PRophylaxis of Exposed COVID-19 Individuals With Mild Symptoms Using choloroquinE Compounds

NCT ID: NCT04351191

Last Updated: 2021-03-10

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

137 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-15

Study Completion Date

2020-08-30

Brief Summary

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To treat Pakistani patients with non-life threatening symptomatic SARS-CoV-2 infection with an intent to reduce burden on institutional healthcare services by determining efficacy of different chloroquine and hydroxychloroquine dosing regimens in controlling SARS-CoV-2 infection.

Detailed Description

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Conditions

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Sars-CoV2 Symptomatic Condition Covid-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective double blind randomized superiority clinical trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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HCQ Regular dose

Hydroxychloroquine loading dose (400 mg BID for 2 days) followed by 200 mg BID for 4 days plus standard of care

Group Type ACTIVE_COMPARATOR

Hydroxychloroquine Sulfate Regular dose

Intervention Type DRUG

Hydroxychloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

HCQ Loading dose

Hydroxychloroquine loading dose (400 mg BID) alone plus standard of care

Group Type EXPERIMENTAL

Hydroxychloroquine Sulfate Loading Dose

Intervention Type DRUG

Hydroxychloroquine administered as a loading dose only

CQ regular dose

Cholorquine 500 mg BID for 5 days plus standard of care

Group Type ACTIVE_COMPARATOR

Chloroquine

Intervention Type DRUG

Chloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

Placebo

Standard of care plus placebo (cannot be treated with hydroxychloroquine or chloroquine)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Standard of Care plus placebo

Interventions

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Hydroxychloroquine Sulfate Regular dose

Hydroxychloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

Intervention Type DRUG

Hydroxychloroquine Sulfate Loading Dose

Hydroxychloroquine administered as a loading dose only

Intervention Type DRUG

Chloroquine

Chloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

Intervention Type DRUG

Placebo

Standard of Care plus placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Symptomatic patients: defined as fever (temperature greater than 100 degree F), cough, or shortness of breath (respiratory rate \>22 per minute).
2. Nasopharyngeal RT-PCR positive SARS-CoV-2
3. Age 20-50 years
4. BMI 18-28 kg/m2
5. Informed consent

Exclusion Criteria

1. O2 saturation by pulse-oximeter below 93%
2. Co-morbidities: any pre-existing cardiac disease, pulmonary disease, diabetes
3. Arrhythmias and/or history of arrythmia
4. Psoriasis and/or history of psoriasis
5. Neuropathy or myopathy and/or history of these
6. Hypoglycemia and/or history of hypoglycemia
7. Pre-existing hepatic disease
8. Pre-existing renal disease
9. Use of antacids within 1 week
10. Use of antiobiotics within 1 week
11. Pregnancy
12. RT-PCR performed \>7 days prior to enrollment
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Hospital Lahore

OTHER

Sponsor Role collaborator

Services Hospital, Lahore

OTHER_GOV

Sponsor Role collaborator

Pakistan Kidney and Liver Institute

UNKNOWN

Sponsor Role collaborator

Government of Punjab, Specialized Healthcare and Medical Education Department

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ammar Sarwar

Assistant Professor, Harvard Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ammar Sarwar, MD

Role: PRINCIPAL_INVESTIGATOR

Beth Israel Deaconess Medical Center

Locations

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Expo Covid Isolation Center / Mayo Hospital Field Hospital

Lahore, Punjab Province, Pakistan

Site Status

Mayo Hospital / King Edward Medical University

Lahore, Punjab Province, Pakistan

Site Status

Pakistan Kidney and Liver Institute

Lahore, Punjab Province, Pakistan

Site Status

Services Hospital

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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NBC-COVID1902

Identifier Type: -

Identifier Source: org_study_id

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