COVID-19 Pneumonia Clinical Trial
— EMPACTAOfficial title:
A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Efficacy and Safety of Tocilizumab in Hospitalized Patients With COVID-19 Pneumonia
Verified date | February 2023 |
Source | Genentech, Inc. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
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 |
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 |
Lead Sponsor | Collaborator |
---|---|
Genentech, Inc. |
United States, Brazil, Kenya, Mexico, Peru, South Africa,
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 =2 liters supplemental oxygen) - 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 =2 liters supplemental oxygen) - 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 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Suspended |
NCT04901676 -
Leronlimab in Moderately Ill Patients With COVID-19 Pneumonia
|
Phase 3 | |
Not yet recruiting |
NCT04534478 -
Oral Prednisone Regimens to Optimize the Therapeutic Strategy in Patients With Organizing Pneumonia Post-COVID-19
|
Phase 4 | |
Active, not recruiting |
NCT05002517 -
Randomized, Unicentric, Open, Controlled Clinical Trial, in Phase Iii, to Demonstrate the Effectiveness of Tocilizumab
|
Phase 3 | |
Completed |
NCT05008393 -
Efficacy of PJS-539 for Adult Patients With COVID-19.
|
Phase 2 | |
Completed |
NCT04569877 -
GM-CSF Inhalation to Prevent ARDS in COVID-19 Pneumonia
|
Phase 2 | |
Not yet recruiting |
NCT05286255 -
Mesenchymal Stromal Cells for COVID-19 and Viral Pneumonias
|
Phase 1 | |
Completed |
NCT05035589 -
The Effect of Tocilizumab on Procalcitonin and Other Biochemical and Clinical Markers in the Setting of COVID-19 Pneumonia
|
||
Completed |
NCT06113432 -
CPAP Therapy Through a Helmet or a Full Face Mask in Patients With Acute Hypoxemic Respiratory Failure: Cross-over Study
|
N/A | |
Recruiting |
NCT05042063 -
Acoustic Cough Monitoring for the Management of Patients With Known Respiratory Disease
|
||
Recruiting |
NCT04615429 -
Clinical Trial to Assess the Efficacy of MSC in Patients With ARDS Due to COVID-19
|
Phase 2 | |
Completed |
NCT05047653 -
RALE Versus CORADS/CT-Severity Score in COVID-19
|
||
Active, not recruiting |
NCT05047016 -
Study to Evaluate the Dynamic Consent Model Based on the Blockchain-based Clinical Trial Platform METORY
|
N/A | |
Active, not recruiting |
NCT05033847 -
Clinical Trial on Sequential Immunization of Recombinant COVID-19 Vaccine (CHO Cells) and Inactivated COVID-19 Vaccine (Vero Cells) in Population Aged 18 Years and Above
|
Phase 2 | |
Recruiting |
NCT06113757 -
Investigation of Efficacy and Safety of Electrical Signal Therapy Provided by Dr Biolyse® Device in COVID-19 Disease
|
N/A | |
Completed |
NCT05504655 -
N-Acetylcysteine as an Adjuvant Therapy in Critically Ill COVID-19 Patients:
|
||
Active, not recruiting |
NCT05035524 -
A Randomized Controlled Trial to Investigate The Role of Adjuvant Inhalable Sodium Bicarbonate Solution 8.4% in Treatment of COVID-19
|
N/A | |
Completed |
NCT05065879 -
Evaluation of Immunogenicity and Safety of COVID-19 Vaccine (Produced in Beijing) in Patients With Hypertension and/or Diabetes
|
Phase 4 | |
Withdrawn |
NCT04390217 -
LB1148 for Pulmonary Dysfunction Associated With COVID-19 Pneumonia
|
Phase 2 | |
Withdrawn |
NCT04460105 -
Lanadelumab in Participants Hospitalized With COVID-19 Pneumonia
|
Phase 1 | |
Suspended |
NCT04901689 -
Leronlimab in Patients With Coronavirus Disease 2019 (COVID-19) With Need for Mechanical Ventilation or Extracorporeal Membrane Oxygenation
|
Phase 3 |