Methods |
Trial design: open RCT Sample size: 122 Setting: inpatient Language: French, English Number of centres: 18 Type of intervention (treatment/prevention): treatment |
Participants |
Inclusion criteria
Patient aged > 18
Patient affiliated to a health insurance plan
Patient who has given their free, informed and written consent or patient for whom an independent doctor has given their signed consent as part of an emergency procedure
Serum potassium > 3.5 mmol/L
Patient diagnosed COVID‐positive by RT‐PCR and/or scanner (patients admitted with already IMV and sedation, or with acute respiratory failure evolving very quickly)
Exclusion criteria
Patient under guardianship or curatorship
Patient with plausible alternate diagnosis
ARDS evolving for > 4 days
Contraindication to hydroxychloroquine
Contraindication to dexamethasone
Uncontrolled septic shock
Untreated active infection or treated < 24 h
Long‐term patient treated with corticosteroids (> 20 mg/d) or hydroxychloroquine
Immunocompromised patients: AIDS, bone marrow or solid organ transplant recipients
Pregnant women
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Interventions |
Details of intervention
Dose: 20 mg dexamethasone + hydroxychloroquine
Route of administration: dexamethasone IV, hydroxychloroquine orally
Treatment details of control group (e.g. dose, route of administration): hydroxychloroquine
Concomitant therapy: no information |
Outcomes |
Primary study outcome: mortality on day 28 |
Notes |
Recruitment status: prematurely ended Date of the global end of the trial: 7 August 2020 Date last update was posted: unclear Sponsor/funding: Groupe Hospitalier Paris Saint‐Joseph |