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TerminatedNCT04605588TriACTUpdated May 5, 2022Results posted

A Triple Combination Antiviral Coronavirus Therapy (TriACT) for COVID-19

A Phase 2 interventional study of Nitazoxanide and Placebo Nitazoxanide in SARS-CoV Infection and Covid19, sponsored by Rutgers, The State University of New Jersey. Terminated at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2022-05-05.

Sponsored by Rutgers, The State University of New Jersey · Phase 2, Interventional, and Treatment

Why this study was terminated
Lack of participants willing to enroll
Phase
Phase 2
Study type
Interventional
Enrollment
7
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Study summary

New outpatient treatments for COVID-19 are urgently needed. There is some evidence that a combination of three medications currently used to treat other viral infections could be effective in fighting this new virus. The purpose of this trial is to evaluate the efficacy of Nitazoxanide (NTZ), Ribavirin (RBV) and Hydroxychloroquine (HCQ) versus placebo in participants with proven SARS-CoV-2 infection

The study will enroll 70 participants within the 7 days after having been diagnosed with coronavirus infection. The purpose is to determine if those randomized to 5-day dosing with the three medication combination have decreased viral load and severity of illness in the 10 days following treatment as compared to those taking placebo. Participants will be actively followed for 28 days.

Read the detailed description

Participants will be randomized into one of two treatment plans

  • Triple combination:

    • Nitazoxanide (500 mg po BID for day 1and then 500 mg BID for 4 days)
    • Ribavirin (600 mg po BID for day 1and then 400 mg BID for 4 days)
    • Hydroxychloroquine sulfate (400 mg po BID for day 1 and then 200 mg BID for 4 days)
  • No active Medication:

    • Placebo administered according to the above schedule

Viral load (qPCR via nasal swab) will be assessed at baseline (day 0) as well as at days 3, 6, and 10 to monitor response to antiviral treatment. Immune status will be determined by antibody testing of blood collected at baseline and day 28. Symptom questionnaires will be completed daily for 10 days and day 28.

02

Conditions studied

  • SARS-CoV Infection
  • Covid19
03

In context

COVID-19

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

This study's enrollment of 7 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 496 studies on the registry; 130 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 30 (79%) have results posted.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Documented SARS-CoV-2 infection by qPCR assay performed within the past 7 days

Exclusion criteria

Exclusion Criteria:

  • COVID-19 symptoms requiring hospitalization
  • PO2 \< 92%
  • Short of breath at time of enrollment
  • Retinal eye disease
  • Known glucose-6 phosphate dehydrogenase (G-6-PD) deficiency
  • Known chronic kidney disease, stage - 5 or receiving dialysis
  • Current use of:

    • Class 3 AAD (amiodarone, dronaderone, dofetilide, sotalol)
    • Class 1A AAD (procainamide, quinidine, disopyramide)
    • Flecainide
    • SSRI: citalopram (Celexa), Escitalopram (Lexapro)
    • chlorpromazine
    • Cilostazol (Pletal)
    • Donepezil (Aricept)
    • Droperidol
    • Fluoconazole
    • Methadone
    • Ondansetron (Zofran)
    • Thioridazine
    • Macrolides (clarithromycin, erythromycin)
    • Fluroquinolones (ciprofloxacin, levofloxacin, moxifloxacin)
    • Tamoxifen
  • Pregnancy or women who are breast feeding
  • Inability to tolerate oral medications
  • Allergy or prior adverse reaction to either hydroxychloroquine sulfate, ribavirin, or nitazoxanide
  • Allergy to adhesives
  • QTc interval > 450 mSEC for men and women
  • History of Torsade de Pointes VT or prior cardiac arrest or congenital long QT interval
  • Non-English-speaking
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
7 participants (actual)

Study arms

  • Active comparator
    Active Study Drug

    5 day dosing of Nitazoxanide, Ribavirin \& Hydroxychloroquine sulfate

    Drug: Nitazoxanide · Drug: Ribavirin · Drug: Hydroxychloroquine

  • Placebo comparator
    Placebo

    5 day dosing of placebo

    Drug: Placebo Nitazoxanide · Drug: Placebo Ribavirin · Drug: Placebo Hydroxychloroquine

Interventions

  • DrugNitazoxanide

    Nitazoxanide (500 mg po BID for day 1and then 500 mg BID for 4 days)

  • DrugPlacebo Nitazoxanide

    Placebo Nitazoxanide (500 mg po BID for day 1and then 500 mg BID for 4 days)

  • DrugRibavirin

    Ribavirin (600 mg po BID for day 1and then 400 mg BID for 4 days)

  • DrugPlacebo Ribavirin

    Placebo Ribavirin (600 mg po BID for day 1and then 400 mg BID for 4 days)

  • DrugHydroxychloroquine

    Hydroxychloroquine sulfate (400 mg po BID for day 1 and then 200 mg BID for 4 days)

  • DrugPlacebo Hydroxychloroquine

    Placebo Hydroxychloroquine sulfate (400 mg po BID for day 1 and then 200 mg BID for 4 days)

06

What researchers measure

Primary outcomes

  1. Rate of Decline in Viral Load Over the 10 Days After Randomization

    qPCR measured via nasal swab

    Time frame: 10 days after randomization

07

Results

Posted May 5, 2022

Participant flow

Participant flow — Overall Study
MilestoneActive Study DrugPlacebo
Started25
Completed15
Not completed10
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryRate of Decline in Viral Load Over the 10 Days After Randomization

qPCR measured via nasal swab

Time frame:
10 days after randomization

No measurements were reported for this outcome.

Adverse events

Collected over 28 Days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Active Study Drug0/1 (0%)0/1 (0%)0/1 (0%)
Placebo0/5 (0%)0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Active Study DrugPlaceboTotal
Mean38 ± 2.844 ± 15.042 ± 12.6
Sex: Female, Male
Sex: Female, Male(Participants)Active Study DrugPlaceboTotal
Female235
Male022
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Active Study DrugPlaceboTotal
American Indian or Alaska Native000
Asian011
Native Hawaiian or Other Pacific Islander000
Black or African American000
White246
More than one race000
Unknown or Not Reported000
08

Study locations

1 site
  • Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08903, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 8, 2020
  • Informed consent form · Oct 8, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04605588
Lead sponsor
Rutgers, The State University of New Jersey
Collaborators
SynaVir
Responsible party
Jeffrey L Carson, MD (Distinguished Professor of Medicine, Robert Wood Johnson Medical School, Rutgers, The State University of New Jersey) — Principal investigator
First posted
Oct 28, 2020
Start date
Dec 2, 2020
Primary completion
Jan 17, 2021
Completion
Feb 4, 2021
Results posted
May 5, 2022
Last update
May 5, 2022

Study contacts

Jeffrey L Carson, MD
principal investigator · Rutgers, The State University of New Jersey

Oversight

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

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This study is terminated, as verified in May 2022. You cannot join it, but the record below documents what was studied.

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