Azithromycin for COVID-19 Treatment in Outpatients Nationwide (ACTION)
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ClinicalTrials.gov Identifier: NCT04332107 |
Recruitment Status :
Terminated
(Futility)
First Posted : April 2, 2020
Results First Posted : September 9, 2021
Last Update Posted : March 2, 2023
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Conditions |
COVID-19 SARS-CoV-2 |
Interventions |
Drug: Azithromycin Drug: Placebos |
Enrollment | 263 |
Recruitment Details | Between May 22, 2020 and March 16, 2021, 604 participants were screened and 263 participants were enrolled. All study recruitment and enrollment was done remotely. |
Pre-assignment Details | Common reasons for ineligibility included a negative COVID-19 test result (n=70), a COVID-19 test result outside of the 7 day window (n=118), could not be reached for consent (n=73), and under the age of 18 (19). A total of 341 screened participants were excluded. |
Arm/Group Title | Azithromycin | Placebo |
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1.2g of oral azithromycin Azithromycin: Participants will be shipped a single 1.2 g dose of oral azithromycin |
Matching placebo Placebos: Participants will be shipped a dose of matching placebo |
Period Title: Day 3 | ||
Started | 171 | 92 |
Completed | 145 | 72 |
Not Completed | 26 | 20 |
Reason Not Completed | ||
Lost to Follow-up | 23 | 14 |
Missing outcome data | 3 | 6 |
Period Title: Day 14 | ||
Started | 148 [1] | 78 [1] |
Completed | 131 | 70 |
Not Completed | 17 | 8 |
Reason Not Completed | ||
Lost to Follow-up | 13 | 4 |
Missing outcome data | 4 | 4 |
[1]
Those who had missing measurements at Day 3 but were not completely lost-to-followup were allowed to continue with the trial.
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Period Title: Day 21 | ||
Started | 135 [1] | 74 [1] |
Completed | 125 | 72 |
Not Completed | 10 | 2 |
Reason Not Completed | ||
Lost to Follow-up | 10 | 2 |
[1]
Those who had missing measurements at Day 14 but were not completely lost-to-followup were allowed to continue with the trial.
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Arm/Group Title | Azithromycin | Placebo | Total | |
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1.2g of oral azithromycin Azithromycin: Participants will be shipped a single 1.2 g dose of oral azithromycin |
Matching placebo Placebos: Participants will be shipped a dose of matching placebo |
Total of all reporting groups | |
Overall Number of Baseline Participants | 171 | 92 | 263 | |
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A single participant in the Azithromycin group did not have baseline symptom information.
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Age, Continuous
Median (Inter-Quartile Range) Unit of measure: Years |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
42
(35 to 49)
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44
(35 to 51)
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43
(35 to 50)
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Sex: Female, Male
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 168 participants | 92 participants | 260 participants | |
Female |
117 69.6%
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57 62.0%
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174 66.9%
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Male |
51 30.4%
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35 38.0%
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86 33.1%
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[1]
Measure Analysis Population Description: 3 participants did not provide their gender information
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Non-Hispanic White | Number Analyzed | 171 participants | 92 participants | 263 participants |
94 55.0%
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56 60.9%
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150 57.0%
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Latinx/Hispanic | Number Analyzed | 171 participants | 92 participants | 263 participants |
49 28.7%
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27 29.3%
|
76 28.9%
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Non-Hispanic Black | Number Analyzed | 171 participants | 92 participants | 263 participants |
11 6.4%
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1 1.1%
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12 4.6%
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Non-Hispanic Asian | Number Analyzed | 171 participants | 92 participants | 263 participants |
6 3.5%
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3 3.3%
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9 3.4%
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Mixed Race | Number Analyzed | 171 participants | 92 participants | 263 participants |
4 2.3%
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3 3.3%
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7 2.7%
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Non-Hispanic Middle Eastern/Arab | Number Analyzed | 171 participants | 92 participants | 263 participants |
2 1.2%
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1 1.1%
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3 1.1%
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Prefer not to answer | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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0 0.0%
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1 0.4%
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Not reported (missing) | Number Analyzed | 171 participants | 92 participants | 263 participants |
4 2.3%
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0 0.0%
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4 1.5%
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Non-Hispanic Native American | Number Analyzed | 171 participants | 92 participants | 263 participants |
0 0.0%
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1 1.1%
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1 0.4%
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Geographic region
Measure Type: Count of Participants Unit of measure: Participants |
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West | Number Analyzed | 171 participants | 92 participants | 263 participants |
79 46.2%
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40 43.5%
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119 45.2%
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Southeast | Number Analyzed | 171 participants | 92 participants | 263 participants |
38 22.2%
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14 15.2%
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52 19.8%
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Southwest | Number Analyzed | 171 participants | 92 participants | 263 participants |
24 14.0%
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16 17.4%
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40 15.2%
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Midwest | Number Analyzed | 171 participants | 92 participants | 263 participants |
21 12.3%
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16 17.4%
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37 14.1%
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Northeast | Number Analyzed | 171 participants | 92 participants | 263 participants |
9 5.3%
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6 6.5%
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15 5.7%
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Alcohol consumption >3x/week
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
23 13.5%
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9 9.8%
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32 12.2%
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Current cigarette smoker
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
13 7.6%
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5 5.4%
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18 6.8%
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Current marijuana user
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
9 5.3%
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6 6.5%
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15 5.7%
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Current e-cigarette/vaping
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
8 4.7%
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2 2.2%
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10 3.8%
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Current cigar use
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
1 0.6%
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1 1.1%
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2 0.8%
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Comorbidities
Measure Type: Count of Participants Unit of measure: Participants |
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Asthma | Number Analyzed | 171 participants | 92 participants | 263 participants |
21 12.3%
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11 12.0%
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32 12.2%
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Hypertension | Number Analyzed | 171 participants | 92 participants | 263 participants |
20 11.7%
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12 13.0%
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32 12.2%
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Diabetes | Number Analyzed | 171 participants | 92 participants | 263 participants |
5 2.9%
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5 5.4%
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10 3.8%
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Chronic obstructive pulmonary disease | Number Analyzed | 171 participants | 92 participants | 263 participants |
4 2.3%
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0 0.0%
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4 1.5%
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Chronic kidney disease | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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1 1.1%
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2 0.8%
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Cancer | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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0 0.0%
|
1 0.4%
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Stroke | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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1 1.1%
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2 0.8%
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Recent macrolide use (<30 days)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
22 12.9%
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11 12.0%
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33 12.5%
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Recent hydroxychloroquine use (<7 days)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
1 0.6%
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0 0.0%
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1 0.4%
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Current medications
Measure Type: Count of Participants Unit of measure: Participants |
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ACE/ARB inhibitor | Number Analyzed | 171 participants | 92 participants | 263 participants |
15 8.8%
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14 15.2%
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29 11.0%
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Metformin | Number Analyzed | 171 participants | 92 participants | 263 participants |
4 2.3%
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3 3.3%
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7 2.7%
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Omeprazole | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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1 1.1%
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2 0.8%
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Tacrolimus | Number Analyzed | 171 participants | 92 participants | 263 participants |
1 0.6%
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0 0.0%
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1 0.4%
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Current vitamin/supplement use
Measure Type: Count of Participants Unit of measure: Participants |
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Vitamin D | Number Analyzed | 171 participants | 92 participants | 263 participants |
64 37.4%
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37 40.2%
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101 38.4%
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Vitamin C | Number Analyzed | 171 participants | 92 participants | 263 participants |
61 35.7%
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33 35.9%
|
94 35.7%
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Multivitamin | Number Analyzed | 171 participants | 92 participants | 263 participants |
52 30.4%
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27 29.3%
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79 30.0%
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Zinc | Number Analyzed | 171 participants | 92 participants | 263 participants |
49 28.7%
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20 21.7%
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69 26.2%
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Omega-3 fatty acid | Number Analyzed | 171 participants | 92 participants | 263 participants |
14 8.2%
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6 6.5%
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20 7.6%
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Self-reported symptoms
Measure Type: Count of Participants Unit of measure: Participants |
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Multiple symptoms | Number Analyzed | 171 participants | 92 participants | 263 participants |
152 88.9%
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82 89.1%
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234 89.0%
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Cough | Number Analyzed | 171 participants | 92 participants | 263 participants |
111 64.9%
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61 66.3%
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172 65.4%
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Fatigue | Number Analyzed | 171 participants | 92 participants | 263 participants |
107 62.6%
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55 59.8%
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162 61.6%
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Fever | Number Analyzed | 171 participants | 92 participants | 263 participants |
87 50.9%
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40 43.5%
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127 48.3%
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Myalgia | Number Analyzed | 171 participants | 92 participants | 263 participants |
82 48.0%
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40 43.5%
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122 46.4%
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Anosmia | Number Analyzed | 171 participants | 92 participants | 263 participants |
80 46.8%
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39 42.4%
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119 45.2%
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Sore throat | Number Analyzed | 171 participants | 92 participants | 263 participants |
71 41.5%
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37 40.2%
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108 41.1%
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Diarrhea | Number Analyzed | 171 participants | 92 participants | 263 participants |
45 26.3%
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20 21.7%
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65 24.7%
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Shortness of breath | Number Analyzed | 171 participants | 92 participants | 263 participants |
45 26.3%
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17 18.5%
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62 23.6%
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Dizziness | Number Analyzed | 171 participants | 92 participants | 263 participants |
39 22.8%
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15 16.3%
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54 20.5%
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Abdominal pain | Number Analyzed | 171 participants | 92 participants | 263 participants |
29 17.0%
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12 13.0%
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41 15.6%
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None | Number Analyzed | 171 participants | 92 participants | 263 participants |
12 7.0%
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6 6.5%
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18 6.8%
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Conjunctivitis | Number Analyzed | 171 participants | 92 participants | 263 participants |
8 4.7%
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2 2.2%
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10 3.8%
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Number of symptoms
Median (Inter-Quartile Range) Unit of measure: Number of symptoms |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
5
(3 to 6)
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4
(3 to 6)
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4
(3 to 6)
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Duration of symptoms prior to test
Median (Inter-Quartile Range) Unit of measure: Days |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
3
(2 to 4.5)
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3
(2 to 4)
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3
(2 to 4)
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Days between positive test and enrollment
Median (Inter-Quartile Range) Unit of measure: Days |
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Number Analyzed | 171 participants | 92 participants | 263 participants | |
3
(1 to 5)
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2
(1 to 4)
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3
(1 to 5)
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This trial was terminated early by the DSMC for futility on March 16, 2021. Therefore, we were not able to complete the analysis for all secondary outcomes because funds were returned to the sponsor following the completion of the study.
Please note that the number of participants varies by period as participants could opt to complete some questionnaires but not others. For example, a participant may skip the day 3 questionnaire, but complete the day 14 questionnaire.
Name/Title: | Dr. Thomas Lietman, Director of the UCSF FI Proctor Foundation |
Organization: | University of California, San Francisco FI Proctor Foundation |
Phone: | 415-476-1442 |
EMail: | tom.lietman@ucsf.edu |
Responsible Party: | Thomas M. Lietman, University of California, San Francisco |
ClinicalTrials.gov Identifier: | NCT04332107 |
Other Study ID Numbers: |
20-30504 |
First Submitted: | March 30, 2020 |
First Posted: | April 2, 2020 |
Results First Submitted: | August 9, 2021 |
Results First Posted: | September 9, 2021 |
Last Update Posted: | March 2, 2023 |