OUTpatient Treatment of COVID-19 in Patients With Risk Factor for Poor Outcome

NCT ID: NCT04365582

Last Updated: 2021-04-27

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WITHDRAWN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

2020-05-07

Study Completion Date

2021-04-19

Brief Summary

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COVID-19 is a respiratory disease due to a novel coronavirus (SARS-CoV-2) that causes substantial morbidity and mortality. To date, no treatment has been proved to be effective in COVID-19. Elderly patients and patients with comorbidities have the worse prognosis with a higher risk of hospitalization, ICU admission and death. The efficacy of an early outpatient treatment could be suggested but need to be confirmed. This confirmation is mandatory to improve prognosis of COVID-19 but also to avoid unsuspected deleterious effect of drugs already used in clinical practice but not based on evidence.

Detailed Description

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The investigators make the hypothesis that an early outpatient treatment of COVID among patient with respiratory symptoms and risk factors for poor outcome can improve the prognosis of these patient and decrease the need for hospital admission.

Our study is an open label randomized clinical trial comparing 4 arms of treatment: Standards of Care (SoC) alone versus SoC + Azithromycine versus SoC + Hydroxychloroquine vs Soc + Lopinavir/Ritonavir.

Our involved population is patients more than 50 years of age with comorbidity or patients more than 70 years of age.

Our primary objective is to evaluate the efficacy of early outpatient treatment compared to standard of care in patients COVID-19 with risk factors for poor outcome. The criteria is hospital admission at Day 20 and the hospital admission rate will be compared between groups by a Chi² test or a Fisher's exact test.

Conditions

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COVID

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Azithromycin

Azithromycin

Group Type EXPERIMENTAL

Azithromycin

Intervention Type DRUG

500 mg day 1 ; 250 mg/day for 4 days

Hydroxychlororquine

Hydroxychlororquine

Group Type EXPERIMENTAL

Hydroxychloroquine

Intervention Type DRUG

200 mg x 3/day for 10 days

Lopinavir/Ritonavir

Lopinavir/Ritonavir

Group Type EXPERIMENTAL

Lopinavir 200Mg/Ritonavir 50Mg Tab

Intervention Type DRUG

400/100 mg (2 tablets) x 2/day for 15 days

standards of care

SoC

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Azithromycin

500 mg day 1 ; 250 mg/day for 4 days

Intervention Type DRUG

Hydroxychloroquine

200 mg x 3/day for 10 days

Intervention Type DRUG

Lopinavir 200Mg/Ritonavir 50Mg Tab

400/100 mg (2 tablets) x 2/day for 15 days

Intervention Type DRUG

Other Intervention Names

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Lopinavir/Ritonavir

Eligibility Criteria

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Inclusion Criteria

1. Either patients over 50 years of age with at least one comorbidity (hypertension, diabetes, obesity, cancer, chronic renal disease, immunodeficiency) OR patients over 70 years of age with or without comorbidity
2. Laboratory (PCR-) proved infection by COVID-19 or radiological sign highly suggestive of COVID-19
3. Respiratory symptoms (cough, chest discomfort, dyspnea)
4. Affiliation to the social security network
5. Able to understand and sign a written informed consent form

Exclusion Criteria

1. Need for hospitalization according to updated French guidelines (ministère de la santé\_04/04/2020)
2. Patient in long-term care facility
3. Patient without concern confirmation of COVID-19 by laboratory (PCR swab) test or chest CT
4. Known hypersensitivity or contra-indication to the 3 experimental treatments (azithromycin, hydroxychloroquine, lopinavir/ritonavir).
5. Any reason making follow up of the patient impossible during the study period.
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fondation Hôpital Saint-Joseph

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Marc Naccache, MD

Role: PRINCIPAL_INVESTIGATOR

Fondation Hôpital Saint-Joseph

References

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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Reference Type BACKGROUND
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Other Identifiers

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OUTCOV

Identifier Type: -

Identifier Source: org_study_id

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