Serveur d'exploration COVID et hydrochloroquine

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Proactive prophylaxis with azithromycin and hydroxychloroquine in hospitalized patients with COVID-19 (ProPAC-COVID): a statistical analysis plan.

Identifieur interne : 000E10 ( Main/Exploration ); précédent : 000E09; suivant : 000E11

Proactive prophylaxis with azithromycin and hydroxychloroquine in hospitalized patients with COVID-19 (ProPAC-COVID): a statistical analysis plan.

Auteurs : Pradeesh Sivapalan [Danemark] ; Charlotte Suppli Ulrik [Danemark] ; Therese Sophie Lappere [Danemark] ; Josefin Viktoria Eklöf [Danemark] ; Saher Burhan Shaker [Danemark] ; Uffe Christian Steinholtz B Dtger [Danemark] ; Andrea Browatzki [Danemark] ; Christian Niels Meyer [Danemark] ; Ulla M Ller Weinreich [Danemark] ; Christian B. Laursen [Danemark] ; Tor Biering-S Rensen [Danemark] ; Filip Krag Knop [Danemark] ; Jens D. Lundgren [Danemark] ; Jens-Ulrik St Hr Jensen [Danemark]

Source :

RBID : pubmed:33081817

Descripteurs français

English descriptors

Abstract

BACKGROUND

There is an urgent need for treatments that can shorten hospitalization and lower the risk of secondary infection and death in patients with corona disease. The ProPac-COVID trial evaluates whether combination therapy with macrolide azithromycin and hydroxychloroquine via anti-inflammation/immune modulation, antiviral efficacy, and pre-emptive treatment of supra-infections can shorten hospitalization duration and reduce the risk of non-invasive ventilation, treatment in the intensive care unit, and death in patients with acute hospital admission and a positive test for 2019-nCoV and symptoms of COVID-19 disease.

METHODS

The ProPAC-COVID is a multi-center, randomized, placebo-controlled, double-blinded clinical trial. The primary outcome is number of days spent alive and out of hospital within 14 days from randomization. Randomization will be in blocks of unknown size, and the final allocation will be stratified for age, site of recruitment, and whether the patient has any chronic lung diseases. Data is analyzed using intention-to-treat (ITT) principles, and main analyses will also be subject to modified ITT analysis and per protocol analysis.

DISCUSSION

This paper describes the detailed statistical analysis plan for the evaluation of primary and secondary endpoints of the ProPAC-COVID study. Enrolment of patients to the ProPAC-COVID study is still ongoing. The purpose of this paper is to provide primary publication of study results to prevent selective reporting of outcomes, data-driven analysis, and to increase transparency.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04322396 . Registered on 26 March 2020.


DOI: 10.1186/s13063-020-04795-0
PubMed: 33081817
PubMed Central: PMC7573513


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Anti-Bacterial Agents (adverse effects)</term>
<term>Anti-Bacterial Agents (therapeutic use)</term>
<term>Antibiotic Prophylaxis (methods)</term>
<term>Antimalarials (adverse effects)</term>
<term>Antimalarials (therapeutic use)</term>
<term>Azithromycin (adverse effects)</term>
<term>Azithromycin (therapeutic use)</term>
<term>Betacoronavirus (drug effects)</term>
<term>Betacoronavirus (genetics)</term>
<term>COVID-19 (MeSH)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Coronavirus Infections (virology)</term>
<term>Denmark (epidemiology)</term>
<term>Double-Blind Method (MeSH)</term>
<term>Drug Therapy, Combination (MeSH)</term>
<term>Female (MeSH)</term>
<term>Hospital Mortality (trends)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Hydroxychloroquine (adverse effects)</term>
<term>Hydroxychloroquine (therapeutic use)</term>
<term>Intensive Care Units (statistics & numerical data)</term>
<term>Intention to Treat Analysis (methods)</term>
<term>Male (MeSH)</term>
<term>Noninvasive Ventilation (adverse effects)</term>
<term>Pandemics (prevention & control)</term>
<term>Placebos (administration & dosage)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Risk Reduction Behavior (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
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<term>Analyse en intention de traitement (méthodes)</term>
<term>Antibactériens (effets indésirables)</term>
<term>Antibactériens (usage thérapeutique)</term>
<term>Antibioprophylaxie (méthodes)</term>
<term>Antipaludiques (effets indésirables)</term>
<term>Antipaludiques (usage thérapeutique)</term>
<term>Association de médicaments (MeSH)</term>
<term>Azithromycine (effets indésirables)</term>
<term>Azithromycine (usage thérapeutique)</term>
<term>Betacoronavirus (effets des médicaments et des substances chimiques)</term>
<term>Betacoronavirus (génétique)</term>
<term>Comportement de réduction des risques (MeSH)</term>
<term>Danemark (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Hospitalisation (statistiques et données numériques)</term>
<term>Humains (MeSH)</term>
<term>Hydroxychloroquine (effets indésirables)</term>
<term>Hydroxychloroquine (usage thérapeutique)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Mortalité hospitalière (tendances)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en double aveugle (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Placebo (administration et posologie)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Pneumopathie virale (épidémiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Unités de soins intensifs (statistiques et données numériques)</term>
<term>Ventilation non effractive (effets indésirables)</term>
<term>Études cas-témoins (MeSH)</term>
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<term>Placebos</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Anti-Bacterial Agents</term>
<term>Antimalarials</term>
<term>Azithromycin</term>
<term>Hydroxychloroquine</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Anti-Bacterial Agents</term>
<term>Antimalarials</term>
<term>Azithromycin</term>
<term>Hydroxychloroquine</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Denmark</term>
</keywords>
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<term>Placebo</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Noninvasive Ventilation</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des médicaments et des substances chimiques" xml:lang="fr">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Antibactériens</term>
<term>Antipaludiques</term>
<term>Azithromycine</term>
<term>Hydroxychloroquine</term>
<term>Ventilation non effractive</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Betacoronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Antibiotic Prophylaxis</term>
<term>Intention to Treat Analysis</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Analyse en intention de traitement</term>
<term>Antibioprophylaxie</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Hospitalization</term>
<term>Intensive Care Units</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Hospitalisation</term>
<term>Unités de soins intensifs</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr">
<term>Mortalité hospitalière</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
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<term>Hospital Mortality</term>
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<term>Antibactériens</term>
<term>Antipaludiques</term>
<term>Azithromycine</term>
<term>Hydroxychloroquine</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
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<term>Danemark</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
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<term>Aged</term>
<term>COVID-19</term>
<term>Case-Control Studies</term>
<term>Double-Blind Method</term>
<term>Drug Therapy, Combination</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Risk Reduction Behavior</term>
<term>SARS-CoV-2</term>
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<term>Association de médicaments</term>
<term>Comportement de réduction des risques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méthode en double aveugle</term>
<term>Sujet âgé</term>
<term>Études cas-témoins</term>
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<term>Danemark</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>There is an urgent need for treatments that can shorten hospitalization and lower the risk of secondary infection and death in patients with corona disease. The ProPac-COVID trial evaluates whether combination therapy with macrolide azithromycin and hydroxychloroquine via anti-inflammation/immune modulation, antiviral efficacy, and pre-emptive treatment of supra-infections can shorten hospitalization duration and reduce the risk of non-invasive ventilation, treatment in the intensive care unit, and death in patients with acute hospital admission and a positive test for 2019-nCoV and symptoms of COVID-19 disease.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>The ProPAC-COVID is a multi-center, randomized, placebo-controlled, double-blinded clinical trial. The primary outcome is number of days spent alive and out of hospital within 14 days from randomization. Randomization will be in blocks of unknown size, and the final allocation will be stratified for age, site of recruitment, and whether the patient has any chronic lung diseases. Data is analyzed using intention-to-treat (ITT) principles, and main analyses will also be subject to modified ITT analysis and per protocol analysis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>This paper describes the detailed statistical analysis plan for the evaluation of primary and secondary endpoints of the ProPAC-COVID study. Enrolment of patients to the ProPAC-COVID study is still ongoing. The purpose of this paper is to provide primary publication of study results to prevent selective reporting of outcomes, data-driven analysis, and to increase transparency.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>TRIAL REGISTRATION</b>
</p>
<p>ClinicalTrials.gov NCT04322396 . Registered on 26 March 2020.</p>
</div>
</front>
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<Day>03</Day>
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<Year>2020</Year>
<Month>12</Month>
<Day>18</Day>
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<AbstractText Label="METHODS" NlmCategory="METHODS">The ProPAC-COVID is a multi-center, randomized, placebo-controlled, double-blinded clinical trial. The primary outcome is number of days spent alive and out of hospital within 14 days from randomization. Randomization will be in blocks of unknown size, and the final allocation will be stratified for age, site of recruitment, and whether the patient has any chronic lung diseases. Data is analyzed using intention-to-treat (ITT) principles, and main analyses will also be subject to modified ITT analysis and per protocol analysis.</AbstractText>
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<name sortKey="Sivapalan, Pradeesh" sort="Sivapalan, Pradeesh" uniqKey="Sivapalan P" first="Pradeesh" last="Sivapalan">Pradeesh Sivapalan</name>
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<name sortKey="B Dtger, Uffe Christian Steinholtz" sort="B Dtger, Uffe Christian Steinholtz" uniqKey="B Dtger U" first="Uffe Christian Steinholtz" last="B Dtger">Uffe Christian Steinholtz B Dtger</name>
<name sortKey="Biering S Rensen, Tor" sort="Biering S Rensen, Tor" uniqKey="Biering S Rensen T" first="Tor" last="Biering-S Rensen">Tor Biering-S Rensen</name>
<name sortKey="Browatzki, Andrea" sort="Browatzki, Andrea" uniqKey="Browatzki A" first="Andrea" last="Browatzki">Andrea Browatzki</name>
<name sortKey="Eklof, Josefin Viktoria" sort="Eklof, Josefin Viktoria" uniqKey="Eklof J" first="Josefin Viktoria" last="Eklöf">Josefin Viktoria Eklöf</name>
<name sortKey="Jensen, Jens Ulrik St Hr" sort="Jensen, Jens Ulrik St Hr" uniqKey="Jensen J" first="Jens-Ulrik St Hr" last="Jensen">Jens-Ulrik St Hr Jensen</name>
<name sortKey="Knop, Filip Krag" sort="Knop, Filip Krag" uniqKey="Knop F" first="Filip Krag" last="Knop">Filip Krag Knop</name>
<name sortKey="Lappere, Therese Sophie" sort="Lappere, Therese Sophie" uniqKey="Lappere T" first="Therese Sophie" last="Lappere">Therese Sophie Lappere</name>
<name sortKey="Laursen, Christian B" sort="Laursen, Christian B" uniqKey="Laursen C" first="Christian B" last="Laursen">Christian B. Laursen</name>
<name sortKey="Lundgren, Jens D" sort="Lundgren, Jens D" uniqKey="Lundgren J" first="Jens D" last="Lundgren">Jens D. Lundgren</name>
<name sortKey="Meyer, Christian Niels" sort="Meyer, Christian Niels" uniqKey="Meyer C" first="Christian Niels" last="Meyer">Christian Niels Meyer</name>
<name sortKey="Shaker, Saher Burhan" sort="Shaker, Saher Burhan" uniqKey="Shaker S" first="Saher Burhan" last="Shaker">Saher Burhan Shaker</name>
<name sortKey="Ulrik, Charlotte Suppli" sort="Ulrik, Charlotte Suppli" uniqKey="Ulrik C" first="Charlotte Suppli" last="Ulrik">Charlotte Suppli Ulrik</name>
<name sortKey="Weinreich, Ulla M Ller" sort="Weinreich, Ulla M Ller" uniqKey="Weinreich U" first="Ulla M Ller" last="Weinreich">Ulla M Ller Weinreich</name>
</country>
</tree>
</affiliations>
</record>

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