Phytomedicines Versus Hydroxychloroquine as an Add on Therapy to Azythromycin in Asymptomatic Covid-19 Patients

NCT ID: NCT04501965

Last Updated: 2020-08-07

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

PHASE2

Total Enrollment

231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-01

Study Completion Date

2020-09-30

Brief Summary

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Our previous work on plants has indicated significant antimalarial and antiviral activities. Of these plants, two recipes are proposed for evaluation for COVID-19. It is Cinchona, an antimalarial and a combination of 4 plants with antiviral, antimalarial, antitussive and anti-inflammatory properties.

The phase II clinical trial, with three arms and at a rate of 77 patients per arm, received the approval of the National Committee for Ethics and Health Research. This is a non-inferiority test aimed at comparing the therapeutic impact in "add on" to Azithromycin, phytomedicines versus Hydroxychloroquine in asymptomatic COVID-19 patients.

After 10 days of treatment, viral clearance and symptom progression will be assessed on days 3, 6 and 14. Clinical, paraclinical and laboratory tests will be performed throughout the 3-month trial. Ethical and deontological considerations will be applied

Detailed Description

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All consenting subjects who meet the inclusion criteria will benefit from an individual file which will include data relating to general information, the complete clinical examination and the paraclinical examination. They are distributed randomly into three parallel groups, each arm having a different treatment modality. A balanced randomization by permutation block of 5 will be applied using the "Randomizer for Clinical Trial" application developed by the company Medsharing). Laboratory examinations are carried out according to the procedures and method by laboratories accredited in Guinea for the diagnosis of COVID19. Data is encoded, entered and processed using statistical software.

The comparison between the three cohorts will be made using either the Anova test for continuous variables or the chi-square test for categorical variables. The rate of change over time of virologic clearance, fever and other symptoms values as well as the differences for these rates between treatment arms will be tested using mixed-effects modeling.

The biological samples will be stored at the biobank of the National Institute of Public Health of Guinea.

Conditions

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Covid19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Eligible consenting symptom-free patients with COVID-19 confirmed by a positive Polymerase Chain Reaction test were subjected to the 10 days of treatment allocated to each of the 3 arms of the trial. Virological clearance is assessed on days 3, 6 and 14. Side effects are noted throughout the trial period. Clinical, paraclinical and laboratory examinations are occasionally provided. Viral clearance, side effects, and the onset of COVID symptoms are evaluated and the data is statistically processed.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Hydroxychloroquine/Azythromycin

Patients received Hydroxychloroquine 200 mg tablet orally 3 times daily for 10 days and Azythromycine 250 mg orally at the rate of 2 tablets the first day, then one tablet for 5 days

Group Type ACTIVE_COMPARATOR

Hydroxychloroquine/Azithromycine

Intervention Type COMBINATION_PRODUCT

Dual treatment with Hydroxychloroquine and Azythromycin

Quinquina/Azythromycin

Patients receive 3.5g tea bags of Cinchona/Stevia powder orally at the rate of 3 tea bags per day for 10 days

Group Type EXPERIMENTAL

Quinquina-Stevia/Azythromycin

Intervention Type COMBINATION_PRODUCT

Dual treatment with Quinquina/Stevia (3/0,5) and Azythromycin

4plants/Azythromycin

Participants received 4Plants powder in a 3.5g tea bag orally three times daily for 10 days and Azythromycine 250 mg orally at the rate of 2 tablets the first day, then one tablet for 5 days

Group Type EXPERIMENTAL

4Plants/Azythromycin

Intervention Type COMBINATION_PRODUCT

Dual treatment with 4 plant species drug and Azythromycin

Interventions

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Hydroxychloroquine/Azithromycine

Dual treatment with Hydroxychloroquine and Azythromycin

Intervention Type COMBINATION_PRODUCT

Quinquina-Stevia/Azythromycin

Dual treatment with Quinquina/Stevia (3/0,5) and Azythromycin

Intervention Type COMBINATION_PRODUCT

4Plants/Azythromycin

Dual treatment with 4 plant species drug and Azythromycin

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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CILE ACAR

Eligibility Criteria

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Inclusion Criteria

* Eligible patients are adults with COVID-19 confirmed by a positive PCR (Polymerase Chain Reaction) test and without symptoms

Exclusion Criteria

* any patient hypersensitive to hydroxychloroquine or under traditional herbal treatment in the two weeks preceding inclusion,
* any patient with other acute or chronic illnesses such as heart failure, arterial hypertension, renal failure, hepatocellular failure, tuberculosis or unable to take the oral treatment;
* any patient for whom one of the treatments under study is contraindicated according to the doctor's opinion.
* pregnant women,
* severe neurological manifestations
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute for Research and Development of Medicinal and Food Plants of Guinea

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saliou Sow

Role: PRINCIPAL_INVESTIGATOR

Infectious Disease Department - Donka National Hospital Conakry Guinea

Mohamed Cissé

Role: STUDY_CHAIR

Faculté des Sciences et Techniques de Santé, Université GAN Conakry

Mamadou A Baldé

Role: STUDY_DIRECTOR

Institute for Research and Development of Medicinal and Food Plants of Guinea

Locations

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Support Centers of Donka, Kenien and Gbessia

Conakry, , Guinea

Site Status

Countries

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Guinea

References

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Other Identifiers

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IRDPMAG

Identifier Type: -

Identifier Source: org_study_id

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