Skip to main content
. 2023 Jun 13;147(1):31–49. doi: 10.1093/bmb/ldac037

Table 2.

Continued.

Trial Intervention/clinical setting Patient numbers (n) Proposed mechanism of action Primary and secondary outcome measures Results
ACTIV-629 Ivermectin 400 μg/kg for three consecutive days
vs
Placebo
Clinical setting: Community patients with mild-to-moderate COVID-19
Ivermectin—1591
Placebo—774
Antiviral 1—time to sustained recovery, defined as the third of three consecutive symptom free days
2°—hospitalization or death at day 28
• A hazard ratio (HR) of 1.07 was reported for improvement in time to recovery (95% credible interval [CrI], 0.96-1.17; posterior P value [HR >1] = .91). The median time to recovery in the ivermectin group was 12 days (IQR, 11-13) versus 13 days (IQR, 12-14) in the placebo group. Ten hospitalizations/ deaths were reported in the ivermectin group versus 9 events in the placebo group (1.2% vs 1.2%; HR, 1.1 [95% CrI, 0.4-2.6])
• Treatment did not lower incidence of hospitalization or death
among outpatients with COVID-1929
ACTIV-630 Inhaled fluticasone furoate 200 μg once daily for 14 days
vs
Placebo
Clinical setting: Community patients with mild-to-moderate COVID-19
Fluticasone furoate—656
Placebo—621
Anti-inflammatory 1—time to sustained recovery, defined as the third of three consecutive symptom free days.
2°—Hospitalization or death at day 28
• No improvement in time to recovery was observed with
fluticasone compared with placebo (HR 1.01, 95% credible
interval [CrI] 0.91–1.12; posterior probability for benefit
[HR > 1] = 0.56).
• A total of 24 participants (3.7%) in the fluticasone arm required
urgent care or were hospitalized compared with 13 (2.1%) in the
placebo arm (HR 1.9, 95% CrI 0.8–3.5; posterior probability for
benefit [HR < 1] = 0.03).
PRINCIPLE31 Oral doxycycline (200 mg on day 1, then 100 mg once daily for the following 6 days) plus usual care
vs
Usual care plus other interventions
vs
Usual care alone
Doxycycline + usual care—780
Usual care plus other interventions—780
Usual care alone—948
Antiviral 1—time to first self-reported recovery and hospital admission or death related to COVID-19 at 28 days (co-primary endpoints) • There was limited evidence of a difference in median time to first
self-reported recovery between the usual care plus doxycycline
group and the usual care only group (9·6 [95% Bayesian credible
interval [BCI] 8·3 to 11·0] days vs 10·1 [8·7 to 11·7] days, HR
1·04 [95% BCI 0·93 to 1·17]). The estimated benefit in median
time to first self-reported recovery was 0·5 days [95% BCI -0·99
to 2·04]. The probability of a clinically meaningful benefit
(defined as ≥1·5 days) was 0·10. Hospitalization or death related
to COVID-19 occurred in 41 (crude percentage 5·3%)
participants in the usual care plus doxycycline group compared
to 43 (4·5%) in the
PRINCIPLE32 Azithromycin 500 mg daily for 3 days
vs
Usual care plus other interventions
vs
Usual care alone
Azithromycin + usual care—540
Usual care + other interventions—850
Usual care alone—875
Antiviral 1—Time to first self-reported recovery and hospital admission or death related to COVID-19 at 28 days (co-primary endpoints) • No clinically meaningful benefit in the azithromycin plus usual
care group in time to first reported recovery versus usual care
alone was observed (HR 1·08, 95% BCI 0·95 to 1·23), equating
to an estimated benefit in median time to first recovery of
0·94 days (95% BCI −0·56 to 2·43). The probability of a
clinically meaningful benefit of at least 1·5 days in time to
recovery was 0·23. A total of 16 (3%) of 500 participants in the
azithromycin plus usual care group and 28 (3%) of 823
participants in the usual care alone group were hospitalized
(absolute benefit in percentage 0·3%, 95% BCI −1·7 to 2·2).
PRINCIPLE33 Colchicine
vs
Usual care
vs
Usual care + other interventions
Colchicine—156
Usual care alone—1145
Usual care + other interventions—1454
Antiviral
Anti-inflammatory
1—Time to first self-reported recovery and hospital admission or death related to COVID-19 at 28 days (co-primary endpoints) • Time to first self-reported recovery was similar compared with
usual care with an estimated HR of 0.919 [95% credible interval
0.72 to 1.16] and an estimated increase of 1.14 days [−1.86 to
5.21] in median time to self-reported recovery for colchicine
versus usual care. The probability of meaningful benefit in time to
recovery was determined to be low at 1.8%. The rate of
COVID-19 related hospitalizations/deaths were similar in the
colchicine group versus usual care, with an estimated odds ratio
of 0.76 [0.28 to 1.89] and an estimated difference of −0.4%
[−2.7% to 2.4].

Key: SC—subcutaneous.