Asymptomatic Condition, Coronavirus Infection, COVID-19, SARS-CoV-2
Conditions
Brief summary
To create a protocol for treatment of Pakistani patients with SARS-CoV-2 infection with an intent to reduce burden on institutional healthcare services by determining efficacy of different quinone drug dosing regimens in controlling SARS-CoV-2 infection for asymptomatic patients.
Interventions
Hydroxychloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2
Hydroxychloroquine administered as a loading dose only
Chloroquine administered based off of in-vitro pharmacokinetics study of optimal dosage for efficacy against SARS-CoV-2
Standard of Care plus placebo
Sponsors
Study design
Eligibility
Inclusion criteria
1. Nasopharyngeal RT-PCR positive SARS-CoV-2 patient 2. Age 20-50 years 3. BMI 18-28 kg/m2 4. Informed consent
Exclusion criteria
1. Symptoms: Cough, fever, shortness of breath 2. O2 saturation by pulse-oximeter below 94% 3. Co-morbidities: any pre-existing cardiac disease, pulmonary disease, diabetes 4. Arrhythmias and/or history of arrythmia 5. Psoriasis and/or history of psoriasis 6. Neuropathy or myopathy and/or history of these 7. Hypoglycemia and/or history of hypoglycemia 8. Pre-existing hepatic disease 9. Pre-existing renal disease 10. Use of antacids within 1 week 11. Use of antibiotics within 1 week 12. Pregnancy 13. RT-PCR performed \>3 days prior to enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| RT-PCR negative status | 6-7 days | Percentage of patients who become RT-PCR negative with two RT-PCR tests performed at day 6 and day 7 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression of symptoms | 7 days | Time to progression to next stage of SARS-CoV-2 disease severity index |
| Development of Symptoms | 7 days | Time to onset of fever (temperature greater than 100 degree F), cough, or shortness of breath (respiratory rate \>22 per minute). |
| Adverse events | 7 days | Drug related adverse events as determined by data safety and monitoring board (DSMB) |
Countries
Pakistan