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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04372186
Other study ID # ML42528
Secondary ID
Status Completed
Phase Phase 3
First received
Last updated
Start date May 14, 2020
Est. completion date September 22, 2020

Study information

Verified date February 2023
Source Genentech, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study (EMPACTA) will a) evaluate the efficacy and safety of tocilizumab (TCZ) compared with a placebo in combination with standard of care (SOC) in hospitalized participants with COVID-19 pneumonia, and b) include an optional long-term extension for eligible participants to explore the long-term sequelae of resolved COVID-19 pneumonia.


Recruitment information / eligibility

Status Completed
Enrollment 377
Est. completion date September 22, 2020
Est. primary completion date August 18, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria - Hospitalized - COVID-19 pneumonia confirmed by a positive polymerase chain reaction (PCR) of any specimen and radiographic imaging - SpO2 < 94% while on ambient air Inclusion Criteria Specific to Long-Term Extension - Participated in Study ML42528 (EMPACTA) (includes participants who completed or discontinued early from the main study) Exclusion Criteria - Known severe allergic reactions to TCZ or other monoclonal antibodies - Require continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), or invasive mechanical ventilation - Suspected active bacterial, fungal, viral, or other infection (besides COVID-19) - In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments - Immunocompromised (besides well-controlled HIV) or on immunosuppressive therapy (except for steroids for COVID), advanced cancer - Have received oral anti-rejection or immunomodulatory drugs (including TCZ) within the past 3 months - Participating in another interleukin (IL)-6 antagonist clinical trial or other drug clinical trials (participation in COVID-19 anti-viral trials may be permitted if approved by Medical Monitor) - Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 10 x upper limit of normal (ULN) detected within 24 hours at screening (according to local laboratory reference ranges) - Absolute neutrophil count (ANC) < 1000/uL at screening (according to local laboratory reference ranges) - Platelet count < 50,000/uL at screening (according to local laboratory reference ranges) - Pregnant or breastfeeding, or positive pregnancy test in a pre-dose examination - Treatment with an investigational drug within 5 half lives or 30 days (whichever is longer) of randomization (investigational COVID-19 antivirals may be permitted if approved by Medical Monitor) - Any serious medical condition or abnormality of clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study - Any history of Diverticulitis or GI perforation - Use of systemic corticosteroids unless on a stable chronic dose

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Placebo
Participants will receive one dose of IV placebo matched to TCZ. Up to one additional dose may be given.
Tocilizumab
Participants will receive one IV infusion of TCZ 8 mg/kg, with a maximum dose of 800 mg. Up to one additional dose may be given.

Locations

Country Name City State
Brazil Hospital E Maternidade Celso Pierro PUCCAMP Campinas SP
Brazil Centro Multidisciplinar de Estudos Clínicos CEMEC FMABC Sao Bernardo Do Campo SP
Brazil BR Trials - Pesquisa Clínica Sao Paulo SP
Kenya Aga Khan University Hospital Nairobi
Mexico Hospital General de Culiacan Culiacan
Mexico Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Mexico
Peru Hospital Militar Central Jesus Maria
Peru Hospital Maria Auxiliadora Lima
Peru Hospital Nacional Cayetano Heredia Lima
Peru Hospital Nacional Hipolito; Unanue Lima
Peru Hospital Nacional Sergio E. Bernales Lima
South Africa George Provincial Hospital George
United States St. Lukes Boise Medical Center Boise Idaho
United States St. Barnabas Hospital Bronx New York
United States SUNY Downstate Medical Center. Brooklyn New York
United States Novant Health Presbyterian Medical Center (Presbyterian Hospital) Charlotte North Carolina
United States Henry Ford Health System Detroit Michigan
United States El Centro Regional Medical Center El Centro California
United States Elmhurst Hospital Center Elmhurst New York
United States San Juan Oncology Associates Farmington New Mexico
United States Cape Fear Valley Medical Center Fayetteville North Carolina
United States Flushing Hospital Flushing New York
United States Holy Cross Germantown Hospital Germantown Maryland
United States Valley Baptist Medical Center Harlingen Texas
United States Larkin Community Hospital Palm Springs Campus (Hialeah) Hialeah Florida
United States Michael E Debakey VA Medical Center Houston Texas
United States Jamaica Hospital Medical Center Jamaica New York
United States eStudySite La Mesa California
United States McAllen Medical Center McAllen Texas
United States Miami Veterans Administration Healthcare System - NAVREF Miami Florida
United States University of Miami Pulmonary Miami Florida
United States Ochsner Clinic New Orleans Louisiana
United States Harlem Hospital New York New York
United States Highland Hospital Oakland Oakland California
United States St. Joseph'S Hospital Orange California
United States St. Joseph'S Regional Medical Center Paterson New Jersey
United States Temple University Hospital Philadelphia Pennsylvania
United States Banner - University Medical Center Phoenix; In-Patient Pharmacy Phoenix Arizona
United States Canton-Potsdam Hospital Potsdam New York
United States San Leandro Hospital; Inpatient Pharmacy San Leandro California
United States Holy Cross Hospital Silver Spring Maryland
United States Larkin Community Hospital South Miami Florida
United States Univ of AZ Coll of Med Tucson Arizona
United States Sentara Medical Group Virginia Beach Virginia

Sponsors (1)

Lead Sponsor Collaborator
Genentech, Inc.

Countries where clinical trial is conducted

United States,  Brazil,  Kenya,  Mexico,  Peru,  South Africa, 

Outcome

Type Measure Description Time frame Safety issue
Primary Cumulative Proportion of Participants Who Died or Required Mechanical Ventilation by Day 28 Cumulative proportion is measured as a percentage of participants meeting the endpoint. Up to Day 28
Secondary Time to Hospital Discharge or "Ready for Discharge" (as Evidenced by Normal Body Temperature and Respiratory Rate, and Stable Oxygen Saturation on Ambient Air or >/= 2 Liters (L) Supplemental Oxygen) Up to Day 28
Secondary Time to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status Clinical status was assessed using a 7-category ordinal scale:
- Discharged (or "ready for discharge" as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or - Non- intensive care unit (ICU) hospital ward (or "ready for hospital ward") not requiring supplemental oxygen
- Non-ICU hospital ward (or "ready for hospital ward") requiring supplemental oxygen
- ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen
- ICU, requiring intubation and mechanical ventilation
- ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support
- Death
Up to Day 28
Secondary Time to Clinical Failure, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal (Whichever Occurred First) Up to Day 28
Secondary Mortality Rate by Day 28 Up to Day 28
Secondary Clinical Status on 7-Category Ordinal Scale at Day 28 Clinical status was assessed using a 7-category ordinal scale:
- Discharged (or "ready for discharge" as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or - Non- intensive care unit (ICU) hospital ward (or "ready for hospital ward") not requiring supplemental oxygen
- Non-ICU hospital ward (or "ready for hospital ward") requiring supplemental oxygen
- ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen
- ICU, requiring intubation and mechanical ventilation
- ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support
- Death
Day 28
Secondary Percentage of Participants With Adverse Events Up to Day 60
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