Clarithromycin Versus Azithromycin in Treatment of Mild COVID-19 Infection
Primary Purpose
Covid19
Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Clarithromycin 500mg
Azithromycin
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Covid19 focused on measuring Azithromycin, clarithromycin, COVID-19
Eligibility Criteria
Inclusion Criteria:
- COVID-19 cases
- Oxygen saturation > 93%
- Age >18 years
Exclusion Criteria:
- Patients <18 years,
- patients with Oxygen saturation < 93%, patients with
- Diabetes mellitus or
- heart failure,
- patients on chemotherapy or immunosuppressive therapy
Sites / Locations
- south-Vally University faculty of medicine
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
clarithromycin
Azithromycin
control
Arm Description
clarithromycin group
azithromycin group
control group
Outcomes
Primary Outcome Measures
time to fever control
time to complete resolution of fever
Secondary Outcome Measures
PCR conversion
time to PCR conversion from first positive PCR for COVID-19 to negative PCR
Full Information
NCT ID
NCT04622891
First Posted
November 6, 2020
Last Updated
November 7, 2020
Sponsor
South Valley University
1. Study Identification
Unique Protocol Identification Number
NCT04622891
Brief Title
Clarithromycin Versus Azithromycin in Treatment of Mild COVID-19 Infection
Official Title
Efficacy of Clarithromycin in Comparison to Azithromycin in Treatment of Mild COVID-19 Infection, Randomized Controlled Trial
Study Type
Interventional
2. Study Status
Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
April 1, 2020 (Actual)
Primary Completion Date
July 30, 2020 (Actual)
Study Completion Date
July 30, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
South Valley University
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
The current study was conducted at Qena Governorate, Egypt, during the period from May 2020, to July 2020. The study included 305 COVID-19 cases diagnosed by PCR, patients were randomly assigned to one of three study limps, Azithromycin 500 mg/24 h for 7 days, Clarithromycin 500 /12 h for 7 days, or a control group with no antibiotics, All three groups received only symptomatic treatment for control of fever and cough
Detailed Description
The current study was conducted at Qena Governorate, Egypt, during the period from May 2020, to July 2020. The study included 305 COVID-19 cases diagnosed by PCR, patients were randomly assigned to one of three study limps, Azithromycin 500 mg/24 h for 7 days, Clarithromycin 500 /12 h for 7 days, or a control group with no antibiotics, All three groups received only symptomatic treatment for control of fever and cough.
All study participants underwent full clinical evaluation including duration of fever, cough, dyspnea, anosmia or GIT symptoms, C-reactive protein (CRP), serum ferritin, D-dimer, Complete blood count (CBC), non-contrast chest computed tomography (CT) which was repeated 2 weeks after the start of treatment.
The Azithromycin group included, 107 patients, mean age 45.8 ±18 years, 73 male and 34 female, the Clarithromycin group included 99 patients mean age 46.1±19 years, 68 males and 31 female, the control group included 99 patients, with mean age 41.1 ± 18 years, 73 male and 28 female.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19
Keywords
Azithromycin, clarithromycin, COVID-19
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
clarithomycin group Azithromycin group control group
Masking
ParticipantOutcomes Assessor
Masking Description
double-blinded
Allocation
Randomized
Enrollment
300 (Actual)
8. Arms, Groups, and Interventions
Arm Title
clarithromycin
Arm Type
Experimental
Arm Description
clarithromycin group
Arm Title
Azithromycin
Arm Type
Active Comparator
Arm Description
azithromycin group
Arm Title
control
Arm Type
Placebo Comparator
Arm Description
control group
Intervention Type
Drug
Intervention Name(s)
Clarithromycin 500mg
Other Intervention Name(s)
active
Intervention Description
clarithromycin 500
Intervention Type
Drug
Intervention Name(s)
Azithromycin
Other Intervention Name(s)
active comparison
Intervention Description
azithromycin group
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
control group
Intervention Description
control group
Primary Outcome Measure Information:
Title
time to fever control
Description
time to complete resolution of fever
Time Frame
15 days
Secondary Outcome Measure Information:
Title
PCR conversion
Description
time to PCR conversion from first positive PCR for COVID-19 to negative PCR
Time Frame
15 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
COVID-19 cases
Oxygen saturation > 93%
Age >18 years
Exclusion Criteria:
Patients <18 years,
patients with Oxygen saturation < 93%, patients with
Diabetes mellitus or
heart failure,
patients on chemotherapy or immunosuppressive therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alaa Rashad, MD
Organizational Affiliation
associate professor
Official's Role
Principal Investigator
Facility Information:
Facility Name
south-Vally University faculty of medicine
City
Qena
ZIP/Postal Code
868532
Country
Egypt
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
34381155
Citation
Rashad A, Nafady A, Hassan MH, Mansour H, Taya U, Bazeed SES, Aref ZF, Sayed MAA, Nafady-Hego H, Abdelmaksoud AA. Therapeutic efficacy of macrolides in management of patients with mild COVID-19. Sci Rep. 2021 Aug 11;11(1):16361. doi: 10.1038/s41598-021-95900-z.
Results Reference
derived
Learn more about this trial
Clarithromycin Versus Azithromycin in Treatment of Mild COVID-19 Infection
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