NCT04535869

Brief Summary

COVID 19 which started from a zoonotic transmission related to crowded markets was confirmed to have a high potential for transmission to close contacts on 20 January 2020 by the National Health Commission of China and it was announced as a pandemic by the WHO on 11 March 2020. There is currently no clinically proven specific antiviral agent available for SARS-CoV-2 infection. Supportive treatment, including oxygen therapy, conservation fluid management, and broad-spectrum antibiotics to cover secondary bacterial infection, remains the most important management strategy. Interestingly, sofosbuvir has recently been proposed as an antiviral for the SARS-CoV-2 based on the similarity between the replication mechanisms of the HCV and the coronaviruses. Aim of our study is to assess the safety and efficacy of of the addition of HCV treatment to the standard regimen for the treatment of patients according to MOHP protocol.

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
50

participants targeted

Target at below P25 for phase_3 covid19

Timeline
Completed

Started Dec 2020

Geographic Reach
1 country

1 active site

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

August 28, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 2, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

December 28, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2021

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 3, 2021

Completed
Last Updated

February 24, 2021

Status Verified

August 1, 2020

Enrollment Period

3 months

First QC Date

August 28, 2020

Last Update Submit

February 22, 2021

Conditions

Keywords

COVIDAnti- HCV drugs,SofosbuvirDaclatasvirDAAsEfficacy

Outcome Measures

Primary Outcomes (1)

  • rate of virological cure by Rt -PCR for COVID -19using the triple therapy as compared to standard treatment

    All PCR for COVID must be negative

    for every case must be done after 2 weeks from the start of treatment.

Secondary Outcomes (1)

  • resolution of pneumonia BY high resolution Computed tomography

    Computed tomography must be done after 2 weeks to detect resolution of pneumonia

Study Arms (2)

A)standard therapy group

NO INTERVENTION

No intervention COVID- 19 patients who received a standard therapy group according to the ministry of health protocol

B)Standard Therapy group plus Ant-HCV drugs

ACTIVE COMPARATOR

Intervention COVID- 19 patients who received a standard therapy group according to the ministry of health protocol plus sofosbuvir 400 mg and Daclatasvir 200mg

Drug: Sofosbuvir 400 MG plus Daclatasvir 200mg

Interventions

This group which receive sofosbuvir and daclatasvir for 14 days plus standard therapy

Also known as: Direct antiviarl agents
B)Standard Therapy group plus Ant-HCV drugs

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All cases positive for COVID-19
  • Male and non-pregnant female patients,
  • years of age or older,
  • All moderate and severe caseswith pneuomnia.

You may not qualify if:

  • Known allergy or hypersensitivity to the used medications
  • Known severe liver disease
  • Use of medications that are contraindicated with the trial medications and that could not be replaced or stopped during the trial period
  • Pregnancy or breast-feeding or known active HCV infection, because of concerns about the development of resistance
  • History of bone marrow transplant
  • Known G6PD deficiency
  • Chronic hemodialysis or Glomerular Filtration Rate \< 20ml/min
  • Psoriasis
  • Porphyria
  • Concomitant use of digitalis, flecainide, amiodarone, procainamide, or propafenone
  • Known history of long QT syndrome
  • Current known QTc\>500 msec
  • Pregnant or nursing
  • Weight \< 35kg
  • Seizure disorder
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mansoura Faculty of Medicine

Al Mansurah, Dakahlyia, 35516, Egypt

RECRUITING

Related Publications (5)

  • Hallin RW. Femoropopliteal versus femorotibial bypass grafting for lower extremity revascularization. Am Surg. 1976 Jul;42(7):522-6.

    PMID: 937862BACKGROUND
  • Depo-Provera may be linked to uterine cancer, preliminary data imply. Fam Plann Perspect. 1979 Jan-Feb;11(1):47. No abstract available.

    PMID: 105932BACKGROUND
  • O'Brien PJ, Hawco FJ. Hydroxyl-radical formation during prostaglandin formation catalysed by prostaglandin cyclo-oxygenase [proceedings]. Biochem Soc Trans. 1978;6(6):1169-71. doi: 10.1042/bst0061169. No abstract available.

    PMID: 105949BACKGROUND
  • Kirkegaard C, Faber J, Hummer L, Rogowski P. Increased levels of TRH in cerebrospinal fluid from patients with endogenous depression. Psychoneuroendocrinology. 1979 Jul;4(3):227-35. doi: 10.1016/0306-4530(79)90006-4. No abstract available.

    PMID: 117477BACKGROUND
  • Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating in Wuhan, China: Challenges for Global Health Governance. JAMA. 2020 Feb 25;323(8):709-710. doi: 10.1001/jama.2020.1097. No abstract available.

MeSH Terms

Conditions

COVID-19

Interventions

Sofosbuvirdaclatasvir

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Uridine MonophosphateUracil NucleotidesPyrimidine NucleotidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsNucleotidesNucleic Acids, Nucleotides, and NucleosidesRibonucleotides

Central Study Contacts

Mahmoud El-Bendary, M.D

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Tropical Medicine and Hepatogastroenterology

Study Record Dates

First Submitted

August 28, 2020

First Posted

September 2, 2020

Study Start

December 28, 2020

Primary Completion

April 1, 2021

Study Completion

September 3, 2021

Last Updated

February 24, 2021

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share

Locations