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. 2022 Jun 21;2022(6):CD015017. doi: 10.1002/14651858.CD015017.pub3

Gonzalez 2021.

Study characteristics
Methods
  • Trial design: double‐blind RCT with 3 parallel arms, only 2 arms relevant; the third arm investigated hydroxychloroquine

  • Type of publication: preprint

  • Setting: inpatient

  • Recruitment dates: May to August 2020

  • Country: Mexico

  • Language: English

  • Number of centres: 1

  • Study purpose (treatment, prevention): treatment

  • Trial registration number: NCT04391127

  • Date of registration: 18 May 2020

Participants
  • Number of participants (randomized/analysed): 108/106 (relevant arms: NR/73s

  • Age (mean): overall 54 (SD 16.9) years

  • Males, n: overall 66 (62%)

  • Severity of condition according to study definition: hospitalized, with need for supplemental oxygen, but not high flow oxygen high flow oxygen

  • Severity of condition according to WHO scale: 5

  • Time from symptom onset to enrolment: NR

  • Comorbidities: any pre‐existing condition, diabetes, hypertension, respiratory disease

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

  • Vaccination status: NR, study period before vaccination was available

  • Inclusion criteria: positive RT‐PCR for SARS‐CoV‐2 by nasal and oropharyngeal swabbing; pneumonia, diagnosed by X‐ray or high‐resolution chest CT scan, with a pattern suggesting involvement due to coronavirus; recently established hypoxaemic respiratory failure or acute clinical deterioration of pre‐existing lung or heart disease

  • Exclusion criteria: requirement of high oxygen volumes (face mask > 10 L/minute); predictors of a poor response to high‐flow oxygen nasal prong therapy or requirement mechanical ventilation

Interventions
  • Details of intervention for relevant arms

    • Type and dose: ivermectin 12 mg to 18 mg (weight‐adjusted), once daily for 5 days

    • Route of administration: oral

  • Treatment details of control group

    • Placebo

  • Concomitant therapy: standard of care including dexamethasone, thromboprophylaxis and antibiotics administered in both study arms

  • Duration of follow‐up: 28 days

  • Treatment cross‐overs: none

Outcomes
  • Primary study outcome

    • Hospitalization duration until discharge due to clinical improvement

    • Total duration of hospitalization

    • Duration of hospitalization until respiratory deterioration or death

  • Relevant review outcomes reported

    • Mortality at 28 days

    • Improvement of clinical status – patients discharged without respiratory deterioration or death at 28 days (outcome provided by study author via personal communication)

    • Worsening of clinical status – need for invasive mechanical ventilation or death at 28 days (outcome provided by study author via personal communication)

  • Additional study outcomes reported

    • None

Notes
  • Date of publication: 23 February 2021

  • Sponsor/funding: departmental resources

  • Correspondence with the author team: author request sent (publication status, proportion of participants with confirmed SARS‐CoV‐2 infection (RT‐PCR) at baseline, patient status at baseline, randomization method, review relevant outcome data); response received from author

  • Information on ethics votum: ethics committee approval number reported by a nationally‐recognized ethics committee, as defined in the country's clinical trial regulations