Table 2 Efficacy and safety at day 11 (ANRS COV01 INTENSE-COV).

From: Atorvastatin and telmisartan do not reduce nasopharyngeal carriage of SARS-CoV-2 in mild or moderate COVID-19 in a phase IIb randomized controlled trial

n%

LPVr N = 96

LPVr + TLM N = 96

LPVr + ATV N + 98

LPVr vs LPVr + TLM / ATV

p-values1

Primary endpoint – VIRO-inflammatory success

Ct ≥ 40

Yes

45 (58)

45 (55)

42 (57)

0.66 / 0.84

No

32 (42)

37 (35)

32 (43)

 

Missing

19

18

24

 

Primary analysis – missing imputed by failure

Ct ≥ 40 and CRP < 27 mg/L

44 (46)

43 (43)

42 (43)

0.69 /0.68

Sensitivity analysis – intention to treat, complete case

Ct ≥ 40 and CRP < 27 mg/L

Yes

44 (57)

43 (52)

42 (57)

0.56 / 0.97

No

33 (43)

39 (48)

32 (43)

 

Missing

19

18

24

 

Sensitivity analysis – intention to treat, complete case, CT threshold = 33

    

Ct ≥ and CRP < 27 mg/L

46 (48)

43 (43)

44 (45)

0.49 /0.68

Secondary endpoints – clinical status and advers events

WHO-OSCI

Ambulatory mild disease

82 (85)

91 (91)

83 (85)

0.40 / 0.79

No activities limitation

52 (54)

61 (61)

65 (66)

0.34 / 0.09

At least one adverse event of any type and severity

36 (38)

47 (47)

55 (56)

0.18 / 0.01

Worsening, hospitalization or death

5 (5)

5 (5)

3 (3)

0.94 / 0.45

Death

3 (3)

 

1 (1)

0.12 /0.37

  1. LPVr lopinavir/ritonavir, TLM telmisartan, ATV atorvastatin, Ct number of cycles in the SARS-CoV2 RT-PCR, CRP C-reactive protein.
  2. 1First p-value: LPV/r vs LPV/r + TLM; second p-value: LPV/r vs LPV/r + ATV.
  3. 2The national recommendations changed during trial progress: the day 11 Ct measure was no longer mandatory for recovered patients. Therefore, the investigators stopped prescribing it for trial patients in that case despite trial protocol, leading to a missing primary endpoint for 41 patients. When the trial team discovered this, it reinstated the systematic day 11 Ct measure in the trial. The DSMB approved the proposition of a post hoc analysis with day 7 Ct value carried forward to day 11 for the 41 patients, and missing data imputed by failure for the others.