While public health measures and vaccines have reduced the spread of SARS-CoV-2, most scientists predict this virus will become endemic and new variants will continue to emerge. As a result, effective and affordable medications in community settings are needed.
Adaptive platform trials (APTs) are designed to compare multiple therapies and study new medications as they emerge. CanTreatCOVID will evaluate the clinical and cost-effectiveness of oral medications for SARS-CoV-2 in non-hospitalized patients. In collaboration with patient and community partners we will engage diverse populations. Therapeutics to be investigated will be decided through a transparent Canadian COVID-19 Therapeutics Advisory Panel. CanTreatCOVID will closely work with adaptive platform trials in the United Kingdom and European Union to enable the federation of our trial data to support faster and more powerful statistical analyses.
We will measure the drug efficacy by comparing hospitalization and death at 28 days, as well as time to recovery and impact on “long COVID”. We will also assess changes in quality of life and health resource utilization to evaluate the cost-effectiveness of each therapeutic.
We will use numerous approaches to recruit, including a multi-faceted public communication strategy and outreach through primary care, out-patient clinics, and emergency departments. A unique strength is additional prospective recruitment using Electronic Medical Record (EMR) data from primary care research networks in Ontario, Quebec, Alberta, BC, Manitoba, and Newfoundland. CanTreat COVID will result in a national APT infrastructure with applications beyond the COVID19 pandemic, building capacity to efficiently study therapeutics for influenza, other upper respiratory conditions, and other emerging diseases.
Our findings will address some urgent public health needs and questions: