Official Title
A Multi-center, Randomized, Double-blinded, Placebo-controlled Study to Evaluate the Safety and Efficacy of Hydroxychloroquine Monotherapy and in Combination With Azithromycin in Patients With Moderate and Severe COVID-19 Disease
Brief Summary

Two recent studies have suggested that in patients with Covid19, treatment with hydroxychloroquine may shorten the duration of symptoms and improve viral clearance, an effect that appears most pronounced when combined with azithromycin. Hydroxychloroquine treatment may inhibit viral nucleic acid-mediated activation of various innate immune pathways, as well as blockade of lysosomal functions in cell types relevant for viral entry and antigen presentation. The purpose of the study was to determine if oral hydroxychloroquine monotherapy, or in combination with azithromycin results in clinical benefit in patients hospitalized with COVID19 pneumonia.

Completed
COVID-19

Drug: HCQ

Hydroxychloroquine Monotherapy
Other Name: JWT629

Drug: HCQ+AZT

Hydroxychloroquine with azithromycin
Other Name: JWT629 + AZT

Drug: Placebo

Placebo

Eligibility Criteria

Inclusion Criteria:

1. Informed consent must be obtained prior to participation in the study

2. Adult patient ≥ 18 years old

3. Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by
polymerase chain reaction (PCR) test from respiratory tract specimen (e.g
nasopharyngeal swab)

4. Onset of signs and symptoms of COVID19 illness ≤ 7 days prior to randomization
(including but not limited to fever, cough, myalgias, fatigue, abnormal chest imaging)

5. Currently hospitalized or requiring hospitalization due to COVID-19 disease

Exclusion Criteria:

1. Use of other investigational drugs or newly approved COVID-19 treatments within 5-half
lives or 30 days of enrolment

2. History of hypersensitivity to any of the study treatments or its excipients or to
drugs of similar chemical classes

3. Participation in any other clinical trial of an experimental treatment for COVID-19

4. Expectation of concurrent treatment with any other agents or potential direct acting
antiviral activity against SARS-Co V-2 during study drug dosing

5. Requires, in the judgement of the investigator, admission to the intensive care unit
(ICU) or mechanical ventilatory support (invasive or non-invasive) prior to first dose
of study drug (There might be a patient who cannot be admitted to the ICU, even if the
patient's condition is severe enough, due to administrative reasons under the current
circumstances. This case is also considered under admission to the ICU judged by the
investigator)

6. Evidence of cytokine storm syndrome or multi-organ system failure

7. Confirmed co-infection with influenza

8. Creatinine clearance < 45 mL/min or requiring acute renal replacement therapy

9. History or current diagnosis of ECG abnormalities indicating significant risk of
safety for participants participating in the study

10. Any other condition which in the opinion of the investigator, would put the safety of
the participant at risk, impede compliance or hinder completion of the study

11. Pregnant or nursing (lactating) women

12. Women of child-bearing potential, defined as all women physiologically capable of
becoming pregnant, unless they agree to use basic methods of contraception during
dosing of study treatment.

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Countries
United States
Locations

Novartis Investigative Site
Fullerton, California, United States

Novartis Investigative Site
Los Angeles, California, United States

Novartis Investigative Site
Chicago, Illinois, United States

Novartis Investigative Site
Baton Rouge, Louisiana, United States

Novartis Investigative Site
Baltimore, Maryland, United States

Novartis Investigative Site
Chapel Hill, North Carolina, United States

Novartis Investigative Site
Seattle, Washington, United States

Novartis Pharmaceuticals
NCT Number
Keywords
COVID19
COVID 19
Covid-19
Coronavirus
SARS-CoV
SARS-CoV-2
novel coronavirus
Adult
JWT629
acute respiratory syndrome coronavirus
MeSH Terms
COVID-19