Status:
UNKNOWN
A Multicenter, Adaptive, Randomized, doublE-blinded, Placebo-controlled Study in Participants With Long COVID-19: The REVIVE Trial
Lead Sponsor:
Cardresearch
Conditions:
Long COVID-19 Syndrome
Chronic Fatigue Syndrome
Eligibility:
All Genders
18+ years
Phase:
PHASE3
Brief Summary
Date of notification letter to the IRB informing start of recruitment activities: October 21, 2023. Long COVID is a multi-systemic condition comprising often severe and persistent symptoms (longer th...
Detailed Description
There is currently no approved therapies for Long COVID. Several clinical trials have been developed to address this clinical condition, however the results were based on small-scale pilot studies. We...
Eligibility Criteria
Inclusion
- Age 18 years or older at the time of screening.
- Willing and able to provide written informed consent, or with a legal representative who can provide informed consent (where approved locally and nationally).
- Previous confirmed case of SARS-CoV-2 infection (e.g., reports having a positive nucleic acid amplification test or a professional-use SARS-CoV-2 rapid antigen diagnostic test or positive self-test).
- Participants with a clinical picture compatible with LONG COVID according to international definitions: (www.nice.org.uk/guidance/ng188, https://www.who.int/publications/i/item/WHO-2019-nCoV-Post\_COVID -19\_condition-Clinical\_case\_definition-2021.1), and fatigue symptoms with an average score of at least 03 on the Fatigue Analog Scale (FSS)
- Not currently hospitalized or requiring hospitalization, or having been hospitalized in an intensive care center at the time of the COVID-19 episode.
- Participants with the following vital data:
- Heart Rate between 55 and 100 bpm;
- Temperature below 38o C;
- Oxygen saturation ≥ 95%.
- Patients of childbearing potential or with partners of childbearing potential must agree to use adequate contraception during the study and up to 90 days of follow-up.
- The symptoms of fatigue cannot be attributed to any other cause (in the researcher's opinion).
- Willingness to follow all study procedures.
Exclusion
- Known acute SARS-CoV-2 infection;
- Inability to understand the content of the Informed Consent Form or to follow the study procedures;
- Known previous diagnosis of malignant encephalomyelitis/chronic fatigue syndrome, unrelated to SARS-CoV-2 infection;
- Known pre-existing dysautonomia, unrelated to SARS-CoV-2 infection;
- Diabetes mellitus (exclusion criteria for the Metformin and Metformin Placebo arm);
- Known stroke within 3 months prior to screening;
- Known severe anemia, defined as \< 8 g/dl;
- Body Mass Index (BMI) \> 35.
- Known diagnosis of Lyme disease;
- Any use of illicit drugs not related to marijuana within 30 days prior to informed consent;
- Pregnant women or women of childbearing age who do not agree to practice an effective method of contraception within 90 days from the date of signing this consent form;
- Breastfeeding women;
- Participants using serotonin reuptake inhibitors (donepezil, fluoxetine, escitalopran, parorexitin);
- Participants chronically using any of the medications under evaluation (metformin and fluvoxamine);
- Severe current comorbid psychiatric disorder (e.g., clinical depression, anxiety, sleep disorder, eating disorder, substance abuse), uncontrolled and associated with significant symptoms or requiring the use of a medication contraindicated in this research ;
- Clinical history of moderate to severe hepatic impairment or liver cirrhosis with Child-Pugh classification C or greater;
- Clinical history of severe lung disease with significant limitation of activities;
- Inability of the participant to give consent or adhere to the procedures proposed in the study;
- Taking medications which are known to cause a known side effect of chronic fatigue;
- Known hypersensitivity and/or intolerance to Fluvoxamine or Metformin;
- Any clinical condition which, in the investigator's opinion, may prevent participation in this research.
Key Trial Info
Start Date :
October 18 2023
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
May 18 2025
Estimated Enrollment :
1500 Patients enrolled
Trial Details
Trial ID
NCT06128967
Start Date
October 18 2023
End Date
May 18 2025
Last Update
November 13 2023
Active Locations (6)
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1
CARDRESEARCH - Cardiologia Assistencial e de Pesquisa
Belo Horizonte, Minas Gerais, Brazil, 30150240
2
City of Brumadinho
Brumadinho, Minas Gerais, Brazil, 35.460-000
3
Governador Valadares City Public Health Authority
Governador Valadares, Minas Gerais, Brazil
4
City of Ibirité Public Health Authority
Ibirité, Minas Gerais, Brazil