Evaluation of the efficacy and safety of Treatments for Patients Hospitalized for COVID-19 Infection without signs of acute respiratory failure, in Tunisia Multicentric Randomized Comparative Study
Arm 1: * Hydroxychloroquine (HCQ): 600 mg on the 1st day as a starting dose then 200 mg \* 2 /D for 9 days * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Usual standard treatment Arm 2: * HCQ: 600 mg on the 1st day as a starting dose then 200 mg \* 2 / D for 9 days * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Zinc: 220 mg per day for 10 days * Usual standard treatment Arm 3: * Azithromycin: 500 mg (1st day) then 250 mg / D for 4 days * Doxycycline: 200 mg per day for 10 days. * Usual standard treatment
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
600 mg on the 1st day as a starting dose then 200 mg \* 2 /D for 9 days
500 mg (1st day) then 250 mg / D for 4 days
200 mg per day for 10 days
Eshmoun Clinical Research Centre
Tunis, Tunisia
Evaluate the rate of patients cured at the end of the study.
The healing criteria are defined clinically as: disappearance of clinical signs of acute respiratory infection absence of fever
Time frame: 2 months
Evaluate the rate of patients are pauci-symptomatic at the end of the study.
A patient will be defined as pauci-symptomatic if presence: * Light dry cough * Discomfort, * More or less : * Headache, * Muscle pain
Time frame: 2 months
Evaluate the rate of patients with worsening clinical signs
Patients require transfer to intensive care with the appearance of: * Acute respiratory failure: PaO2 \<60 mmHg in AA gold * Signs of circulatory insufficiency: mottling, tachycardia, systolic BP ≤90mmHg or having dropped by 40 mmHg compared to base BP or * Confusion or alteration of the state of consciousness
Time frame: 2 months
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220 mg per day for 10 days