Clinical Study to Assess Efficacy and Safety of Amiodarone in Treating Patients With Ebola.
Trial Snapshot
- Phase
- Phase 2
- Status
- Withdrawn
- Sponsor
- Primary Endpoint
- All cause mortality
Study Overview
Brief Summary
The purpose of this study is to evaluate the efficacy and safety of amiodarone in the treatment of patients afflicted with Ebola virus disease.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 2 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patient admitted to the Emergency ETC at Goderich with a clinical diagnosis of Ebola virus disease;
- •patient who consent to participate in the study.
Exclusion Criteria
- •negative RT-PCR tests for Ebola virus
- •age <2 years
- •state of shock upon admission
- •onset of fever for more than 6 days
- •Glasgow Coma Scale <12
- •known contraindications to administration of amiodarone
- •positive for HIV antibodies.
Arms & Interventions
Best Supportive Care
Dehydration Ringer's lactate solution or normal saline intravenously Electrolytes should be monitored at regular intervals and corrected as long as vomiting and/or diarrhoea persist Fever intravenous Paracetamol Antimicrobial treatment Prophylactic 5-days course with Ampicillin should be used Pain Paracetamol,Tramadol or Pentazocine Central nervous system disturbances If a patient is restless or confused, prescribe a light sedation utilizing Midazolam, Propofol or Ketamine, preferably in association with Diazepam or Midazolam Seizures Diazepam Vomiting antiemetic medications may provide some relief and facilitate the rehydration Dyspepsia in adults, Omeprazole Diarrhoea in adults, Loperamide Acute bleeding leading to signs of haemorrhagic shock should be treated with whole blood transfusion and supportive care. Patients haemodynamically stable should not be transfused if the Hb level is >7 mg% Septic shock intensive support care Malaria in case of positive initial test, Artesunate
Intervention: Best Supportive Care (Drug)
Best Supportive Care + Amiodarone
This treatment will be provided to patients in the experimental arm only in addition to best supportive care scheme .
During the first 3 days of treatment, the drug must be administered in Glucose 5% solution. Deliver through the largest possible vein inserting a long catheter (if possible a CVP line).
Day 1. Dose: 20 mg/kg/die i.v. deliver a loading dose of 5mg/kg in the 1st hour, followed by continuous infusion during the remaining 23 hours.
Example: 20 mg /kg of Amiodarone in 500 cc of Glucose 5%. Deliver 125 ml during the 1st hour followed by 16 ml/hour for the remaining 23 hours.
Day 2 - Day 3. Dose: 20 mg/kg/die i.v. Continuous infusion over 24 hrs. Example: Glucose 5% 500 ml containing 20 mg/kg of Amiodarone (infusion speed = 21 ml/hour).
Day 4 to Day 10. If no significant diarrhea and/or vomiting, shift to oral intake of Amiodarone as follows:
- Adults: 200 mg tablets, 3 times a day, according to the body weight (30mg/Kg)
- Children < 29 kg: 5 mg/kg 3 times a day
Intervention: Best Supportive Care + Amiodarone (Drug)
Outcomes
Primary Outcomes
All cause mortality
Time Frame: 10 days
Secondary Outcomes
- Adverse events(Day 1-10 , 14)
- Viral load(Day 2, 5, 10 and 14)
- Vital status(Day 14 and 30)
- Lymphocyte count(Day 2, 5, 10 and 14)
- IgM anti-Ebola virus antibody titer(Day 2, 5, 10 and 14)
- IgG anti-Ebola virus antibody titer(Day 2, 5, 10 and 14)
- Serum concentration of amiodarone(Day 2, 5, 10 and 14)