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Safety of Short-term Hydroxychloroquine Plus Azithromycin Treatment in Critically Ill Patients With Severe COVID-19

Completed
Conditions
COVID-19
Registration Number
NCT04452617
Lead Sponsor
Institut Mutualiste Montsouris
Brief Summary

Hydroxychloroquine and azithromycin have been proposed as treatment of COVID-19 patients, but few reports have assessed this combination therapy in critically ill COVID-19 patients.

Many raised concerns regarding the potential cardiac toxicity of this association.

The purpose of this monocenter retrospective observational study is to evaluate the safety of a short term treatment with hydroxychloroquine and azithromycin in critically ill patients admitted in ICU for severe COVID-19 with respiratory failure.

The main objective is to assess the incidence of severe cardiac arrhythmia e.g torsade de pointes and cardiac arrest or sudden death, during the treatment period.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • critically ill patients admitted in ICU for severe COVID-19 with respiratory failure for at least two days of treatment with hydroxychloroquine and azithromycin.
Exclusion Criteria
  • cardiac conduction disorders
  • continuous anti-arrhythmic therapy
  • heart failure
  • chronic renal failure

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
occurrence of severe cardiac arrhythmia: torsade de pointes and cardiac arrest or sudden death30 days after admission in ICU
Secondary Outcome Measures
NameTimeMethod
assessment of QTc interval prolongation during the treatment period compared to baseline ECGdaily

QTc (corrected QT interval) \> 500 ms and ΔQTc \> 60 ms

Trial Locations

Locations (1)

Institut Mutualiste Montsouris

🇫🇷

Paris, France

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