NCT04435717

Brief Summary

unicenter, randomized, open-label clinical trial on the efficacy of tocilizumab in modifying the inflammatory parameters of patients with COVID-19.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for phase_2 covid19

Timeline
Completed

Started May 2020

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 4, 2020

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

June 11, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 17, 2020

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 4, 2020

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 10, 2021

Completed
Last Updated

August 30, 2021

Status Verified

August 1, 2021

Enrollment Period

6 months

First QC Date

June 11, 2020

Last Update Submit

August 24, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in IL-12 values in the 3 study groups from the start of treatment (D0) and on days D + 1 and D + 3.

    Average increase in IL-12 values in the 3 study groups from the start of treatment (D0) and on days D + 1 and D + 3.

    Day1 and Day3.

Secondary Outcomes (19)

  • Progression of pneumonia

    Day3, Day7 and Day28

  • PaO2/FiO2

    Day3, Day7 and Day28

  • cause mortality to 28 days after started treatment

    Day3, Day7 and Day28

  • Length of hospital stay

    Day3, Day7 and Day28

  • patients requiring Intensive Care Unit admission

    Day3, Day7 and Day28

  • +14 more secondary outcomes

Study Arms (3)

TCZ 8 mg / kg one dose

EXPERIMENTAL

TCZ 8 mg / kg (with a maximum of 800 mg) in single dose + usual treatment

Drug: Tocilizumab 20 MG/ML Intravenous Solution [ACTEMRA]_#1

TCZ 8 mg / kg in two

EXPERIMENTAL

TCZ 8 mg / kg in two doses at 0 and 12 hours (with a maximum of 800 mg per dose) + usual treatment

Drug: Tocilizumab 20 MG/ML Intravenous Solution [ACTEMRA]_#1 (2 doses)

standard care treatment

NO INTERVENTION

Usual / standard care treatment

Interventions

Tocilizumab 20 MG/ML Intravenous (one dose)

TCZ 8 mg / kg one dose

Tocilizumab 20 MG/ML Intravenous ( two doses)

Also known as: Tocilizumab 20 MG/ML Intravenous Solution [ACTEMRA]_#1
TCZ 8 mg / kg in two

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients over 18 years of age who have given their informed consent. This will be collected verbally and will be recorded in the medical record by the investigating doctor.
  • The patient is diagnosed with mild-moderate SARS-CoV-2 pneumonia confirmed microbiologically ≤7 days before randomization, and presents:
  • to. Basal oxygen saturation\> 90% b. CURB-65 ≤1 c. PaO2 / FiO2≥300 or SatO2 / FiO2≥315
  • The patient is hospitalized or meets hospital admission criteria.
  • The patient is not expected to enter the ICU or die in the next 24 hours.

You may not qualify if:

  • Participants in another simultaneous clinical trial.
  • Use of other immunomodulators.
  • Coinfection with the hepatitis B virus (detectable AgSup-HBV).
  • Pregnancy (or planning to become pregnant during the course of the study), or lactation period.
  • Presence of laboratory abnormalities of grade ≥ 4.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Universitario Ramón y Cajal

Madrid, 28034, Spain

Location

MeSH Terms

Conditions

COVID-19

Interventions

tocilizumab

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Patients eligible to be included in the study will be randomized in a 1: 1: 1 ratio to receive: * TCZ 8 mg / kg (with a maximum of 800 mg) in single dose + usual treatment * TCZ 8 mg / kg in two doses at 0 and 12 hours (with a maximum of 800 mg per dose) + usual treatment * Usual / standard care treatment
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Sponsor

Study Record Dates

First Submitted

June 11, 2020

First Posted

June 17, 2020

Study Start

May 4, 2020

Primary Completion

November 4, 2020

Study Completion

February 10, 2021

Last Updated

August 30, 2021

Record last verified: 2021-08

Data Sharing

IPD Sharing
Will not share

Locations