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. 2023 Aug 16;2023(8):CD015102. doi: 10.1002/14651858.CD015102.pub2

RBR‐7nzwkpg.

Study name Effects of treatment with oral anticoagulant associated with antibiotic therapy in COVID‐19
Methods Prospective, double‐blind RCT
Participants Number of participants: 160
Age: ≥ 18 years
Gender: male and female
Inclusion criteria
  • Clinical suspicion of COVID‐19

  • Oxygen saturation between 93% and 97%

  • At least 1 more symptom according to the Ministry of Health criteria including tiredness or shortness of breath, fever and chills, cough, and loss of smell or taste

  • Positive result for the D‐dimer test


Exclusion criteria
  • Patients with active infectious diseases, immunosuppressive diseases, or active cancer

  • Pregnant or lactating women

  • Known renal failure

  • Current use of anticoagulants

  • Contraindication to the use of edoxaban or moxifloxacin

Interventions Intervention: 1 non‐transparent bottle containing 28 tablets of edoxaban 60 mg. The prescription will obey the following dosage: 1 tablet, once daily, for 28 days.
Control: 1 non‐transparent bottle containing 28 non‐transparent capsules. The capsules will contain standard placebo formulation, consisting of 0.5% magnesium stearate, 1.0% Aerosil, 30% pharmaceutical talc + starch q.s.p. The prescription will obey the following dosage: 1 capsule, once daily, for 28 days.
Outcomes Primary outcome
  • Frequency of individuals who required hospitalisation after starting treatment


Secondary outcomes
  • Secondary outcomes are not expected

Starting date 24 January 2021
Contact information anna.piovezan@unisul.br
Notes  

ALT: alanine transaminase
aPTT: activated partial thromboplastin clotting time
BMI: body mass index 
CAD: coronary artery disease
CNS: central nervous system
COPD: chronic obstructive pulmonary disease
CYP3A4: cytochrome P450 3A4 
DVT: deep vein thrombosis
ECG: electrocardiogram
ECMO: extracorporeal membrane oxygenation
EMR: electronic medical record
ER: emergency room
eGFR: estimated glomerular filtration rate
FIO2: fraction of inspired oxygen
G6PD: glucose‐6‐phosphate dehydrogenase
GFR: glomerular filtration rate
HFOV: high‐frequency oscillatory ventilation
ICU: intensive care unit
IgM: immunoglobulin M
IMP: investigational medicinal product
INR: international normalised ratio
ISTH: International Society of Thrombosis and Haemostasis
LMWH: low‐molecular‐weight heparin
MACE: major cardiovascular events
MI: myocardial infarction
MVP: mechanical valve prosthesis
N: normal
NYHA: New York Heart Association
PAD: peripheral artery disease
PaO2: partial pressure of arterial oxygen
PE: pulmonary embolism
P‐gp: P‐glycoprotein
PCR: polymerase chain reaction
QTc: corrected QT interval
RCT: randomised controlled trial
RT‐PCR: reverse transcription polymerase chain reaction
ULN: upper limit of normal
VTE: venous thromboembolism
WHO: World Health Organization