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Efficacy of Tumor Necrosis Factor alpha inhibitor in COVID-19

Phase 2
Recruiting
Conditions
COVID-19.
COVID-19
U07.1
Registration Number
IRCT20200312046749N1
Lead Sponsor
Tehran University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
80
Inclusion Criteria

Confirmed the COVID-19 disease with one or more of these: fever, dry cough, dyspnea and one or more of below: positive SARS-COV2 PCR •Characteristic changes of SARS-COV2 in chest CT scan such as bilateral ground grass opacity in bases of the lungs ( confirmation with the radiologist)
Age>18 years old
Signing inform consent from the patient or patient? s accompaniment
No manifestations of bacterial infection
No history of rheumatologic disorders
No history of cancer for the last 1 year.No history of immunodeficiency (primary or acquired)
No manifestations, history and radiologic parameters according to active or latent TB
No diabetes or autoimmune hepatitis
No uveitis
No history of immunosuppressive treatment in the last 6 months
No history of growth hormone, Testosterone and any Anabolic steroids in the last one month
No history of Corticosteroid therapy (>30 mg/m2) for > 5 days in the last one month
No history of Corticosteroid pulses or IVIG treatments for last one month
No history of Biologics treatment for the last 6 months

Exclusion Criteria

Administration of corticosteroids pulses and/or IVIG in the disease process or one month after anti-TNF prescription.
Unwillingness of involved patients to continue this research.

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Improvement of pulmonary manifestations and the duration. Timepoint: One week, two weeks and 6 months after. Method of measurement: physical examination, labratory data and CT scan.;Improvement the radiologic parameters. Timepoint: after 7-10 days. Method of measurement: computed tomography.;Necessity and Duration to ICU admission and hospitalization. Timepoint: One to two weeks later. Method of measurement: Questionnaire.;Mortality. Timepoint: One month later. Method of measurement: Number.;The three months outcomes: complete improvement; improvement with transient complication; improvement with persistent complication. Timepoint: After three months. Method of measurement: Physical examination and history.
Secondary Outcome Measures
NameTimeMethod
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