NCT04472585

Brief Summary

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.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
180

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Nov 2020

Geographic Reach
1 country

2 active sites

Status
unknown

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

July 14, 2020

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 15, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

November 14, 2020

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2021

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2021

Completed
Last Updated

February 17, 2021

Status Verified

February 1, 2021

Enrollment Period

9 months

First QC Date

July 14, 2020

Last Update Submit

February 13, 2021

Conditions

Keywords

SARS-Cov-2COVID-19CoronavirusIvermectinZinc

Outcome Measures

Primary Outcomes (3)

  • qRT-PCR

    time needed to turn positive COVID-19 PCR to negative

    14 days

  • Time taken for alleviation of symptoms

    time needed to turn off symptoms

    upto 14 days

  • Severity of symptoms

    time needed of symptom serverity

    upto 14 days

Secondary Outcomes (2)

  • Severity of symptoms

    14 days

  • Morality

    30 days

Study Arms (6)

Ivermectin alone

ACTIVE COMPARATOR

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

Drug: Ivermectin Injectable SolutionDrug: Placebo empty capsule

Ivermectin with Zinc

ACTIVE COMPARATOR

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

Drug: Ivermectin Injectable SolutionDrug: ZincDrug: Placebo empty capsule

Placebo

PLACEBO COMPARATOR

Placebo drug plus standard care

Other: Injectable PlaceboDrug: Placebo empty capsule

Ivermectin (oral) alone

ACTIVE COMPARATOR

Oral ivermectin 0.2mg/kg/day

Drug: Placebo empty capsuleDrug: Oral Ivermectin

Ivermectin (oral) with Zinc

ACTIVE COMPARATOR

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

Drug: ZincDrug: Placebo empty capsuleDrug: Oral Ivermectin

Zinc Alone

ACTIVE COMPARATOR

20mg Zinc Sulphate 8 hourly plus standard care

Drug: ZincDrug: Placebo empty capsule

Interventions

Subcutaneous Ivermectin 200ug/kg body weight 48 hourly

Also known as: Montpellier
Ivermectin aloneIvermectin with Zinc

0.9% normal saline

Also known as: 0.9% normal saline
Placebo
ZincDRUG

Zinc Sulphate 20mg 3 times a day

Ivermectin (oral) with ZincIvermectin with ZincZinc Alone

Placebo empty capsule

Ivermectin (oral) aloneIvermectin (oral) with ZincIvermectin aloneIvermectin with ZincPlaceboZinc Alone

0.2mg/kg/day

Ivermectin (oral) aloneIvermectin (oral) with Zinc

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Ali Clinic

Lahore, MA, 54600, Pakistan

RECRUITING

Shaikh Zayed Hospital

Lahore, Punjab Province, 54600, Pakistan

RECRUITING

Related Publications (4)

  • 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.

    PMID: 32293834BACKGROUND
  • 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.

    PMID: 32283237BACKGROUND
  • 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.

    PMID: 32251768BACKGROUND
  • 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.

MeSH Terms

Conditions

Coronavirus InfectionsCOVID-19

Interventions

Saline SolutionZincIvermectin

Condition Hierarchy (Ancestors)

Coronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsPneumonia, ViralPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Crystalloid SolutionsIsotonic SolutionsSolutionsPharmaceutical PreparationsMetals, HeavyElementsInorganic ChemicalsTransition ElementsMetalsMacrolidesPolyketidesLactonesOrganic Chemicals

Study Officials

  • Muhammad Ashraf, PhD

    University of Veterinary & Animal Sciences, Lahore, Pakistan

    STUDY CHAIR
  • Shoaib Ashraf, PhD

    Harvard University Boston, USA

    STUDY DIRECTOR
  • Sohaib Ashraf, MBBS

    Shaikh Zayed Medical Complex, Pakistan

    PRINCIPAL INVESTIGATOR
  • Moneeb Ashraf, MBBS

    Mayo Hospital, Pakistan

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sohaib Ashraf, MBBS

CONTACT

Shoaib Ashraf, PhD

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Empty capsule will sub-cutaneous injection of ivermectin will be used
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: randomized, controlled, multi-armed, open-label, interventional study
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Post-Graduate Resident Cardiology

Study Record Dates

First Submitted

July 14, 2020

First Posted

July 15, 2020

Study Start

November 14, 2020

Primary Completion

August 15, 2021

Study Completion

October 30, 2021

Last Updated

February 17, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations