Efficacy and Safety of Remdesivir and Tociluzumab for the Management of Severe COVID-19: A Randomized Controlled Trial

NCT ID: NCT04678739

Last Updated: 2021-04-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

205 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-15

Study Completion Date

2021-02-10

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This randomized clinical trial was designed and intended to evaluate the efficacy of Remdesivir and Tocilizumab as a treatment for severe Acute Respiratory Distress Syndrome (ARDS) caused by Coronavirus disease 2019 (COVID-19). Our aim is to find the best option for the treatment and management of ARDS in COVID-19 patients.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Covid19 Covid-19 ARDS

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Group A: Remdesivir + Tocilizumab treatment group

Drug: Remdesivir Injectable solution Tocilizumab Injectable solution A loading dose of Remdesivir I/V 5mg/kg (less than 40kg) or 200mg (\>40kg) on day 1, then 2.5mg/kg (less than 40kg) or 100mg (\>40kg) daily following randomization.

Tocilizumab I/V 8mg/Kg up to 800mg highest 12 hours apart.

Group Type EXPERIMENTAL

Remdesivir

Intervention Type DRUG

Remdesivir 100 IV Infusion as a lyophilized powder

Tocilizumab

Intervention Type DRUG

Actemra IV Infusion

Group B: Control group

Treatment as given without Remdesivir and Tocilizumab.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Remdesivir

Remdesivir 100 IV Infusion as a lyophilized powder

Intervention Type DRUG

Tocilizumab

Actemra IV Infusion

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Actemra IV Infusion

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

Severe COVID-19 patients require hospitalization under HDU/ICU. The SARS-CoV-2 infection will be confirmed by RT PCR / CT Chest in every case.

Exclusion Criteria

* Participants with uncontrolled clinical status who were hospitalized from the before.
* Contraindication / possible drug interaction.
* Participants who have any severe and/or uncontrolled medical conditions like, Severe ischemic heart disease, epilepsy, malignancy, Pulmonary/renal/hepatic disease, AIDS, Pulmonary TB, pregnancy, Corpulmonale, and etc.
Minimum Eligible Age

16 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

First Affiliated Hospital Xi'an Jiaotong University

OTHER

Sponsor Role collaborator

Cox's Bazar 250 Bed District Sadar Hospital

UNKNOWN

Sponsor Role collaborator

Chattogram General Hospital

OTHER_GOV

Sponsor Role collaborator

M Abdur Rahim Medical College and Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Abu Taiub Mohammed Mohiuddin Chowdhury

Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Abu Taiub Mohammed Mohiuddin Chowdhury, MBBS, MD

Role: STUDY_CHAIR

First Affiliated Hospital Xi'an Jiaotong University

Akter Kamal, MD, PhD

Role: STUDY_DIRECTOR

M Abdur Rahim Medical College Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Chattogram General Hospital

Chittagong, , Bangladesh

Site Status

Cox's Bazar 250 Bed District Sadar Hospital

Cox’s Bāzār, , Bangladesh

Site Status

M. Abdur Rahim Medical College Hospital

Dinajpur, , Bangladesh

Site Status

M. Abdur Rahim Medical College Hospital

Dinajpur, , Bangladesh

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Bangladesh

References

Explore related publications, articles, or registry entries linked to this study.

Mohiuddin Chowdhury ATM, Kamal A, Abbas KU, Talukder S, Karim MR, Ali MA, Nuruzzaman M, Li Y, He S. Efficacy and Outcome of Remdesivir and Tocilizumab Combination Against Dexamethasone for the Treatment of Severe COVID-19: A Randomized Controlled Trial. Front Pharmacol. 2022 Apr 5;13:690726. doi: 10.3389/fphar.2022.690726. eCollection 2022.

Reference Type DERIVED
PMID: 35450050 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

M.A.R.M.C.D./2020/1985

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Remdesivir Efficacy in Coronavirus Disease
NCT04345419 COMPLETED PHASE2/PHASE3
Antiviral Agents Against COVID-19 Infection
NCT04468087 COMPLETED PHASE2/PHASE3