SARS-CoV 2Phase 2/3COVID65plusNCT04351516
Test and Treat COVID 65plus+
A Phase 2/3 study testing Hydroxychloroquine in people with SARS-CoV 2 and COVID-19, run by University Hospital Tuebingen at 2 sites in Germany.
Trial summary
Patients over equal or older than 65 yearswill be treated with a hydroxychloroquine versus placebo reduced loading dose of 600mg on the first day followed with 400mg/day divided in 2x200mg for 6 more days resulting in a total duration of therapy of 7 days. Read more about this study
- Who is it for?
- Ages 65 years and older
- Conditions the study is for
- SARS-CoV 2, COVID-19
- What is being tested?
- Hydroxychloroquine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 0 participants
- Where
- 2 sitesGermany
- Study dates
- 21 Apr 2020to 1 May 2021
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- Written informed consent
- Age ≥ 65 years
- Mild to moderate symptomatic respiratory tract Infection defined as not requiring hospital admission: SpO2 >94%, respiratory rate <20, mental state alert, no signs of septic shock
- Proven SARS-Cov2 infection by throat swab (PCR)
- Onset of symptoms within the last 3 days before randomization
- Must be able to adhere to the study visit schedule and other protocol requirements in the investigator's opinion. I.e. must be able to answer to questions concerning symptoms and side effects and must be able to consent to the informed consent.
Who cannot join
- Hospitalization at study inclusion
- Weight <50 kg
- Acute myocardial infarction
- Severe heart failure, characterized as NYHA class 3 or 4
- Use of concomitant medications that prolong the QT/QTc interval.
- QTc >450ms
Show all 30Show fewer
- Bilirubin ≥ 1,5 x UNL, (except for known M. Meulengracht)
- AST/ALT ≥ 3 x ULN
- Albumine ≤ 2.8 g/dl
- Hemoglobin ≤ 9 g/dl
- Leucocytes ≤ 2000/µl
- Neutrophiles ≤ 1000/µl
- Thrombocytes ≤ 100.000/µl
- Troponin elevation
- BNP > 500 pg/ml
- Creatine kinase > 5 x ULN
- Creatinine >1,5 mg/dl
- Uncorrected hypopotassemia or hypomagnesemia
- History of hypoglycemic events
- History of or present cardial arrhythmia (except atrial fibrillation or paroxysmal supraventricular tachycardia)
- Bradycardia < 60 beats/min
- History of Retinopathy or Maculopathy
- Psoriasis
- Myasthenia gravis
- Epilepsy
- Immunodeficiency syndromes or need for highly immunosuppressive medication
- Pre-existing medication with hydroxychloroquine
- Known G6PD deficiency.
- Participation in another interventional study
- Known hypersensibility to hydroxychloroquine and its derivates
Trial locations and contacts
2 sites in 1 country.
About this study
Official title: Randomized Controlled Trial of Hydroxychloroquine Versus Placebo in Early Ambulatory Diagnosis and Treatment of Elderly COVID19 Patients
Patients over equal or older than 65 yearswill be treated with a hydroxychloroquine versus placebo reduced loading dose of 600mg on the first day followed with 400mg/day divided in 2x200mg for 6 more days resulting in a total duration of therapy of 7 days. Measurement of Hydroxychloroquine-levels will be performed on day 7, . A follow-up by video or telephone conference will be performed to observe drug intake and collect adverse events during treatment phase on a daily base on working days and once during the weekend (i.e. 6 out of 7 days). After treatment phase follow-up by telephone calls will be done on day 10, 30, 60 (+/- 2 days).
- Conditions
- SARS-CoV 2, COVID-19
- Being tested
- Hydroxychloroquine, Placebo
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
dose of 600mg on the first day followed with 400mg/day divided in 2x200mg for 6 more days
PlaceboOther
Placebo: Film Coated Tablette
| Study group | Role | What they receive |
|---|---|---|
| hydroxychloroquine | Experimental | Not described Receives: Drug: Hydroxychloroquine |
| Placebo | Placebo comparator | Not described Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
● Rate of hospitalization or death at day 7 after study inclusion
Measured: 7 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2020
- Study start21 Apr 2020
- Primary completion31 Dec 2020 (estimated)
- Study completion1 May 2021 (estimated)
Why it stopped: No Patients enrolled
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for SARS-CoV 2Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital Tuebingen
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04351516
- Sponsor's protocol ID
- COVID65plus
- Other IDs
- 2020-001482-37
- Acronym
- COVID65plus
- Status last verified
- Apr 2020
- First submitted
- 15 Apr 2020
- Last updated
- 15 Jan 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Gopel S, Bethge W, Martus P, Kreth F, Iftner T, Joos S, Dobele S, Mordmuller B, Kremsner P, Ettrich T, Seufferlein T, Bitzer M, Malek N. Test and treat COVID 65 plus - Hydroxychloroquine versus placebo in early ambulatory diagnosis and treatment of older patients with COVID19: A structured summary of a study protocol for a randomised controlled trial. Trials. 2020 Jul 10;21(1):635. doi: 10.1186/s13063-020-04556-z.
PubMed 32650818
Study at a glance
From the registry record, last updated by the sponsor on 15 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Controlled Trial of Hydroxychloroquine Versus Placebo in Early Ambulatory Diagnosis and Treatment of Elderly COVID19 Patients
- ClinicalTrials.gov ID
- NCT04351516
- Acronym / sponsor ID
- COVID65plus / COVID65plus
- Conditions
- SARS-CoV 2, COVID-19
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: No Patients enrolled
- Enrolment
- 0 participants (actual)
- Lead sponsor
- University Hospital TuebingenUniversity, hospital or other
- Study start
- 21 Apr 2020 (actual)
- Primary completion
- 31 Dec 2020 (estimated)
- Study completion
- 1 May 2021 (estimated)
- First posted
- 17 Apr 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients over equal or older than 65 yearswill be treated with a hydroxychloroquine versus placebo reduced loading dose of 600mg on the first day followed with 400mg/day divided in 2x200mg for 6 more days resulting in a total duration of therapy of 7 days. Measurement of Hydroxychloroquine-levels will be performed on day 7, . A follow-up by video or telephone conference will be performed to observe drug intake and collect adverse events during treatment phase on a daily base on working days and once during the weekend (i.e. 6 out of 7 days). After treatment phase follow-up by telephone calls will be done on day 10, 30, 60 (+/- 2 days).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| hydroxychloroquine | Experimental | Drug: Hydroxychloroquine |
| Placebo | Placebo comparator | Other: Placebo |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (6 listed)
- Written informed consent
- Age ≥ 65 years
- Mild to moderate symptomatic respiratory tract Infection defined as not requiring hospital admission: SpO2 >94%, respiratory rate <20, mental state alert, no signs of septic shock
- Proven SARS-Cov2 infection by throat swab (PCR)
- Onset of symptoms within the last 3 days before randomization
Key exclusion criteria (30 listed)
- Hospitalization at study inclusion
- Weight <50 kg
- Acute myocardial infarction
- Severe heart failure, characterized as NYHA class 3 or 4
- Use of concomitant medications that prolong the QT/QTc interval.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Hydroxychloroquinedose of 600mg on the first day followed with 400mg/day divided in 2x200mg for 6 more days | Drug | hydroxychloroquine |
| PlaceboPlacebo: Film Coated Tablette | Other | Placebo |
Primary outcome
● Rate of hospitalization or death at day 7 after study inclusion
Time frame: 7 days
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jan 2021.
- Derived from this study: PubMed 32650818Gopel S, Bethge W, Martus P, Kreth F, Iftner T, Joos S, Dobele S, Mordmuller B, Kremsner P, Ettrich T, Seufferlein T, Bitzer M, Malek N. Test and treat COVID 65 plus - Hydroxychloroquine versus placebo in early ambulatory diagnosis and treatment of older patients with COVID19: A structured summary of a study protocol for a randomised controlled trial. Trials. 2020 Jul 10;21(1):635. doi: 10.1186/s13063-020-04556-z.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Hydroxychloroquine in people with SARS-CoV 2 and COVID-19, run by University Hospital Tuebingen at 2 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 15 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
● Rate of hospitalization or death at day 7 after study inclusion (time frame: 7 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04351516, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jan 2021.