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OPtimisation of Antiviral Therapy in Immunocompromised COVID-19 Patients: a Randomized Factorial Controlled Strategy Trial
Sponsor: ANRS, Emerging Infectious Diseases
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
Conditions
Interventions
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.
Paxlovid 10 days
Nirmatrelvir/r 300mg/100 mg bid will be given for 10 days, orally.
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