CovidResearchTrials by Shray Alag


CovidResearchTrials Covid 19 Research using Clinical Trials (Home Page)


DoxycyclineWiki

Developed by Shray Alag
Clinical Trial MeSH HPO Drug Gene SNP Protein Mutation


Correlated Drug Terms (8)


Name (Synonyms) Correlation
drug917 Zinc Sulfate Wiki 0.71
drug244 DAS181 OL Wiki 0.71
drug272 ECCO2R Wiki 0.71
drug243 DAS181 COVID-19 Wiki 0.71
drug242 DAS181 Wiki 0.35
drug82 Azithromycin Wiki 0.15
drug360 Hydroxychloroquine Wiki 0.09
drug616 Placebo Wiki 0.07

Correlated MeSH Terms (7)


Name (Synonyms) Correlation
D018184 Paramyxoviridae Infections NIH 0.41
D012141 Respiratory Tract Infections NIH 0.18
D055371 Acute Lung Injury NIH 0.11
D012127 Respiratory Distress Syndrome, Newborn NIH 0.11
D012128 Respiratory Distress Syndrome, Adult NIH 0.09
D003141 Communicable Diseases NIH 0.08
D007239 Infection NIH 0.06

Correlated HPO Terms (1)


Name (Synonyms) Correlation
HP:0011947 Respiratory tract infection HPO 0.29

There are 2 clinical trials

Clinical Trials


1 A Randomized Study Evaluating the Safety and Efficacy of Hydroxychloroquine and Zinc in Combination With Either Azithromycin or Doxycycline for the Treatment of COVID-19 in the Outpatient Setting

This is a randomized, open-label trial to assess the safety and efficacy of hydroxychloroquine, and zinc in combination with either azithromycin or doxycycline in a higher risk COVID-19 positive outpatient population.

NCT04370782 COVID-19 Drug: Hydroxychloroquine Drug: Azithromycin Drug: Zinc Sulfate Drug: Doxycycline

Primary Outcomes

Description: Patients will be assessed on day 5 for when COVID-19 symptoms completely resolve compared to baseline (day 1 of trial)

Measure: Time to Resolution of Symptoms relative to baseline (day 1 of trial)

Time: Day 5

Description: Patients will be assessed on day 14 for when COVID-19 symptoms completely resolve compared to baseline (day 1 of trial)

Measure: Time to Resolution of Symptoms relative to baseline (day 1 of trial)

Time: Day 14

Description: Patients will be assessed on day 21 for when COVID-19 symptoms completely resolve compared to baseline (day 1 of trial)

Measure: Time to Resolution of Symptoms relative to baseline (day 1 of trial)

Time: Day 21

Description: Number of participants hospitalized and/or requiring repeat ER visits related to COVID-19 complications

Measure: Number of participants hospitalized and/or requiring repeat ER visits

Time: 21 days

Description: If hospitalized, number of participants admitted to the ICU, and number of days in the ICU

Measure: ICU Length of Stay

Time: Until Discharged up to 30 days

Description: If placed on ventilator, number of days on a ventilator

Measure: Ventilator

Time: Until extubated up to 30 days

Secondary Outcomes

Description: Severity of symptoms evaluated at day 5, day 14, and day 21 scored by the participant for feverishness, sore throat, cough, shortness of breath, myalgias. (0 =none; 1 = mild; 2 = moderate; 3 = severe)

Measure: Severity of symptoms

Time: Day 5, Day 14, and Day 21

Description: Number of participants with adverse events due to drug regimen

Measure: Number of participants with adverse events due to drug regimen

Time: 21 days

Description: Assess all patients to evaluate for QTc prolongation >500ms

Measure: Number of participants with QTc prolongation >500ms

Time: Days 1 thru 5, Day 10, Day 21

2 Doxycycline Versus Placebo in COVID-19 + Patients Without Hospitalization Criteria: Prospective, Multicenter, Randomized, Double-blind Study

The aim of the study is to compare a treatment with doxycycline vs a placebo as soon as the patient is confirmed COVID-19 + and before the onset of oxygen dependence with the aim of reducing or even abolishing the cytokine explosion and thus the evolution towards a serious form of the disease which can lead to death. Three criteria support the rational use of tetrcycline in COVI-19 (1) The coronaviruses is known to bind to metalloproteases (MMPs) of the host, in particular to ensure viral survival. Tetracyclines are known to chelate zinc from MMPs. Their chelating activity may help inhibit COVID19 infection by limiting its ability to replicate in the host. (2) Tetracyclines may also be able to inhibit the replication of positive-polarity single-stranded RNA viruses, such as COVID19 (demonstrated on the dengue virus). (3) In addition, tetracyclines are modulators of innate immunity (anti-inflammatory activity), a property used in the treatment of inflammatory skin diseases for many years. These modulating effects are noted on several targets of innate immunity: They can decrease the expression of NFKB, the release of inflammatory cytokines such as TNF-α, IL-1β and IL-6, inhibit granulomas inflammatory and free radical release. Tetracyclines could therefore participate in limiting the cytokine release induced by COVID19. Their lipophilic nature and their strong pulmonary penetration could allow them to inhibit viral replication.

NCT04371952 COVID19 Drug: Doxycycline Drug: Placebo

Primary Outcomes

Description: Percentage of patients with clinical worsening (SaO2 ≤ 93%) after at least 48 hours of treatment

Measure: Clinical worsening SaO2

Time: after at least 48 hours of treatment

Description: Percentage of patients hospitalized after at least 48 hours of experimental treatment

Measure: Patients hospitalized

Time: after at least 48 hours of experimental treatment

Description: Percentage of patients requiring ventilatory assistance

Measure: Ventilatory assistance

Time: Day 0 to Day 28

Secondary Outcomes

Description: Number of positive SARS-CoV-2 PCR tests on D-1 / D0 and D7 (+/- 2 days)

Measure: Positive SARS-CoV-2 PCR Test

Time: Day -1 or day 0 AND Day 7

Description: Duration of symptoms (fever, painful symptoms: headache, sore throat, dyspnea)

Measure: Duration of symptoms

Time: Day 0 to Day 28

Description: Total duration of hospitalization

Measure: Duration of hospitalization

Time: From day 0 until to the end of hospitalization or date of death for any cause, whichever came first, assessed up to 3 months after Day0

Description: Number and duration of hospitalization in intensive care or reanimation

Measure: Hospitalization intensive care or reanimation

Time: From day 0 until to the end of hospitalization or date of death for any cause, whichever came first, assessed up to 3 months after Day0

Description: Duration of mechanical ventilatory assistance

Measure: mechanical ventilatory assistance

Time: to the end of mechanical ventilatory assistance if any, assessed up to 3 months after Day0

Description: Percentage of deaths related to SARS-CoV-2 infection

Measure: Deaths related to SARS-CoV-2

Time: Day 28, or end of hospitalization if any (assessed up to 3 months after Day0)

Description: Number of AE / SAE in both arms

Measure: AE / SAE in both arms

Time: Day 28, or end of hospitalization if any (assessed up to 3 months after Day0)


No related HPO nodes (Using clinical trials)