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Prevention and Treatment With Hydroxychloroquine + Azithromycin of Acute Respiratory Syndrome Induced by COVID-19 (AMBUCOV)

Primary Purpose

Acute Respiratory Distress Syndrome, Covid19

Status
Unknown status
Phase
Phase 2
Locations
Spain
Study Type
Interventional
Intervention
Hydroxychloroquine Pill + Azithromycin Pill
SOC
Sponsored by
Maimónides Biomedical Research Institute of Córdoba
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Respiratory Distress Syndrome focused on measuring acute respiratory syndrome, SARS-CoV-2, COVID19, hydroxychloroquine, azithromycin, COVID19 symptoms

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with positive semi-quantitative PCR and COVID19 symptoms (fever, cough, diarrhea, dyspnoea, loss of smell).
  • Signed informed consent

Exclusion Criteria:

  • Retinal degeneration.
  • Congenital or acquired long QT syndrome.
  • Advanced liver failure.
  • Renal insufficiency (incompatible with creatinine clearance less than 50 mL /minute).
  • Allergic to hydroxychloroquine or azithromycin.
  • Serious interaction with the drugs used.
  • Pregnant or breastfeeding.
  • Men and women in fertile and sexually active periods, who do not accept a highly effective contraceptive method.
  • Inability to follow study procedures.

Sites / Locations

  • Centro de Salud Priego de CórdobaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Hydroxychloroquine + Azithromycin

SOC (Standard of Care)

Arm Description

Hydroxychloroquine. 1st day 200mg 2-0-2; 2nd to 5th day 200mg 1-0-1 Azithromycin. 1st day 500m 0-1-0, 2nd to 5th day 250mg 0-1-0 Oral intake in all cases. Pills will be taken simultaneously.

SOC for symptoms treatment Acetaminophen or Metamizole, 1-1-1 Antitussives if needed

Outcomes

Primary Outcome Measures

Hospitalization
ICU admission
Death

Secondary Outcome Measures

Clinical Evolution
Clinical evolution will be evaluated through the following symptoms: fever, cough, dyspnoea, diarrhea, loss of smell.

Full Information

First Posted
July 6, 2021
Last Updated
July 7, 2021
Sponsor
Maimónides Biomedical Research Institute of Córdoba
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1. Study Identification

Unique Protocol Identification Number
NCT04954040
Brief Title
Prevention and Treatment With Hydroxychloroquine + Azithromycin of Acute Respiratory Syndrome Induced by COVID-19
Acronym
AMBUCOV
Official Title
Clinical Trial for the Prevention and Treatment With Hydroxychloroquine + Azithromycin of Acute Respiratory Syndrome Induced by COVID-19
Study Type
Interventional

2. Study Status

Record Verification Date
April 2021
Overall Recruitment Status
Unknown status
Study Start Date
February 10, 2021 (Actual)
Primary Completion Date
October 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Maimónides Biomedical Research Institute of Córdoba

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Multi-centered, randomized, open label clinical trial to study the safety and effectivity of hydroxychloroquine + azithromycin to treat COVID-19 symptoms in primary care patients.
Detailed Description
In the patient group treated with hydroxychloroquine + azithromycin we expect to find a diminution of 20% or more regarding the evolution of acute respiratory syndrome, as opposed to patients who have not been treated with these medicines. To date, there is no shown effective treatment regime for acute respiratory distress caused by COVID-19.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Respiratory Distress Syndrome, Covid19
Keywords
acute respiratory syndrome, SARS-CoV-2, COVID19, hydroxychloroquine, azithromycin, COVID19 symptoms

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
132 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hydroxychloroquine + Azithromycin
Arm Type
Experimental
Arm Description
Hydroxychloroquine. 1st day 200mg 2-0-2; 2nd to 5th day 200mg 1-0-1 Azithromycin. 1st day 500m 0-1-0, 2nd to 5th day 250mg 0-1-0 Oral intake in all cases. Pills will be taken simultaneously.
Arm Title
SOC (Standard of Care)
Arm Type
Active Comparator
Arm Description
SOC for symptoms treatment Acetaminophen or Metamizole, 1-1-1 Antitussives if needed
Intervention Type
Drug
Intervention Name(s)
Hydroxychloroquine Pill + Azithromycin Pill
Intervention Description
Hydroxychloroquine. 1st day 200mg 2-0-2; 2nd to 5th day 200mg 1-0-1 Azithromycin. 1st day 500m 0-1-0, 2nd to 5th day 250mg 0-1-0
Intervention Type
Drug
Intervention Name(s)
SOC
Intervention Description
Acetaminophen or Metamizole. Antitussives if needed.
Primary Outcome Measure Information:
Title
Hospitalization
Time Frame
From randomization until patient's hospitalization happens, assessed up to 28 days.
Title
ICU admission
Time Frame
From date of randomization until ICU admission as a result of COVID19, assessed up to 28 days.
Title
Death
Time Frame
From randomization until death by any cause related to COVID19, assessed up to 28 days.
Secondary Outcome Measure Information:
Title
Clinical Evolution
Description
Clinical evolution will be evaluated through the following symptoms: fever, cough, dyspnoea, diarrhea, loss of smell.
Time Frame
From randomization until healing, hospitalization or death. Symptoms will be evaluated every 24 hours for a minimum of 10 days and a maximum 28 days.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with positive semi-quantitative PCR and COVID19 symptoms (fever, cough, diarrhea, dyspnoea, loss of smell). Signed informed consent Exclusion Criteria: Retinal degeneration. Congenital or acquired long QT syndrome. Advanced liver failure. Renal insufficiency (incompatible with creatinine clearance less than 50 mL /minute). Allergic to hydroxychloroquine or azithromycin. Serious interaction with the drugs used. Pregnant or breastfeeding. Men and women in fertile and sexually active periods, who do not accept a highly effective contraceptive method. Inability to follow study procedures.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Antonio Miguel Luque Pineda
Phone
+34 671 596 070
Email
uicec@imibic.org
Facility Information:
Facility Name
Centro de Salud Priego de Córdoba
City
Priego de Córdoba
State/Province
Córdoba
ZIP/Postal Code
14800
Country
Spain
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jesús Gallardo de Ávila, Doctor

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Data will be shared after the study concludes and results are published
IPD Sharing Time Frame
When study is published.
IPD Sharing Access Criteria
Sending request.

Learn more about this trial

Prevention and Treatment With Hydroxychloroquine + Azithromycin of Acute Respiratory Syndrome Induced by COVID-19

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