A Study Evaluating Tocilizumab in Pediatric Patients Hospitalized With COVID-19

NCT ID: NCT05164133

Last Updated: 2024-04-29

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

2 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-10

Study Completion Date

2024-03-27

Brief Summary

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This is a single-arm, open-label study to assess the pharmacokinetics, pharmacodynamics, safety, and exploratory efficacy of tocilizumab (TCZ) for the treatment of pediatric patients from birth to less than 18 years old hospitalized with COVID-19 and who are receiving systemic corticosteroids and require supplemental oxygen or mechanical ventilation.

Detailed Description

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Conditions

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COVID-19

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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All Participants

Participants who are hospitalized with COVID-19 and who are receiving systemic corticosteroids and require supplemental oxygen or mechanical ventilation will receive a single dose of TCZ on Day 1, with the option to receive a second dose 8-24 hours later if clinically indicated.

Group Type EXPERIMENTAL

Tocilizumab

Intervention Type DRUG

Participants will receive intravenous (IV) tocilizumab

Interventions

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Tocilizumab

Participants will receive intravenous (IV) tocilizumab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Hospitalized with COVID-19 confirmed per a positive PCR of any specimen (e.g., respiratory, blood, urine, stool, or other bodily fluid) and evidenced by chest x-ray or CT scan
* Receiving systemic corticosteroids at baseline
* Oxygen saturation \< 93% on room air, or requiring supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) to maintain oxygen saturation \> 92% at screening and baseline

Exclusion Criteria

* Gestational age \< 37 weeks
* Known severe allergic reactions to TCZ or other monoclonal antibodies
* Active tuberculosis infection
* Uncontrolled active bacterial, fungal, viral, or other infection (besides COVID-19)
* Diagnosis or suspected diagnosis of multisystem inflammatory syndrome in children (MIS-C)
* In the opinion of the investigator, progression to death is imminent and inevitable within the next 48 hours, irrespective of the provision of treatments
* Have received oral anti-rejection or immunomodulatory drugs (including TCZ) within the past 3 months prior to enrollment
* Treatment with an investigational drug within 5 drug-elimination half-lives or 30 days, whichever is longer, of enrollment (except for anti-SARS-CoV-2 antibodies or directly-acting antivirals)
* Participating in another interventional drug clinical trial (except for anti-SARS-CoV-2 antibodies or directly-acting antivirals)
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Reagan UCLA Medical Center

Los Angeles, California, United States

Site Status

The University of Chicago

Chicago, Illinois, United States

Site Status

Central Michigan University College of Medicine

Mount Pleasant, Michigan, United States

Site Status

Feinstein Institute for Medical Research

Manhasset, New York, United States

Site Status

University Hospitals Cleveland Medical Center, Rainbow Babies and Childrens Hospital

Cleveland, Ohio, United States

Site Status

UT Physicians - Pediatric Center - Texas Medical Center

Houston, Texas, United States

Site Status

University of Utah - PPDS

Salt Lake City, Utah, United States

Site Status

Santa Casa de Misericordia de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Klinika Za Djecje Bolesti Zagreb

Zagreb, , Croatia

Site Status

University Hospital for Infection Diseases "Dr. Fran Mihaljevic" - PPDS

Zagreb, , Croatia

Site Status

CHRU Montpellier; SMPEA Peyre Plantade Centre de Ressources Autisme

Montpellier, , France

Site Status

Hospital Necker

Paris, , France

Site Status

Assistance Publique Hopitaux de Paris

Val-de-Marne, , France

Site Status

Uniklinik Köln

Cologne, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Hippokration Hospital

Thessaloniki, , Greece

Site Status

IRCCS Ospedale Pediatrico Bambino Gesù - INCIPIT - PIN

Rome, Lazio, Italy

Site Status

ASST di Lecco - Presidio Ospedaliero A. Manzoni di Lecco

Lecco, Lombardy, Italy

Site Status

Szpital Kliniczny im Karola Jonschera Uniwersytetu Medycznego im Karola Marcinkowskiego w Poznaniu

Poznan, , Poland

Site Status

Global Clinical Trials Sunnyside

Pretoria, , South Africa

Site Status

Hospital Sant Joan de Deu - PIN; Unitat de Recerca - Farmacia

Esplugues de Llobregat, Barcelona, Spain

Site Status

Hospital Infantil Universitario Niño Jesus; Sección de Neuropediatria

Madrid, , Spain

Site Status

Hospital Universitario 12 De Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz - PPDS

Madrid, , Spain

Site Status

Great North Childrens Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Brazil Croatia France Germany Greece Italy Poland South Africa Spain United Kingdom

Other Identifiers

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WA43811

Identifier Type: -

Identifier Source: org_study_id

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