NCT04886362

Brief Summary

A parallel, prospective, double-blind, placebo-controlled clinical trial will be conducted in the population affiliated to EPS SURAMERICANA S.A. with positive test for antigen and PCR for SARS-CoV-2. Participants will be randomly assigned in a 1: 1 ratio to the intervention group or the control group using a sequence of random numbers. The patients included will be those with less than 7 days from the onset of symptoms, and without evidence of serious disease. One group will be assigned oral ivermectin therapy at a dose of 600 mcg/kg every 12 hours for 5 consecutive days, and the other group will received placebo. A minimum sample size of 483 patients for each arm was calculated to observe differences. All randomized patients will be included in the analysis according to the randomization arm (intention-to-treat analysis). The primary objective is to evaluate the efficacy of ivermectin in the prevention of severe disease, reduction in the rate of hospitalization, reduction of ICU stay, and mortality. This evaluation will be carried out up to 28 days after the intervention begins. Given the public health emergency, the study is expected to be completed in a period of 6 months from the INVIMA approval.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
966

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jul 2021

Shorter than P25 for phase_2

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2021

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 14, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

July 1, 2021

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2021

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2021

Completed
Last Updated

May 14, 2021

Status Verified

May 1, 2021

Enrollment Period

2 months

First QC Date

May 10, 2021

Last Update Submit

May 10, 2021

Conditions

Keywords

IvermectinCOVID-19Ambulatory

Outcome Measures

Primary Outcomes (1)

  • Composite Outcome

    Proportion of patients progressing to severe COVID-19. Progression to severe disease will be considered when at least one of the following clinical situations occurs (composite outcome) the first thing that occurs in each patient during the 28 days after the intervention begins: 1. Hypoxemia (oxygen saturation ≤90%) and need for supplemental oxygen in home care program; or 2. Need for hospitalization includes general bed, ICU or ICU; or 3. Death from any cause.

    28 days

Secondary Outcomes (9)

  • Hypoxemia (oxygen saturation ≤90%) and need for supplemental oxygen in home care program.

    28 days

  • Need for hospitalization including general bed, ICU or ICU.

    28 days

  • Death from any cause.

    28 days

  • Proportion of patients with 4 or more points on the WHO scale (8-point ordinal scale).

    28 days

  • Number of days with supplemental oxygen requirement.

    28 days

  • +4 more secondary outcomes

Study Arms (2)

Intervention Group

EXPERIMENTAL

Ivermectin 600 mcg/kg every 12 hours for 5 days.

Drug: Ivermectin

Control Group

PLACEBO COMPARATOR

Same volume like ivermectin

Drug: Placebo

Interventions

Treatment with Ivermectin in the first 7 days from symptoms onset.

Intervention Group

Treatment with Placebo in the first 7 days from symptoms onset.

Control Group

Eligibility Criteria

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

You may qualify if:

  • Age equal to or greater than 18 years.
  • Patients with positive antigen test or RT-PCR for SARS-CoV-2.
  • Patients with less than 7 days from symptoms onset.
  • Patients with indication for outpatient management.
  • Patients with mild disease according to the official guide "Pneumonia Diagnosis and Treatment Scheme for Novel Coronavirus Infection (Trial Version 8)": Subjects with mild symptoms, with or without radiological signs of pneumonia, with oxygen saturation\>90% . - Able to provided consent to participate.

You may not qualify if:

  • Patients who at the time of admission require hospitalization and / or supplemental oxygen.
  • Known history of allergy to ivermectin.
  • Known medical history of liver disease.
  • Belong to another clinical trial evaluating the efficacy of an investigational drug against COVID-19.
  • The following comorbidities:
  • Immunosuppression or HIV.
  • Acute or chronic kidney failure.
  • Current neoplasia.
  • Currently use of warfarin, erdafitinib, or quinidine.
  • Have received vaccination for SARS-CoV-2.
  • The patient does not accept the conditions of home care and monitoring.
  • The patient desists from participating in the study.
  • Women in pregnancy or breastfeeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

COVID-19

Interventions

Ivermectin

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

MacrolidesPolyketidesLactonesOrganic Chemicals

Study Officials

  • Juan Carlos Chacón Jimenez, MD

    Emergencies Department Director

    STUDY DIRECTOR

Central Study Contacts

Juan Carlos Chacón Jimenez, MD

CONTACT

Leidy Johana Cañaveral Castañeda

CONTACT

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

May 10, 2021

First Posted

May 14, 2021

Study Start

July 1, 2021

Primary Completion

September 1, 2021

Study Completion

December 1, 2021

Last Updated

May 14, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Data will be available on request and the proper approval from ethics committee.