Covid-19 Infection and Pulmonary Distress Treatment With Zanubrutinib in Hospitalized Participants

NCT ID: NCT04382586

Last Updated: 2024-10-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-06

Study Completion Date

2021-02-01

Brief Summary

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The primary objective of this study was to evaluate if the addition of zanubrutinib to supportive care increases the respiratory failure-free survival rate at Day 28 in participants hospitalized for Corona Virus Disease 2019 (COVID-19) and pulmonary distress not receiving mechanical ventilation.

Detailed Description

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Conditions

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COVID-19 Pulmonary Complications COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Zanubrutinib + Supportive Care

Participants received zanubrutinib plus supportive care

Group Type EXPERIMENTAL

Zanubrutinib

Intervention Type DRUG

320 mg (4 x 80 mg) capsules administered orally once daily

Supportive Care

Intervention Type DRUG

Supportive care treatment was selected and administered as deemed appropriate by the study investigator

Placebo + Supportive Care

Participants received placebo plus supportive care alone

Group Type ACTIVE_COMPARATOR

Supportive Care

Intervention Type DRUG

Supportive care treatment was selected and administered as deemed appropriate by the study investigator

Placebo

Intervention Type DRUG

Placebo to match zanubrutinib

Interventions

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Zanubrutinib

320 mg (4 x 80 mg) capsules administered orally once daily

Intervention Type DRUG

Supportive Care

Supportive care treatment was selected and administered as deemed appropriate by the study investigator

Intervention Type DRUG

Placebo

Placebo to match zanubrutinib

Intervention Type DRUG

Other Intervention Names

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BGB-3111 Brukinsa

Eligibility Criteria

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Inclusion Criteria

1. Hospitalization for COVID-19 infection
2. Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by polymerase chain reaction (PCR)
3. Participant requires supplemental oxygen for pulmonary distress related to COVID-19 infection, and has been on supplemental oxygen for no more than 96 hours from time of screening

Exclusion Criteria

1. Malabsorption syndrome, disease significantly affecting gastrointestinal function, or resection of the stomach or small bowel, symptomatic inflammatory bowel disease or ulcerative colitis, or partial or complete bowel obstruction
2. On a Bruton's tyrosine kinase (BTK) inhibitor
3. Planned or concurrent use of a host modifiers/immune-based therapies or anti-CD20 monoclonal antibody treatment
4. Participants with prior of current hematologic malignancy or solid tumor malignancy with treatment within 6 months prior to study entry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BeiGene

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: PRINCIPAL_INVESTIGATOR

BeiGene

Locations

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St Jude Medical Center

Fullerton, California, United States

Site Status

Medstar Heath Research Institute Medstar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

John D Archbold Memorial Hospital

Thomasville, Georgia, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

The Brigham and Womens Hospital, Inc

Boston, Massachusetts, United States

Site Status

Rutgers University Hospital

Newark, New Jersey, United States

Site Status

Therapeutics Concepts

Houston, Texas, United States

Site Status

Joe Arrington Cancer Research and Treatment Center

Lubbock, Texas, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Treon SP, Kotton CN, Park DJ, Moranzoni G, Lemvigh CK, Gathe JC Jr, Varughese TA, Barnett CF, Belenchia JM, Clark NM, Farber CM, Abid MB, Ahmed G, Patterson CJ, Guerrera ML, Soumerai JD, Chea VA, Carulli IP, Southard J, Li S, Wu CJ, Livak KJ, Holmgren E, Kim P, Shi C, Lin H, Ramakrishnan V, Ou Y, Olszewski S, Olsen LR, Keskin DB, Hunter ZR, Tankersley C, Zimmerman T, Dhakal B. A randomized, placebo-controlled trial of the BTK inhibitor zanubrutinib in hospitalized patients with COVID-19 respiratory distress: immune biomarker and clinical findings. Front Immunol. 2025 Jan 21;15:1369619. doi: 10.3389/fimmu.2024.1369619. eCollection 2024.

Reference Type DERIVED
PMID: 39906744 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BGB-3111-219

Identifier Type: -

Identifier Source: org_study_id

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