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Study of the effectiveness and safety of the drug Mefloquine, tablets 250 mg, produced by FSUE "SPC" Farmzaschita " FMBA of Russia (Russia), in comparison with the drug Hydroxychloroquine, tablets 200 mg, for the treatment of patients with coronavirus infection, in the "off-label" mode, to make a decision on the possibility of expanding the indications for use.
Purpose of the study:
Study of the effectiveness and safety of the drug Mefloquine, tablets 250 mg, produced by FSUE "SPC" farmzaschita " FMBA of Russia (Russia), in comparison with the drug Hydroxychloroquine, tablets 200 mg, for the treatment of patients with coronavirus infection, in the "off-label" mode, to make a decision on the possibility of expanding the indications for use.
Study aims:
Study design:
An open, randomized, multicenter comparative study of the efficacy and safety of Mefloquine and Hydroxychloroquine in "off-label" mode for the treatment of patients with COVID-19 coronavirus infection
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 cohort 1 | Experimental | 80 patients who receive Mefloquine prescribed according to the following scheme:
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| group 1 cohort 2 | Experimental | 80 patients who receive Hydroxychloroquine prescribed according to the following scheme: • 1st day: 800 mg of hydroxychloroquine per day, inside, in 200 mg tablets, 2 tablets 2 times a day; 2nd - 7th day: 400 mg of hydroxychloroquine per day, inside, in tablets of 200 mg, 1 tablet 2 times a day. |
|
| group 2 cohort 1 | Experimental | A concomitant therapy consisting of Mefloquine in conjunction with azithromycin and tocilizumab will be given for 80 patients. Dosage of Mefloquine is same as for group 1 cohort 1. |
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| group 2 cohort 2 | Experimental | A concomitant therapy consisting of Hydroxychloroquine in conjunction with azithromycin and tocilizumab will be given for 80 patients. Dosage of Hydroxychloroquine is same as for group 1 cohort 2. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mefloquine | Drug | 1st day: 750 mg of mefloquine per day, inside, in tablets of 250 mg 3 times a day - 1 tablet every 8 hours.
|
| Measure | Description | Time Frame |
|---|---|---|
| 1st primary endpoint for group 1 | The number of patients with development of respiratory failure requiring transfer to the ICU. | up to 10 days |
| 2nd primary endpoint for group 1 | The period of clinical recovery. | up to 10 days |
| 1st primary endpoint for group 2 | The period of clinical recovery. | up to 10 days |
| 2nd primary endpoint for group 2 | Frequency of fatal outcomes associated with coronavirus infection disease (COVID19) | through study completion, an average of 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| 1st secondary endpoint for group 1 | A change in viral load by conducting PCR assay through different timeframes | on days 5 and 10 |
| 2nd secondary endpoint for group 1 | Frequency of clinical cure on day 10 from the start of therapy |
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Inclusion Criteria:
Exclusion Criteria:
The criteria for retiring a volunteer during the screening period are:
The criteria for early termination of participation of volunteers in the study during the period of use of the study drug are:
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| Name | Affiliation | Role |
|---|---|---|
| Tatiana Astrelina, MD PhD,DSc. | Burnasyan FMBC SRC FMBA of Russia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Burnasyan Federal Medical Biophysical Center FMBA of Russia | Moscow | 123098 | Russia |
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| Hydroxychloroquine | Drug |
|
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| Mefloquine + azithromycin + / - tocilizumab | Combination Product | 1st day: 750 mg of mefloquine per day, inside, in tablets of 250 mg 3 times a day - 1 tablet every 8 hours.
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| Hydroxychloroquine + azithromycin + / - tocilizumab | Combination Product |
|
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| on day 10 |
| 3d secondary endpoint for group 1 | The retention time of the reaction temperature from the start of the treatment. | up to 10 days |
| 4th secondary endpoint for group 1 | Concentration of C-reactive protein in blood plasma. | up to 10 days |
| 5th secondary endpoint for group 1 | Respiratory index. | up to 10 days |
| 6th secondary endpoint for group 1 | Frequency appearance unwanted phenomena and serious unwanted phenomena | up to 10 days |
| 1st secondary endpoint for group 2 | A change in viral load by conducting PCR assay through different timeframes | on days 5 and 10 |
| 2nd secondary endpoint for group 2 | Respiratory index. | up to 10 days |
| 3d secondary endpoint for group 2 | The retention time of the reaction temperature from the start of treatment. | up to 10 days |
| 4th secondary endpoint for group 2 | Concentration of C-reactive protein in blood plasma. | up to 10 days |
| 5th secondary endpoint for group 2 | Number of patients required transition to alternative therapy schedule | up to 10 days |
| 6th secondary endpoint for group 2 | Frequency of adverse events and serious adverse events | up to 10 days |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| ID | Term |
|---|---|
| D015767 | Mefloquine |
| D006886 | Hydroxychloroquine |
| D017963 | Azithromycin |
| C502936 | tocilizumab |
| ID | Term |
|---|---|
| D011804 | Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D002738 | Chloroquine |
| D000634 | Aminoquinolines |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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