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Famotidine in Covid-19 Intensive Care Unit

Completed
Conditions
COVID-19 Pandemic
Interventions
Registration Number
NCT05122208
Lead Sponsor
Istanbul Medeniyet University
Brief Summary

The COVID-19 disease, caused by SARS-CoV-2 virus, started in December 2019 and created a pandemic with high mortality and morbidity. Since a fully proven treatment has not been developed, the efficacy of currently available treatments is being investigated. Famotidine, an H2Receptor blocker, is one of the drug treatments being investigated. In this study, we aimed to investigate the effect of Famotidine treatment on the clinic and mortality of Covid-19 patients treated in the intensive care unit.

Detailed Description

The computer and written records of the patients followed in the Covid-19 Intensive Care Units of a research hospital during the pandemic process will be examined. Patients over the age of 18 who have SARS-CoV-2 mRNA detected by nasopharyngeal PCR (Polymeraze Chaine Reaction) will be included in the study. Patients with immunosuppression, end-stage renal disease, liver disease, G6PD deficiency, ALT/AST \>5, long QT syndrome in ECG, diagnosed with psoriasis, porphyria, pregnant, and allergic reactions to famotidine or similar drugs were excluded from the study. Patients' age, gender, comorbidities, smoking and APACHE II score will be recorded. Patients who were administered Famotidine 160 mg/day PO or nasogastric and were not given this treatment since their admission to the intensive care unit will be compared. The primary outcome will be the need for invasive mechanical ventilation, intensive care mortality, and both. As a secondary outcome, serum markers indicating the severity of the disease (Leukocytes, lymphocytes, neutrophils/leukocytes, platelets, ferritin, CRP, D-Dimer, fibrinogen, procalcitonin, IL-6, troponin, creatinine, AST, ALT, P/F ratio and lactate) will be recorded.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients who have SARS-CoV-2 mRNA detected by nasopharyngeal PCR
Exclusion Criteria
  • immunosuppression
  • end-stage renal disease
  • liver disease
  • G6PD deficiency
  • long QT syndrome in ECG
  • psoriasis
  • porphyria
  • pregnant
  • allergic reactions to famotidine or similar drugs

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Famotidine GroupFamotidine TabletsPatients who were administered Famotidine 160 mg/day PO or nasogastric.
Primary Outcome Measures
NameTimeMethod
Number of patients who died in intensive careWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

Mortality in intensive care

Number of patients who were intubated in intensive careWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

Development of respiratory distress requiring intubation in the patient

Secondary Outcome Measures
NameTimeMethod
CRPWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

C-Reactive protein in miligram/liter

D-DimerWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

D-Dimer in nonogram/miiliter

FibrinogenWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

Fibrinogen in nonogram/miiliter

ProcalcitoninWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

Procalcitonin in nonogram/miiliter

FerritinWithin 17 days from the patient's admission to the intensive care unit or if he dies within this period, to this date

Ferritin in nonogram/miiliter

Trial Locations

Locations (1)

Istanbul Medeniyet University

🇹🇷

İ̇stanbul, Turkey

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