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. 2022 Mar 4;2022(3):CD013739. doi: 10.1002/14651858.CD013739.pub2

Kharma 2020.

Study name Anticoagulation in patients suffering from COVID‐19 disease‐The Anti‐Co Trial
Starting date 28 June 2020
Contact information Marcus Lance, MD, PhD
Hamad Medical Corporation
Doha, Qatar
00974 ext 33530292 | mlance@hamad.qa
Methods Triple‐blind, 2‐armed, parallel‐assignment RCT
Participants 100 participants,  ≥ 18 years, female and male
Inclusion criteria:
  • Adult patient (≥ 18 years of age)

  • Positive COVID‐test

  • Under mechanical ventilation

  • D‐dimers > 1.2 mg/L


Exclusion criteria:
  • Pregnancy

  • Allergy to the drug (bivalirudin)

  • Inherited coagulation abnormalities

  • No informed consent

Interventions Experimental:
  • Drug: bivalirudin injection

    • This group will receive standard anticoagulation with LMWH/UFH

  • Drug: standard treatment

    • The participants will receive IV bivalirudin according to the institutional HIT protocol


Comparator:
  • Standard treatment

  • In this arm the participants will be treated according to our standard anticoagulation protocol

  • The participants will not be treated with bivalirudin (the investigational drug)

Outcomes Primary
  • P/F ratio (time frame: 3 days of intervention)

  • the P/F ratio is a surrogate parameter for oxygenation in ARDS


Secondary
  • Kidney function (time frame: 3 days of intervention)

  • The kidney function frequently is deteriorated in COVID‐19 patients

Notes NCT04445935 | No data provided