History
# Registration date Revision Id
3 2020-08-02, 1399/05/12 145848
2 2020-05-29, 1399/03/09 138608
1 2020-04-18, 1399/01/30 130212
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  • Protocol summary

    100 COVID-19 patients, hospitalization in Firoozgar hospital are randomly divided into two groups of intervention and control. Patients and doctors will be blinded.
    100 COVID-19 patients, hospitalization in Firoozgar hospital are randomly divided into two groups of intervention and control.
    100 بیمار مبتلا به COVID-19 بستری در بیمارستان فیروزگر به صورت تصادفی در دو گروه مداخله و کنترل تقسیم می شوند. کورسازی در پزشک، پرستار و بیمار صورت می خواهد گرفت.
    100 بیمار مبتلا به COVID-19 بستری در بیمارستان فیروزگر به صورت تصادفی در دو گروه مداخله و کنترل تقسیم می شوند.
    Patients in the control group will be given a standard treatment regimen including Kaletra (Lopinavir-Ritonavir) and Hydroxychloroquine according to guidlines. Patients in the intervention group will be given oral Hydroxychloroquine with Arbidol orally at a dose of 50 mg 4 times daily for 5 to 10 days.
    Patients in the control group will be given a standard treatment regimen including Kaletra (Lopinavir-Ritonavir) and Hydroxychloroquine according to guidlines. Patients in the intervention group will be given oral Hydroxychloroquine with Arbidol orally at a dose of 50 mg 3 times daily for 5 to 10 days.
    به بیماران گروه کنترل، رژیم درمانی استاندارد شامل کلترا (Lopinavir-Ritonavir) همراه هیدروکسی کلروکین، طبق دستورالعمل ها داده خواهد شد. به بیماران گروه مداخله، هیدروکسی کلروکین همراه آربیدول به صورت خوراکی با دوز 50 میلی گرم، 4 بار در روز برای5 تا 10روز به بیماران داده خواهد شد.
    به بیماران گروه کنترل، رژیم درمانی استاندارد شامل کلترا (Lopinavir-Ritonavir) همراه هیدروکسی کلروکین، طبق دستورالعمل ها داده خواهد شد. به بیماران گروه مداخله، هیدروکسی کلروکین همراه آربیدول به صورت خوراکی با دوز 50 میلی گرم، 3 بار در روز برای5 تا 10روز به بیماران داده خواهد شد.
  • General information

    empty
    Due to the implementation requirements, the update has been made in accordance with the existing conditions.
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    با توجه متقضیات اجرا بروز رسانی متناسب با شرایط موجود صورت گرفته است.
  • Primary outcomes

    #1
    Improvement of patients fever
    Measurement of patients fever
    بهبود تب بیماران
    اندازه گیری تب بیماران
    #2
    Improvement of complete blood count test
    Measurement of complete blood count test
    بهبود آزمایش شمارش کامل سلول های خون
    اندازه گیری آزمایش شمارش کامل سلول های خون
    #3
    Improvement of C-reactive protein test
    Determination of C-reactive protein test
    بهبود آزمایش پروتئین واکنشی C
    تعیین آزمایش پروتئین واکنشی C
    #4
    Improvement of chest X-Ray symptoms
    chest CT Scan view symptoms
    بهبود علائم عکس قفسه سینه
    مشاهده علائم تصویر سی تی اسکن قفسه سینه
    Examination of patient's chest x-ray at the beginning of the study and 7 days after starting treatment
    Patient's chest CT scan check at the beginning of the study and 30 days after starting treatment
    بررسی عکس رادیوگرافی قفسه سینه بیمار در ابتدای مطالعه و 7 روز پس از شروع درمان
    بررسی عکس سی تی اسکن قفسه سینه بیمار در ابتدای مطالعه و سی روز پس از شروع درمان
    Taking a chest x-ray
    Taking a chest CT scan
    انجام عکس رادیوگرافی قفسه سینه
    انجام عکس سی تی اسکن قفسه سینه
    #5
    Improvement of blood oxygen saturation and no adjuvant oxygen therapy
    Measurement of blood oxygen saturation and no adjuvant oxygen therapy
    بهبود اشباع اکسیژن خون و عدم نیاز به درمان کمکی اکسیژن
    اندازه گیری اشباع اکسیژن خون و عدم نیاز به درمان کمکی اکسیژن
  • Secondary outcomes

    #1
    Improvement of erythrocyte sedimentation rate test
    Measurement of erythrocyte sedimentation rate test
    بهبود آزمایش سرعت رسوب گلبول های قرمز
    اندازه گیری آزمایش سرعت رسوب گلبول های قرمز
    اندازه گیری سرعت رسوب گلبول های قرمز در ابتدای مطالعه و 7 روز پس از شروع درمان
    اندازه گیری سرعت رسوب گلبول های قرمز در ابتدای مطالعه و 7 روز پس از شروع درمان
    #2
    Virus negative conversion rate
    Observing virological results
    تبدیل منفی ویرولوژیک خلط
    مشاهده نتایج ویرولوژیک خلط
  • Intervention groups

    #1
    Intervention group: 50 patients with COVID-19 will be included in this group and their treatment regimen includes oral Hydroxychloroquine 400 mg single dose and Arbidol orally at a dose of 50 mg 4 times a day for 5 to 10 days.
    Intervention group: 50 patients with COVID-19 will be included in this group and their treatment regimen includes oral Hydroxychloroquine (first day 400 mg/BD and from second day 200 mg/BD) and Arbidol orally at a dose of 200 mg 3 times a day for 5 to 10 days.
    گروه مداخله: به 50 بیمار مبتلا به کووید-19 رژیم درمانی شامل دو قرص هیدروکسی کلروکین سولفات خوراکی 200 میلی گرم به صورت تک دوز همراه قرص آربیدول خوراکی با دوز 50 میلی گرم، 4 بار در روز برای 5 تا 10روز دریافت خواهند کرد.
    گروه مداخله: به 50 بیمار مبتلا به کووید-19 رژیم درمانی شامل رژیم استاندارد هیدروکسی کلروکین سولفات (روز اول 400 میلی گرم دو بار در روز و از روز دوم 200 میلی گرم 2 بار در روز) به همراه قرص آربیدول خوراکی با دوز 200 میلی گرم، 3 بار در روز برای 5 تا 10روز دریافت خواهند کرد.
    #2
    Control group: Sixty COVID-19 patients in the control group will be given a treatment regimen of two Kaletra 200/50 mg tablets every 12 hours and two Hydroxychloroquine sulfate 200 mg tablets as a single dose for 5 to 10 days.
    Control group: Fifty COVID-19 patients in the control group will be given a treatment regimen of two Kaletra 200/50 mg tablets every 12 hours and Hydroxychloroquine sulfate (single dose 400 mg/ BD for first day) for 5 to 10 days.
    گروه کنترل: به 60 بیمار کووید-19 گروه کنترل، رژیم درمانی 2 قرص کلترا 200/50 میلی گرم هر 12 ساعت و دو قرص هیدروکسی کلروکین سولفات 200 میلی گرم به صورت تک دوز به مدت 5 تا 10 روز داده خواهد شد.
    گروه کنترل: به 50 بیمار کووید-19 گروه کنترل، رژیم درمانی استاندارد کلترا 200/50 میلی گرم هر 12 ساعت ورژیم هیدروکسی کلروکین سولفات (یک دوز 400 میلی گرم 2 بار در روز) به مدت 5 تا 10 روز داده خواهد شد.
  • Recruitment centers

    #1
    Name of recruitment center - English: بیمارستان فیروزگر
    Name of recruitment center - Persian: Firoozgar hospital
    Full name of responsible person - English: Dr. Mitra ranjbar
    Full name of responsible person - Persian: دکتر میترا رنجبر
    Street address - English: Firoozgar hospital., Beh Afarin Ave., Karimkhan Ave., Valiasr Sq
    Street address - Persian: میدان ولیعصر ( عج )، خیابان کریم خان زند، خیابان به آفرین، بیمارستان فیروزگر
    City - English: Tehran
    City - Persian: تهران
    Province: Tehran
    Country: Iran (Islamic Republic of)
    Postal code: ۱۵۹۳۷۴۷۸۱۱
    Phone: +98 21 8214 1600
    Fax:
    Email: h_firoozgar@yahoo.com
    Web page address:
    Name of recruitment center - English: Firoozgar hospital
    Name of recruitment center - Persian: بیمارستان فیروزگر
    Full name of responsible person - English: Dr. Mitra ranjbar
    Full name of responsible person - Persian: دکتر میترا رنجبر
    Street address - English: Firoozgar hospital., Beh Afarin Ave., Karimkhan Ave., Valiasr Sq
    Street address - Persian: میدان ولیعصر ( عج )، خیابان کریم خان زند، خیابان به آفرین، بیمارستان فیروزگر
    City - English: Tehran
    City - Persian: تهران
    Province: Tehran
    Country: Iran (Islamic Republic of)
    Postal code: 1593747811
    Phone: +98 21 8214 1600
    Fax:
    Email: h_firoozgar@yahoo.com
    Web page address:
  • Sponsors / Funding sources

    #1
    100
    80
    #2
    contact.organization_id:
    Name of organization / entity - English: Presidential Transformation and Development Cooperation Center
    Name of organization / entity - Persian: مرکز همکاری های تحول و پیشرفت ریاست جمهوری
    Full name of responsible person - English: Doctor sirous vatankhah
    Full name of responsible person - Persian: دكتر سيروس وطن خواه
    Street address - English: No 8, East Avesta str, Sheikh Baha'i Square
    Street address - Persian: ميدان شيخ بهايي، خيابان اوستاي شرقي، پلاك ٨
    City - English: Tehran
    City - Persian: تهران
    Province: Tehran
    Country: Iran (Islamic Republic of)
    Postal code: 1995859611
    Phone: +98 21 6100 6100
    Fax:
    Email: Info@cpdi.ir
    Web page address:
    empty
    Yes
    empty
    20
    empty
    Public
    empty
    Domestic
    empty
    Academic
    empty
    Presidential Transformation and Development Cooperation Center
    empty
    مرکز همکاری های تحول و پیشرفت ریاست جمهوری

Protocol summary

Study aim
1- Determining the effect of Arbidol in the treatment of patients with Coronavirus hospitalized in Firoozgar hospital. 2- Determining the effect of therapy according to guidelines in treatment of patients with Coronavirus. 3- Comparison of effect of treatment of patients with Coronavirus in Firoozgar hospital between control and intervention groups.
Design
Two arm parallel group, phase 3 trial, with total sample size of 100, simple randomization using random blocks
Settings and conduct
100 COVID-19 patients, hospitalization in Firoozgar hospital are randomly divided into two groups of intervention and control.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Age equal or greater than 18 years; Signing a consent form; Diagnosis of COVID-19 by chest CT-scan or RT-PCR test. Exclusion criteria: People with a history of allergies to this drug and / or a history of severe allergies; ََPatients who used Arbidol (Tablets, capsules, granules) before hospitalization; Women who are breastfeeding or pregnant, Respiratory failure, renal or liver failure, Anemia or thrombocytopenia, Coagulation disorders, patients who received immunosuppressive drugs during 3 months ago, congenital heart disease,, arrhythmia
Intervention groups
Patients in the control group will be given a standard treatment regimen including Kaletra (Lopinavir-Ritonavir) and Hydroxychloroquine according to guidlines. Patients in the intervention group will be given oral Hydroxychloroquine with Arbidol orally at a dose of 50 mg 3 times daily for 5 to 10 days.
Main outcome variables
Antipyretic rate; Improvement of complete blood count ESR and CRP tests; Virus negative conversion rate; Improvement of blood oxygen saturation and no adjuvant oxygen therapy; Improvement of chest X-Ray symptoms

General information

Reason for update
Due to the implementation requirements, the update has been made in accordance with the existing conditions.
Acronym
IRCT registration information
IRCT registration number: IRCT20180725040596N2
Registration date: 2020-04-18, 1399/01/30
Registration timing: prospective

Last update: 2020-06-12, 1399/03/23
Update count: 2
Registration date
2020-04-18, 1399/01/30
Registrant information
Name
Nasir Dehghan
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8868 5162
Email address
dehghan.n@tak.iums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-04-29, 1399/02/10
Expected recruitment end date
2020-09-22, 1399/07/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Evaluation of the effect of Arbidol drug in the treatment of hospitalized patients with COVID-19
Public title
Effect of Arbidol in treatment of COVID-19
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age equal or greater than 18 years Signing informed consent Diagnosis of COVID-19 by chest CT-scan or RT-PCR test
Exclusion criteria:
Respiratory failure People with a history of allergies to this drug and or a history of severe allergies Patients who used Arbidol (Tablets, capsules, granules) before hospitalization Women who are breastfeeding or pregnant Renal or liver function failure Anemia or thrombocytopenia Patient who received immunosuppressive drug during 3 months ago Congenital heart failure History of arrhythmia coagulation disorders
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 100
Randomization (investigator's opinion)
Randomized
Randomization description
Method: Simple randomization. Unit: Individual. Tools: Random blocks How to build: Using 4 times Blocks (AABB, ABAB, ....) with random selection of block and reading from right to left Allocation concealment will be done by numbered drug cans that are numbered randomly. The cans will be the same weight and shape and will be prepared by an independent researcher.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Iran University of Medical Sciences
Street address
Ethics Committee of Iran University of Medical Sciences, Hemmat expressways, Iran University of Medical sciences, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2020-04-14, 1399/01/26
Ethics committee reference number
IR.IUMS.REC.1399.090

Health conditions studied

1

Description of health condition studied
COVID-19
ICD-10 code
U07.1
ICD-10 code description
Coronavirus infection, unspecified

Primary outcomes

1

Description
Measurement of patients fever
Timepoint
Measurement of patient's body temperature at the beginning of the study and 7 days after starting treatment
Method of measurement
Thermometer

2

Description
Measurement of complete blood count test
Timepoint
Performing a complete blood cell count test at the beginning of the study and 7 days after starting treatment
Method of measurement
Blood test

3

Description
Determination of C-reactive protein test
Timepoint
Measurement of C-reactive protein level at the beginning of the study and 7 days after starting treatment
Method of measurement
Blood test

4

Description
chest CT Scan view symptoms
Timepoint
Patient's chest CT scan check at the beginning of the study and 30 days after starting treatment
Method of measurement
Taking a chest CT scan

5

Description
Measurement of blood oxygen saturation and no adjuvant oxygen therapy
Timepoint
Measurement of oxygen saturation level at the beginning of the study and 7 days after starting treatment
Method of measurement
Pulse oximeter

Secondary outcomes

1

Description
Measurement of erythrocyte sedimentation rate test
Timepoint
Measurement of erythrocyte sedimentation rate at the beginning of the study and 7 days after starting treatment
Method of measurement
Blood test

2

Description
Observing virological results
Timepoint
Measurement of patient's sputum viral load at the beginning of the study and 7 days after starting treatment
Method of measurement
Real-time polymerase chain reaction test

Intervention groups

1

Description
Intervention group: 50 patients with COVID-19 will be included in this group and their treatment regimen includes oral Hydroxychloroquine (first day 400 mg/BD and from second day 200 mg/BD) and Arbidol orally at a dose of 200 mg 3 times a day for 5 to 10 days.
Category
Treatment - Drugs

2

Description
Control group: Fifty COVID-19 patients in the control group will be given a treatment regimen of two Kaletra 200/50 mg tablets every 12 hours and Hydroxychloroquine sulfate (single dose 400 mg/ BD for first day) for 5 to 10 days.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Firoozgar hospital
Full name of responsible person
Dr. Mitra ranjbar
Street address
Firoozgar hospital., Beh Afarin Ave., Karimkhan Ave., Valiasr Sq
City
Tehran
Province
Tehran
Postal code
1593747811
Phone
+98 21 8214 1600
Email
h_firoozgar@yahoo.com
Web page address

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr Abbas Motevalian
Street address
Iran University of Medical Sciences., Shahid Hemmat Highway
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 86701
Email
PR@iums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Iran University of Medical Sciences
Proportion provided by this source
80
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

2

Sponsor
Name of organization / entity
Presidential Transformation and Development Cooperation Center
Full name of responsible person
Doctor sirous vatankhah
Street address
No 8, East Avesta str, Sheikh Baha'i Square
City
Tehran
Province
Tehran
Postal code
1995859611
Phone
+98 21 6100 6100
Email
Info@cpdi.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Presidential Transformation and Development Cooperation Center
Proportion provided by this source
20
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
ِDr. Mitra Ranjbar
Position
Professor of Infectious Diseases and Tropical Medicine
Latest degree
Specialist
Other areas of specialty/work
Infectious diseases
Street address
Firoozgar hospital., Beh Afarin Ave., Karimkhan Ave., Valiasr Sq
City
Tehran
Province
Tehran
Postal code
1593747811
Phone
+98 21 8214 1201
Email
mitrearanjbar@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr. Marzieh Nojomi
Position
Professor of Community Medicine
Latest degree
Specialist
Other areas of specialty/work
Public Health/Community Medicine
Street address
Iran University of Medical Sciences., Shahid Hemmat Highway
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 8860 2225
Email
mnojomi@iums.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Dr. Marzieh Nojomi
Position
Professor of Community Medicine
Latest degree
Specialist
Other areas of specialty/work
Public Health/Community Medicine
Street address
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1449614535
Phone
+98 21 86709
Fax
+98 21 8860 2217
Email
mnojomi@iums.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All data can be shared after patients have become unrecognizable.
When the data will become available and for how long
The information access will begin immediately after the results are shared.
To whom data/document is available
University researchers and industry professionals will be able to access the data.
Under which criteria data/document could be used
Individuals with official letters from research centers, research institutes, research institutes affiliated with the Ministry of Health, as well as scientific research institutes will be able to view without interference.
From where data/document is obtainable
Individuals should refer to the Prevention Medicine and Public Health Research Center of Iran University of Medical Sciences located in Tehran, Hemmat Highway, next to Milad Tower, School of Medicine, third floor to Ms. Neda Soleiman Vandi. Website address: www.pmph.iums.ac.ir Email: pmph@iums.ac.ir Phone number: 02186703350 Postal Code: 1449614535 Mailbox: 354-14665
What processes are involved for a request to access data/document
By sending an e-mail or sending a letter to the esteemed head of the Prevention Medicine and Public Health Research Center Iran University of Medical Sciences and presenting the reasons for their request so that they will receive the data in less than a month after examining their reasons and during the relevant legal procedure.
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