E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
COVID respiratory infection |
Infección respiratoria por COVID |
|
E.1.1.1 | Medical condition in easily understood language |
Respiratory infection by Coronavirus |
Infección respiratoria por Coronavirus |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Virus Diseases [C02] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine if statin treatment has an impact on the poor prognosis (understood as death from any cause, myocardial infarction, ischemic stroke or admission due to heart failure) in the first year in patients discharged from hospital after admission for positive COVID19 |
Determinar si el tratamiento con estatinas tiene repercusión sobre el mal pronóstico (entendido como muerte de cualquier causa, infarto de miocardio, ictus isquémico o ingreso por insuficiencia cardiaca) en el primer año en pacientes dado de alta hospitalaria tras ingreso por COVID19 positivo |
|
E.2.2 | Secondary objectives of the trial |
To determine if statin treatment has an impact on the reduction of admissions for any cause, including hospitalizations for heart failure (these events will be studied in depth in case they could be the consequence of an acute coronary event and be part of the main objective) and pulmonary thromboembolism or deep vein thrombosis, in the first year in patients discharged from hospital after admission for positive COVID19. |
Determinar si el tratamiento con estatinas tiene repercusión sobre la reducción de ingresos por cualquier causa incluido las hospitalizaciones por insuficiencia cardiaca (estos eventos se estudiaran con profundidad por si pudieran ser consecuencia de un evento coronario agudo y formar parte del objetivo principal) y por tromboembolismo pulmonar o trombosis venosa profunda, en el primer año en pacientes dado de alta hospitalaria tras ingreso por COVID19 positivo. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients older than 45 years. 2. Diagnosed with a positive COVID 19 and having required hospital admission and discharges in the last 3 months, even if they tried to recruit as soon as possible from the time of discharge or just for a follow-up visit when they finished with the medications to the COVID or washout period after cyclosporine. 3. Acceptance and signing of the consent for the study after having received the appropriate information. |
1.Pacientes mayores de 45 años. 2.Diagnosticados de COVID 19 positivo y haber requerido de ingreso hospitalario y dados de alta en los últimos 3 meses aunque se intentaran reclutar tan pronto como sea posible desde el momento del alta o justo en una visita de seguimiento cuando hayan finalizado con las medicaciones para el COVID o periodo de lavado tras ciclosporina. 3.Aceptación y firma del consentimiento para el estudio tras haber recibido la información adecuada. |
|
E.4 | Principal exclusion criteria |
1. Chronic statin treatment at the time of hospitalization. 2. Known allergy or hypersensitivity to statins or any of their components, 3. History of statin intolerance due to increased transaminases, CPK or intolerable myalgias. 4. Severe renal failure: Estimated glomerular filtration <30mL / min / 1.73 m2 calculated by the CKD-EPI formula. 5. Survival <1 year for any known comorbidity 6. Previous liver or heart transplant 7. Patients with myopathy 8. Patients with concomitant treatment with cyclosporine 9. Liver dysfunction (ALT / AST or BT above 3 times the upper limit of normal) 10. Potentially fertile women who are unwilling to use an effective method of contraception. 11. Pregnancy or lactation 12. Participants in another clinical trial with medication in the 28 days prior to the start of recruitment. Simultaneous participation in observational studies is allowed. 13. At the investigator's discretion, the patient's inability to understand or comply with the study procedures 14. Refusal to participate |
1.Tratamiento crónico con estatinas al momento de la hospitalizacion. 2.Alergia o hipersensibilidad conocidas a estatinas o a cualquiera de sus componentes, 3.Antecedentes de intolerancia a estatinas por aumento de transaminasas, CPK o mialgias intolerables. 4.Insuficiencia renal grave: Filtrado glomerular estimado < 30mL/min/1.73 m2 calculado por la formula CKD-EPI. 5.Supervivencia < 1 año por alguna comorbilidad conocida 6.Trasplante hepático o cardiaco previos 7.Pacientes con miopatía 8.Pacientes con tratamiento concomitante con ciclosporina 9.Disfunción hepática (ALT/AST o BT por encima de 3 veces el límite superior de la normalidad) 10.Mujeres potencialmente fértiles que no estén dispuestas a utilizar un método anticonceptivo que se considere efectivo. 11.Embarazo o lactancia 12.Participantes en otro ensayo clínico con medicamento en los 28 días previos al inicio del reclutamiento. La participación simultánea en estudios observacionales sí está permitida. 13.A criterio del investigador, incapacidad del paciente para comprender o cumplir los procedimientos del estudio 14.Negativa a participar |
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E.5 End points |
E.5.1 | Primary end point(s) |
Death of any cause, myocardial infarction or stroke. |
Muerte de cualquier causa, infarto de miocardio o ictus. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
|
E.5.2 | Secondary end point(s) |
Separate comparisons of events of death from any cause, myocardial infarction, stroke or admission due to heart failure in the group of patients treated with statins compared to the control group, as well as readmission from any cause. |
Comparaciones por separado de eventos de muerte de cualquier causa, infarto de miocardio, ictus o ingreso por insuficiencia cardiaca en el grupo de pacientes tratados con estatinas frente al grupo control así como el reingreso por cualquier causa. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Manejo de acuerdo a práctica clínica habitual |
Management according to usual clinical practice |
|
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 5 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
LVLS |
ÚLTIMA VISITA DEL ÚLTIMO PACIENTE |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |