Antiviral Strategies in the Prevention of Long-term Cardiovascular Outcomes Following COVID-19: The paxloviD/Remdesivir Effectiveness For the prEvention of loNg coviD Clinical Trial
SARS CoV-2 Post-Acute SequelaeThe DEFEND trial will be the world's first clinical trial to study the effectiveness of Paxlovid or Veklury in the prevention of cardiovascular post-acute sequelae of SARS-CoV-2 among hospitalized adults. Additionally, this pilot study will inform the design and conduct of a future full-scale multi-centre trial by testing the feasibility and accuracy of this study design.
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Conditions de participation
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Sexe:
ALL -
Âges admissibles:
18 and up
Critères de participation
Inclusion Criteria:
* ≥18 years old
* Positive PCR test for SARS-CoV-2 within 5 days of admission to hospital
* Normoxic (not receiving supplemental oxygen)
* Able to provide informed written consent (or, if patient is unable, have substitute decision maker available)
Exclusion Criteria:
* Absolute contraindications to Paxlovid or Veklury (any of the following): Severe allergy to Paxlovid or Veklury (e.g. anaphylaxis), co-administration with drugs highly dependent on CYP3A for clearance, co-administration with potent CYP3A inducers
* Exposure to Paxlovid or Veklury within previous 14 days;
* Receiving supplemental oxygen;
* Known positive SARS-CoV-2 PCR or rapid antigen test 5-90 days prior to admission;
* Limited life expectancy estimated to be ≤3 months;
* Pregnant and breastfeeding women
Lieu de l'étude
St. Joseph's Health Centre, Unity Health Toronto
St. Joseph's Health Centre, Unity Health TorontoToronto, Ontario
Canada
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Mount Sinai Hospital, Sinai Health System
Mount Sinai Hospital, Sinai Health SystemToronto, Ontario
Canada
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Kingston Health Sciences Centre
Kingston Health Sciences CentreKingston, Ontario
Canada
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Niagara Health System
Niagara Health SystemSt. Catharines, Ontario
Canada
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- Étude parrainée par
- Mount Sinai Hospital, Canada
- Participants recherchés
- Plus d'informations
- ID de l'étude:
NCT06792214