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AzTrials

COVIDPhase 2NCT04369365

A Single-blinded, Randomized, Placebo Controlled Phase II Trial of Prophylactic Treatment With Oral Azithromycin Versus Placebo in Cancer Patients Undergoing Antineoplastic Treatment During the Corona Virus Disease 19 (COVID-19) Pandemic

A Phase 2 study testing Azithromycin 500 milligram (mg) oral Tablet in people with COVID, run by Prof. Dr. Matthias Preusser at 1 site in Austria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Prophylactic treatment in cancer patients undergoing antineoplastic therapy during the COVID-19 pandemic. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID
What is being tested?
Azithromycin 500 milligram (mg) oral Tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
74 participants
Where
1 siteAustria
Study dates
27 Apr 2020to 15 Jun 2021
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically confirmed cancer diagnosis
  • Ongoing systemic antineoplastic treatment irrespective of application route
  • Age ≥ 18 years
  • Life expectancy of at least 3 months
  • Adequate renal, cardiac and liver function
  • Corrected QT time (QTc) ≤ 450 ms
Show all 9Show fewer
  • Eastern Cooperative Oncology Group (ECOG) performance status of < 3
  • Capable of understanding the study and giving informed consent
  • Negative COVID-19 test at study entry as measured by routine testing

Who cannot join

  • Use of any investigational agent within 28 days prior to study start
  • Patients with active opportunistic infections
  • Pregnant or lactating women
  • Women of childbearing potential and male subjects not willing to use adequate contraception methods during the study period
  • Hypersensitivity to azithromycin or other macrolides
  • Concurrent medication with ergotamine, theophylline, digitalis
  • Inability to swallow tablets

Trial locations and contacts

1 site in 1 country.

Austria1 site
  • AKH Vienna, Department for Internal Medicine I, Oncology

    Vienna, 1090

Other trials in Austria

About this study

Prophylactic treatment in cancer patients undergoing antineoplastic therapy during the COVID-19 pandemic.

Conditions
COVID
Being tested
Azithromycin 500 milligram (mg) oral Tablet, Placebo

What participants receive

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

  • Azithromycin 500 milligram (mg) oral TabletDrug

    weekly oral use

  • PlaceboDrug

    weekly oral use

Study groups in NCT04369365
Study groupRoleWhat they receive
Arm A: AzithromycinActive comparatorweekly oral azithromycin 1500mg for a maximum of 8 weeks
Receives: Drug: Azithromycin 500 milligram (mg) oral Tablet
Arm B: PlaceboPlacebo comparatorweekly oral placebo for a maximum of 8 weeks
Receives: Drug: Placebo

What is being measured

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

  1. Cumulative number of severe acute respiratory syndrome corona virus 2 (SARS-COV-2) infections

    assessed by positive polymerase chain reaction (PCR) from routine nasal swabs (performed every 28 days)

    Measured: 12 weeks after initiation of therapy

Secondary outcomes (5)
  1. Number of severe COVID-19 cases

    defined as combined endpoint of hospitalization rate or death

    Measured: 12 weeks after initiation of therapy

  2. Severity of COVID-19 cases

    grading as outlined by the world health organization (WHO)

    Measured: 12 weeks after initiation of therapy

  3. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    significant clinical and laboratory abnormalities according to CTCAE criteria

    Measured: 12 weeks after initiation of therapy

  4. Number of viral and bacterial infections

    other than COVID-19

    Measured: 12 weeks after initiation of therapy

  5. Number of participants with azithromycin-resistant bacterial strains in nasal swabs test

    Development of azithromycin-resistant bacterial strains as assessed by nasal swabs test

    Measured: 12 weeks after initiation of therapy

Timeline

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

  1. First posted30 Apr 2020
  2. Study start27 Apr 2020
  3. Primary completion15 Jun 2021
  4. Study completion15 Jun 2021

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
Masking
Single blind
Who is masked
Participant
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04369365
Sponsor's protocol ID
OnCoVID-19 Trial
Status last verified
Apr 2022
First submitted
27 Apr 2020
Last updated
7 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Mair MJ, Maj-Hes A, Nussbaumer-Proll A, Puhr R, Christenheit A, Troch M, Puhr HC, Starzer AM, Steindl A, Eberl S, Haslacher H, Perkmann T, Minichsdorfer C, Prager GW, Lamm WW, Berghoff AS, Kiesewetter B, Zeitlinger M, Preusser M, Raderer M. Prophylactic treatment with oral azithromycin in cancer patients during the COVID-19 pandemic (OnCoVID): a randomized, single-blinded, placebo-controlled phase 2 trial. Infect Agent Cancer. 2023 Feb 12;18(1):9. doi: 10.1186/s13027-023-00487-x.

    PubMed 36782325

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Azithromycin 500 milligram (mg) oral Tablet in people with COVID, run by Prof. Dr. Matthias Preusser at 1 site in Austria.

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 9 inclusion and 7 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: finished, as of the sponsor's last update on 7 Apr 2022. 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 Austria. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Cumulative number of severe acute respiratory syndrome corona virus 2 (SARS-COV-2) infections (time frame: 12 weeks after initiation of therapy). 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 NCT04369365, 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 7 Apr 2022.

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