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Montelukast - a Treatment Choice for COVID-19

Completed
Conditions
Covid19
SARS-CoV-2 Infection
Interventions
Registration Number
NCT04714515
Lead Sponsor
University of Sargodha
Brief Summary

The current study aimed to make a therapeutic comparison and effectiveness of Hydroxychloroquine (HCQ) and Montelukast (ML) in COVID-19 patients in addition to the standard of care. The safety and efficacy of HCQ and ML will be assessed as individual therapy and in combination with each other and with the standard of care. Cytokine storm (Interleukin levels) also will be monitored throughout the study to assess treatment progression.

Detailed Description

To date, no specific medication is available for COVID-19. Many FDA-approved drugs, including antivirals, antibacterials, and anti-inflammatory compositions are being tested with the intention of repurposing against COVID-19. In this study, investigators have evaluated the effectiveness of Hydroxychloroquine (HCQ) and Montelukast (ML) in an individual and combination therapy.

Investigators have performed an observational study of 100 hospitalized COVID-19 patients while assessing the safety and efficacy of HCQ, ML, and IV as individual therapy and in combination with each other. ECG, interleukin levels, LFTs, blood profiles were continuously monitored throughout the study.

The aim was to observe participants treated with ML and monitor the inflammatory markers to see whether they increase or decrease and whether an increase in survival rate is observed. The findings have shown that combinational therapy of ML with continuous observation of liver/kidney profiles and QTc prolongation can provide robust recovery with suppression of cytokines.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
150
Inclusion Criteria
  • Patients with diagnosed COVID-19
  • Patients who are not directly admitted to ICU
Exclusion Criteria
  • Patients, who were already on immunosuppressants
  • Patients with age > 80
  • Patient with any known allergies to montelukast

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Hydroxychloroquine, Montelukast and InvermectinHydroxychloroquineGroup 4 was given Standard of care (SOC) + Montelukast + HCQ and Ivermectin
Hydroxychloroquine, Montelukast and InvermectinIvermectinGroup 4 was given Standard of care (SOC) + Montelukast + HCQ and Ivermectin
Hydroxychloroquine and MontelukastMontelukastGroup 1 was given Standard of care (SOC) + HCQ + Montelukast
Hydroxychloroquine and MontelukastHydroxychloroquineGroup 1 was given Standard of care (SOC) + HCQ + Montelukast
MontelukastMontelukastGroup 2 was given Standard of care (SOC) + Montelukast
Hydroxychloroquine, Montelukast and InvermectinMontelukastGroup 4 was given Standard of care (SOC) + Montelukast + HCQ and Ivermectin
HydroxychloroquineHydroxychloroquineGroup 3 was given Standard of care (SOC) + HCQ
Primary Outcome Measures
NameTimeMethod
Length of total stay at the hospital2 weeks

Changes in the length of total stay of patients at the hospital

Alleviating the symptoms of COVID-192 weeks

Monitoring the changes in disease severity with alleviation of the symptoms

Patients admittance to ICU2 Week

Changes in the number of ICU visits of COVID-19 patients

Secondary Outcome Measures
NameTimeMethod
Interleukin levels1 Week

Monitoring the Interleukin levels with the progression of treatments

Trial Locations

Locations (2)

Department of Critical Care Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, China

🇨🇳

Shanghai, China

Shaukat Khanum Memorial Cancer Hospital & Research Centre, Johar Town, Lahore, Pakistan

🇵🇰

Lahore, Punjab, Pakistan

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