COVID19, Intensive Care Unit
Conditions
Keywords
Deferoxamine, Tocilizumab
Brief summary
Assessment of Efficacy and Safety of Tocilizumab Compared to DefeROxamine, associated with standards treatments in COVID-19 (+) patients, Hospitalized In Intensive care in Tunisia. Multicentric, comparative, randomized study.
Detailed description
Arm1 : * Usual standard treatment\* * Tocilizumab (LOC) (8mg/ kg per day) (1 injection per infusion) a second injection may be considered if necessary, but no more than 800 mg per day. Only on the 1st day (D0) * Enoxaparin (4000 IU X 2) per day for the duration of hospitalization VERSUS Arm 2: * Usual standard treatment\* * Deferoxamine (Desferal 500 mg, powder, and solvent for IV solution) by electric syringe 40 mg/kg/day 5day/7 without exceeding 5 g per day for 14 days * Enoxaparin (4000 IU X 2) per day for the duration of hospitalization Usual standard treatment\*: according to the standard practices of each center, apart from the active molecules of the 2 arms and their therapeutic class)
Interventions
Tocilizumab (LOC) (8mg/ kg per day) (1 injection per infusion). Only on the 1st day (D0)
Deferoxamine (Desferal 500 mg, powder, and solvent for IV solution for injection)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient confirmed COVID19 positive * Patient with acute respiratory deficiency * Patient hospitalized in the intensive care unit * Age \>18 years old * Having given written consent for their participation in the study
Exclusion criteria
* Taking Tocilizumab or hydroxychloroquine deferoxamine within one month prior to inclusion (excluding participation in THINC or COVID\_2Pro or COVID+PA studies) * Severe/severe liver failure * Dialysis patients * Renal insufficiency (clearance\< 30ml/min/1.73m2) * Allergy to deferoxamine * Pregnant or breastfeeding woman * Hypersensitivity to the active substance or any of the excipients of Tocilizumab * A decrease in blood platelets with previous use of enoxaparin or another heparin drug, * hemophilia and related diseases, * stomach or duodenal ulcer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the mortality rate | 90 day | * Evaluate the mortality rate at 90 days. * Evaluate the Intensive Care Unit (ICU) and Hospital Mortality rate at day 90 with date and cause of death (if applicable) |
Countries
Tunisia