AzTrials
AzTrials

COVID-19 InfectionPhase 2NCT04494724

Clazakizumab vs. Placebo - COVID-19 Infection

A Phase 2 study testing Clazakizumab in people with COVID-19 Infection, run by The Methodist Hospital Research Institute at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to investigate the effectiveness and safety of treatment with clazakizumab compared to a placebo (inactive substance). We are proposing to try this drug to treat coronavirus disease 2019 (COVID-19) infection. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
COVID-19 Infection
What is being tested?
Clazakizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteUnited States
Study dates
13 Jul 2020to 31 Jul 2021
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age >18 at the time of screening.
  • Participant or legally authorized representative (LAR) must be able to understand and provide informed consent.
  • Hospitalized with coronavirus disease (COVID-19) confirmed by polymerase chain reaction (PCR) assay from any specimen (eg, respiratory, blood, urine, stool, other bodily fluid) within the prior 72 hours.
  • C-reactive protein (CRP) > 3.5 mg/dL
  • Evidence of pulmonary involvement with at least 2 of the following:
  • oxygen saturation at rest in ambient air with peripheral capillary oxygen saturation (SpO2) ≤ 94%
Show all 9Show fewer
  • tachypnea with resting respiration rate > 25 breaths/minute
  • Partial pressure of oxygen (PaO2)/initial fraction of inspired oxygen (FiO2) ≤ 300 mmHg
  • Chest imaging (radiograph, CT, or ultrasound) with abnormalities consistent COVID-19 pneumonia

Who cannot join

  • Previous hypersensitivity or allergic reactions to clazakizumab
  • Lactating or pregnant females
  • Patients with latent tuberculosis (TB) and who are not receiving treatment
  • Patients with active TB
  • Patients with known active inflammatory bowel disease, untreated diverticulitis, or gastrointestinal perforation
  • Requiring mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
Show all 9Show fewer
  • A significantly abnormal general serum screening lab result defined as a white blood cell (WBC) count < 3.0 X 10^3/mL, a hemoglobin (Hgb) < 8.0 g/dL, a platelet count < 50 X 10^3/mL, an aspartate aminotransferase (AST) or alanine aminotransferase (ALT) > 5 times upper limit normal
  • Participation in another clinical trial investigating COVID-19-aimed agents
  • Presence of any medical or psychosocial condition, which the investigator believes, would hinder adherence to the study requirements.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Houston Methodist Hospital

    Houston, Texas, 77030

    Isioma Agboli, MD, 713-441-6311, iagboli@houstonmethodist.org

    Darrel Cleere, BSN, 713-441-6232, dwcleere@houstonmethodist.org

    Recruiting

Other trials in United States

About this study

Official title: A Phase 2 Trial to Evaluate the Safety and Tolerability of Clazakizumab® [Anti-Interleukin (IL)-6 Monoclonal] Compared to Placebo for the Treatment of COVID-19 Infection

The purpose of this study is to investigate the effectiveness and safety of treatment with clazakizumab compared to a placebo (inactive substance). We are proposing to try this drug to treat coronavirus disease 2019 (COVID-19) infection. Patients with COVID-19 infection have been shown to have increases in certain inflammatory processes. Clazakizumab is an antibody (immune system protein) that blocks certain inflammatory processes. The treatment plan is to attempt to inhibit or block these inflammatory processes in order to try to limit the damage COVID-19 causes to the lungs.

Read the detailed description

The purpose of this randomized, double-blind, placebo-controlled trial is to evaluate the safety and efficacy of clazakizumab vs placebo for the prevention of acute respiratory distress syndrome (ARDS) in patients with COVID-19 and pulmonary manifestations. The study will compare clazakizumab to placebo in a randomized, double-blind fashion followed by an open-label dose of clazakizumab if there is no improvement or a worsening of condition occurs after 24-hours or anytime during the first 14 days after the first dose of clazakizumab or placebo. We hypothesize that clazakizumab will be safely tolerated and will reduce the risk of progression of COVID-19 to acute respiratory distress syndrome.

Primary Objective:

  • To evaluate the safety and tolerability of clazakizumab vs placebo for the treatment of patients with COVID-19 disease and signs of pulmonary involvement

Sixty adult patients with COVID-19 and signs of pulmonary involvement at Houston Methodist who are not in need of ventilator support at the time of enrollment.

Being tested
Clazakizumab, Placebo
Keywords
COVID-19, coronavirus infection, respiration, artificial, extracorporeal membrane oxygenation, randomized controlled trial, respiratory distress syndrome, adult
Medical subject headings
COVID-19, Coronavirus Infections, Respiratory Aspiration, Respiratory Distress Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ClazakizumabDrug

    Infusion

  • PlaceboDrug

    Infusion

Study groups in NCT04494724
Study groupRoleWhat they receive
ClazakizumabExperimentalClazakizumab - 25mg in 50 milliliters (mL) of 0.9% saline, IV infusion over 30 minutes.
Receives: Drug: Clazakizumab
PlaceboPlacebo comparatorPlacebo - 50 mL 0.9% saline, IV infusion over 30 minutes.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Endpoint

    Proportion of participants who experience treatment-related adverse events (TEAE) ≥ Grade 3 (CTCAE v5.0) during the first 24 hours after infusion of clazakizumab or placebo

    Measured: 24 hours

Secondary outcomes (12)
  1. Requirement for mechanical ventilation and/or extracorporeal membrane oxygenation (ECMO)

    Proportion of participants who need mechanical ventilation and/or extracorporeal membrane oxygenation (ECMO) after the first dose of clazakizumab or placebo

    Measured: 14 days

  2. Infusion-related reactions during 24 hours from the time of infusion

    Proportion of participants who experience infusion-related reactions during the first 24 hours after infusion of clazakizumab or placebo

    Measured: 24 hours

  3. Patient survival at 28 days

    Proportion of participants alive at day 28 after the first dose of clazakizumab or placebo

    Measured: 28 days

  4. Patient survival at 60 days

    Proportion of participants alive at day 60 after the first dose of clazakizumab or placebo

    Measured: 60 days

  5. Requirement for open-label clazakizumab

    Proportion of participants who require an open-label dose of clazakizumab

    Measured: 14 days

  6. Time in the intensive care unit (ICU)

    Number of days in the ICU following the first dose of clazakizumab or placebo

    Measured: 60 days

  7. Time in the hospital

    Number of days in the hospital following the first dose of clazakizumab or placebo

    Measured: 60 days

  8. Time to mechanical ventilation

    Number of days from first dose of clazakizumab or placebo to requiring mechanical ventilation

    Measured: 60 days

  9. Clinical status improvement assessed by the World Health Organization (WHO) Clinical Progression Scale at day 14

    Difference in WHO Clinical Progression Scale between clazakizumab and placebo

    Measured: 14 days

  10. Clinical status improvement assessed by World Health Organization (WHO) Clinical Progression Scale at day 28

    Difference in WHO Clinical Progression Scale between clazakizumab and placebo

    Measured: 28 days

  11. Change in Radiologic Assessment of Lung Edema (RALE) at day 14

    Difference in mean or median change in radiologic assessment of lung edema (RALE) score at day 14 from baseline between clazakizumab or placebo

    Measured: 14 days

  12. Change in Radiologic Assessment of Lung Edema (RALE) at day 28

    Difference in mean or median change in radiologic assessment of lung edema (RALE) score at day 28 from baseline between clazakizumab or placebo

    Measured: 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2020
  2. Study start13 Jul 2020
  3. Primary completion31 Dec 2020 (estimated)
  4. Study completion31 Jul 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This single-site, phase 2 randomized, double-blind, placebo-controlled trial is designed to administer a single dose of clazakizumab or placebo on day 0. If, after 24 hours or up to 14 days from the first infusion, the participant's condition worsens or does not improve, the investigator may elect to provide a single, open-label dose of clazakizumab regardless of the initial group assignment. All except the investigational pharmacist will remain blinded as to the initial group assignment until data lock.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04494724
Sponsor's protocol ID
Pro00025969
Status last verified
Jul 2020
First submitted
21 Jul 2020
Last updated
31 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Jones SA, Jenkins BJ. Recent insights into targeting the IL-6 cytokine family in inflammatory diseases and cancer. Nat Rev Immunol. 2018 Dec;18(12):773-789. doi: 10.1038/s41577-018-0066-7.

    PubMed 30254251
  • Tanaka T, Kishimoto T. Targeting interleukin-6: all the way to treat autoimmune and inflammatory diseases. Int J Biol Sci. 2012;8(9):1227-36. doi: 10.7150/ijbs.4666. Epub 2012 Oct 24.

    PubMed 23136551
  • Uciechowski P, Dempke WCM. Interleukin-6: A Masterplayer in the Cytokine Network. Oncology. 2020;98(3):131-137. doi: 10.1159/000505099. Epub 2020 Jan 20.

    PubMed 31958792
  • Ruan Q, Yang K, Wang W, Jiang L, Song J. Correction to: Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Med. 2020 Jun;46(6):1294-1297. doi: 10.1007/s00134-020-06028-z.

    PubMed 32253449
  • Gao Y, Li T, Han M, Li X, Wu D, Xu Y, Zhu Y, Liu Y, Wang X, Wang L. Diagnostic utility of clinical laboratory data determinations for patients with the severe COVID-19. J Med Virol. 2020 Jul;92(7):791-796. doi: 10.1002/jmv.25770. Epub 2020 Apr 10.

    PubMed 32181911
  • Le RQ, Li L, Yuan W, Shord SS, Nie L, Habtemariam BA, Przepiorka D, Farrell AT, Pazdur R. FDA Approval Summary: Tocilizumab for Treatment of Chimeric Antigen Receptor T Cell-Induced Severe or Life-Threatening Cytokine Release Syndrome. Oncologist. 2018 Aug;23(8):943-947. doi: 10.1634/theoncologist.2018-0028. Epub 2018 Apr 5.

    PubMed 29622697
  • Mehta P, McAuley DF, Brown M, Sanchez E, Tattersall RS, Manson JJ; HLH Across Speciality Collaboration, UK. COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet. 2020 Mar 28;395(10229):1033-1034. doi: 10.1016/S0140-6736(20)30628-0. Epub 2020 Mar 16. No abstract available.

    PubMed 32192578
  • Wu C, Chen X, Cai Y, Xia J, Zhou X, Xu S, Huang H, Zhang L, Zhou X, Du C, Zhang Y, Song J, Wang S, Chao Y, Yang Z, Xu J, Zhou X, Chen D, Xiong W, Xu L, Zhou F, Jiang J, Bai C, Zheng J, Song Y. Risk Factors Associated With Acute Respiratory Distress Syndrome and Death in Patients With Coronavirus Disease 2019 Pneumonia in Wuhan, China. JAMA Intern Med. 2020 Jul 1;180(7):934-943. doi: 10.1001/jamainternmed.2020.0994.

    PubMed 32167524
  • Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.

    PubMed 34473343

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Clazakizumab in people with COVID-19 Infection, run by The Methodist Hospital Research Institute at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 31 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Isioma Agboli, MD (713-441-6311, iagboli@houstonmethodist.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Endpoint (time frame: 24 hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04494724, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in