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RECRUITING
NCT05587894
PHASE2

OPtimisation of Antiviral Therapy in Immunocompromised COVID-19 Patients: a Randomized Factorial Controlled Strategy Trial

Sponsor: ANRS, Emerging Infectious Diseases

View on ClinicalTrials.gov

Summary

The overall purpose of the trial is to evaluate the efficacy and safety of possible combination antiviral therapy DAA (remdesivir + nirmatrelvir/r)∞ versus the reference monotherapy (nirmatrelvir/r alone) and to assess the efficacy and safety of increasing the nirmatrelvir/r course from 5- to 10 days in immunocompromised patients diagnosed with asymptomatic or mild to moderate COVID-19.

Official title: OPtimisation of Antiviral Therapy in Immunocompromised COVID-19 Patients: a Randomized Factorial Controlled Strategy Trial: the OPTICOV Study

Key Details

Gender

All

Age Range

16 Years - Any

Study Type

INTERVENTIONAL

Enrollment

256

Start Date

2023-04-27

Completion Date

2027-06-30

Last Updated

2026-02-23

Healthy Volunteers

No

Interventions

DRUG

Paxlovid 5 days

Nirmatrelvir/r 300mg/100 mg bid will be given for 5 days, orally. Nirmatrelvir/r is a combination of two molecules: nirmatrelvir which is a protease inhibitor (against 3CL) and ritonavir which has a booster role. Nirmatrelvir/r (marketed by Pfizer under the brand name Paxlovid®) is indicated for the treatment of COVID-19 in adults who do not require supplemental oxygen and who are at increased risk for progressing to severe COVID-19.

DRUG

Paxlovid 10 days

Nirmatrelvir/r 300mg/100 mg bid will be given for 10 days, orally.

DRUG

Veklury

Remdesivir "flash", 200mg, intravenous. Remdesivir (marketed by Gilead under de brand name Veklury®) is indicated in patients with pneumonia requiring supplemental oxygen (inpatients), as well as in outpatients who are at increased risk of progressing to severe COVID-19. The mode of action characterize remdesivir as a direct-acting antiviral compound.

Locations (18)

Saint-André Hospital

Bordeaux, Bordeaux, France

Pellegrin Hospital

Bordeaux, Bordeaux, France

Francois Mitterrand Hospital

Dijon, Dijon, France

Croix Rousse Hospital

Lyon, Lyon, France

La Colombière Hospital

Montpellier, Montpellier, France

Hotel Dieu Hospital

Nantes, Nantes, France

Laribosière Hospital

Paris, Paris, France

Saint Antoine Hospital

Paris, Paris, France

Pitié-Salpêtrière Hospital

Paris, Paris, France

Saint Louis Hospital

Paris, Paris, France

Bichat Claude-Bernard Hospital

Paris, Paris, France

Robert Debré Hospital

Reims, Reims, France

Purpan Hospital

Toulouse, Toulouse, France

Tourcoing Hospital

Tourcoing, Tourcoing, France

Division of Infectious Diseases, Verona University Hospital

Verona, Italy

Drammen Hospital, Vestre Viken Hospital

Drammen, Norway

Oslo University Hospital and University of Oslo

Oslo, Norway

Vestfold Hospital Trust

Tønsberg, Norway