Statistical analysis plan for the STatin TReatment for COVID-19 to Optimise NeuroloGical recovERy (STRONGER) study: a randomised, open label, controlled trial in subjects with persistent neurological symptoms after COVID-19 infection

Publication date: Jul 05, 2025

We outline the statistical analysis plan (SAP) for the STatin TReatment for COVID-19 to Optimise NeuroloGical (STRONGER) study. STRONGER is an international, investigator-initiated and conducted, multicentre, prospective, randomised, open label, blinded endpoint (PROBE) study that aims to determine the safety, efficacy and cost-effectiveness of atorvastatin to improve cognitive function, mood, health-related quality of life, and physical function, in adults with a post-COVID-19 neurological syndrome. Participants are randomised (1:1) to either oral 40 mg atorvastatin for a treatment duration of 12 months (intervention group) or not (control group), on top of usual care. The treatment effect on neuroinflammation in the brain will be assessed by changes on magnetic resonance imaging (MRI) and blood biomarkers.The outcome assessments on participants will be completed in July 2025. The trial is registrated at Clinicaltrials.gov (NCT04904536).

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Concepts Keywords
Clinicaltrials Atorvastatin
Neuroscience Australia
Phd341314 Brain
Skiba10 Covid
Group
July
Medrxiv
Neurological
Participants
Preprint
Randomised
Statin
Stronger
Treatment
Trial

Semantics

Type Source Name
disease MESH COVID-19
disease MESH infection
drug DRUGBANK Atorvastatin
disease IDO quality
disease MESH syndrome
disease IDO intervention
disease MESH neuroinflammation
disease IDO blood
disease MESH cognitive impairment
disease IDO history
disease MESH anosmia
disease MESH dementia
disease MESH contraindication
disease MESH claustrophobia
disease IDO country

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