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临床试验/EUCTR2020-005395-35-GB
EUCTR2020-005395-35-GB进行中(未招募)1 期

A randomized, controlled, Phase 2b study to evaluate safety and efficacy of rivaroxaban (Xarelto®) for high risk people with mild COVID-19 - A randomized, controlled, Phase 2b trial to evaluate safety and efficacy of rivaroxaban

Bill & Melinda Gates Medical Research Institute0 个研究点目标入组 600 人开始时间: 2020年11月26日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
600

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • INCLUSION CRITERIA
  • 1. =18 years of age at the time of informed consent
  • Type of Participant
  • 2. Participants must be at high-risk for COVID-19 progression by fulfilling at least one of the following criteria at screening:
  • - Age =65 years
  • - Presence of chronic pulmonary disease, chronic obstructive pulmonary disease (COPD), pulmonary hypertension
  • - Diabetes mellitus (type 1 or type 2), requiring oral medication or insulin for treatment
  • - Hypertension, requiring at least one oral medication for treatment
  • - Immunocompromised status due to disease (e.g., those living with human immunodeficiency virus with a CD4 T-cell count of <200/mm3)
  • - Immunocompromised status due to medication (e.g., taking 20 mg or more of prednisone equivalents a day, anti-inflammatory monoclonal antibody therapies, cancer therapies)
  • - Any chronic disease that is associated with high risk for severe COVID disease in the opinion of the site investigator
  • - Body mass index =35 kg/m2 (based on self-reported weight and height).
  • COVID-19 Characteristics
  • 3. Documented positive SARS-CoV-2 diagnostic testing with a sample collected =10 days of screening.
  • 4. Symptomatic for COVID-19 for =7 days at time of randomization (symptomatic is defined as having at least one of the following symptoms of COVID-19 that is of new onset or has worsened from baseline: fever, chills, myalgia, arthralgia, headache, fatigue, cough, sore throat, nasal congestion,
  • nausea, vomiting, or diarrhoea).
  • Informed Consent
  • 5. Capable of giving informed consent, which includes compliance with the requirements and restrictions listed in the
  • ICF and in this protocol
  • 6. Sex: Male or female Other
  • Requirements:
  • 7. Agree to participate in all remote, in-person or home visits as required in the protocol and provide updated contact information as necessary.
  • 8. Female of childbearing potential must agree to practice adequate contraception during the study.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 400
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 200

排除标准

  • 1. Currently hospitalized or under immediate consideration for hospitalization at screening and Day 1
  • 2. Have new onset shortness of breath or increased shortness of breath from pre-COVID-19 (for people with known COPD) at screening and Day 1
  • 3. Hypoxemia (oxygen saturation <94% in ambient air or oxygen saturation below pre-COVID-19 oxygen saturation [if known] for people with known COPD) at Day 1
  • 4. Require supplemental oxygen (new requirement or increase in requirement from pre-COVID-19 condition) at screening and Day 1
  • 5. Have a history of (in the past 3 months) or current active pathological bleeding
  • 6. Have a history of haemorrhagic stroke or intracranial haemorrhage
  • 7. Have a recent severe head trauma within 30 days which includes concussion, skull fracture or hospitalization for head injury
  • 8. Have known intracranial neoplasm, cerebral metastases, arteriovenous malformation or aneurysm
  • 9. Have history of pregnancy-related haemorrhage
  • 10. Have active gastroduodenal ulcer or other gastrointestinal bleeding diagnosed in the past 3 months
  • 11. Currently are in a hemodynamically unstable state
  • 12. Currently require thrombolysis or pulmonary embolectomy
  • 13. Have history of severe hypersensitivity reaction to Xarelto®
  • 14. Currently have a prosthetic heart valve
  • 15. Have known diagnosis of triple positive antiphospholipid syndrome
  • 16. Have known diagnosis of chronic kidney disease (stage IV or receiving dialysis)
  • 17. Have a history of thrombocytopenia or known platelet count < 100,000 cells/mm3
  • 18. Have a history of bronchiectasis and pulmonary cavitation
  • 19. Have active cancer (e.g., receiving chemotherapy or treatment for complication of the active cancer)
  • 20. Had epidural or neuraxial anesthesia or spinal puncture in the past 2 weeks or plan to undergo these procedures during the study
  • 21. Had surgery in the past 4 weeks or plan to undergo surgery during the study
  • 22. Currently is pregnant or plans to become pregnant
  • 23. Currently is breastfeeding
  • 24. Share household with an enrolled participant in this study
  • 25. Co-enrollment in any clinical trial that includes prohibited procedures (spinal puncture or surgery) or that includes treatments within the same drug class as rivaroxaban or treatments for which co-administration with rivaroxaban are prohibited Medications
  • 26. Currently using and plan to use the following medications during the study
  • - Rivaroxaban or drugs in the same class
  • - Dual anti-platelets therapy
  • - Other anticoagulants
  • - Combined P-gp and CYP3A inhibitors and inducers.

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