Efficacy of Pragmatic Same-day COVID-19 Ring Prophylaxis for Adult Individuals Exposed to SARS-CoV-2 in Switzerland

NCT ID: NCT04364022

Last Updated: 2021-04-12

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

326 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-23

Study Completion Date

2021-03-24

Brief Summary

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A study to assess, in a two-arm open-label cluster randomized clinical trial, the efficacy of a 5-day course of LPV/r treatment in preventing COVID-19 in asymptomatic individuals exposed to a SARS-CoV-2 documented index patient, compared to surveillance alone.

Detailed Description

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Conditions

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Prevention of COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Lopinavir/Ritonavir

Group Type ACTIVE_COMPARATOR

Lopinavir/ritonavir

Intervention Type DRUG

2x 200mg/50mg, twice daily for 5 days (bid, PO)

Active surveillance

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Lopinavir/ritonavir

2x 200mg/50mg, twice daily for 5 days (bid, PO)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Documented close contact with a person with either a PCR-confirmed SARS-CoV-2 or a positive rapid SARS-CoV-2 antigen test (as per standard of care).
2. Enrolment of the participant no more than 7 days since last contact with index case;
3. ≥ 16 years of age;
4. Informed consent as documented by signature (including parent's or legal guardian's signature if the participant is between 16 and 18 y.o.).

Exclusion Criteria

1. Fever (temperature \>38.0°C) and/or respiratory symptoms (cough, dyspnea) and/or new anosmia/ageusia;
2. Individuals with previous confirmed SARS-CoV-2 infection, dating within the last six months ;
3. Known impairment of liver function;
4. Known hypersensitivity to the study medications;
5. Use of any medications that are contraindicated with lopinavir/ritonavir using the website www.hiv-druginteractions.org/checker
6. Individuals on boosted protease inhibitor (other than LPV) or boosted elvitegravir as part of an antiretroviral therapy
7. Inability to be followed-up for the trial period
8. Documented vaccination against SARS-CoV-2

* Where necessary, additional biological and clinical assessment will be performed, based on clinical judgement.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Calmy Alexandra

OTHER

Sponsor Role lead

Responsible Party

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Calmy Alexandra

Prof. Alexandra Calmy

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Alexandra Calmy, Prof

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Geneva

Niklaus Labhardt, Prof

Role: PRINCIPAL_INVESTIGATOR

Universitätsspital Basel

Locations

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Instituto Nacional de Infectiologia Evandro Chagas, Fiocruz

Rio de Janeiro, , Brazil

Site Status

Universitätsspital Basel and SwissTPH

Basel, , Switzerland

Site Status

Hôpitaux Universitaires de Genève

Geneva, , Switzerland

Site Status

Ospedale Regionale di Lugano

Lugano, , Switzerland

Site Status

Countries

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Brazil Switzerland

References

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Labhardt ND, Smit M, Petignat I, Perneger T, Marinosci A, Ustero P, Diniz Ribeiro MP, Ragozzino S, Nicoletti GJ, Fare PB, Andrey DO, Jacquerioz F, Lebowitz D, Agoritsas T, Meyer B, Spechbach H, Salamun J, Guessous I, Chappuis F, Kaiser L, Decosterd LA, Grinsztejn B, Bernasconi E, Cardoso SW, Calmy A, Team FTCS. Post-exposure Lopinavir-Ritonavir Prophylaxis versus Surveillance for Individuals Exposed to SARS-CoV-2: The COPEP Pragmatic Open-Label, Cluster Randomized Trial. EClinicalMedicine. 2021 Dec;42:101188. doi: 10.1016/j.eclinm.2021.101188. Epub 2021 Nov 6.

Reference Type DERIVED
PMID: 34778734 (View on PubMed)

Smit M, Marinosci A, Nicoletti GJ, Perneger T, Ragozzino S, Andrey DO, Stoeckle M, Jacquerioz F, Lebowitz D, Agoritsas T, Meyer B, Spechbach H, Salamun J, Back M, Schaubhut C, Fuchs S, Decosterd L, Battegay M, Guessous I, Chappuis F, Kaiser L, Labhardt ND, Calmy A. Efficacy of pragmatic same-day ring prophylaxis for adult individuals exposed to SARS-CoV-2 in Switzerland (COPEP): protocol of an open-label cluster randomised trial. BMJ Open. 2020 Nov 12;10(11):e040110. doi: 10.1136/bmjopen-2020-040110.

Reference Type DERIVED
PMID: 33184083 (View on PubMed)

Other Identifiers

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CCER 2020-00864

Identifier Type: -

Identifier Source: org_study_id

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