A Study to Compare the Efficacy and Safety of Different Doses of Ivermectin for COVID-19

NCT ID: NCT04431466

Last Updated: 2021-10-12

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-01

Study Completion Date

2020-12-01

Brief Summary

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In December 2019, a group of patients with pneumonia of unknown cause was linked to a wholesale seafood market in Wuhan, China. The genetic analysis of samples from the lower respiratory tract of these patients indicated a new coronavirus as the causative agent, which was named SARS-CoV-2. The virus spread rapidly to more than 45 countries, including Brazil, causing an international alarm. However, in spite of its epidemiological magnitude, so far, there is no antiviral treatment or vaccine approved for the treatment of this infection. With about 15% to 20% of SARS-CoV-2 patients suffering from serious illnesses and overburdened hospitals, therapeutic options are desperately needed. So, instead of creating compounds from scratch that can take years to develop and test, researchers and public health agencies have sought to redirect drugs already approved for other diseases and known to be widely safe. In this context, the analysis of the international literature shows the existence of an in vitro antiviral activity of ivermectin against SARS-CoV-2. However, there are no studies that have evaluated its clinical effectiveness in patients diagnosed with SARS-CoV-2 infection. Therefore, and considering this knowledge gap, the present study aims to determine the clinical efficacy and safety of different doses of ivermectin in patients diagnosed with SARS-CoV-2 infection.

Detailed Description

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Conditions

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Coronavirus Infection

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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Standard of care

Standard of care (SOC) treatment

Group Type ACTIVE_COMPARATOR

Standard of Care

Intervention Type OTHER

Standard treatment for COVID-19

SOC plus ivermectin 100 mcg/kg

SOC plus ivermectin 100 mcg/kg

Group Type EXPERIMENTAL

Ivermectin

Intervention Type DRUG

SOC plus different dosing regimens of Ivermectin

SOC plus ivermectin 200 mcg/kg

SOC plus ivermectin 200 mcg/kg

Group Type EXPERIMENTAL

Ivermectin

Intervention Type DRUG

SOC plus different dosing regimens of Ivermectin

SOC plus ivermectin 400 mcg/kg

SOC plus ivermectin 400 mcg/kg

Group Type EXPERIMENTAL

Ivermectin

Intervention Type DRUG

SOC plus different dosing regimens of Ivermectin

Interventions

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Ivermectin

SOC plus different dosing regimens of Ivermectin

Intervention Type DRUG

Standard of Care

Standard treatment for COVID-19

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of infection by SARS-CoV-2:

1. symptoms of acute respiratory tract infection (sudden onset of at least one of the following: cough, fever, shortness of breath) and biomolecular diagnosis of SARS-CoV-2 infection; OR
2. any acute respiratory disease AND biomolecular diagnosis of SARS-CoV-2 infection; OR
3. severe acute respiratory infection (fever and at least one sign / symptom of respiratory disease eg cough, fever, shortness of breath) AND in need of hospitalization AND biomolecular diagnosis of SARS-CoV-2 infection;
* Eastern Cooperative Oncology Group Performance Status score 0 to 1;
* National Early Warning Score 0 to 4;
* Ability to understand and consent to participate in this clinical trial, manifested by signing the Informed Consent Form (ICF).

Exclusion Criteria

* Inability to ingest / absorb the study drug orally through spontaneous ingestion or use of gastro / enteral tubes;
* Any finding of clinical observation (history / physical evaluation) that is interpreted by the investigating physician as a risk to participate in the trial;
* Any laboratory test findings that the investigating physician considers as a risk to the research participant as to his / her participation in the clinical study;
* Any ECG examination finding that the investigating physician considers as a risk to the research participant as to his / her participation in the trial;
* Known hypersensitivity to the components of the drugs used during the study;
* Women in pregnancy or breastfeeding;
* Body weight less than 15kg;
* Estimated glomerular filtration rate (CKD-Epidemiology Collaboration, CKD-EPI) \<30 mL / min;
* Aspartate aminotransaminase (AST) or alanine aminotransaminase (ALT)\> 5 times the upper limit of normality;
* Refusal to participate;
* Refusal to sign the informed consent form.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidade Federal de Sao Carlos

OTHER

Sponsor Role lead

Responsible Party

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Henrique Pott Junior

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Henrique Pott Junior, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Universidade Federal de Sao Carlos

Locations

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Hospital Univeristário da Universidade Federal de São Carlos (HU-UFSCar)

São Carlos, São Paulo, Brazil

Site Status

Hospital Universitário da Universidade Federal de São Carlos (HU-UFSCar)

São Carlos, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Pott-Junior H, Paoliello MMB, Miguel AQC, da Cunha AF, de Melo Freire CC, Neves FF, da Silva de Avo LR, Roscani MG, Dos Santos SS, Chacha SGF. Use of ivermectin in the treatment of Covid-19: A pilot trial. Toxicol Rep. 2021;8:505-510. doi: 10.1016/j.toxrep.2021.03.003. Epub 2021 Mar 9.

Reference Type DERIVED
PMID: 33723507 (View on PubMed)

Related Links

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http://www2.ebserh.gov.br/web/hu-ufscar

Hospital Universitário da UFSCar

Other Identifiers

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IFORS

Identifier Type: -

Identifier Source: org_study_id

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