Efficacy of Subcutaneous Ivermectin With or Without Zinc in COVID-19 Patients

NCT ID: NCT04472585

Last Updated: 2021-02-17

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

PHASE1/PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-14

Study Completion Date

2021-10-30

Brief Summary

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To measure the effect of Ivermectin (sub-cutaneous) with or without zinc in treating the COVID-19 patients to clear viral load of SARS-CoV-2 along with reduction in severity of symptoms and length of hospitalization of patients with COVID-19.

Detailed Description

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This is a parallel assigned, randomized, controlled, multi-armed, investigator Initiated interventional study is designed to demonstrate efficacy to lower the viral load of COVID-19 and to demonstrate the antiviral effects of subcutaneous Ivermectin with or without zinc in mild to moderate symptomatic patients who consent to randomization following a new diagnosis in Pakistan with COVID-19 (PCR positive). Investigators will follow up with participants daily and PCR will be done on alternate days in BSL-3 lab. Dose will only be repeated if test remained positive..

Conditions

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Coronavirus Infection COVID Sars-CoV2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, controlled, multi-armed, open-label, interventional study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Empty capsule will sub-cutaneous injection of ivermectin will be used

Study Groups

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Ivermectin alone

Sub-cutaneous injection ivermectin 200ug/kg body weight once every 48 hourly plus standard care

Group Type ACTIVE_COMPARATOR

Ivermectin Injectable Solution

Intervention Type DRUG

Subcutaneous Ivermectin 200ug/kg body weight 48 hourly

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Ivermectin with Zinc

Sub-cutaneous injection ivermectin 200ug/kg body weight once every 48 hourly with 20mg Zinc Sulphate 8 hourly plus standard care

Group Type ACTIVE_COMPARATOR

Ivermectin Injectable Solution

Intervention Type DRUG

Subcutaneous Ivermectin 200ug/kg body weight 48 hourly

Zinc

Intervention Type DRUG

Zinc Sulphate 20mg 3 times a day

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Placebo

Placebo drug plus standard care

Group Type PLACEBO_COMPARATOR

Injectable Placebo

Intervention Type OTHER

0.9% normal saline

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Ivermectin (oral) alone

Oral ivermectin 0.2mg/kg/day

Group Type ACTIVE_COMPARATOR

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Oral Ivermectin

Intervention Type DRUG

0.2mg/kg/day

Ivermectin (oral) with Zinc

Oral ivermectin 0.2mg/kg/day with 20mg Zinc Sulphate 8 hourly plus standard care

Group Type ACTIVE_COMPARATOR

Zinc

Intervention Type DRUG

Zinc Sulphate 20mg 3 times a day

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Oral Ivermectin

Intervention Type DRUG

0.2mg/kg/day

Zinc Alone

20mg Zinc Sulphate 8 hourly plus standard care

Group Type ACTIVE_COMPARATOR

Zinc

Intervention Type DRUG

Zinc Sulphate 20mg 3 times a day

Placebo empty capsule

Intervention Type DRUG

Placebo empty capsule

Interventions

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Ivermectin Injectable Solution

Subcutaneous Ivermectin 200ug/kg body weight 48 hourly

Intervention Type DRUG

Injectable Placebo

0.9% normal saline

Intervention Type OTHER

Zinc

Zinc Sulphate 20mg 3 times a day

Intervention Type DRUG

Placebo empty capsule

Placebo empty capsule

Intervention Type DRUG

Oral Ivermectin

0.2mg/kg/day

Intervention Type DRUG

Other Intervention Names

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Montpellier 0.9% normal saline

Eligibility Criteria

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Inclusion Criteria

* Nasopharyngeal RT-PCR positive SARS-CoV-2 patient with mild to moderate disease
* Age 18 and above
* BMI 18-28 kg/m

Exclusion Criteria

* Allergy to any drug
* Co-morbidities: any pre-existing cardiac disease, pulmonary disease
* Arrhythmias
* Pregnancy
* RT-PCR performed \>3 days prior to enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohaib Ashraf

OTHER

Sponsor Role lead

Responsible Party

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Sohaib Ashraf

Post-Graduate Resident Cardiology

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Muhammad Ashraf, PhD

Role: STUDY_CHAIR

University of Veterinary & Animal Sciences, Lahore, Pakistan

Shoaib Ashraf, PhD

Role: STUDY_DIRECTOR

Harvard University Boston, USA

Sohaib Ashraf, MBBS

Role: PRINCIPAL_INVESTIGATOR

Shaikh Zayed Medical Complex, Pakistan

Moneeb Ashraf, MBBS

Role: PRINCIPAL_INVESTIGATOR

Mayo Hospital, Pakistan

Locations

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Ali Clinic

Lahore, MA, Pakistan

Site Status RECRUITING

Shaikh Zayed Hospital

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Sohaib Ashraf, MBBS

Role: CONTACT

+923334474523

Shoaib Ashraf, PhD

Role: CONTACT

+16177949579

Facility Contacts

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Ahmad Imran, MBBS

Role: primary

+923334461038

Sohaib Ashraf, MBBS

Role: primary

+923334474523

Muhammad Ahmad Imran, MBBS

Role: backup

+923338110708

References

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Simsek Yavuz S, Unal S. Antiviral treatment of COVID-19. Turk J Med Sci. 2020 Apr 21;50(SI-1):611-619. doi: 10.3906/sag-2004-145.

Reference Type BACKGROUND
PMID: 32293834 (View on PubMed)

Patri A, Fabbrocini G. Hydroxychloroquine and ivermectin: A synergistic combination for COVID-19 chemoprophylaxis and treatment? J Am Acad Dermatol. 2020 Jun;82(6):e221. doi: 10.1016/j.jaad.2020.04.017. Epub 2020 Apr 10. No abstract available.

Reference Type BACKGROUND
PMID: 32283237 (View on PubMed)

Caly L, Druce JD, Catton MG, Jans DA, Wagstaff KM. The FDA-approved drug ivermectin inhibits the replication of SARS-CoV-2 in vitro. Antiviral Res. 2020 Jun;178:104787. doi: 10.1016/j.antiviral.2020.104787. Epub 2020 Apr 3.

Reference Type BACKGROUND
PMID: 32251768 (View on PubMed)

Ashraf S, Ashraf S, Farooq I, Ashraf S, Ashraf M, Imran MA, Kalsoom L, Akmal R, Ghufran M, Rafique S, Akram MK, Habib Z, Siddiqui UN, Ahmad A, Arshad S, Virk MAR, Gul M, Awais AB, Hassan M, Sherazi SSH, Safdar Z, Munir I, Khalid H, Munir K, Majeed N, Alahmadi YM, Humayun A, Saboor QA, Ahmad A, Ashraf M, Izhar M; DOCTORS LOUNGE Consortium. Anti-COVID property of subcutaneous ivermectin in synergy with zinc among midlife moderately symptomatic patients: a structured summary of a study protocol for a randomised controlled trial. Trials. 2021 Sep 6;22(1):591. doi: 10.1186/s13063-021-05487-z.

Reference Type DERIVED
PMID: 34488858 (View on PubMed)

Other Identifiers

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SZMC/IRB/Internal/215/2020

Identifier Type: -

Identifier Source: org_study_id

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