Covid-19, Sars-CoV2, Symptomatic Condition
Conditions
Brief summary
To treat Pakistani patients with non-life threatening symptomatic SARS-CoV-2 infection with an intent to reduce burden on institutional healthcare services by determining efficacy of different chloroquine and hydroxychloroquine dosing regimens in controlling SARS-CoV-2 infection.
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
Intervention model description
Prospective double blind randomized superiority clinical trial.
Eligibility
Inclusion criteria
1. Symptomatic patients: defined as fever (temperature greater than 100 degree F), cough, or shortness of breath (respiratory rate \>22 per minute). 2. Nasopharyngeal RT-PCR positive SARS-CoV-2 3. Age 20-50 years 4. BMI 18-28 kg/m2 5. Informed consent
Exclusion criteria
1. O2 saturation by pulse-oximeter below 93% 2. Co-morbidities: any pre-existing cardiac disease, pulmonary disease, diabetes 3. Arrhythmias and/or history of arrythmia 4. Psoriasis and/or history of psoriasis 5. Neuropathy or myopathy and/or history of these 6. Hypoglycemia and/or history of hypoglycemia 7. Pre-existing hepatic disease 8. Pre-existing renal disease 9. Use of antacids within 1 week 10. Use of antiobiotics within 1 week 11. Pregnancy 12. RT-PCR performed \>7 days prior to enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| RT-PCR result | 6th and 7th day | 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 |
| Mortality | 30 days | Death |
Countries
Pakistan