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A Study to Investigate Intravenous Tocilizumab in Participants With Moderate to Severe COVID-19 Pneumonia

Phase 2
Completed
Conditions
COVID-19 Pneumonia
Interventions
Drug: Tociliuzumab
Registration Number
NCT04363736
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This study will assess the pharmacodynamics, pharmacokinetics, safety and efficacy of two different doses of tocilizumab (TCZ) in combination with standard-of-care (SOC) in hospitalized adult participants with moderate to severe COVID-19 pneumonia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
97
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TCZ 8 mg/kgTociliuzumabParticipants will receive intravenous (IV) tocilizumab (TCZ) at a dose of 8 mg/kg in addition to standard-of-care treatment.
TCZ 4 mg/kgTociliuzumabParticipants will receive IV tocilizumab (TCZ) at a dose of 4 mg/kg in addition to standard-of-care treatment.
Primary Outcome Measures
NameTimeMethod
Area Under the Curve From Day 0-28 (AUC0-d28) of Tocilizumab)Days 0-28. Participants received a second dose within 8-24 hours after the initial infusion of TCZ at the discretion of the investigator upon clinically significant demonstration of worsening signs or symptoms.
Maximum Serum Concentration (Cmax) of TocilizumabBaseline - Day 60. Participants received a second dose within 8-24 hours after the initial infusion of TCZ at the discretion of the investigator upon clinically significant demonstration of worsening signs or symptoms.
Serum Concentration of Ferritin Following Administration of IV TCZBaseline - Day 60
Clearance (CL) of TocilizumabBaseline - Day 60. Participants received a second dose within 8-24 hours after the initial infusion of TCZ at the discretion of the investigator upon clinically significant demonstration of worsening signs or symptoms.
Volume of the Central Compartment (Vc) of TocilizumabBaseline - Day 60. Participants received a second dose within 8-24 hours after the initial infusion of TCZ at the discretion of the investigator upon clinically significant demonstration of worsening signs or symptoms.
Serum Concentration of C-reactive Protein (CRP) Following Administration of IV TCZBaseline - Day 60
Serum Concentration of Soluble Interleukin-6 Receptor (sIL-6R) Following Administration of IV TCZBaseline - Day 60
Serum Concentration of Interleukin-6 (IL-6) Following Administration of IV TCZBaseline - Day 60
Secondary Outcome Measures
NameTimeMethod
Pecentage of Participants With Adverse EventsUp to Day 60

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2) (COVID-19) Viral Load Over TimeBaseline - Day 60
Time to Real-Time Polymerase Chain Reaction (RT-PCR) Virus NegativityUp to Day 28

Time to Real-Time Polymerase Chain Reaction (RT-PCR) virus negativity was defined as the number of days from the first dose of study drug to when a negative RT-PCR SARS-CoV-2 assessment result was observed. Results are presented as a cumulative incidence function (CIF) with death as a competing risk.

Proportion of Participants With Any Post-Treatment InfectionUp to Day 60

Trial Locations

Locations (24)

St Joseph's Regional Medical Center

🇺🇸

Wayne, New Jersey, United States

St. Jude Medical Center

🇺🇸

Fullerton, California, United States

Advocate Christ Medical Center

🇺🇸

Oak Lawn, Illinois, United States

Renown Institute for Heart & Vascular Health

🇺🇸

Reno, Nevada, United States

Mercy St. Vincent Medical Center

🇺🇸

Toledo, Ohio, United States

Michael E. DeBakey VA Medical Center

🇺🇸

Houston, Texas, United States

Lehigh Valley Health Network

🇺🇸

Allentown, Pennsylvania, United States

Allegheny Health Network (Pittsburg PA)

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

LAC + USC Medical Center

🇺🇸

Los Angeles, California, United States

Mayo Clinic - Arizona

🇺🇸

Phoenix, Arizona, United States

USC Keck Medical Center of USC

🇺🇸

Los Angeles, California, United States

Mayo Clinic

🇺🇸

Jacksonville, Florida, United States

University of Maryland

🇺🇸

Baltimore, Maryland, United States

Advocate Lutheran General Hospital

🇺🇸

Park Ridge, Illinois, United States

Medstar Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

SUNY Downstate Medical Center.

🇺🇸

Brooklyn, New York, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

Jamaica Hospital Medical Center

🇺🇸

Jamaica, New York, United States

Norwalk Hospital

🇺🇸

Norwalk, Connecticut, United States

Houston Methodist Sugar Land Hospital

🇺🇸

Sugar Land, Texas, United States

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