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Phase 3 N=1,800 Randomized Double-blind Treatment

ACTIV-6: COVID-19 Study of Repurposed Medications - Arm A (Ivermectin 400)

Covid19

Enrolled (actual)
1,800
Serious AEs
1.9%
Results posted
Apr 2023
Primary outcome: Primary: Time to Sustained Recovery in Days — 12; 13 days

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Ivermectin (Drug); Placebo (Other)
Age
Adult, Older Adult · 30+ yrs
Sex
All
Sponsor
Susanna Naggie, MD
Primary completion
Mar 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Sustained Recovery in Days
12; 13
SECONDARY
Number of Participants With Hospitalization or Death
10; 9
SECONDARY
Number of Participants With Mortality
1; 0
SECONDARY
Time to Mortality
NA; NA
SECONDARY
Number of Participants With Hospitalization, Urgent Care, Emergency Room Visit, or Death
32; 28
SECONDARY
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 7
45; 51; 708; 646; 53; 68
SECONDARY
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 14
52; 60; 722; 664; 28; 38
SECONDARY
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 28
56; 59; 718; 682; 19; 18
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Physical Function
19; 19; 20; 20; 20; 20
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Fatigue
9; 9; 7; 7; 5; 5
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Pain
5; 5; 4; 4; 4; 4
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Depression
4; 4; 4; 4; 4; 4
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Anxiety
5; 5; 4; 4; 4; 4
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Social
17; 17; 20; 20; 20; 20
SECONDARY
Quality of Life (QOL) as Measured by the PROMIS-29 - Sleep Domain
10; 10; 9; 9; 8; 9
SECONDARY
Time Unwell in Days as Measured by the Symptom and Clinical Event Scale
10.96; 11.45
SECONDARY
Mean Days Benefit as Measured by the Symptom and Clinical Event Scale
3.91; 3.31

Summary

The purpose of this study is to evaluate the effectiveness of repurposed medications (study drug(s) in reducing symptoms of non-hospitalized participants with mild to moderate COVID-19. Participants will receive either study drug or placebo. They will self-report any new or worsening symptoms or medical events they may experience while taking study drug or placebo. This study is intended to be all remote with no in person visits, unless the study team feels it is in the best interest of a participant to see them in person. Prior and current drug arms are listed on clinicaltrials.gov and will be updated with the activation of any new drug arms. This protocol was originally registered under NCT04885530. Per recent guidance on reporting master protocol research programs (MPRPs), a separate record for Arm A was created.

Eligibility Criteria

Inclusion Criteria

  • Completed Informed Consent
  • Age ≥ 30 years old
  • Confirmed SARS-CoV-2 infection by any authorized or approved polymerase chain reaction (PCR) or antigen test collected within 10 days of screening
  • Two or more current symptoms of acute infection for ≤7 days. Symptoms include the following: fatigue, dyspnea, fever, cough, nausea, vomiting, diarrhea, body aches, chills, headache, sore throat, nasal symptoms, new loss of sense of taste or smell

Exclusion Criteria

  • Prior diagnosis of COVID-19 infection (> 10 days from screening)
  • Current or recent (within 10 days of screening) hospitalization
  • Current use of study drug or study drug/device combination*
  • Known allergy/sensitivity or any hypersensitivity to components of the study drug or placebo*
  • Known contraindication(s) to study drug including prohibited concomitant medications*

[If only one study drug appendix is open at the time of enrollment. If multiple study drug appendices are open, a participant may opt-out of any study drug appendix or be excluded from any study drug appendix based on contraindications listed in the study drug appendix, current use of study drug, or known allergy/sensitivity/hypersensitivity and still remain eligible for the remaining study drug appendices.]

Arm-specific exclusion criteria:

  • End-stage renal disease on renal replacement therapy
  • Liver failure or decompensated cirrhosis
  • Use of warfarin, CYP3A4, P-gp inhibitor drugs, or CYP3A4 substrates
  • Nursing mothers
  • Pregnancy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05736861). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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