Title
Effects of Early Use of Nitazoxanide in Patients With COVID-19
Effects of Nitazoxanide Administration to Patients in the Initial Phase of COVID-19
Phase
Phase 2Lead Sponsor
Federal University of Rio de JaneiroStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Covid19 CoronavirusIntervention/Treatment
Nitazoxanide ...Study Participants
392Multicenter, randomized, placebo-controlled, parallel, blinded, interventional, treatment clinical trial with two arms.
Population: 392 Patients with COVID-19 (Coronavirus Disease-19), confirmed by RT-PCR (Real Time polymerase chain reaction), symptomatic in the early phase of the disease.
Experimental group: 196 patients, nitazoxanide 500mg 8 / 8 hours for 5 days. Control group: 196 patients, placebo 8/8 hours for 5 days.
SARITA-2 is a multicenter, randomized, placebo-controlled, parallel, -blinded, interventional, treatment clinical trial with two arms, which aims to study the impact of nitazoxanide in the early phase of the COVID-19 (Coronavirus Disease-19).
Experimental group: 196 patients received nitazoxanide 500mg 8 / 8 hours for 5 days. Control group: 196 patients received placebo 8/8 hours for 5 days.
Population: 392 Patients with COVID-19, confirmed by RT-PCR (Real Time polymerase chain reaction), symptomatic in the early phase of the disease.
Calculation of the sample size was based on a previous study which demonstrated that 78% of Covid-19 patients in group 4 (Hospitalized without oxygen therapy), according to the WHO ordinal classification, experienced complete resolution of symptoms after receiving placebo.10 In the present trial, patients were classified as group 2 (Symptomatic and independent), and a greater degree of recovery as measured by symptom-free days (80%) was expected even after placebo. Thus, assuming an 11% increase in symptom-free days in those patients who would receive nitazoxanide compared to placebo, we would need approximately 196 patients per experimental group, admitting a beta error of 15% and alpha error of 5%, for a total n of 392 patients. Calculation of the sample size was done by G*Power 3.1.9.2 (Universität Düsseldorf, Düsseldorf, Germany).
Nitazoxanide 500mg 8/8 hours for 5 days in the early clinical phase of COVID-19.
Placebo 8/8 hours for 5 days in the early clinical phase of COVID-19.
Patients received nitazoxanide 500mg 8/8hours, for 5 days.
Inclusion Criteria: Clinical scenario compatible with infection by the SARS-CoV-2 [Characteristic symptoms of COVID-19 (fever and / or cough and / or fatigue) Beginning 1 to 3 days before inclusion in the study Age equal or superior to 18 years Willingness to receive study treatment Providing written and informed consent or the same consent signed by a family member Exclusion Criteria: Negative result of RT-PCR for SARS-COV2 collected on admission Impossibility to use oral medications History of severe liver disease (Child Pugh C class) Previous renal failure Severe heart failure (NYHA 3 or 4) COPD (GOLD 3 and 4) Neoplasia in the last 5 years Known autoimmune disease Individuals with known hypersensitivity to study drug Previous treatment with the study medication during the last 30 days Clinical suspicion of tuberculosis and bacterial pneumonia