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. 2021 Jul 28;2021(7):CD015017. doi: 10.1002/14651858.CD015017.pub2

Krolewiecki 2020.

Study characteristics
Methods
  • Trial design: open‐label RCT with 2 parallel arms

  • Type of publication: preprint

  • Setting: inpatient

  • Recruitment dates: May to September 2020

  • Country: Argentina

  • Language: English

  • Number of centres: 4

  • Study purpose (treatment, prevention): treatment

  • Trial registration number: NCT04381884

  • Date of registration: 11 May 2020

Participants
  • Number of participants (randomized/analyzed): 45/45

  • Age (mean): overall 41 (SD 12.48) years

  • Males, n: overall 25 (56%)

  • Severity of condition according to study definition: hospitalized, with mild‐to‐moderate disease

  • Severity of condition according to WHO scale: 4 to 5

  • Co‐morbidities: obesity, diabetes, hypertension, respiratory disease

  • Virus detection performed at baseline (test‐positive at baseline): RT‐PCR (100%)

  • Inclusion criteria: men or women; aged 18–69 years; SARS‐CoV‐2 confirmed by PCR; hospitalized people with symptoms onset 5 days before executing the informed consent; no co‐morbidities affecting the patient's prognosis, rendering them at high risk; documented acceptance to participate by means of the execution of the informed consent; women of childbearing age must have a negative pregnancy test and use adequate contraceptive methods during participation in the study and for 1 month after the last medication dose in the case of those receiving ivermectin

  • Exclusion criteria: allergy or hypersensitivity to ivermectin or its inactive ingredients, or both; people meeting COVID‐19 severity criteria, with respiratory distress or requiring intensive care; using medications having potential activity against SARS‐CoV‐2 such as hydroxychloroquine, chloroquine, lopinavir, ritonavir, remdesivir, or azithromycin in the last 3 months; use of immunodepressants (including systemic corticosteroids) in the last 30 days; known HIV infection with CD4 count < 300 cell/µL; pregnancy or lactating; other infectious diseases or medical conditions such as malabsorption syndromes affecting proper ivermectin absorption; acute allergy conditions or with severe allergic reactions background; autoimmune disease or decompensated chronic diseases, or both; uncontrolled, intercurrent diseases including renal impairment, hepatic impairment, symptomatic congestive heart failure, unstable chest angina, heart arrhythmia or psychiatric conditions that may limit adherence to CT requirements

Interventions
  • Details of intervention

    • Type and dose: ivermectin 0.6 mg/kg (rounding to the lower full (6 mg) or half (3 mg) dose), once daily for 5 days

    • Route of administration: oral

  • Treatment details of control group

    • No treatment except standard of care

  • Concomitant therapy: standard of care (no details provided) administered in both study arms

  • Duration of follow‐up: 30 days

  • Treatment cross‐overs: none

Outcomes
  • Primary study outcome

    • Reduction in SARS‐CoV‐2 viral load at 5 days

  • Relevant review outcomes reported

    • Adverse events within 30 days

    • Serious adverse events within 30 days

  • Additional study outcomes reported

    • Need for invasive mechanical ventilation at 7 days

    • Relationship between ivermectin plasma concentrations and the primary outcome

    • Clinical evolution at 7 days

Notes
  • Date of publication: 11 November 2020

  • Sponsor/funding: Laboratorio Elea Phoenix S.A. (provided intervention drug)

  • Correspondence with the author team: author request sent (publication status); author responded

  • Information on ethics votum: name of responsible ethics committee, reference number of proposal, and votum provided by author via personal correspondence