Status:

COMPLETED

The McGill RAAS-COVID-19 Trial

Lead Sponsor:

McGill University Health Centre/Research Institute of the McGill University Health Centre

Collaborating Sponsors:

Jewish General Hospital (Montreal, Quebec, Canada)

Montreal General Hospital (Montreal, Quebec, Canada)

Conditions:

COVID-19

Cardiovascular Diseases

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Coronavirus disease (COVID-19) related pneumonia significantly impact patients with underlying cardiovascular (CV) conditions. Animal studies suggest that drugs commonly used to treated CV diseases ma...

Detailed Description

Open-label, pragmatic, randomized, study of approximately 40 adults. The following groups of participants will be considered: i) within 48 hours of diagnosis of COVID-19; ii) who have received a diagn...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years old.
  • Hospitalization with a Covid-19 infection
  • Chronically treated with RAAS blockers (ACE inhibitors or ARBs on the last prescription prior to admission with a treatment duration ≥ 1 month
  • Diagnosis of COVID-19 confirmed by the presence of SARS-CoV-2 on any biological sample
  • Participants are within 48 hours of diagnosis of COVID-19 or have received a diagnosis of COVID-19 from another facility and are within 48 hours of transfer to a study recruitment site

Exclusion

  • Shock requiring vasoactive agents.
  • Requiring invasive mechanical ventilation.
  • History of malignant hypertension
  • Use of five or more antihypertensive drugs.
  • History of heart failure with reduced ejection fraction
  • History of hospitalization for acute heart failure in past 3 months
  • History of hospitalization for hemorrhagic stroke in the past 3 months.
  • History of CKD with an eGFR \<45 ml/min/1.73m2
  • History of COPD GOLD III/IV
  • History of end-stage dementia
  • History of active liver cirrhosis
  • RAAS blockers therapy previously stopped \> 48h.
  • Anticipated discharge in less than 24 hours.
  • History of current active cancer receiving chemotherapy
  • Inability to obtain informed consent.

Key Trial Info

Start Date :

October 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 17 2021

Estimated Enrollment :

46 Patients enrolled

Trial Details

Trial ID

NCT04508985

Start Date

October 1 2020

End Date

April 17 2021

Last Update

August 7 2023

Active Locations (1)

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Muhc-Rimuhc

Montreal, Quebec, Canada, H4A 3J1