Coronavirus Response - Active Support for Hospitalised Covid-19 Patients

NCT ID: NCT04343001

Last Updated: 2020-11-19

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-31

Study Completion Date

2021-08-31

Brief Summary

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The CRASH-19 trial is a multinational, open-label, factorial, randomised trial in adults hospitalised with suspected or confirmed acute COVID-19 infection.

Detailed Description

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We will evaluate the effect of aspirin (150mg once daily), losartan (100mg once daily), and simvastatin (80mg once daily) in patients with COVID-19 infection.

Eligible patients will be randomly allocated to one of eight study arms (aspirin only; losartan only; simvastatin only; aspirin and losartan; aspirin and simvastatin; losartan and simvastatin; aspirin, losartan and simvastatin; standard care only). Trial treatments are given in addition to the usual standard of care at the study hospital.

Treatment will be started as soon as possible after randomisation and will continue until death, discharge or 28 days after randomisation, whichever occurs first.

Conditions

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Covid-19

Keywords

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Adult Respiratory Distress Syndrome Pneumonia Myocardial infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

2 x 2 x 2
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard care

Usual standard of care at the study hospital

Group Type NO_INTERVENTION

No interventions assigned to this group

Aspirin

Aspirin 150mg once daily

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Aspirin 150mg

Losartan

Losartan 100mg once daily. Dose may be stopped or reduced if patient is hypotensive and can be restarted anytime during the treatment period.

Group Type EXPERIMENTAL

Losartan

Intervention Type DRUG

Losartan 100mg

Simvastatin

Simvastatin 80mg once daily

Group Type EXPERIMENTAL

Simvastatin

Intervention Type DRUG

Simvastatin 80mg

Aspirin and Losartan

Aspirin 150mg once daily and Losartan 100mg once daily. Losartan dose may be stopped or reduced if patient is hypotensive and can be restarted anytime during the treatment period.

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Aspirin 150mg

Losartan

Intervention Type DRUG

Losartan 100mg

Aspirin and Simvastatin

Aspirin 150mg once daily and Simvastatin 80mg once daily

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Aspirin 150mg

Simvastatin

Intervention Type DRUG

Simvastatin 80mg

Losartan and Simvastatin

Losartan 100mg once daily and Simvastatin 80mg once daily. Losartan dose may be stopped or reduced if patient is hypotensive and can be restarted anytime during the treatment period.

Group Type EXPERIMENTAL

Losartan

Intervention Type DRUG

Losartan 100mg

Simvastatin

Intervention Type DRUG

Simvastatin 80mg

Aspirin, Losartan and Simvastatin

Aspirin 150mg once daily, Losartan 100mg once daily and Simvastatin 80mg once daily. Losartan dose may be stopped or reduced if patient is hypotensive and can be restarted anytime during the treatment period.

Group Type EXPERIMENTAL

Aspirin

Intervention Type DRUG

Aspirin 150mg

Losartan

Intervention Type DRUG

Losartan 100mg

Simvastatin

Intervention Type DRUG

Simvastatin 80mg

Interventions

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Aspirin

Aspirin 150mg

Intervention Type DRUG

Losartan

Losartan 100mg

Intervention Type DRUG

Simvastatin

Simvastatin 80mg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults age 40 years and older
* with suspected or confirmed acute COVID-19 infection. Acute COVID-19 infection is suspected in the presence of a fever and at least one symptom of respiratory disease e.g. cough, difficulty breathing, signs of hypoxia. The clinician may suspect COVID-19 infection if i) the patient lives in or has recently travelled to an area with COVID-19 transmission; ii) the patient had recent contact with a confirmed or probable COVID-19 case, or iii) no alternative diagnosis fully explains the clinical presentation
* requiring hospitalisation

Exclusion Criteria

* Women known to be pregnant
* Patients hospitalised without symptoms of acute COVID-19 infection should not be recruited even if they test positive for COVID-19
* Patients already receiving mechanical ventilation
* Patients with a definite indication or contraindication for any of the trial treatments.
* Patients who are very severely frail (completely dependent and approaching end of life who typically they could not recover even from a mild illness) or terminally ill should not be recruited.
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Haleema Shakur-Still

Role: STUDY_CHAIR

London School of Hygiene and Tropical Medicine

Ian Roberts

Role: STUDY_CHAIR

London School of Hygiene and Tropical Medicine

Locations

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University College Hospital

Ibadan, Oyo State, Nigeria

Site Status

Shifa Tameer-e-Millat University

Rawalpindi, , Pakistan

Site Status

Countries

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Nigeria Pakistan

Other Identifiers

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2020-KEP-420

Identifier Type: -

Identifier Source: org_study_id