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Epidemic dynamics
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| Name | Class |
|---|---|
| Université Abdou Moumouni | UNKNOWN |
| Centre de Recherche Médicale et Sanitaire | OTHER |
| Ministry of Public Health, Republic of Niger | UNKNOWN |
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The purpose of this study is to assess whether lopinavir/ritonavir (or eventually other antiviral drugs) is effective at reducing the rate of hospitalization among confirmed COVID-19 cases treated as outpatients.
After being informed about the study and potential risks, all patients who meet all eligibility criteria and who give written informed consent will be randomized to receive standard care or standard care plus lopinavir/ritonavir (400mg/100mg twice daily for 14 days). Participants will receive daily visits from study staff for 15 days and be followed for a total of 28 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Care | Active Comparator | Standard care for COVID-19 according to the national guidelines of Niger |
|
| Standard Care plus lopinavir/ritonavir | Experimental | Standard care for COVID-19 according to the national guidelines of Niger plus lopinavir/ritonavir |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lopinavir-Ritonavir Drug Combination | Drug | 400mg/100mg taken orally twice daily for 14 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospitalization or death | Hospitalization associated with desaturation (SpO2 ≤92%) or death due to any cause | 15 days following randomization |
| Measure | Description | Time Frame |
|---|---|---|
| All-cause mortality | Death due to any cause | 15 days following randomization |
| All-cause mortality | Death due to any cause | 28 days following randomization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rebecca F Grais | Epicentre | Study Director |
| Eric Adehossi | Hôpital Général de Référence de Niamey | Principal Investigator |
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De-identified patient data will be shared with local and international authorities.
Data will become fully accessible after primary publication of results.
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C558899 | lopinavir-ritonavir drug combination |
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Standard Care | Combination Product | Paracetamol as needed for the symptomatic treatment of fever and vitamin C 1000 mg daily |
|
| Time to hospitalization | Length of time between randomization and hospitalization associated with desaturation (SpO2 ≤92%) | 28 days following randomization |
| Length of hospitalization | Total duration of hospitalization associated with desaturation (SpO2 ≤92%) | 28 days following randomization |
| Admission to intensive care | Proportion of participants admitted to an intensive care unit | 28 days following randomization |
| Adverse events | Proportion of participants having an adverse event | 28 days following randomization |
| Serious adverse events | Proportion of participants having a serious adverse event | 28 days following randomization |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |