NCT04346667

Brief Summary

To create a protocol for treatment of Pakistani patients with SARS-CoV-2 infection with an intent to reduce burden on institutional healthcare services by determining efficacy of different quinone drug dosing regimens in controlling SARS-CoV-2 infection for asymptomatic patients.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
125

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Apr 2020

Shorter than P25 for phase_4

Geographic Reach
1 country

3 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

April 13, 2020

Completed
1 day until next milestone

Study Start

First participant enrolled

April 14, 2020

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 15, 2020

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 23, 2020

Completed
7 days until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2020

Completed
Last Updated

March 10, 2021

Status Verified

March 1, 2021

Enrollment Period

4 months

First QC Date

April 13, 2020

Last Update Submit

March 8, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • RT-PCR negative status

    Percentage of patients who become RT-PCR negative with two RT-PCR tests performed at day 6 and day 7

    6-7 days

Secondary Outcomes (3)

  • Progression of symptoms

    7 days

  • Development of Symptoms

    7 days

  • Adverse events

    7 days

Study Arms (4)

Arm 1

ACTIVE COMPARATOR

Hydroxychloroquine loading dose (400 mg BID for 2 days) followed by 200 mg BID for 4 days plus standard of care

Drug: Hydroxychloroquine Sulfate Regular dose

Arm 2

EXPERIMENTAL

Hydroxychloroquine loading dose (400 mg BID) alone plus standard of care

Drug: Hydroxychloroquine Sulfate Loading Dose

Arm 3

ACTIVE COMPARATOR

Chloroquine 500 mg BID for 5 days plus standard of care

Drug: Chloroquine

Arm 4

PLACEBO COMPARATOR

Standard of care plus placebo (cannot be treated with hydroxychloroquine or chloroquine)

Drug: Placebo

Interventions

Hydroxychloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

Arm 1

Hydroxychloroquine administered as a loading dose only

Arm 2

Chloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2

Arm 3

Standard of Care plus placebo

Arm 4

Eligibility Criteria

Age20 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Nasopharyngeal RT-PCR positive SARS-CoV-2 patient
  • Age 20-50 years
  • BMI 18-28 kg/m2
  • Informed consent

You may not qualify if:

  • Symptoms: Cough, fever, shortness of breath
  • O2 saturation by pulse-oximeter below 94%
  • Co-morbidities: any pre-existing cardiac disease, pulmonary disease, diabetes
  • Arrhythmias and/or history of arrythmia
  • Psoriasis and/or history of psoriasis
  • Neuropathy or myopathy and/or history of these
  • Hypoglycemia and/or history of hypoglycemia
  • Pre-existing hepatic disease
  • Pre-existing renal disease
  • Use of antacids within 1 week
  • Use of antibiotics within 1 week
  • Pregnancy
  • RT-PCR performed \>3 days prior to enrollment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Expo Covid Center

Lahore, Punjab Province, Pakistan

Location

Mayo Hospital

Lahore, Punjab Province, Pakistan

Location

Pakistan Kidney and Liver Institute

Lahore, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Coronavirus InfectionsAsymptomatic DiseasesCOVID-19

Interventions

Chloroquine

Condition Hierarchy (Ancestors)

Coronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsPneumonia, ViralPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

AminoquinolinesQuinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Radiology

Study Record Dates

First Submitted

April 13, 2020

First Posted

April 15, 2020

Study Start

April 14, 2020

Primary Completion

August 23, 2020

Study Completion

August 30, 2020

Last Updated

March 10, 2021

Record last verified: 2021-03

Data Sharing

IPD Sharing
Will not share

Locations