Research Article

A Randomized, Double-Blind, Multicenter Clinical Study Comparing the Efficacy and Safety of a Drug Combination of Lopinavir/Ritonavir-Azithromycin, Lopinavir/Ritonavir-Doxycycline, and Azithromycin-Hydroxychloroquine for Patients Diagnosed with Mild to Moderate COVID-19 Infections

Table 2

Analysis of laboratory data profiles of D-dimer, CRP level, interleukins, and TNF-α of subjects in the Control group and Groups A–E on day 1 and day 7 during treatment.

GroupControlABCDE value

Median level of D-dimer (ng/mL FEU, minimum–maximum)
 Day 1203 (99–1,085)166.5 (73–776)177 (0–981)176 (63–18,460)191 (75–4,474)180 (53–2,393)0.078
 Day 7169 (70–1,309)158 (66–481)152 (66–1,156)160 (56–485)173 (68–1,842)161 (60–819)0.549

CRP level (mg/L, minimum–maximum)
 Day 12.0 (0.1–69.1)1.5 (0.1–35.2)1,0 (0.1–32.4)1.5 (0.1–43.7)1.0 (0.0–77.3)1.2 (0.1–65.1)0.026
 Day 70.7 (0.0–14.2)0.6 (0.1–41.5)0.6 (0.1–24.2)0.6 (0.1–44.4)0.6 (0.1–18.1)0.8 (0.1–34.5)0.039

IL-6 level (ng/mL, minimum–maximum)
 Day 1167.9 (7.8–500.4)191.0 (10.2–1,348.9)183.2 (25.8–2,934.9)180.4 (13.2–22,022.3)194.2 (15.7–1,452.2)190.7 (32.5–1,348.9)<0.0001
 Day 7186.7 (18.3–2,432.9)146.9 (0.2–407.1)145.8 (19.8–1,753.9)145.5 (6.3–2,940.0)170.1 (0.4–820.2)144.2 (3.5–476.7)<0.0001

IL-10 level (ρg/mL, minimum–maximum)
 Day 1141.7 (53.7–1,702.9)82.1 (35.5–342.5)89.3 (35.5–404.1)86.9 (30.9–388.8)92.1 (32.7–408.1)76.0 (39.3–319.9)<0.0001
 Day 7105.9 (36.8–396.3)128.6 (45.1–1,190.9)142.0 (45.9–2,132.9)144.8 (48.0–2,132.9)145.7 (51.5–740.0)147.2 (62.4–586.0)<0.0001

Plasma level of TNF-α (ρg/mL, minimum–maximum)
 Day 1149.3 (5.2–821.0)168.5 (49.9–2,316.7)176.6 (56.0–872.2)165.1 (52.9–1,185.5)171.5 (47.1–1,026.4)197.7 (59.4–808.6)<0.0001
 Day 7179.0 (26.0–1,152.2)137.9 (28.1–622.0)143.8 (36.3–641.7)138.6 (31.7–631.8)142.6 (1.3–593.4)130.8 (37.4–380.9)<0.0001

Control group: 1 × 500 mg azithromycin per day; Group A: 2 × 200/50 mg lopinavir/ritonavir + 1 × 500 mg azithromycin per day; Group B: 2 × 200/50 mg lopinavir/ritonavir + 2 × 100 mg doxycycline per day; Group C: 2 × 100 mg hydroxychloroquine + 1 × 500 mg azithromycin per day; Group D: 2 × 400/100 mg lopinavir/ritonavir + 1 × 500 mg azithromycin per day; Group E: 2 × 400/100 mg lopinavir/ritonavir + 2 × 100 mg doxycycline per day; IL-6: interleukin-6; IL-10: interleukin-10; TNF-α: tumor necrosis factor-α; compared with day 1.