Official Title
The Safety and Efficacy Outcome of Ivermectin Plus Doxycycline in Treatment of RT-PCR Positive Adult Mild Covid-19 Cases: a Randomized Double Blind Placebo Controlled Trial
Brief Summary

A randomized double blind control trial will be done. Total 188 Covid-19 patients will be enrolled in this trial who are RT-PCR confirmed case of mild cases. Before enrollment, base line investigations will be done and as per eligibility criteria 188 (one hundred eighty eight) patients of mild symptoms will be selected by random sampling. Ninety four diagnosed patients (Group-A) of Covid-19 will be in the experimental group and 94 Covid-19 diagnosed patients (Group-B) will be in the control group. Group -A will be given combination treatment of Tab Ivermectin and Cap Doxycycline along with standard therapy and Group -B will be treated by standard therapy with placebo. Follow up will be done every day in both group with all the parameters as stated above and will be documented. On 5th day of treatment, if fever subsides final outcome will be measured by result of RT-PCR test preferably from one designated lab with sample of nasal swab for all. Subject to RT-PCR test negative result again on 6th day another RT-PCR test will be done at 24 hours apart. But if RT-PCR test result remain positive on 5th day, again on 10th day same test is to be done and also on 11th day subject to test result as negative on 10th day. Death of the patients will be documented as well. Regarding safety issues of the drugs we shall monitor for any SAE and would report to the DSMB for proper management guideline

Detailed Description

A randomized double blind control trial will be done. Total 188 Covid-19 patients will be
enrolled in this trial who are RT-PCR confirmed case of mild cases. Before enrollment, base
line investigations will be done and as per eligibility criteria 188 (one hundred eighty
eight) patients of mild symptoms will be selected by random sampling. Ninety four diagnosed
patients (Group-A) of Covid-19 will be in the experimental group and 94 Covid-19 diagnosed
patients (Group-B) will be in the control group.

Group -A will be given combination treatment of Tab Ivermectin and Cap Doxycycline along with
standard therapy and Group -B will be treated by standard therapy with placebo.

Follow up will be done every day in both group with all the parameters as stated above and
will be documented.

On 5th day of treatment, if fever subsides final outcome will be measured by result of RT-PCR
test preferably from one designated lab with sample of nasal swab for all. Subject to RT-PCR
test negative result again on 6th day another RT-PCR test will be done at 24 hours apart. But
if RT-PCR test result remain positive on 5th day, again on 10th day same test is to be done
and also on 11th day subject to test result as negative on 10th day.

Death of the patients will be documented as well. Regarding safety issues of the drugs we
shall monitor for any SAE and would report to the DSMB for proper management guideline

After six weeks of recovery one of our research staff will contact the patient over phone to
know about his/her recent health condition.

Randomization will be done by online software "Sealed Envelope" by using computer. Necessary
inputs will be given to the software regarding sample size, number of sets and number of
blocks required and the software automatically generate two distinct sets of random number.

"Sealed Envelope" will generate patient numbers into block of four and divide them into
groups. While procreating random numbers and thus equally distribute the patients into two
comparable groups. The randomization and sequence generation process will be conducted by a
competent third person who has no relationship with this study.

Data analysis will be done by using SPSS software. After collection of data from the
patients, all data will be checked and entered carefully. Data will be interpreted by
descriptive frequency of the relevant variables The primary analysis will be a stratified
log-rank test of the time to recovery with Ivermectin and Doxycycline as compared with
standard protocol, with stratification by disease severity.

Descriptive frequency of baseline investigation, follow up table on 2nd, 3rd and 4th day,
Final outcome table on 5th day and 10thday will also be presented.

Unknown status
COVID19

Drug: Ivermectin and Doxycycline

Tab Ivermectin (6mg): 12mg first dose then one more dose of 12mgafter 12 hours
Cap. Doxycycline (100mg): 1+0+1 after meal for 10 days. To be taken with half glass of water and sit up for 20 minutes

Other: Placebo

Placebo (1) 2 tab stat then again 2 tab after 12 hours Placebo (2) will be given as 1+0+1 for 10 days

Eligibility Criteria

Inclusion Criteria:

- Subjects within age group 18 years to onward

- With either sex, male or female

- Confirmed mild cases of Covid-19 by RT-PCR test

- patients who are classified as mild cases with typical symptoms

- patients who are not already treated with any other antiviral drugs

Exclusion Criteria:

- Patients who are asymptomatic,moderate, severe and critically ill (resting respiratory
rate more than 30, O2 saturation below 93%).

- Patients with co-morbidities (diabetes, hypertension, chronic liver and kidney
diseases obesity, pre-existing ischemic heart disease, COPD,other severe disease)

- Patients with pregnancy and on lactation

- Patients with previous allergic reaction to Ivermectin or Doxycycline

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years ~ Maximum: N/A
Contacts

Mohammad Tarek Alam, MD
01819185449
mtarekalam16@gmail.com

Abdul Basit Ibne Momen, MRCP
01674255082
abdulbasit17@gmail.com

Mohammad Tarek Alam, MD, Principal Investigator
Bangladesh Medical College Hospital

Bangladesh Medical Research Council (BMRC)
NCT Number
MeSH Terms
COVID-19
Doxycycline
Ivermectin