Trial Outcomes & Findings for Hydroxychloroquine,Hydroxychloroquine,Azithromycin in the Treatment of SARS CoV-2 Infection (NCT NCT04341727)

NCT ID: NCT04341727

Last Updated: 2024-04-25

Results Overview

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 in each Arm/Group,respectively.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

30 participants

Primary outcome timeframe

42 days

Results posted on

2024-04-25

Participant Flow

Participant milestones

Participant milestones
Measure
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
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. Chloroquine Sulfate: Antimalarial
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Overall Study
STARTED
9
7
7
7
Overall Study
COMPLETED
9
7
6
6
Overall Study
NOT COMPLETED
0
0
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
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. Chloroquine Sulfate: Antimalarial
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Overall Study
Withdrawal by Subject
0
0
1
0
Overall Study
Lost to Follow-up
0
0
0
1

Baseline Characteristics

Hydroxychloroquine,Hydroxychloroquine,Azithromycin in the Treatment of SARS CoV-2 Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hydroxychloroquine Alone
n=9 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
Hydroxychloroquine Plus Azithromycin
n=7 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
Chloroquine Alone
n=7 Participants
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. Chloroquine Sulfate: Antimalarial
Chloroquine Plus Azithromycin
n=7 Participants
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
55 years
n=5 Participants
55 years
n=7 Participants
54 years
n=5 Participants
56 years
n=4 Participants
55 years
n=21 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
4 Participants
n=4 Participants
20 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
3 Participants
n=4 Participants
10 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
6 Participants
n=4 Participants
25 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
4 Participants
n=4 Participants
18 Participants
n=21 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
11 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 42 days

Population: The sample size of 30 was well below the threshold for analysis

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 in each Arm/Group,respectively.

Outcome measures

Outcome measures
Measure
Hydroxychloroquine Alone
n=9 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
Hydroxychloroquine Plus Azithromycin
n=7 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
Chloroquine Alone
n=7 Participants
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. Chloroquine Sulfate: Antimalarial
Chloroquine Plus Azithromycin
n=7 Participants
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Hours to Recovery
96 hours
Interval 24.0 to 168.0
120 hours
Interval 48.0 to 240.0
168 hours
Interval 72.0 to 672.0
240 hours
Interval 48.0 to 288.0

SECONDARY outcome

Timeframe: 42 days

Population: The sample was well below the threshold for analysis

Time to resolution of fever defined as at least 48 hours since last temperature ≥ 38.0°C without the use of fever-reducing medications in each Arm/Group,respectively.

Outcome measures

Outcome measures
Measure
Hydroxychloroquine Alone
n=9 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
Hydroxychloroquine Plus Azithromycin
n=7 Participants
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
Chloroquine Alone
n=7 Participants
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. Chloroquine Sulfate: Antimalarial
Chloroquine Plus Azithromycin
n=7 Participants
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Time to Fever Resolution
72 hours
Interval 24.0 to 96.0
96 hours
Interval 48.0 to 120.0
72 hours
Interval 24.0 to 192.0
96 hours
Interval 48.0 to 144.0

Adverse Events

Hydroxychloroquine Alone

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Hydroxychloroquine Plus Azithromycin

Serious events: 2 serious events
Other events: 2 other events
Deaths: 0 deaths

Chloroquine Alone

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Chloroquine Plus Azithromycin

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Hydroxychloroquine Alone
n=9 participants at risk
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
Hydroxychloroquine Plus Azithromycin
n=7 participants at risk
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
Chloroquine Alone
n=7 participants at risk
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. Chloroquine Sulfate: Antimalarial
Chloroquine Plus Azithromycin
n=7 participants at risk
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Respiratory, thoracic and mediastinal disorders
Pneumonia due to COVID
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Infections and infestations
Urosepsis
0.00%
0/9 • 6 weeks per participant
14.3%
1/7 • Number of events 4 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Respiratory, thoracic and mediastinal disorders
Respiratory Failure secondary to COVID
0.00%
0/9 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Vascular disorders
Deep Vein Thrombosis-
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
Respiratory, thoracic and mediastinal disorders
Respiratory Failure secondary to Covid
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Infections and infestations
Bacterial Pneumonia
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant

Other adverse events

Other adverse events
Measure
Hydroxychloroquine Alone
n=9 participants at risk
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD)
Hydroxychloroquine Plus Azithromycin
n=7 participants at risk
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. Hydroxychloroquine Sulfate: anti-rheumatic drug (DMARD) Azithromycin: Antibiotic
Chloroquine Alone
n=7 participants at risk
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. Chloroquine Sulfate: Antimalarial
Chloroquine Plus Azithromycin
n=7 participants at risk
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. Azithromycin: Antibiotic Chloroquine Sulfate: Antimalarial
Gastrointestinal disorders
Diarrhea
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Gastrointestinal disorders
Anorexia
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Infections and infestations
Urinary Tract infection
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
Respiratory, thoracic and mediastinal disorders
Pneumonia due to COVID
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Cardiac disorders
Prolonged QtC
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
Nervous system disorders
Blurred Vision
11.1%
1/9 • Number of events 2 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Respiratory, thoracic and mediastinal disorders
Respiratory Failure due to Covid
0.00%
0/9 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Cardiac disorders
Atrial Flutter
0.00%
0/9 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Psychiatric disorders
Catatonia
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Gastrointestinal disorders
Nausea
0.00%
0/9 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Renal and urinary disorders
Acute kidney injury
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 2 • 6 weeks per participant
Vascular disorders
Deep Vein Thrombosis
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
Renal and urinary disorders
Acute Kidney Injury
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Endocrine disorders
Hypernatremia
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Blood and lymphatic system disorders
Coagulopathy
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Cardiac disorders
Atrial fibrillation
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Infections and infestations
Sepsis
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Skin and subcutaneous tissue disorders
Rash
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Cardiac disorders
Prolonged QTc
0.00%
0/9 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
14.3%
1/7 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
Cardiac disorders
Chest Pain
11.1%
1/9 • Number of events 1 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant
0.00%
0/7 • 6 weeks per participant

Additional Information

Jane O'Halloran

Washington University School of Medicine

Phone: 314 454 0058

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place