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WithdrawnNCT04528927THINCUpdated Aug 27, 2020

Evaluation of the Efficacy and Safety of Treatments for Patients Hospitalized for COVID-19 Infection Without Signs of Acute Respiratory Failure, in Tunisia

A Phase 3 interventional study of HCQ and Azithromycin in COVID 19 and Patients Hospitalized, sponsored by Abderrahmane Mami Hospital. Withdrawn at 1 site in Tunisia. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-08-27.

Sponsored by Abderrahmane Mami Hospital · Phase 3, Interventional, and Treatment

Why this study was withdrawn
- Interest in the use of HCQ is controversial.
Phase
Phase 3
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Evaluation of the efficacy and safety of Treatments for Patients Hospitalized for COVID-19 Infection without signs of acute respiratory failure, in Tunisia Multicentric Randomized Comparative Study

Read the detailed description

Arm 1:

  • Hydroxychloroquine (HCQ): 600 mg on the 1st day as a starting dose then 200 mg * 2 /D for 9 days
  • Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days
  • Usual standard treatment

Arm 2:

  • HCQ: 600 mg on the 1st day as a starting dose then 200 mg * 2 / D for 9 days
  • Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days
  • Zinc: 220 mg per day for 10 days
  • Usual standard treatment

Arm 3:

  • Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days
  • Doxycycline: 200 mg per day for 10 days.
  • Usual standard treatment
02

Conditions studied

  • COVID 19
  • Patients Hospitalized
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

Browse COVID-19 studies →

Lead sponsor

Abderrahmane Mami Hospital is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed patient COVID19 positive with clinical signs of acute lower respiratory infection with signs of pneumonia or bronchitis: fever and / or cough and / or difficulty breathing in the absence of acute respiratory failure (PaO2> 60 mmHg) with Plus or less :

    • Chills
    • Asthenia, fatigability
    • Headache
    • Arthromas myalgia
    • Dry throat
    • Rhinorrhea
    • An anosmia
    • chest pain
    • Diarrhea
    • Nausea and vomiting

      • Absence of rhythm disturbance (Qt interval \<500ms)
      • Patients hospitalized in the medical service
      • 18 years old \<Age \<80 years old
      • Having given written consent for their participation in the study

Exclusion criteria

Exclusion Criteria:

  • Allergy to macrolides, local anesthetics such as lidocaine or amide type and betalactamines
  • Take hydroxychloquine in the previous month
  • Severe / severe liver failure
  • Kidney failure (GFR \<30 ml / min / 1.73 m2)
  • Ongoing treatments with colchicine, ergot, rye, pimozide, mizolastine, simvastatin, lomitapide, alfuzosin, dapoxetine, avanafil, ivabradine, eplerenone, dronedarone, quetiapine, ticagrelor, cisapride, astemizole, terfenadine, ranolazine, domperidone.
  • Complete branch block
  • Hypovolemia
  • Retinopathy including vitreous involvement
  • Psoriasis
  • Pregnant or breastfeeding woman
  • hypersensitivity to chloroquine or hydroxychloroquine or to any of the other ingredients of this medication
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    HCQ+Azithromycin

    * Hydroxychloroquine (HCQ): 600 mg on the 1st day as a starting dose then 200 mg \* 2 / D for 9 days * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Usual standard treatment

    Drug: HCQ · Drug: Azithromycin

  • Experimental
    HCQ+Azithromycin+Zinc

    * HCQ: 600 mg on the 1st day as a starting dose then 200 mg \* 2 / D for 9 days * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Zinc: 220 mg per day for 10 days * Usual standard treatment

    Drug: HCQ · Drug: Azithromycin · Dietary Supplement: Zinc

  • Experimental
    Azithromycin+Doxycycline

    * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Doxycycline: 200 mg per day for 10 days. * Usual standard treatment

    Drug: Azithromycin · Drug: Doxycycline

Interventions

  • DrugHCQ

    600 mg on the 1st day as a starting dose then 200 mg \* 2 /D for 9 days

  • DrugAzithromycin

    500 mg (1st day) then 250 mg / D for 4 days

  • DrugDoxycycline

    200 mg per day for 10 days

  • Dietary supplementZinc

    220 mg per day for 10 days

06

What researchers measure

Primary outcomes

  1. Evaluate the rate of patients cured at the end of the study.

    The healing criteria are defined clinically as: disappearance of clinical signs of acute respiratory infection absence of fever

    Time frame: 2 months

  2. Evaluate the rate of patients are pauci-symptomatic at the end of the study.

    A patient will be defined as pauci-symptomatic if presence: * Light dry cough * Discomfort, * More or less : * Headache, * Muscle pain

    Time frame: 2 months

Secondary outcomes

  1. Evaluate the rate of patients with worsening clinical signs

    Patients require transfer to intensive care with the appearance of: * Acute respiratory failure: PaO2 \<60 mmHg in AA gold * Signs of circulatory insufficiency: mottling, tachycardia, systolic BP ≤90mmHg or having dropped by 40 mmHg compared to base BP or * Confusion or alteration of the state of consciousness

    Time frame: 2 months

07

Study locations

1 site
  • Eshmoun Clinical Research Centre
    Tunis, 1053, Tunisia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04528927
Lead sponsor
Abderrahmane Mami Hospital
Collaborators
Eshmoun Clinical Research Center, Datametrix
Responsible party
Dr Jalila Ben Khelil (Head of department, Abderrahmane Mami Hospital) — Principal investigator
First posted
Aug 27, 2020
Start date
May 15, 2020 (estimated)
Primary completion
Jul 15, 2020 (estimated)
Completion
Jul 15, 2020 (estimated)
Last update
Aug 27, 2020

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is withdrawn, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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