The purpose of this study is to evaluate the efficacy and safety of the metformin glycinate and standard treatment of the hospital in hospitalized patients with Severe Acute Respiratory Syndrome secondary to SARS-CoV2.
After being informed about the study and potential risks, all patients giving written informed consent will undergo a 1 day screening period to determine eligibility for study entry. At day 0, patients who meet the eligibility requirements will be randomized in a double blind manner (participant and investigator) in a 1:1 ratio to metformin glycinate (620 mg, taken orally, twice daily) plus standard treatment or placebo (taken orally, twice daily) plus standard treatment, both for 14 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
20
Participants randomized to metformin glycinate will take 620 mg bid (PO) for 14 days plus standard treatment
Participants randomized to placebo will take a tablet bid (PO) for 14 days in plus standard treatment
The American British Cowdray Medical Center, I.A.P
Mexico City, Mexico
Viral load
Assess differences in SARS-CoV-2 viral load between participants that receive placebo vs metformin glycinate
Time frame: Day 0 to Day 28 or patient discharge day
consciousness level
Clinical status assessed by measurement of consciousness level: alertness
Time frame: Day 0 to Day 28 or patient discharge day
temperature
Clinical status assessed by measurement of axillary body temperature in °C: \<37.2.
Time frame: Day 0 to Day 28 or patient discharge day
systolic blood pressure
Clinical status assessed by measurement of systolic blood pressure in mmHg: \>90.
Time frame: Day 0 to Day 28 or patient discharge day
Oxigen saturation
Clinical status assessed by measurement of oxygen saturation in %: \>90.
Time frame: Day 0 to Day 28 or patient discharge day
Heart rate
Clinical status assessed by measurement of heart rate in beats per minute: \<100 bpm.
Time frame: Day 0 to Day 28 or patient discharge day
respiratory rate
Clinical status assessed by measurement of respiratory rate in breaths per minute: \<24 bpm,
Time frame: Day 0 to Day 28 or patient discharge day
Days of hospitalization
Assess length of hospitalization
Time frame: Day 0 to Day 28 or patient discharge day
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Days of supplementary oxygen if applies
Assess length of supplementary oxygen
Time frame: Day 0 to Day 28 or patient discharge day
Days of supplementary mechanical ventilation
Assess length of mechanical ventilation
Time frame: Day 0 to Day 28 or patient discharge day
Toxicity of study drug assessed by incidence of adverse events (grade 3 or 4)
Assess by incidence of Grade 3, Grade 4, and Serious Adverse Events (AEs)
Time frame: Day 0 to Day 28 or patient discharge day
Changes in laboratory test results
Changes in serum levels from security laboratories compared to baseline levels and between groups.
Time frame: Day 0 to Day 28 or patient discharge day