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COVID 19Phase 2CHEERNCT04359537

Efficacy of Various Doses of Hydroxychloroquine in Pre-Exposure Prophylaxis for COVID 19

A Phase 2 study testing Hydroxychloroquine Sulfate 200 MG in people with COVID 19, run by Shaheed Zulfiqar Ali Bhutto Medical University at 1 site in Pakistan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Hydroxychloroquine has been approved by FDA as one of the treatment options for COVID 19.Healthcare personnel are amongst those at highest risk to contract the disease. Several health authorities are now recommending the use of hydroxychloroquine as pre-exposure prophylaxis is in health care personnel. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
COVID 19
What is being tested?
Hydroxychloroquine Sulfate 200 MG
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 sitePakistan
Study dates
1 May 2020to 25 Sep 2020
Phase
Phase 2
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 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • A healthcare worker at high risk for COVID19 exposure (defined below):
  • Persons primarily working in emergency departments (physicians, nurses, ancillary staff, triage personnel) ;
  • Persons primarily working in intensive care units (physicians, nurses, ancillary staff, respiratory therapists) ;
  • Persons performing aerosol generating procedures (i.e. anesthesiologists, nurse anesthetists, gastroenterologists performing endoscopy, Pulmonologists performing bronchoscopy);
  • First responders (i.e. EMTs, paramedics) ;
  • Persons working in the departments of General Medicine, Pulmonology, Infectious disease and Isolation wards.

Who cannot join

  • Active COVID-19 disease;
  • Confirmed prior COVID-19 disease;
  • Current fever, cough, shortness of breath;
  • Contraindication or hypersensitivity to chloroquine or hydroxychloroquine ad hypersensitivity to 4-aminoquinoline compounds;
  • Pregnancy;
  • Lactation;
Show all 15Show fewer
  • Prior retinal eye disease;
  • Known Chronic Kidney disease, Stage 4 or 5 or dialysis;
  • Known glucose-6 phosphate dehydrogenase (G-6-PD) deficiency ;
  • Weight <40 kg;
  • Current use of chloroquine,hydroxychloroquine or cardiac medicines like flecainide, amiodarone, digoxin, procainamide, or propafenone;
  • Current use of medications with known significant drug-drug interactions: artemether, lumefantrine, mefloquine, tamoxifen or methotrexate;
  • Current use of medications causing QT interval prolongation like: macrolides,antipsychotics,quinolones,antihistamines,SSRIs,tricyclic antidepressants, antifungals;
  • Recent Myocardial Infarction;
  • History of Epilepsy

Trial locations and contacts

1 site in 1 country.

Pakistan1 site, 1 recruiting
  • Shaheed Zulfiaqar Ali Bhutto Medical University

    Islamabad, Federal Capital, 44000

    Fibhaa Syed, FRCP, +923335300002 ext. +923335300002, fibhaasyed@gmail.com

    Mohammed Ali Ali Arif, FRCP, +923335123701, mohammad_ali_arif@hotmail.com

    Recruiting

Other trials in Pakistan

About this study

Official title: Comparative Efficacy of Various Doses of Hydroxychloroquine in Pre-Exposure Prophylaxis for COVID 19 in Healthcare Personnel

Hydroxychloroquine has been approved by FDA as one of the treatment options for COVID 19.Healthcare personnel are amongst those at highest risk to contract the disease. Several health authorities are now recommending the use of hydroxychloroquine as pre-exposure prophylaxis is in health care personnel. Several studies are on going in this context. However there is a controversy regarding the dosage regimen. This drug has a half life of 22.4 days. In this study we will be comparing three different doses of Hydroxychloroquine and additionally have a control group in order to determine the efficacy of hydroxychloroquine as pre- exposure prophylaxis in healthcare personnel in various doses.

Read the detailed description

Study design:

Phase 2 proof of concept study Study Type: Interventional (Clinical Trial) Estimated Enrollment : at least 200 participants Since the investigators have no current data on pre-exposure prophylaxis to calculate sample size statistically, so a minimum of 50 participants in each arm will be recruited including 20% attrition rate. The investigators will be recruiting a minimum of 200 participants in the study , that is at least 50 in each of the four arms.

Allocation: Randomized Intervention Model: Parallel Assignment Study model: Parallel group interventional study Location: SZABMU/PIMS Study duration: a minimum of 12 weeks from recruitment

Materials and Methods:

Participants will be recruited after approval from Ethical Review Board .A written informed consent will be taken from all participants. Participants fulfilling the eligibility criteria will be randomized to 4 arms.

Arm Intervention /treatment

Experimental group 1: Hydroxychloroquine 400 mg twice a day 1,followed by 400 mg weekly for a total of 12 weeks Drug: Hydroxychloroquin HCQ 200 mg, oral

Experimental group 2:Hydroxychloroquine 400 mg on day 1 followed by 400mg once every 3 weeks for a total of 12 weeks Drug: Hydroxychloroquin HCQ 200 mg, oral

Experimental group 3:Hydroxychloroquine 200 mg on day 1 followed by 200 mg once every 3 weeks for a total of 12 weeks Drug: Hydroxychloroquin HCQ 200 mg, oral

Control Group : Placebo 200mg will be given on day 1 followed by Placebo 200mg every three weeks for a total of 12 weeks.

Base line characteristics of all participants will be recorded including age ,gender,role of healthcare personnel, comorbidities, and drugs the participant is using.

Samples will be collected for complete picture blood, liver and renal function tests and electrocardiogram. These tests will also be conducted every month till the end of the trial and the participants will be monitored for any adverse effects.

During the study duration all participants will self- report any symptoms related to COVID 19 and any adverse reactions from the drug. Participants having COVID 19 symptoms at any time will be tested by the gold standard test PCR for SARS-COV-2 using nasopharyngeal and oropharyngeal swabs.

All participants at the end of the study will have PCR for SARS-COV-2 and if available IgM and IgG serology to find out if they had any infection, did not get infected at all or only had asymptomatic or mild infection.

Conditions
COVID 19
Being tested
Hydroxychloroquine Sulfate 200 MG, Placebo
Keywords
pre-exposure prophylaxis, Healthcare personnel
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Hydroxychloroquine Sulfate 200 MGDrug

    Also called Tab HCQ

    Hydroxychloroquine Sulphate 200 mg tablets will be prescribed and instituted orally at the doses and regimens described

  • PlaceboOther

    Control group will receive a Placebo tablet. Placebo 200mg will be given on Day 1 followed by Placebo 200mg every three weeks.

Study groups in NCT04359537
Study groupRoleWhat they receive
Arm 1ExperimentalHydroxychloroquine Sulphate will be administered at a dose of 400mg twice a day on day 1 followed by 400 mg once a week for a total of 12 weeks
Receives: Drug: Hydroxychloroquine Sulfate 200 MG
Arm 2ExperimentalHydroxychloroquine Sulphate will be admoinistered at a dose of 400 mg on day 1 followed by 400mg once every 3 weeks for at total of 12 weeks
Receives: Drug: Hydroxychloroquine Sulfate 200 MG
Arm 3ExperimentalHydroxychloroquine Sulphate will be administered at a dose of 200 mg on day 1 followed by 200 mg once every 3 weeks for a total of 12 weeks
Receives: Drug: Hydroxychloroquine Sulfate 200 MG
Arm 4Placebo comparatorControl group will recieve Placebo 200mg on day 1 followed by Placebo 200mg every three weeks for 12 weeks
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. COVID-19-free survival in experimental arms compared to placebo

    Outcome reported as the percentage of participants in each arm who are COVID-19-free at the end of study treatment

    Measured: 12 weeks

Secondary outcomes (6)
  1. Incidence of confirmed SARS-COV-2 detection

    Outcome reported as the percent of participants in each arm who have a confirmed SARS-CoV-2 infection during study treatment.

    Measured: 12 weeks

  2. Incidence of possible COVID-19 symptoms

    Outcome reported as the percent of participants in each arm who report COVID-19-related symptoms during study treatment

    Measured: 12 weeks

  3. Incidence of all-cause study medicine discontinuation

    Outcome reported as the percent of participants in each arm who discontinue study medication use for any reason during treatment.

    Measured: 12 weeks

  4. Ordinal Scale of COVID-19 Disease maximum severity if COVID-19 diagnosed at study end

    Participants will self-report COVID-19 status on an ordinal scale as follows: No illness (score=1), Illness with outpatient observation (score=2), Hospitalization (or post-hospital discharge) (score=3), Hospitalization with ICU stay (score 4),Death from COVID 19(score=5) Possible scores range from 1-5 with higher scores indicating greater disease severity.

    Measured: 12 weeks

  5. Incidence of Hospitalization for COVID-19 or death

    Outcome reported as the percent of participants in each arm who are hospitalized or expire due to COVID-19 during study treatment.

    Measured: 12 weeks

  6. Incidence of study medication-related adverse events

    Outcome reported as the percent of participants experiencing any possible adverse events from Hydroxychloroquine

    Measured: 12 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2020
  2. Study start1 May 2020
  3. Primary completion25 Aug 2020 (estimated)
  4. Study completion25 Sep 2020 (estimated)

Resources

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
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants fulfilling the eligibility criteria will be randomized to 4 arms by using Random Allocation Software version-2 Arm Intervention /treatment Experimental group 1: Hydroxychloroquine 400 mg twice a day 1,followed by 400 mg weekly for a total of 12 weeks Experimental group 2:Hydroxychloroquine 400 mg on day 1 followed by 400 mg once every 3 weeks for a total of 12 weeks Experimental group 3:Hydroxychloroquine 200 mg on day 1 followed by 200 mg once every 3 weeks for a total of 12 weeks Control Group :Placebo 200mg will be given on day 1 followed by Placebo 200mg every three weeks for a total of 12 weeks..
Masking
Single blind
Who is masked
Participant
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04359537
Sponsor's protocol ID
F.1-1/2015/ERB/SZABMU/549
Acronym
CHEER
Status last verified
May 2020
First submitted
20 Apr 2020
Last updated
19 May 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Gautret P, Lagier JC, Parola P, Hoang VT, Meddeb L, Sevestre J, Mailhe M, Doudier B, Aubry C, Amrane S, Seng P, Hocquart M, Eldin C, Finance J, Vieira VE, Tissot-Dupont HT, Honore S, Stein A, Million M, Colson P, La Scola B, Veit V, Jacquier A, Deharo JC, Drancourt M, Fournier PE, Rolain JM, Brouqui P, Raoult D. Clinical and microbiological effect of a combination of hydroxychloroquine and azithromycin in 80 COVID-19 patients with at least a six-day follow up: A pilot observational study. Travel Med Infect Dis. 2020 Mar-Apr;34:101663. doi: 10.1016/j.tmaid.2020.101663. Epub 2020 Apr 11.

    PubMed 32289548
  • Mack HG. Hydroxychloroquine use during the COVID-19 pandemic 2020. Aust J Gen Pract. 2020 Apr 14;49. doi: 10.31128/AJGP-COVID-08.

    PubMed 32294807
  • Xiang YT, Jin Y, Wang Y, Zhang Q, Zhang L, Cheung T. Tribute to health workers in China: A group of respectable population during the outbreak of the COVID-19. Int J Biol Sci. 2020 Mar 15;16(10):1739-1740. doi: 10.7150/ijbs.45135. eCollection 2020.

    PubMed 32226292
  • Khan S, Siddique R, Ali A, Bai Q, Li Z, Li H, Shereen MA, Xue M, Nabi G. The spread of novel coronavirus has created an alarming situation worldwide. J Infect Public Health. 2020 Apr;13(4):469-471. doi: 10.1016/j.jiph.2020.03.005. Epub 2020 Apr 2. No abstract available.

    PubMed 32247752

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Hydroxychloroquine Sulfate 200 MG in people with COVID 19, run by Shaheed Zulfiqar Ali Bhutto Medical University at 1 site in Pakistan.

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 15 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: status not confirmed, as of the sponsor's last update on 19 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. 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 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.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Fibhaa Syed, FRCP (+923335300002 ext. +923335300002, drfibhasyed@szabmu.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

COVID-19-free survival in experimental arms compared to placebo (time frame: 12 weeks). 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 NCT04359537, which also lists 4 linked publications.

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 19 May 2020.

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