Ivermectin vs Combined Hydroxychloroquine and Antiretroviral Drugs (ART) Among Asymptomatic COVID-19 Infection

NCT ID: NCT04435587

Last Updated: 2021-01-11

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-13

Study Completion Date

2021-11-30

Brief Summary

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This is an open label randomised controlled study of oral ivermectin (600 mcg/kg/d\* 3 day) versus combined of hydroxychloroquine plus darunavir/ ritonavir for 5 days treatment among asymptomatic carrier of SAR-CoV2 adult Thai population. Both study treatment regimens will have oral zinc sulfate combination treatment ( 200mg. twice daily). Outcomes include safety and duration of detectable of SAR-CoV2 in nasopharyngeal/ throat (NP) swab by polymerase chain reaction amplification (PCR) after treatment. 40-50 patients in each treatment arm is planned, with an interim analysis when approximately 50% of cases is enrolled.

Detailed Description

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* Study procedure will be carried out after informed consent is obtained.
* Baseline physical exam and laboratory investigations will be performed.
* Eligible patients will be randomized to one of the two treatment arms.
* Symptoms and signs will be monitored daily.
* NP swab will be done at day5-7, and prior to discharge.
* Complete blood counts, blood chemistries, electrocardiography will be performed for adverse event monitoring within 5 days after end of study drugs' administration.
* Patients will be discharged at 2- 4 weeks after hospitalization, according to PCR results.
* There will be 1-2 follow up visit at out patient clinic for NP swab (patients with +ve last NP swab before discharge), and blood tests.
* Additional 5-8 ml. of EDTA blood will be taken at baseline and weekly for antibody detection.
* Interim analysis of both safety and efficacy will be performed when approximately 50% of enrollment is achieved.
* Intention to treat analysis is planned at the completion of enrollment.

Conditions

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Asymptomatic Infections SARS-CoV2 Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
PCR for SAR-CoV2 detection will be performed by technician without knowledge of treatment arm

Study Groups

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ivermectin

Combination of

1. oral ivermectin 600 mcg/kg/day once daily for 3 days
2. Zinc sulfate (100mg/tab) 2 tab every 12 hours for 3 days

Group Type EXPERIMENTAL

Ivermectin Pill

Intervention Type DRUG

3 days of once daily oral ivermectin 600mcg/kg/d

ART/hydroxychloroquine

Combination of

1. Day1 hydroxychloroquine 400mg bid, then 200mg bid on Day 2-5
2. Darunavir/ritonavir (400/100mg) every 12 hours for 5 days
3. Zinc sulfate (100/tab) 2 tab every 12 hours for 5 days

Group Type ACTIVE_COMPARATOR

Combined ART/hydroxychloroquine

Intervention Type DRUG

1. Day 1 hydroxychloroquine 400mg bid, Day2-5 hydroxychloroquine 200mg bid
2. Darunavir/ritonavir (400/100mg) q 12 hours for 5 days

Interventions

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Ivermectin Pill

3 days of once daily oral ivermectin 600mcg/kg/d

Intervention Type DRUG

Combined ART/hydroxychloroquine

1. Day 1 hydroxychloroquine 400mg bid, Day2-5 hydroxychloroquine 200mg bid
2. Darunavir/ritonavir (400/100mg) q 12 hours for 5 days

Intervention Type DRUG

Other Intervention Names

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Vermectin combined darunavir/ritonavir/hydroxychloroquine

Eligibility Criteria

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Inclusion Criteria

* SAR-CoV2 detected by PCR from NP swab
* Asymptomatic or upper respiratory symptoms such as runny noses
* No history of fever or oral Temp \<37.8 degree celsius
* informed consent obtained

Exclusion Criteria

* Fever or respiratory rate \>24/minute or oxygen saturation at room air\< 94%
* Any serious co-morbidity such as chronic lung disease, chronic kidney disease, cardiovascular diseases, arrythmia, diabetes mellitus with HbA1C \> 8%, chronic liver disease, lymphocyte count \<1,000cell/cu.mm.
* History of ivermectin or any of the study drug allergy.
* Concomitant medication with potential drug interaction with any of the study drugs such as alfuzosin, colchicine, ergot derivatives, cisapride, simvastatin and rifampicin
* Pregnant or lactating woman
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Yupin Suputtamongkol

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yupin Suputtamongkol, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University

Locations

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Siriraj Hospital

Bangkok Noi, Bangkok, Thailand

Site Status RECRUITING

Siriaj Hospital

Bangkok, N/A = Not Applicable, Thailand

Site Status RECRUITING

Sireethorn Nimitvilai

Amphoe Maueng, Nakhonpathom, Thailand

Site Status RECRUITING

Golden Jubilee Medical Center

Phutthamonthon District, Nakhonpathom, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Yupin Suputtamongkol, MD

Role: CONTACT

+66817545573

Rujipas Sirijatuphat, MD

Role: CONTACT

+66840665961

Facility Contacts

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Yupin Suputtamongkol, MD

Role: primary

+66817545573

Rujipas Sirijatuphat, MD

Role: backup

+66840665961

Yupin Suputtamongkol, MD

Role: primary

66817545573

Rujipas Sirijatuphat

Role: backup

Sireethorn Nimitvilai, MD

Role: primary

Dechathorn Rassamekulthana, MD

Role: primary

Nuttawut Rongkiettechakorn, MD

Role: backup

Other Identifiers

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323/2563 (IRB3)

Identifier Type: -

Identifier Source: org_study_id

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