COVID 19
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients who understands and agrees to comply with planned study procedures. 3. Patients who agree to the collection of nasopharyngeal swabs and venous blood per protocol. 4. Male >18 years or non-pregnant female adult >18 years of age at the time of enrolement. 5. Has a laboratory confirmed SARS-CoV-2 infection as determined by positive PCR done within 72 hrs, with a quantitative PCR cycle threshold (qPCR Ct value ) which is less than 25 and a positive Rapid antigen testing (RAT) performed at the point of admission.
Exclusion criteria
Exclusion criteria: 1. Known patients with chronic liver disease and kidney disease 2. Alanine amino transferase (ALT) or Aspartate amino transferase (AST) or Serum creatinine> 2 times the upper limit of normal. 3. Pregnancy or breast feeding. 4. Anticipated transfer to another hospital which is not a study site within 72 hours. 5. Allergy to any study medication 6. Treatment with another investigational drug or other intervention 7. Patients who are on warfarin, glucocorticoids and other immuno-suppressive medications or anti-cancer medications 8. Patients with known substance abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Percentage reduction of viral burden as measured by quantitative PCR cycle threshold values and negative percentage of rapid antigen testing (RAT ) of naso pharyngeal swabs. [D4 and D7 from the starting day of intervention] 2. Clinical improvement as assessed by 10 point ordinal scale -Mean change in the clinical status 10 point ordinal scale from Day 1 to Days 4, and 7 (Ref Ramdesivir for treament of COVID 19 N Engl J Med 2020; 383:1813-1826 ,DOI: 10.1056/NEJMoa2007764) [D4 and D7 from the starting day of intervention] 3. Clinical improvement and clinical progression Clinical improvement as assessed by % change for National Early Warning Score (NEWS): Change from Day 1 to Days 4 and 7 in NEWS. Clinical progression using the WHO ordinal outcome scale – (WHO Working Group on the Clinical characterizations and Management of COVID-19 infection. A minimal common outcome measure set for COVID-19 clinical research. Lancet Infect Dis 2020. Published Online June 12, 2020. https://doi.org /10.1016/S1473-3099(20)30483-7) [D4 and D7 from the starting day of intervention] 4. Percentage Improvement in white cell count, ALT, and AST, creatinine, CRP (C reactive protein), D Dimers, ferritin over time from D1 through D4 to D7 [D4 and D7 from the starting day of intervention] [ ] [ ] [ ] [] [ ] [] [] [ ] [ ] [ ] [] [ ] [] [ ] [] [] [] [ ] [] [ ] [] [] [] | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse reaction profile, As assessed clinically on a daily basis from D1 to D7 Clinical assessment will be done using a symptom questionnaire. (Ref Ramdesivir for threament of COVID 19 N Engl J Med 2020; 383:1813-1826 ,DOI: 10.1056/NEJMoa2007764) [From D4 and D7 from starting the intervention] Adverse reaction profile on biochemical assessment on D4 and D7 (compared with baseline on D1) Percentage Change in white cell count, haemoglobin, platelets, creatinine, glucose, total bilirubin, ALT, and AST, creatinine, CRP, D Dimers, ferritin over time from D1 through D4 to D7 [From D4 and D7 from starting the intervention] Duration of hospitalization (days). [Assessed at D7, D14, D28 from the day of intervention] Proportion of patients with positive antibody response assessed using COVID antibody testing [Assessed at D7 from the day of intervention] Mortality (if any) • 07-day mortality and cause of death • 28-day mortality and cause of death [Assessed at D7 and D28 from the day of intervention] [] [ ] [ ] [ ] [ ] [] [ ] [] [] [ ] [ ] [ ] [] [ ] [ ] | — |
Countries
Sri Lanka
Contacts
Senior lecturer