- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05894564
ACTIV-6: COVID-19 Study of Repurposed Medications - Arm E (Fluvoxamine 100)
ACTIV-6: COVID-19 Outpatient Randomized Trial to Evaluate Efficacy of Repurposed Medications
The purpose of this study is to evaluate the effectiveness of repurposed medications (study drug(s) in reducing symptoms of non-hospitalized participants with mild to moderate COVID-19. Participants will receive either study drug or placebo. They will self-report any new or worsening symptoms or medical events they may experience while taking study drug or placebo. This study is intended to be all remote with no in person visits, unless the study team feels it is in the best interest of a participant to see them in person.
Prior and current drug arms are listed on clinicaltrials.gov and will be updated with the activation of any new drug arms. Each study arm will also have its own clinicaltrials.gov entry and will include "Pro00107921" in the Unique Protocol ID.
Study Overview
Detailed Description
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a novel betacoronavirus that first emerged in December 2019 and has since caused a global pandemic unseen in almost a century with respect to the number of cases and overall mortality. The clinical disease related to SARS-CoV-2 is referred to as Coronavirus Disease 2019 (COVID-19). Over 2020, advances were made for treatment of COVID-19 and several vaccinations have received emergency use authorization for prevention of SARS-CoV-2 infections. However, the pandemic continues to evolve with new variants and surges of infections in different regions of the world, requiring an ongoing evidence-generating platform, in particular for the treatment of COVID-19 infection in the outpatient setting.
This proposed platform protocol can serve as an evidence generating system for prioritized drugs repurposed from other indications with an established safety record and preliminary evidence of clinical efficacy for the treatment of COVID-19. The ultimate goal is to evaluate if repurposed medications can make participants feel better faster and reduce death and hospitalization.
This platform protocol is designed to be flexible so that it is suitable for a wide range of settings within healthcare systems and in community settings where it can be integrated into routine COVID-19 testing programs and subsequent treatment plans. This platform protocol will enroll participants in an outpatient setting with a confirmed polymerase chain reaction (PCR) or antigen test for SARS-CoV-2.
Participants will be randomized to study drugs or placebo based on the arms that are actively enrolling at the time of randomization. Study drugs may be added or removed according to adaptive design and/or emerging evidence. When there are multiple study drugs available, randomization will occur based on appropriateness of each drug for the participant as determined by the study protocol and investigator and participant equipoise. Each participant will be required to randomize to at least one study drug versus placebo. The probability of placebo to treatment will remain the same regardless of eligibility decisions.
Eligible participants will be randomized (1:1), in a blinded fashion, to either the study drug arm or placebo arm in addition to standard of care. As additional study drugs are added, the randomization will be altered to leverage placebo data across arms. Participants will receive a complete supply study drug or placebo with the quantity depending on the study drug/placebo to which they are randomized.
All study visits are designed to be remote. However, screening and enrollment may occur in-person at sites and unplanned study visits may occur in-person or remotely, as deemed appropriate by the site investigator for safety purposes. Participants will be asked to complete questionnaires and report safety events during the study. Participants will be prompted by the online system to report safety events and these will be reviewed and confirmed via medical records and site staff, as necessary.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Arizona
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Gilbert, Arizona, United States, 85298
- Lamb Health, LLC
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Mesa, Arizona, United States, 85203
- First Care Medical Clinic
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Peoria, Arizona, United States, 85382
- Trident Health Center
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California
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Newport Beach, California, United States, 92663
- Hoag Memorial Hospital Presbyterian
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North Hollywood, California, United States, 91606
- Assuta Family Medical Group APMC
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Palo Alto, California, United States, 94304
- Stanford
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Colorado
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Colorado Springs, Colorado, United States, 80917
- Doctors Medical Group of Colorado Springs, P.C.
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Colorado Springs, Colorado, United States, 80924
- Pine Ridge Family Medicine Inc.
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Connecticut
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Stamford, Connecticut, United States, 06905
- Tabitha B. Fortt, M.D., LLC
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District of Columbia
-
Washington, District of Columbia, United States, 20037
- George Washington University Hospital
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Florida
-
Deerfield Beach, Florida, United States, 33441
- Arena Medical Group
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Gainesville, Florida, United States, 32611
- University of Florida Health
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Gainesville, Florida, United States, 32606
- Lupus Foundation of Gainesville
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Hialeah, Florida, United States, 33012
- L and A Morales Healthcare, Inc
-
Jacksonville, Florida, United States, 32209
- University of Florida-JAX-ASCENT
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Jacksonville, Florida, United States, 32244
- AMRON Vitality and Wellness Center, LLC
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Lake Mary, Florida, United States, 32746
- Sunshine Walk In Clinic
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Lakeland, Florida, United States, 33805
- Lakeland Regional Medical Center
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Miami, Florida, United States, 33136
- University of Miami
-
Miami, Florida, United States, 33136
- Jackson Memorial Hospital
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Miami, Florida, United States, 33173
- Well Pharma Medical Research
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Miami Lakes, Florida, United States, 33016
- The Angel Medical Research Corporation
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Palmetto Bay, Florida, United States, 33157
- Innovation Clinical Trials Inc.
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Plantation, Florida, United States, 33313
- Lice Source Services Plantation
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Saint Petersburg, Florida, United States, 33707
- Premier Health
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Tallahassee, Florida, United States, 32308
- Tallahassee Memorial Hospital
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Tampa, Florida, United States, 33606
- Tampa General Hospital
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The Villages, Florida, United States, 32159
- UF Health Precision Health Research
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Georgia
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Atlanta, Georgia, United States, 30310
- Morehouse School of Medicine
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Atlanta, Georgia, United States, 30322
- Emory Healthcare
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College Park, Georgia, United States, 30349
- Essential Medical Care, Inc.
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Columbus, Georgia, United States, 31904
- ClinCept, LLC
-
Conyers, Georgia, United States, 30094
- HOPE Clinical Research and Wellness
-
Cordele, Georgia, United States, 31015
- David Kavtaradze MD, Inc.
-
Douglasville, Georgia, United States, 30134
- Elite Family Practice
-
Loganville, Georgia, United States, 30052
- Christ the King Health Care, P.C.
-
Macon, Georgia, United States, 31201
- Miller Family Practice, LLC
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Illinois
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Chicago, Illinois, United States, 60612
- Rush University Medical Center
-
Chicago, Illinois, United States, 60618
- Olivo Wellness Medical Center
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Evanston, Illinois, United States, 60201
- Northshore Medical Group
-
Lake Zurich, Illinois, United States, 60047
- Advanced Medical Care, Ltd
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Indiana
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Michigan City, Indiana, United States, 46360
- Franciscan Health Michigan City
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Mishawaka, Indiana, United States, 46545
- Del Pilar Medical and Urgent Care
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Kansas
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Wichita, Kansas, United States, 67214
- University of Kansas - Wichita
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Kentucky
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Central City, Kentucky, United States, 42330
- A New Start II, LLC
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Louisiana
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Alexandria, Louisiana, United States, 71301
- Christus Saint Frances Hospita
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New Orleans, Louisiana, United States, 70121
- Ochsner Clinic Foundation
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New Orleans, Louisiana, United States, 70112
- University Medical Center- New Orleans
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Maryland
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Baltimore, Maryland, United States, 21287-1900
- Johns Hopkins Hospital
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Rockville, Maryland, United States, 20855
- Jadestone Clinical Research, LLC
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Massachusetts
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Boston, Massachusetts, United States, 02118
- Boston Medical Center
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Lawrence, Massachusetts, United States, 01843
- Health Quality Primary Care
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Worcester, Massachusetts, United States, 01655
- University of Massachusetts Medical School
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Michigan
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Dearborn, Michigan, United States, 48124
- Ananda Medical Clinic
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Detroit, Michigan, United States, 48202
- GFC of Southeastern Michigan, PC
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Detroit, Michigan, United States, 48206
- Romancare Health Services
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Minnesota
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Duluth, Minnesota, United States, 55805
- Essentia Health
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota
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Missouri
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Columbia, Missouri, United States, 65212
- University of Missouri - Columbia
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Nevada
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Henderson, Nevada, United States, 89052
- Comprehensive Pain Management and Endocrinology
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New Jersey
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Bayonne, New Jersey, United States, 07002
- Focus Clinical Research Solutions
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Matawan, New Jersey, United States, 07747
- Raritan Bay Primary Care & Cardiology Associates
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Paterson, New Jersey, United States, 07514
- G&S Medical Associates, LLC
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Turnersville, New Jersey, United States, 08012
- Mediversity Healthcare
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New Mexico
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Santa Fe, New Mexico, United States, 87505
- Christus St. Vincent Regional Medical Center
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New York
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Clinton, New York, United States, 13323
- Geriatrics and Medical Associates
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New York, New York, United States, 10065
- Weill Cornell Medical College
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Yonkers, New York, United States, 10701
- Spinal Pain and Medical Rehab, PC
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North Carolina
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Clayton, North Carolina, United States, 27520
- Vaidya MD PLLC
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Dunn, North Carolina, United States, 28334
- Maria Medical Center, PLLC
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Durham, North Carolina, United States, 27701
- Duke Clinical Research Institute
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Mooresville, North Carolina, United States, 28117
- Lapis Clinical Research
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Smithfield, North Carolina, United States, 27577
- Superior Clinical Research
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Winston-Salem, North Carolina, United States, 27151
- Wake Forest Baptist Health
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Ohio
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Canton, Ohio, United States, 44718
- Diabetes and Endocrinology Assoc. of Stark County
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Cincinnati, Ohio, United States, 45267
- University of Cincinnati
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Montgomery, Ohio, United States, 45242
- TriHealth, Inc
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Oklahoma
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Durant, Oklahoma, United States, 74701
- The Heart and Medical Center
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Hugo, Oklahoma, United States, 74743
- Hugo Medical clinic
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Pennsylvania
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Morrisville, Pennsylvania, United States, 19067
- Bucks County Clinical Research
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Philadelphia, Pennsylvania, United States, 19140
- Temple University Hospital
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh
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South Carolina
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Charleston, South Carolina, United States, 29403
- Medical University of South Carolina
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Tennessee
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Franklin, Tennessee, United States, 37067
- Clinical Trials Center of Middle TN
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Hendersonville, Tennessee, United States, 37075
- Rapha Family Wellness
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Knoxville, Tennessee, United States, 37938
- Medical Specialists of Knoxville
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Nashville, Tennessee, United States, 37203
- Vanderbilt University Medical Center
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Texas
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Allen, Texas, United States, 75013
- Express Family Clinic
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Edinburg, Texas, United States, 78539
- DHR Health Institute for Research
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El Paso, Texas, United States, 79905
- Texas Tech University Health Sciences Center
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Fort Sam Houston, Texas, United States, 78234
- Brooke Army Medical Center
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Fort Worth, Texas, United States, 76107
- Texas Health Physicians Group
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Highlands, Texas, United States, 77562
- Highlands Medical Associates, P.A.
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Houston, Texas, United States, 77030
- University of Texas Health Science Center at Houston
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Humble, Texas, United States, 77338
- Family Practice Doctors P.A.
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Irving, Texas, United States, 75039
- Texas Health Physicians Group
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Kingwood, Texas, United States, 77339
- Kintex Group Texas LLC, DBA Activian Clinical Research
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Pasadena, Texas, United States, 77504
- University Diagnostics and Treatment Clinic
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San Antonio, Texas, United States, 78229
- University of Texas Health Science Center at San Antonio
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Sugar Land, Texas, United States, 77479
- Jeremy W. Szeto, D.O., P.A.
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Virginia
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Charlottesville, Virginia, United States, 22903
- University of Virginia
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Washington
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Spokane, Washington, United States, 99204
- Providence Medical Research Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Completed Informed Consent
- Age ≥ 30 years old
- Confirmed SARS-CoV-2 infection (or reinfection) by any authorized or approved polymerase chain reaction (PCR) or antigen test collected within 10 days of screening
- Two or more current symptoms of acute infection for ≤7 days. Symptoms include the following: fatigue, dyspnea, fever, cough, nausea, vomiting, diarrhea, body aches, chills, headache, sore throat, nasal symptoms, new loss of sense of taste or smell
Exclusion Criteria:
- Prior diagnosis of COVID-19 infection (> 10 days from screening)
- Current or recent (within 10 days of screening) hospitalization
- Known allergy/sensitivity or any hypersensitivity to components of the study drug or placebo
- Known contraindication(s) to study drug including prohibited concomitant medications
Additional Appendix-Level Exclusion Criteria
- Use of selective serotonin (or norepinephrine) reuptake inhibitors (SSRIs/SNRIs), including fluvoxamine, or monoamine oxidase inhibitors (MAOIs) within 2 weeks of consent including triptans and tryptophan. Use of fluoxetine within 45 days of consent.
- Co-administration of tizanidine, thioridazine, alosetron, pimozide, diazepam, ramelteon, linezolid
- Bipolar Disorder
- Nursing mothers
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Arm E - Fluvoxamine 100
Fluvoxamine will be self-administered orally by each participant at a dose of 50 mg twice a day for 1 day, followed by a dose of 100 mg twice a day for 12 days.
|
Fluvoxamine is a round golden 50 mg tablet that is scored on both sides - one side has "APO" and the other side has "F50" with a partial bisect.
All packaging will be labeled to indicate that the product is for investigational use, administered at a dose of 50 mg, twice daily for 10 days.
Other Names:
|
|
Placebo Comparator: Arm E - Placebo
Placebo - appearance and size matched to active study drug. Placebo will be self-administered orally by each participant, with number of tablets matched to active study drug dosing. |
Each study arm will contain a placebo comparator.
Placebo will look similar to study drug and will be administered via the same route of administration and dose.
However, placebo will be an inactive substance, containing no study drug.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to Sustained Recovery in Days
Time Frame: Up to 28 days
|
Time to sustained recovery was the number of days between receipt of study drug and the third of 3 consecutive days without symptoms.
Participants who died, by definition, did not recover regardless of reported symptom freedom.
The reported summary is the median survival time.
|
Up to 28 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Hospitalization or Death
Time Frame: Up to 28 days
|
Up to 28 days
|
|
|
Number of Participants With Mortality
Time Frame: Up to 28 days
|
Up to 28 days
|
|
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Time to Mortality
Time Frame: Up to 28 days
|
Time to mortality was the number of days between drug receipt and death.
|
Up to 28 days
|
|
Number of Participants With Hospitalization, Urgent Care, Emergency Room Visit, or Death
Time Frame: Up to 28 days
|
Up to 28 days
|
|
|
Time Unwell in Days as Measured by the Symptom and Clinical Event Scale
Time Frame: Up to 14 days
|
The symptom and clinical event scale is a daily measurement that combines the global symptom burden scale with clinical events hospitalization and mortality.
(No symptoms, mild symptoms, moderate symptoms, severe symptoms, hospitalized, deceased).
Time unwell was the portion of follow-up (in days) that a participant was symptomatic, hospitalized, or deceased.
The quantity is estimated from a Bayesian longitudinal ordinal regression model with covariate adjustment and weakly informative priors.
|
Up to 14 days
|
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Mean Days Benefit as Measured by the Symptom and Clinical Event Scale
Time Frame: Up to 14 days
|
The symptom and clinical event scale is a daily measurement that combines the global symptom burden scale with clinical events hospitalization and mortality.
(No symptoms, mild symptoms, moderate symptoms, severe symptoms, hospitalized, deceased).
The cumulative benefit of treatment A is the probability of experiencing a better outcome on treatment A compared to treatment B, summed over the days of follow-up.
The difference between the cumulative benefit of treatment A and the cumulative benefit of treatment B is known as the difference in days benefit.
Measure of dispersion is 95% credible interval.
|
Up to 14 days
|
|
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 7.
Time Frame: Day 7
|
COVID Clinical Progression Scale is a scale of 0 to 8 where 0 = No clinical or virological evidence of infection, 1 = No limitation of activities, 2 = Limitation of activities, 3 = Hospitalized, no oxygen therapy, 4 = Hospitalized, on oxygen by mask or nasal prongs, 5 = Hospitalized, on non-invasive ventilation or high-flow oxygen, 6 = Hospitalized, on intubation and mechanical ventilation, 7 = Hospitalized, on ventilation + additional organ support (pressors, RRT, ECMO), 8 = Death.
|
Day 7
|
|
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 14.
Time Frame: Day 14
|
COVID Clinical Progression Scale is a scale of 0 to 8 where 0 = No clinical or virological evidence of infection, 1 = No limitation of activities, 2 = Limitation of activities, 3 = Hospitalized, no oxygen therapy, 4 = Hospitalized, on oxygen by mask or nasal prongs, 5 = Hospitalized, on non-invasive ventilation or high-flow oxygen, 6 = Hospitalized, on intubation and mechanical ventilation, 7 = Hospitalized, on ventilation + additional organ support (pressors, RRT, ECMO), 8 = Death.
|
Day 14
|
|
Number of Participants at Each Score on the COVID Clinical Progression Scale at Day 28.
Time Frame: Day 28
|
COVID Clinical Progression Scale is a scale of 0 to 8 where 0 = No clinical or virological evidence of infection, 1 = No limitation of activities, 2 = Limitation of activities, 3 = Hospitalized, no oxygen therapy, 4 = Hospitalized, on oxygen by mask or nasal prongs, 5 = Hospitalized, on non-invasive ventilation or high-flow oxygen, 6 = Hospitalized, on intubation and mechanical ventilation, 7 = Hospitalized, on ventilation + additional organ support (pressors, RRT, ECMO), 8 = Death.
|
Day 28
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Physical Function
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20, where a higher score correlates to better outcome for physical function.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Fatigue
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20, where a lower score correlates to better outcome for fatigue.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Pain
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20, where a lower score correlates to better outcome for pain.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Depression
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domain with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20, where a lower score correlates to better outcome for depression.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Anxiety
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20 where a lower score correlates to better outcome for anxiety.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Social
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20 where a higher score correlates to better outcome for social roles and activities.
|
Day 7, 14, 28, 90, and 120
|
|
Quality of Life (QOL) as Measured by the PROMIS-29 - Sleep
Time Frame: Day 7, 14, 28, 90, and 120
|
The PROMIS-29 (Patient-Reported Outcomes Measurement Information System) consists of seven health domains with four 5-level items associated with each and a pain intensity assessment using a 0-10 numeric rank.
The seven health domains include physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance.
Raw score ranges from 4-20 where a lower score correlates to better outcome for sleep.
|
Day 7, 14, 28, 90, and 120
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Susanna Naggie, MD, Duke Clinical Research Institute
- Principal Investigator: Adrian Hernandez, MD, Duke Clinical Research Institute
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Respiratory Tract Infections
- Infections
- RNA Virus Infections
- Virus Diseases
- Respiratory Tract Diseases
- Lung Diseases
- Pneumonia, Viral
- Pneumonia
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- COVID-19
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Central Nervous System Depressants
- Neurotransmitter Agents
- Membrane Transport Modulators
- Anti-Anxiety Agents
- Tranquilizing Agents
- Psychotropic Drugs
- Cytochrome P-450 Enzyme Inhibitors
- Neurotransmitter Uptake Inhibitors
- Antidepressive Agents
- Serotonin Agents
- Selective Serotonin Reuptake Inhibitors
- Antidepressive Agents, Second-Generation
- Cytochrome P-450 CYP1A2 Inhibitors
- Cytochrome P-450 CYP2C19 Inhibitors
- Fluvoxamine
Other Study ID Numbers
- Pro00107921_E
- 3U24TR001608-05W1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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