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

Vallejos 2021.

Study characteristics
Methods
  • Trial design: double‐blind RCT with 2 parallel arms

  • Type of publication: journal publication

  • Setting: outpatient

  • Recruitment dates: August 2020‐Febuary 2021

  • Country: Argentina

  • Language: English

  • Number of centres: 1

  • Study purpose (treatment, prevention): treatment

  • Trial registration number: NCT04529525

  • Date of registration: 27 August 2020

Participants
  • Number of participants (randomized/analysed): 501/501

  • Age (mean): overall 42 years

  • Males, n: overall 246 (53%)

  • Severity of condition according to study definition: mild disease, defined as not requiring home oxygen or hospitalization

  • Severity of condition according to WHO scale: 1 to 3

  • Time from symptom onset to study enrolment (median): overall 4 (IQR 3 to 6) days

  • Comorbidities: any pre‐existing condition, obesity, 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: age > 18 years, reside in the province of Corrientes at the time of diagnosis; confirmed diagnosis of COVID‐19 by PCR test for detection of SARS‐CoV‐2 in the last 48 hours; women of childbearing age, using a contraceptive method of proven efficacy and safety; weight at inclusion > 48 kg

  • Exclusion criteria: current home oxygen use, requiring hospitalization for COVID‐19 at the time of diagnosis; history of hospitalization for COVID‐19; pregnant or breastfeeding women; known allergy to ivermectin or the components of ivermectin or placebo tablets; presence of malabsorptive syndrome; presence of any other concomitant acute infectious disease; known history of severe liver disease; recent or expected need for dialysis; concomitant use of hydroxychloroquine or antiviral drugs due to a pathology other than COVID‐19 at the time of admission; use of ivermectin up to 7 days before randomization; participation in a research study that involved the administration of a drug within the last 30 days

Interventions
  • Details of intervention

    • Type and dose: ivermectin 12 mg to 24 mg (weight‐adjusted), once daily for 2 days

    • Route of administration: oral

  • Treatment details of control group:

    • Placebo

  • Concomitant therapy

    • NA

  • Duration of follow‐up: 30 days

  • Treatment cross‐overs: none

Outcomes
  • Primary study outcome

    • Percentage of hospitalization at 30 days

  • Relevant review outcomes planned

    • Percentage of hospitalization at 30 days or death (outcome provided by study author via personal communication)

    • Negative swab at 3 and 12 days after entering the study

    • Number of participants with non‐serious adverse events at 30 days

    • All‐cause mortality at 30 days

    • Serious adverse events at 30 days

  • Additional study outcomes

    • Time to hospitalization

    • Time to invasive mechanical ventilation support

    • Percentage of use of invasive mechanical ventilation support at 30 days

    • Percentage of dialysis in each arm at 30 days

Notes
  • Date of publication: 2 July 2021

  • Sponsor/funding: Ministry of Health of the Province of Corrientes, Argentina

  • Correspondence with the author team: author request sent (trial protocol, details on compliance rate, review relevant outcome data); response received from the 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

ALT: alanine transaminase; AST: aspartate aminotransferase; BMI: body mass index; COVID‐19: coronavirus disease 2019; CRP: C‐reactive protein; CT: computer tomography; ECG: electrocardiograph; ICU: intensive care unit; IgG: immunoglobulin G; IQR: interquartile range; LDH: lactose dehydrogenase; PaO2/FiO2: partial pressure of oxygen/fraction of inspired oxygen; PCR: polymerase chain reaction; n: number; NA: not available; NR: not reported; NSAID: non‐steroidal anti‐inflammatory drug; PCR: polymerase chain reaction; RAT: rapid antigen test; RCT: randomized controlled trial; RT‐PCR: reverse transcription polymerase chain reaction; rRT‐PCR: real‐time reverse transcription polymerase chain reaction; SaO2:oxygen saturation as measured by blood analysis; SARS‐CoV‐2: severe acute respiratory syndrome coronavirus 2; SD: standard deviation; SpO2: oxygen saturation as measured by pulse oximeter; WHO: World Health Organization.