Covid19, Covid-19 ARDS
Conditions
Keywords
COVID 19, Covid-19 ARDS, Tocilizumab, Remdicivir, Baricitinib
Brief summary
This study was designed to evaluate the efficacy of Remdesivir and Baricitinib combination therapy for the treatment of severe Acute Respiratory Distress Syndrome (ARDS) caused by Coronavirus disease 2019 (COVID-19). Our aim is to compare the outcome of the Remdesivir + Baricitinib combination against Remdesivir + Tocilizumab therapy and find the best option for the management of ARDS in COVID-19 patients.
Interventions
Remdesivir 100 IV Infusion as a lyophilized powder
Baricitinib oral tablet form
Tocilizumab IV Infusion
Sponsors
Study design
Eligibility
Inclusion criteria
Severe COVID-19 patients require hospitalization under HDU/ICU. The SARSCoV-2 infection will be confirmed by RT PCR / CT Chest in every case.
Exclusion criteria
Participants with uncontrolled clinical status who were hospitalized from the before. Contraindication / possible drug interaction. Participants who have any severe and/or uncontrolled medical conditions like, Severe ischemic heart disease, epilepsy, malignancy, Pulmonary/ renal/hepatic disease, AIDS, Pulmonary TB, pregnancy, Corpulmonale, and etc.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to Clinical Improvement (TTCI) | Following randomization 30 days | Time to Clinical Improvement (TTCI) Defined as Time from Randomization to National Early Warning Score 2 (NEWS2) Score of \</= 2 Maintained for 24 Hours. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mortality Rate | Following randomization 30 days. | Mortality Rate on Days during hospitalization |
| Duration of ICU stay | Following randomization 30 days. | Duration of ICU Stay in days. |
| Duration total hospital stay | Following randomization 30 days. | Duration of hospital stay in days. |
| Rate of daily Supplemental Oxygen Use | Following randomization 30 days. | Rate of daily Supplemental Oxygen Use by the patient |
| Time to Clinical Failure | Following randomization 30 days. | Time to Clinical Failure, Defined as the Time from Randomization to the First Occurrence of Death, Mechanical Ventilation, ICU Admission, or Withdrawal (whichever occurs first) |
Countries
Bangladesh