NCT04322396

Brief Summary

This study explores whether patients acutely hospitalized may have shorter hospitalization and fewer admittances at Intensive Care Units by treatment with azithromycin and hydroxychloroquine.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
117

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Apr 2020

Shorter than P25 for phase_2

Geographic Reach
1 country

8 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 23, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 26, 2020

Completed
11 days until next milestone

Study Start

First participant enrolled

April 6, 2020

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 2, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 2, 2021

Completed
5 months until next milestone

Results Posted

Study results publicly available

June 28, 2021

Completed
Last Updated

June 29, 2021

Status Verified

June 1, 2021

Enrollment Period

10 months

First QC Date

March 23, 2020

Results QC Date

June 15, 2021

Last Update Submit

June 28, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Number of Days Alive and Discharged From Hospital Within 14 Days

    14 days

Secondary Outcomes (14)

  • Categorization of Hospitalization Status

    14 days

  • Length of Stay in ICU

    14 days

  • Number of Participants on Non-invasive Ventilation (NIV) During Hospitalization

    14 days

  • Mortality

    30 days

  • Length of Hospitalization

    14 days

  • +9 more secondary outcomes

Study Arms (2)

Control

PLACEBO COMPARATOR

This arm will receive standard care and placebo in 15 days. Azithromycin placebo: Day 1-3: 500 mg x 1 Day 4-15: 250 mg x 1 Hydroxychloroquine placebo: Day 1-15: 200 mg x 2

Drug: Placebo oral tablet

Intervention

ACTIVE COMPARATOR

This arm will receive standard care and azithromycin and hydroxychloroquine in 15 days. Azithromycin: Day 1-3: 500 mg x 1 Day 4-15: 250 mg x 1 Hydroxychloroquine: Day 1-15: 200 mg x 2

Drug: AzithromycinDrug: Hydroxychloroquine

Interventions

Azithromycin

Intervention

Hydroxychloroquine

Intervention

Placebo Azithromycin

Control

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Patient admitted to a Danish emergency department, lung medical department or medical department
  • Age \>18 years
  • Hospitalized \<48 hours
  • Positive COVID-19 test/diagnosis during the hospitalization
  • Signs informed consent

You may not qualify if:

  • If the patient uses \> 5 LO2/min at time of recruitment
  • Known intolerance/allergy to azithromycin or hydroxychloroquine or hypersensitivity to quinine or 4-aminoquinolinderivates
  • Pregnancy
  • Breastfeeding
  • Neurogenic hearing loss
  • Psoriasis
  • Retinopathy
  • Maculopathy
  • Changes in vision field
  • Severe liver disease other than amoebiases
  • Severe gastrointestinal, neurological or haematological disorders
  • eGFR \< 45 ml/min/1.73m2
  • Clinically significant cardiac conduction disorders/arrhythmias or prolonged QTc interval
  • Myasthenia Gravis
  • Uses Digoxin
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Aalborg Sygehus

Aalborg, Denmark

Location

Bispebjerg Hospital

Copenhagen, Denmark

Location

Herlev-Gentofte Hospital

Copenhagen, Denmark

Location

Hvidovre Hospital

Copenhagen, Denmark

Location

Nordsjællands Hospital

Hillerød, Denmark

Location

Odense Universitetshospital

Odense, Denmark

Location

Roskilde Sygehus

Roskilde, Denmark

Location

Slagelse Sygehus

Slagelse, Denmark

Location

Related Publications (2)

  • Sivapalan P, Ulrik CS, Lappere TS, Eklof JV, Shaker SB, Bodtger UCS, Browatzki A, Meyer CN, Weinreich UM, Laursen CB, Biering-Sorensen T, Knop FK, Lundgren JD, Jensen JS. Proactive prophylaxis with azithromycin and hydroxychloroquine in hospitalized patients with COVID-19 (ProPAC-COVID): a statistical analysis plan. Trials. 2020 Oct 20;21(1):867. doi: 10.1186/s13063-020-04795-0.

  • Sivapalan P, Ulrik CS, Bojesen RD, Lapperre TS, Eklof JV, Hakansson KEJ, Browatzki A, Tidemansen C, Wilcke JT, Janner J, Gottlieb V, Meteran H, Porsbjerg C, Madsen BL, Moberg M, Pedersen L, Benfield TL, Lundgren JD, Knop FK, Biering-Sorensen T, Ghanizada M, Sonne TP, Bodtger UCS, Jensen SG, Rasmussen DB, Brondum E, Tupper OD, Sorensen SW, Alstrup G, Laursen CB, Moller UW, Sverrild A, Jensen JS. Proactive Prophylaxis With Azithromycin and HydroxyChloroquine in Hospitalised Patients With COVID-19 (ProPAC-COVID): A structured summary of a study protocol for a randomised controlled trial. Trials. 2020 Jun 10;21(1):513. doi: 10.1186/s13063-020-04409-9.

MeSH Terms

Conditions

Virus DiseasesCoronavirus Infections

Interventions

AzithromycinHydroxychloroquine

Condition Hierarchy (Ancestors)

InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus Infections

Intervention Hierarchy (Ancestors)

ErythromycinMacrolidesPolyketidesLactonesOrganic ChemicalsChloroquineAminoquinolinesQuinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Limitations and Caveats

Early termination based on recommendations from the DSMB leading to small numbers of subjects analyzed.

Results Point of Contact

Title
Prof. Jens-Ulrik Stæhr Jensen, MD PHD
Organization
Gentofte Hospital

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 23, 2020

First Posted

March 26, 2020

Study Start

April 6, 2020

Primary Completion

February 2, 2021

Study Completion

February 2, 2021

Last Updated

June 29, 2021

Results First Posted

June 28, 2021

Record last verified: 2021-06

Locations