIMENTAL

Oseltamivir

Intervention Type DRUG

Oseltamivir (75 mg orally twice a day for 5 days)

Azithromycin

Intervention Type DRUG

Azithromycin (500 mg orally once a day on day 1, followed by 250 mg orally daily on days 2-5)

Comparator 6

Hydroxyquinine + Oseltamivir + Azithromycin

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

Hydroxychloroquine Sulfate (200 mg orally thrice a day for 5 days)

Oseltamivir

Intervention Type DRUG

Oseltamivir (75 mg orally twice a day for 5 days)

Azithromycin

Intervention Type DRUG

Azithromycin (500 mg orally once a day on day 1, followed by 250 mg orally daily on days 2-5)

Observational Cohort

Non-consenting to randomization

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Hydroxychloroquine

Hydroxychloroquine Sulfate (200 mg orally thrice a day for 5 days)

Intervention Type DRUG

Oseltamivir

Oseltamivir (75 mg orally twice a day for 5 days)

Intervention Type DRUG

Azithromycin

Azithromycin (500 mg orally once a day on day 1, followed by 250 mg orally daily on days 2-5)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Confirmed SARS-CoV-2 (COVID-19) infection by a positive test result
2. Either gender
3. Symptomatic for example fever, dry Cough, difficulty to breathe

Exclusion Criteria

1. Confirmed absence of SARS-CoV-2 (COVID-19) infection by a negative test result
2. Have chronic conditions such as heart disease, liver and kidney failure
3. Pregnant or currently lactating
4. Immunocompromise and/or systemic disease(s)
5. On other antiviral drugs
6. History of allergy to any of the drugs to be administered in this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shehnoor Azhar

OTHER

Sponsor Role lead

Responsible Party

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Shehnoor Azhar

Study Coordinator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Javed Akram, FRCP

Role: PRINCIPAL_INVESTIGATOR

University of Health Sciences Lahore

Locations

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Gujranwala Medical College

Chak One Hundred Seventy-five Nine Left, , Pakistan

Site Status

Nawaz Sharif Medical College

Dhok Gujra, , Pakistan

Site Status

Faislabad Medical University

Faisalābad, , Pakistan

Site Status

Szabmu-Pims

Islamabad, , Pakistan

Site Status

Akram Medical Complex

Lahore, , Pakistan

Site Status

Fatima Jinnah Medical University

Lahore, , Pakistan

Site Status

King Edward Medical University-Mayo Hospital

Lahore, , Pakistan

Site Status

Lahore General Hospital

Lahore, , Pakistan

Site Status

Khyber Teaching Hospital

Peshawar, , Pakistan

Site Status

Rawalpindi Medical University

Rawalpindi, , Pakistan

Site Status

Sargodha Medical College

Sargodha, , Pakistan

Site Status

Countries

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Pakistan

References

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Azhar S, Akram J, Latif W, Ibanez NC, Mumtaz S, Rafi A, Aftab U, Iqtadar S, Shahzad M, Syed F, Zafar B, Fatima N, Afridi SS, Akram SJ, Chaudhary MA, Sadiq F, Goraya S, Hanif M, Ashraf V, Ashraf S, Akram H, Khaliq T. Effectiveness of early pharmaceutical interventions in symptomatic COVID-19 patients: A randomized clinical trial. Pak J Med Sci. 2024 May-Jun;40(5):800-810. doi: 10.12669/pjms.40.5.8757.

Reference Type DERIVED
PMID: 38827854 (View on PubMed)

Azhar S, Akram J, Shahzad M, Latif W, Khan KS. Protocol of Pakistan randomized and observational trial to evaluate coronavirus treatment among newly diagnosed patients with COVID-19: Azithromycin, Oseltamivir, and Hydroxychloquine. Pak J Med Sci. 2022 May-Jun;38(5):1401-1408. doi: 10.12669/pjms.38.5.5512.

Reference Type DERIVED
PMID: 35799756 (View on PubMed)

Akram J, Azhar S, Shahzad M, Latif W, Khan KS. Pakistan Randomized and Observational Trial to Evaluate Coronavirus Treatment (PROTECT) of Hydroxychloroquine, Oseltamivir and Azithromycin to treat newly diagnosed patients with COVID-19 infection who have no comorbidities like diabetes mellitus: A structured summary of a study protocol for a randomized controlled trial. Trials. 2020 Aug 8;21(1):702. doi: 10.1186/s13063-020-04616-4.

Reference Type DERIVED
PMID: 32771032 (View on PubMed)

Other Identifiers

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12(06)/2016-Coord

Identifier Type: -

Identifier Source: org_study_id

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