Study of Azvudine Compared to Placebo in Adults with COVID-19 at High Risk of Severe Illness
Led by Peking Union Medical College Hospital · Updated on 2024-11-25
1096
Participants Needed
1
Research Sites
26 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating whether Azvudine can reduce the risk of severe illness or death in adults with COVID-19 who are at higher risk of progressing to severe infection. This randomized, double-blind, placebo-controlled trial aims to compare the effects of Azvudine plus conventional therapy versus placebo plus conventional therapy in symptomatic adults. The study is sponsored by Peking Union Medical College Hospital and includes participants who meet specific risk factors for severe COVID-19.
Participants will be randomly assigned in a 11 ratio to receive either Azvudine or a placebo, both given orally at a dose of 5 mg daily for up to 7 days, alongside conventional therapy excluding antiviral treatments. The trial plans to enroll 548 participants in each group and monitor them closely for efficacy and safety during the treatment period.
Throughout the study, participants will be assessed for the proportion who develop critical illness or die within 28 days. Researchers will also monitor adverse events, symptom duration, viral load at days 1, 3, and 7, hospitalization and ICU stay lengths, and all-cause mortality up to 6 months. Safety follow-up will be conducted, and participants health status will be regularly evaluated using clinical and laboratory measures.
CONDITIONS
Brief Title
Multicenter Randomized Double-blind Placebo-controlled Study to Investigate Azvudine in Symptomatic Adults With COVID-19 at Increased Risk of Progressing to Severe Illness
Research Team
X
Xinlun Tian
M
Mengzhao Wang
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Positive nucleic acid or antigen test for COVID-19 within 5 days before enrollment
Symptoms related to COVID-19 present at enrollment
Agreement to practice effective birth control (for females of child-bearing potential)
At least one high risk factor for severe COVID-19, such as age 60 or older, BMI over 25, fever of 386C or higher for 3 or more days, current smoker, immunosuppressive diseases or treatments, chronic lung disease, hypertension, cardiovascular diseases, diabetes, neurodevelopmental abnormalities, active tumors (excluding localized skin cancer), or no COVID-19 vaccination
You will not qualify if you...
Known or suspected allergy to Azvudine components
Severe or critical COVID-19 infection at diagnosis
Severe liver disease (specific laboratory thresholds)
Severe renal insufficiency or dialysis
Malabsorption or conditions affecting oral intake
Known HIV infection
Diabetic ketosis or hyperosmolar hyperglycemic state
Low neutrophil count (<750 cells/L)
Pregnant or lactating women or planning pregnancy during study and 6 months after
Current participation in another clinical trial or use of other investigational products
Other active infections besides COVID-19
Comorbidities requiring recent hospitalization or surgery
Receipt or expected receipt of COVID-19 convalescent plasma
Prior treatment with certain effective anti-viral agents for COVID-19
Any condition deemed inappropriate by investigator for participation
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 7 days
Participants receive either Azvudine or placebo along with conventional therapy (excluding antiviral therapy) daily for up to 7 days.
Daily visits or assessments during treatment period
Follow-up
Duration - Up to 6 months
Participants are monitored for safety and efficacy outcomes including COVID-19 symptoms, viral load, hospitalization, and adverse events.
Visits on Day 1, Day 3, Day 7, and follow-up assessments up to 6 months
How is the study designed?
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
Efficacy and safety of azvudine in symptomatic adult COVID-19 participants who are at increased risk of progressing to critical illness: a study protocol for a multicentre randomized double-blind placebo-controlled phase III trial.