Title
Assessment of Efficacy and Safety of Tocilizumab Compared to DefeROxamine, Associated With Standards Treatments in COVID-19 (+) Patients Hospitalized In Intensive Care in Tunisia
Assessment of Efficacy and Safety of Tocilizumab Compared to DefeROxamine, Associated With Standards Treatments in COVID-19 (+) Patients Hospitalized In Intensive Care in Tunisia. Multicentric, Comparative, Randomized Study
Phase
Phase 3Lead Sponsor
Abderrahmane Mami HospitalStudy Type
InterventionalStatus
Unknown statusIndication/Condition
COVID19 Intensive Care UnitIntervention/Treatment
Tocilizumab Injection DeferoxamineStudy Participants
260Assessment of Efficacy and Safety of Tocilizumab Compared to DefeROxamine, associated with standards treatments in COVID-19 (+) patients, Hospitalized In Intensive care in Tunisia.
Multicentric, comparative, randomized study.
Arm1 :
Usual standard treatment*
Tocilizumab (LOC) (8mg/ kg per day) (1 injection per infusion) a second injection may be considered if necessary, but no more than 800 mg per day. Only on the 1st day (D0)
Enoxaparin (4000 IU X 2) per day for the duration of hospitalization
VERSUS
Arm 2:
Usual standard treatment*
Deferoxamine (Desferal 500 mg, powder, and solvent for IV solution) by electric syringe 40 mg/kg/day 5day/7 without exceeding 5 g per day for 14 days
Enoxaparin (4000 IU X 2) per day for the duration of hospitalization
Usual standard treatment*: according to the standard practices of each center, apart from the active molecules of the 2 arms and their therapeutic class)
Tocilizumab (LOC) (8mg/ kg per day) (1 injection per infusion). Only on the 1st day (D0)
Deferoxamine (Desferal 500 mg, powder, and solvent for IV solution for injection)
ROACTEMRA: (8mg/ kg per day) (1 injection per infusion)
DESFERAL: 500 mg, powder, and solvent for IV solution
Inclusion Criteria: Patient confirmed COVID19 positive Patient with acute respiratory deficiency Patient hospitalized in the intensive care unit Age >18 years old Having given written consent for their participation in the study Exclusion Criteria: Taking Tocilizumab or hydroxychloroquine deferoxamine within one month prior to inclusion (excluding participation in THINC or COVID_2Pro or COVID+PA studies) Severe/severe liver failure Dialysis patients Renal insufficiency (clearance< 30ml/min/1.73m2) Allergy to deferoxamine Pregnant or breastfeeding woman Hypersensitivity to the active substance or any of the excipients of Tocilizumab A decrease in blood platelets with previous use of enoxaparin or another heparin drug, hemophilia and related diseases, stomach or duodenal ulcer