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Study aim
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Effect of meformin in hospitalization period, ARDS symptoms and mortality in patients with COVID-19
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Design
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The randomized clinical trial, parallel groups, 200 patients will be enrolled between 20 March 2020 till 18 April 2020
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Settings and conduct
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This study will be performed in emam reza hospital,Tabriz, Iran. In this study 200 patients selected based on inclusion and exclusion criteria will be divided into two groups (100 in each group) by simple randomization. Patients in control group will be prescribed standard regimen for COVID-19. Patients in Metformin group will be prescribed Metformin 500 mg BID for two weeks and standard regimen for COVID-19. The routine lab data, hospitalization period, need to intubation and mortality rate will be assessed in both groups.
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Participants/Inclusion and exclusion criteria
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All patients with Covid-19 symptoms in patients with a history of close contact with suspected people in the last 14 days, fever, pulmonary involvement, normal or reduced cbc, reduced lymphocyte, positive PCR involved in this study.
patients with type I diabetes, Ketoacidosis, decompensated heart failure, severe kidney failure (GFR<30 ml/min), metabolic acidosis, severe respiratory failure, immediate need for intubation will exclude from the study.
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Intervention groups
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Control group: will receive standard regimen for COVID-19.
Metformin group: will receive standard regimen for COVID-19 plus metformin 500 BID.
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Main outcome variables
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decrease hospitalization period; decrease ARDS symptoms; decrease mortality