跳至主要内容
临床试验/ISRCTN85874083
ISRCTN85874083进行中(未招募)未知

Cotrimoxazole in hospitalised patients with severe COVID-19 infection compared to the standard of care – an investigator-initiated, randomised controlled trial

School of Tropical Medicine, Kolkata0 个研究点目标入组 110 人开始时间: 2021年2月9日最近更新:
适应症

试验速览

阶段
未知
状态
进行中(未招募)
发起方
入组人数
110

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Current inclusion criteria as of 14/11/2022:
  • 1. Adult male or female individuals, age =18 years and =70 years
  • 2. Patients giving written informed consent to participate in the study (i.e. GCS 15/15: conscious, alert, and oriented)
  • 3. COVID-19 documented by a positive RT-PCR test/Rapid Antigen Test
  • 4. Hospitalised patients with severe COVID-19, requiring supplemental oxygen through a non-re-Breath mask between 10-15 l/min maintaining saturations between 92-96% for up to 30 h and between 94-98% for the first 6 h
  • 5. Clinical/radiological evidence of interstitial pneumonia requiring admission (optional)
  • Previous inclusion criteria as of 13/05/2021:
  • 1. Adult male or female individuals, age =18 years and =65 years
  • 2. Patients giving written informed consent to participate in the study (i.e. GCS 15/15: conscious, alert, and oriented)
  • 3. COVID-19 documented by a positive RT-PCR test/Rapid Antigen Test
  • 4. Hospitalised patients with severe COVID-19, requiring supplemental oxygen through a non-re-Breath mask between 10-15 l/min maintaining saturations between 92-96% for up to 30 h and between 94-98% for the first 6 h
  • 5. Clinical/radiological evidence of interstitial pneumonia requiring admission (optional)
  • Previous inclusion criteria:
  • 1. Aged between 18 and 65 years
  • 2. COVID-19 infection documented by a positive RT-PCR test
  • 3. Hospitalised with severe COVID-19 infection, characterized by fever (at the time of screening or when admitted) and requiring supplemental oxygen through non-rebreather mask between 10 and 15 l/ min
  • 4. Clinical/radiological evidence of interstitial pneumonia requiring admission (optional)
  • 5. Informed written consent given

排除标准

  • Current exclusion criteria as of 13/05/2021:
  • 1. Patients who require invasive or non-invasive (including CPAP and high flow nasal cannula). ventilation at the time of inclusion
  • 2. AST/ALT values >5 fold the upper normal limit
  • 3. Impairment of renal function( creatinine clearance<30ml/min/m²)
  • 4. Absolute neutrophil count below 500 cells/mm³
  • 5. Absolute platelet count below 50,000 cells/mm³
  • 6. Documented sepsis or high clinical suspicion of superimposed severe bacterial or fungal infection
  • 7. Concomitant acute medical emergencies, such as AMI, acute pericarditis, PE, stroke, acute Surgical and orthopaedic emergencies like acute abdomen and fractured neck of femur etc.
  • 8. Comobidities or concomitant medications likely to be incompatible for cotrimoxazole use pregnancy or lactation
  • 9. History of cotrimoxazole hypersensitivity
  • 10. Patients participating in another clinical trial for SARS-CoV-2 infection
  • Previous exclusion criteria:
  • 1. Require invasive or non-invasive (including CPAP and high flow nasal cannula) ventilation at the time of inclusion
  • 2. Aspartate transaminase (AST)/alanine transaminase (ALT) ratio >5 times the ULN
  • 3. Documented impairment of renal function
  • 4. Absolute neutrophil count <500 cells/mm³
  • 5. Absolute platelet count <50,000 cells/mm³
  • 6. Documented sepsis or high suspicion of superimposed severe bacterial or fungal infection
  • 7. Comorbidities or concomitant medications likely to be incompatible for cotrimoxazole use
  • 8. Pregnancy or lactation
  • 9. History of cotrimoxazole hypersensitivity
  • 10. Participating in another clinical trial for SARS-CoV-2 infection

研究者

发起方
School of Tropical Medicine, Kolkata

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