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Hydroxychloroquine vs. Azithromycin for Outpatients in Utah With COVID-19

Phase 3
Conditions
COVID-19
Interventions
Registration Number
NCT04334382
Lead Sponsor
Intermountain Health Care, Inc.
Brief Summary

This study will compare two drugs (hydroxychloroquine and azithromycin) to see if hydroxychloroquine is better than azithromycin in treating outpatients with suspected or confirmed COVID-19.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
1550
Inclusion Criteria
  • Adult, Age>44 years, competent to provide consent
  • Confirmed COVID-19, via a positive nucleic acid assay for COVID-19 within the last 7 days
Exclusion Criteria
  • Participants already prescribed chloroquine, hydroxychloroquine, or azithromycin
  • Allergy to hydroxychloroquine or azithromycin
  • History of bone marrow transplant
  • Known G6PD (Glucose-6-Phosphate Dehydrogenase Deficiency) deficiency
  • Chronic hemodialysis, peritoneal dialysis, continuous renal replacement therapy or Glomerular Filtration Rate < 20ml/min/1.73m2
  • Liver disease (e.g. Child Pugh score ≥ B or AST (Aspartate Transaminase)>2 times upper limit)
  • Psoriasis
  • Porphyria
  • Known cardiac conduction delay (QTc > 500mSec) or taking any prescription medications known to prolong QT interval
  • Concomitant use of digitalis, flecainide, amiodarone, procainamide, or propafenone
  • Prisoner
  • Weight < 35kg
  • Inability to follow-up - no cell phone or no address or not Spanish or English speaking
  • Receipt of any experimental treatment for SARS-CoV-2 (off-label, compassionate use, or trial related) within the 30 days prior to the time of the screening evaluation
  • No symptoms attributable to COVID-19
  • Pregnant or nursing

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AzithromycinAzithromycin-
HydroxychloroquineHydroxychloroquine-
Primary Outcome Measures
NameTimeMethod
Hospitalization within 14 days of enrollmentFrom enrollment to 14 days after enrollment

Admitted to a hospital (not merely kept for emergency room observation)

Secondary Outcome Measures
NameTimeMethod
Hospital-free days at 28 daysAdmission (day 1) to 28 days after admission (day 28)

Hospital-free days at 28 days (number of days patient not in hospital); calculated as worst-rank ordinal with mortality by day 28 assigned the worst score

ICU-free days at 28 daysAdmission (day 1) to 28 days after admission (day 28)

ICU-free days at 28 days, calculated as worst-rank ordinal with mortality by day 28 assigned the worst score

Duration of COVID-19-attributable symptomsFrom enrollment to 14 days after enrollment
Ventilator-free days at 28 daysAdmission (day 1) to 28 days after admission (day 28)

Ventilator-free days at 28 days (number of days patient not on a ventilator); calculated as worst-rank ordinal with mortality by day 28 assigned the worst score

Trial Locations

Locations (2)

Intermountain Medical Center

🇺🇸

Murray, Utah, United States

University of Utah

🇺🇸

Salt Lake City, Utah, United States

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