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. 2022 Nov 17;2022(11):CD014963. doi: 10.1002/14651858.CD014963.pub2

EUCTR2020‐001333‐13‐FR.

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

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