Section to complete information about primary and secondary outcomes including. It includes the metric or method of measurement used and, the time point for every outcome.
Primary outcome(s):
Activation of markers of the innate immune system (in oropharyngeal scraping: relative concentration of dendritic cells; phenotypic analysis of leukocyte cells; transcriptional analysis of elements of molecules related to the immune response with expression at the level of epithelium and infiltrating leukocytes; quantification by ELISA of cytokines related to systemic inflammation such as IL-6, TNF alpha, IFN alpha and gamma, among other mediators of systemic inflammation, etc.). Measurement time: at baseline and, on days 4 and 8 post-treatment.
Key secondary outcomes:
Percentage of patients with appearance of the SARS-CoV-2 virus (by PCR-RT). Measurement time: Sometime during the 14-day follow-up.
Percentage of patients with changes in the immune response: 1) Serum cytokine pattern (variable to verify aggravation); 2) Proportion of dendritic cells of the total (Cytology, FACs); 3) Ratio of activation of dendritic cells, NK and monocytes / macrophages by cytometry (activation markers, HLA DR and costimulatory factors by RT PCR); 4) Gene expression of TLR agonists in whole blood by RT-PCR; 5) Characterization of cellular subpopulations and senescence markers. Measurement time: bat baseline and, on days 4 and 8 post-treatment.
Clinical Adverse Events (AE). They will be measured as: -AE occurrence (Yes, No), -AE description (name of the event), -AE intensity (mild, moderate, severe), -Causal relationship (unrelated, doubtful, possible, probable, Definitive), -Measures taken (None, Administration of any pharmacological therapy, Addition of a non-pharmacological therapy, Exit of the study, Hospitalization / prolongation of hospitalization), -Result (Fully resolved, Resolved with sequelae, Conditions in improvement, Present condition and unchanged, worsening, death caused by this event). Measurement time: daily throughout the follow-up of the subjects.
Laboratory (numerical values of Blood chemistry test: hemogram, hematocrit, leukogram with differential, platelet count, prothrombin time, C-reactive protein, ALAT, ASAT, glycemia, creatinine, cholesterol, triglycerides, albumin and bilirubin). Measurement time: at baseline and, on days 4 and 8 post-treatment.