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A clinical trial to study the effects of two drugs methylprednisolone and dexamethasone in patients with severe COVID-19

Not yet recruiting
Conditions
Coronavirus as the cause of diseases classified elsewhere,
Registration Number
CTRI/2020/07/026608
Lead Sponsor
Dr Ananthakumar P K
Brief Summary

This study is a randomised,parallel group,single-centre trial comparing the effect of methylprednisolone 1mg/kg intravenous once a day for 3 days and intravenous dexamethasone 6 mg once a day for 3 days in 40 patients in India. The primary outcome measures are difference in IL-6 level from baseline,days to ventilator liberation, length of hospital stay, in hospital  all cause mortality and the secondary outcomes are time to fever resolution, levels of biomarkers(CRP,D dimer,Ferritin) on day 1 and day 3.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age more than 18 years old Both sex Lab.
  • Confirmed COVID-19 cases with ARDS.
Exclusion Criteria

Mild and moderate COVID-19 Severe immunosuppression (HIV infection, long-term use of immunosuppressive agents Pregnant or lactating women Patients already on steroids Patients with High Procalcitonin level.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Length of hospital stay (LOS).Day 1 and Day 3 for IL-6 level
Primary outcomes:Day 1 and Day 3 for IL-6 level
The secondary outcomesDay 1 and Day 3 for IL-6 level
Difference in IL-6 level from baseline.Day 1 and Day 3 for IL-6 level
Days to ventilator liberationDay 1 and Day 3 for IL-6 level
In-hospital all-cause mortality.Day 1 and Day 3 for IL-6 level
Time to fever resolutionDay 1 and Day 3 for IL-6 level
Levels of bio-markers (CRP, D dimer, Ferritin) on Day 1 and Day 3.Day 1 and Day 3 for IL-6 level
Secondary Outcome Measures
NameTimeMethod
patient details like baseline demographic data, laboratory reports – lymphocyte count, CRP, procalcitonin, Ferritin, D-dimer and clinical parameters including length of hospital stay and days in ventilator will be recorded before and after treatment with dexamethasone/methylprednisolone.

Trial Locations

Locations (1)

Chettinad Hospital and Research Institute

🇮🇳

Kancheepuram, TAMIL NADU, India

Chettinad Hospital and Research Institute
🇮🇳Kancheepuram, TAMIL NADU, India
Dr Ananthakumar P K
Principal investigator
9620916481
drananthakumarpk@gmail.com

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