Trial Outcomes & Findings for COVID-19 and Anti-CD14 Treatment Trial (NCT NCT04391309)

NCT ID: NCT04391309

Last Updated: 2023-06-26

Results Overview

The Primary Endpoint is time to clinical recovery, defined as the time from baseline to the first day that a subject is in categories 1, 2, or 3 on the Eight-Point Ordinal Scale through Day 28 (range 1 \[best\] to 8 \[worst\]). The Eight-Point Ordinal Scale is an assessment of the clinical status on each study day. The Scale is defined as follows: 1. Not hospitalized, no limitations on activities 2. Not hospitalized, limitation on activities and/or requiring home oxygen 3. Hospitalized, not requiring supplemental oxygen-no longer requires ongoing medical care 4. Hospitalized, not requiring supplemental oxygen-requiring ongoing medical care (COVID-19-related or otherwise) 5. Hospitalized, requiring supplemental oxygen 6. Hospitalized, on non-invasive ventilation or high-flow oxygen devices 7. Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) 8. Death

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

Within the 28 day period following baseline

Results posted on

2023-06-26

Participant Flow

49 participants were enrolled across 5 US sites from April 2021 to January 2022. Of these enrolled, 41 participants were randomized and 40 initiated study treatment. 8 enrolled participants were not randomized because they did not meet eligibility criteria, and one randomized participant did not initiate study treatment because they withdrew their consent.

8 enrolled participants were not randomized because they did not meet eligibility criteria.

Participant milestones

Participant milestones
Measure
IC14
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Overall Study
STARTED
21
20
Overall Study
Included in the Modified Intent to Treat Population (miTT)
20
20
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
6
5

Reasons for withdrawal

Reasons for withdrawal
Measure
IC14
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Overall Study
Death
1
1
Overall Study
Lost to Follow-up
3
2
Overall Study
Withdrawal by Subject
2
2

Baseline Characteristics

COVID-19 and Anti-CD14 Treatment Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
54.5 years
STANDARD_DEVIATION 14.7 • n=5 Participants
47.1 years
STANDARD_DEVIATION 13.6 • n=7 Participants
50.85 years
STANDARD_DEVIATION 14.46 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
13 Participants
n=7 Participants
24 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
White
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
40 participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
1
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
2
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
3
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
4
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
5
18 Participants
n=5 Participants
14 Participants
n=7 Participants
32 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
6
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
7
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Assessment of Clinical Status According to Eight-Point Ordinal Scale
8
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Within the 28 day period following baseline

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

The Primary Endpoint is time to clinical recovery, defined as the time from baseline to the first day that a subject is in categories 1, 2, or 3 on the Eight-Point Ordinal Scale through Day 28 (range 1 \[best\] to 8 \[worst\]). The Eight-Point Ordinal Scale is an assessment of the clinical status on each study day. The Scale is defined as follows: 1. Not hospitalized, no limitations on activities 2. Not hospitalized, limitation on activities and/or requiring home oxygen 3. Hospitalized, not requiring supplemental oxygen-no longer requires ongoing medical care 4. Hospitalized, not requiring supplemental oxygen-requiring ongoing medical care (COVID-19-related or otherwise) 5. Hospitalized, requiring supplemental oxygen 6. Hospitalized, on non-invasive ventilation or high-flow oxygen devices 7. Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) 8. Death

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
The Time to Clinical Recovery, Defined as the Time From Baseline to the First Day That Subject is in Categories 1, 2, or 3 on the Eight-Point Ordinal Scale Through Day 28.
6 days
Interval 5.0 to 11.0
5 days
Interval 4.0 to 10.0

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Episodes of acute respiratory failure are defined as by need for the following oxygen delivery resources: 1. High-flow nasal cannula (flow rates ≥30L/min with FiO2 ≥0.4) 2. Noninvasive positive-pressure ventilation through nasal or face mask, or nasal plugs 3. Endotracheal intubation and mechanical 4. Extracorporeal membrane oxygenation

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Days Alive and Free of Any Episodes of Acute Respiratory Failure Through Day 28
0 days
1 Participants
1 Participants
Days Alive and Free of Any Episodes of Acute Respiratory Failure Through Day 28
24 days
1 Participants
0 Participants
Days Alive and Free of Any Episodes of Acute Respiratory Failure Through Day 28
27 days
0 Participants
1 Participants
Days Alive and Free of Any Episodes of Acute Respiratory Failure Through Day 28
28 days
18 Participants
18 Participants

SECONDARY outcome

Timeframe: Within the 14 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product, who additionally had data collected on Day 14.

A larger negative change indicates a greater improvement in clinical status from baseline. The Eight-Point Ordinal Scale is an assessment of the clinical status on each study day (1 is best, 8 is worst). The Scale is defined as follows: 1. Not hospitalized, no limitations on activities. 2. Not hospitalized, limitation on activities and/or requiring home oxygen. 3. Hospitalized, not requiring supplemental oxygen; no longer requires ongoing medical care. 4. Hospitalized, not requiring supplemental oxygen; requiring ongoing medical care (COVID-19-related or otherwise). 5. Hospitalized, requiring supplemental oxygen. 6. Hospitalized, on non-invasive ventilation or high-flow oxygen devices. 7. Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO). 8. Death.

Outcome measures

Outcome measures
Measure
IC14
n=17 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=18 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Change in the Ordinal Scale From Baseline to Day 14
-3.1 units on a scale
Standard Deviation 1.6
-2.8 units on a scale
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product, who additionally had data collected on Day 28.

A larger negative change indicates a greater improvement in clinical status from baseline. The Eight-Point Ordinal Scale is an assessment of the clinical status on each study day (1 is best, 8 is worst). The Scale is defined as follows: 1. Not hospitalized, no limitations on activities. 2. Not hospitalized, limitation on activities and/or requiring home oxygen. 3. Hospitalized, not requiring supplemental oxygen; no longer requires ongoing medical care. 4. Hospitalized, not requiring supplemental oxygen; requiring ongoing medical care (COVID-19-related or otherwise). 5. Hospitalized, requiring supplemental oxygen. 6. Hospitalized, on non-invasive ventilation or high-flow oxygen devices. 7. Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO). 8. Death.

Outcome measures

Outcome measures
Measure
IC14
n=15 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=16 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Change in Ordinal Scale From Baseline to Day 28.
-3.7 units on a scale
Standard Deviation 0.6
-3.3 units on a scale
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Day 14 following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product, who additionally had data collected on Day 14.

The Eight-Point Ordinal Scale is an assessment of the clinical status on each study day (1 is best, 8 is worst). The Scale is defined as follows: 1. Not hospitalized, no limitations on activities. 2. Not hospitalized, limitation on activities and/or requiring home oxygen. 3. Hospitalized, not requiring supplemental oxygen; no longer requires ongoing medical care. 4. Hospitalized, not requiring supplemental oxygen; requiring ongoing medical care (COVID-19-related or otherwise). 5. Hospitalized, requiring supplemental oxygen. 6. Hospitalized, on non-invasive ventilation or high-flow oxygen devices. 7. Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO). 8. Death.

Outcome measures

Outcome measures
Measure
IC14
n=17 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=18 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Ordinal Scale Value on Day 14.
1.9 units on a scale
Standard Deviation 1.6
2.0 units on a scale
Standard Deviation 1.6

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Mortality due to all causes during the observation period.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
All-Cause Mortality Through Day 28.
Alive
19 Participants
20 Participants
All-Cause Mortality Through Day 28.
Died
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Within the 60 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Mortality due to all causes during the observation period.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
All-Cause Mortality Through Day 60.
Alive
19 Participants
19 Participants
All-Cause Mortality Through Day 60.
Died
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Episodes of acute respiratory failure are defined as by need for the following oxygen delivery resources: 1. High-flow nasal cannula (flow rates ≥30L/min with FiO2 ≥0.4) 2. Noninvasive positive-pressure ventilation through nasal or face mask, or nasal plugs 3. Endotracheal intubation and mechanical ventilation 4. Extracorporeal membrane oxygenation

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Percentage of Participants Alive and Free of Any Episode of Acute Respiratory Failure Through Day 28
No
2 Participants
2 Participants
Percentage of Participants Alive and Free of Any Episode of Acute Respiratory Failure Through Day 28
Yes
18 Participants
18 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Endotracheal intubation and mechanical ventilation.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Days Alive and Free of Invasive Mechanical Ventilation Through Day 28
0 days
1 Participants
1 Participants
Days Alive and Free of Invasive Mechanical Ventilation Through Day 28
28 days
19 Participants
19 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Endotracheal intubation and mechanical ventilation.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Percentage of Participants Alive and Free of Invasive Mechanical Ventilation Through Day 28
Yes
19 Participants
19 Participants
Percentage of Participants Alive and Free of Invasive Mechanical Ventilation Through Day 28
No
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Participants must be alive and discharged from hospital.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Percentage of Participants Alive and Discharged From the Hospital Through Day 28
Yes
19 Participants
19 Participants
Percentage of Participants Alive and Discharged From the Hospital Through Day 28
No
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: Modified Intent to Treat population (mITT), that included all participants who were randomized and treated with at least one dose of investigational product.

Initiation of corticosteroid therapy.

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Percent of Participants Who Begin Corticosteroid Therapy for Worsening COVID-19 Illness After Randomization
Yes
1 Participants
1 Participants
Percent of Participants Who Begin Corticosteroid Therapy for Worsening COVID-19 Illness After Randomization
No
19 Participants
19 Participants

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: All participants who initiated study treatment.

Number of serious adverse events

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Serious Adverse Events (SAEs)
6 Serious Adverse Events
4 Serious Adverse Events

SECONDARY outcome

Timeframe: Within the 28 day period following baseline.

Population: All participants who initiated study treatment.

Number of Grade 3 and 4 clinical and/or laboratory adverse events

Outcome measures

Outcome measures
Measure
IC14
n=20 Participants
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 Participants
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Adverse Events (AEs)
Severe (Grade 3)
12 Adverse Events
10 Adverse Events
Adverse Events (AEs)
Life Threatening (Grade 4)
1 Adverse Events
1 Adverse Events

Adverse Events

IC14

Serious events: 4 serious events
Other events: 16 other events
Deaths: 1 deaths

Placebo

Serious events: 1 serious events
Other events: 13 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
IC14
n=20 participants at risk
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 participants at risk
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Blood and lymphatic system disorders
Anemia
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Cardiac disorders
Atrial fibrillation
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Gastrointestinal disorders
Acute pancreatitis
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Gastrointestinal disorders
Gastric ulcer
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Infections and infestations
Lung infection
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Renal and urinary disorders
Acute renal failure
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Hypoxemia
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Renal and urinary disorders
Respiratory failure
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Vascular disorders
Thromboembolic event
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60

Other adverse events

Other adverse events
Measure
IC14
n=20 participants at risk
Subjects received IC14 4 mg/kg intravenously on Day 1, followed by IC14 2 mg/kg/day intravenously on Days 2-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Placebo
n=20 participants at risk
Subjects received 0.9% w/v Sodium Chloride in a matching bag and volume administered intravenously daily on Days 1-4 (totaling 4 consecutive days). Subjects also received remdesivir 200 mg intravenously on Day 1, followed by 100 mg intravenously daily on Days 2-5 (totaling 5 consecutive days).
Blood and lymphatic system disorders
Leukocytosis
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
10.0%
2/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
Cardiac disorders
Myocardial infarction
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Cardiac disorders
Tachycardia
10.0%
2/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Cardiac disorders
Ventricular tachycardia
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Blurred vision
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Detachment of retinal pigment epithelium
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Dry eye syndrome
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Dry eyes
10.0%
2/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Dry macular degeneration
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Eye pain
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Glaucoma
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
10.0%
2/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Incipient senile cataract
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Lattice degeneration of retina
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Meibomian gland dysfunction
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Neovascular age-related macular degeneration
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Retinal hemorrhage
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Retinal macroaneurysm
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Retinal tear
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Eye disorders
Senile nuclear sclerosis
25.0%
5/20 • Number of events 6 • Day 0 - Day 60
Adverse Events were collected through Day 60
25.0%
5/20 • Number of events 5 • Day 0 - Day 60
Adverse Events were collected through Day 60
Gastrointestinal disorders
Abdominal pain
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Infections and infestations
Epstein-Barr virus infection
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Gastrointestinal disorders
Perianal abscess
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Gastrointestinal disorders
Thrush
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
Injury, poisoning and procedural complications
Conjunctival abrasion
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
Alanine aminotransferase increased
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
Aspartate aminotransferase increased
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
Cardiac troponin increased
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
Creatinine increased
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
GGT increased
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Investigations
Sputum abnormal
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Metabolism and nutrition disorders
Hyperglycemia
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
10.0%
2/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60
Metabolism and nutrition disorders
Hyperkalemia
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Musculoskeletal and connective tissue disorders
Leg pain
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Musculoskeletal and connective tissue disorders
Pain in thigh
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Choroidal nevus
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Nervous system disorders
Headache tension
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Nervous system disorders
Paresthesia
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Psychiatric disorders
Acute psychosis
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Psychiatric disorders
Anxiety
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Renal and urinary disorders
Renal stone
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Calcified lung nodule
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Hemoptysis
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 1 • Day 0 - Day 60
Adverse Events were collected through Day 60
Skin and subcutaneous tissue disorders
Localized maculopapular rash
0.00%
0/20 • Day 0 - Day 60
Adverse Events were collected through Day 60
5.0%
1/20 • Number of events 2 • Day 0 - Day 60
Adverse Events were collected through Day 60

Additional Information

Director, Clinical Research Operations Program

DAIT/NIAID

Phone: 301-594-7669

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place