Study to Evaluate the Safety and Antiviral Activity of Remdesivir (GS-5734™) in Participants With Moderate Coronavirus Disease (COVID-19) Compared to Standard of Care Treatment
COVID-19
About this trial
This is an interventional treatment trial for COVID-19
Eligibility Criteria
Key Inclusion Criteria:
- Willing and able to provide written informed consent prior to performing study procedures (participants ≥ 18 years of age) or assent (participants ≥ 12 and < 18 years of age) prior to performing study procedures. For participants ≥ 12 and < 18 years of age, a parent or legal guardian willing and able to provide written informed consent prior to performing study procedures
- Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by polymerase chain reaction (PCR) test ≤ 4 days before randomization
- Currently hospitalized and requiring medical care for COVID-19
- Peripheral capillary oxygen saturation (SpO2) > 94% on room air at screening
- Radiographic evidence of pulmonary infiltrates
Key Exclusion Criteria:
- Participation in any other clinical trial of an experimental treatment for COVID-19
- Concurrent treatment or planned concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2
- Requiring mechanical ventilation at screening
- Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit of normal (ULN)
- Creatinine clearance < 50 mL/min using the Cockcroft-Gault formula for participants ≥ 18 years of age {Cockcroft 1976} and Schwartz Formula for participants < 18 years of age
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Kaiser Permanente Los Angeles Medical Center, 3340 E. La Palma Avenue
- Alta Bates Summit Medical Center
- Mills-Peninsula Medical Center
- Eden Medical Center
- Kaiser Permanente Los Angeles Medical Center, 9333 Imperial Highway
- Kaiser Permanente Los Angeles Medical Center, 9961 Sierra Ave
- St Joseph Hospital Eureka
- Kaiser Permanente Los Angeles Medical Center, 25825 S. Vermont Ave.
- Kaiser Permanente Los Angeles Medical Center
- Kaiser Permanente Los Angeles Medical Center, 6041 Cadillac Ave.
- Kaiser Permanente Los Angeles Medical Center, 5601 De Soto Avenue
- Mission Hospital Regional Medical Center
- Kaiser Permanente Los Angeles Medical Center,27300 Iris Avenue
- El Camino Hospital
- Hoag Memorial Hospital Presbyterian
- Kaiser Permanente Oakland Medical Center
- Kaiser Permanente Los Angeles Medical Center, 2295 S. Vineyard Avenue
- The Center for Cancer Prevention and Treatment at St. Joseph Hospital of Orange
- Kaiser Permanente Los Angeles Medical Center,13651 Willard Street
- Kaiser Permanente Los Angeles Medical Center, 10800 Magnolia Avenue
- Sutter Medical Center Sacramento, One Medical Plaza
- Sutter Medical Center Sacramento
- Kaiser Permanente Los Angeles Medical Center, 4647 Zion Avenue
- Kaiser Permanente Los Angeles Medical Center, 9455 Clairemont Mesa Blvd
- Kaiser Permanente Oakland Medical Center, 1200 El Camino Real
- California Pacific Medical Center-Infectious Disease Associates Medical Group
- Kaiser Permanente Oakland Medical Center, 2425 Geary Blvd
- Kaiser Permanente Oakland Medical Center, 250 Hospital Parkway, Suite 850
- Kaiser Permanente Oakland Medical Center, 2500 Merced St
- Kaiser Permanente Oakland Medical Center, 700 Lawrence Expressway
- Providence St. Johns Medical Center
- Sutter Santa Rosa Regional Hospital
- Stanford Hospital
- University of Colorado Denver, University of Colorado Hospital
- SCL Health St. Joseph Hospital, 1375 East 19th Ave
- SCL Health St. Joseph Hospital
- Rose Medical Center
- SCL Health St. Joseph Hospital, 200 Exempla Circle.
- Yale University
- Kaiser Permanente Hawaii Moanalua Medical Center
- Cook County General Hospital
- Rush University Medical Center
- University of Chicago
- IU Health Methodist Hospital
- University of Iowa Hospitals & Clinics
- Tulane University
- Maine Medical Center
- Holy Cross Hospital
- Tufts Medical Center
- Brigham & Women's Hospital and Harvard Medical School
- Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center
- The University of Michigan Hospitals and Health Systems
- Henry Ford Health System
- Hennepin Healthcare
- Mayo Clinic
- Providence St Patrick Hospital and International Heart Institute of MT Foundation
- Darmouth-Hitchhock Medical Center
- Hackensack Medical Center
- Robert Wood Johnson University Hospital Somerset
- Robert Wood Johnson University Hospital Somerset, 1 RWJ Place
- Robert Wood Johnson University Hospital Somerset, 201 Lyons Avenue
- St. Joseph's University Medical Center
- Jacobi Medical Center
- James J. Peters Veterans Administration Medical Center
- Jamaica Hospital Medical Center
- Danbury Hospital
- North Shore University Hospital
- North Shore University Hospital, 270-05 76th Ave
- Icahn School of Medicine at Mount Sinai, 350 East 17th Street
- Icahn School of Medicine at Mount Sinai, 1000 10th Avenue
- Icahn School of Medicine at Mount Sinai, 440 West 114th St.
- Icahn School of Medicine at Mount Sinai
- Columbia University Irving Medical Center
- Weill Cornell Medical College/NYU Presbyterian Hospital
- Duke University Medical Center
- University Hospitals Cleveland Medical Center
- Kaiser Sunnyside Medical Center, 2875 NW Stucki Ave
- Providence Portland Medical Center
- Providence St. Vincent Medical Center
- Kaiser Sunnyside Medical Center
- Hospital of the University of Pennsylvania, 51 N. 31st Street
- Hospital of the University of Pennsylvania
- Temple University Hospital
- The Miriam Hospital
- Prisma Health Richland Hospital
- Prisma Health Richland Hospital, 701 Grove Road
- The Liver Institute of Methodist Dallas Medical Center
- UT Southwestern Medical Center Amelia Court, HIV Research Clinic
- Baylor University Medical Center
- UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 5201 Harry Hines Blvd.
- UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 6201 Harry Hines Blvd
- Baylor University Medical Center, 1400 8th Ave
- Houston Methodist Hospital
- Baylor University Medical Center, 2401 S. 31st St.
- University of Utah Health
- Virginia Hospital Center
- Inova Fairfax Hospital
- VCU Health Medical Center
- Providence Medical Research Center
- Kadlec Regional Medical Center
- Providence St. Peter Hospital
- Virginia Mason Medical Center
- Swedish Center for Comprehensive Care
- MultiCare Deaconess Hospital
- MultiCare Tacoma General Hospital
- St Joseph Medical Center
- The First Affiliated Hospital of Guangzhou Medical University
- CHU Pellegrin
- CHU de Montpellier-Hopital Gui de Chauliac
- CHU de Nantes-Hotel Dieu
- Hopital Saint-Louis
- Hopital Saint Antoine
- Charite Universitatsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik Infektiologie Pneumologie
- Universitatsklinikum Dusseldorf, Klinik fur Gastroenterologie, Hepatologie und Infektiologie
- Universitatsklinikum Hamburg-Eppendorf
- Universitätsklinikum Schleswig-Holstein Campus Kiel
- Klinikum St. Georg gGmbH Klinik fur Infektiologie, Tropenmedizin, Nephrologie und Rheumatologie
- Klinikum rechts der Isar der TU Munchen, Klinik und Poliklinik Innere Medizin 2
- Klinik für Hämatologie, Onkologie, Immunologie
- Robert-Bosch-Krankenhaus (RBK), Klinik Schillerhohe (KSH) und Dr. Margarete Fischer-Bosch-Institut fur klinische Pharmakologie (IKP)
- Prince of Wales Hospital
- Princess Margaret Hospital
- Queen Mary Hospital
- UOC Malattie Infettive, ASST Papa Giovanni XXIII
- ASST degli Spedali Civili di Brescia
- ASST di Cremona - Azienda Socio Sanitaria Territor
- UOC Malattie Infettive, IRCCS Ospedale San Raffaele
- ASST Fatebenefratelli Sacco
- UO Malattie Infettive, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
- UOC Malattie Infettive e Tropicali, Azienda Ospedaliera di Padova
- Azienda Ospedaliero Universitaria di Parma
- Malattie Infettive I, Fondazione IRCCS Policlinico San Matteo
- Ospedale Guglielmo da Saliceto AUSL di Piacenza
- UOC Malattie Infettive ad Alta Intensita di Cure, Istituto Nazionale Malattie Infettive Lazzaro Spallanzani I.R.C.C.S.
- Clinica Universitaria Malattie Infettive, Ospedale Amedeo di Savoia
- Yokohama Municipal Citizen's Hospital
- Nagoya City East Medical Center
- Tokyo Metropolitan Bokutoh Hospital
- Kyungpook National University Hospital
- Seoul Medical Center
- National Medical Center
- Amsterdam University Medical Centre - Location AMC
- Leiden University Medical Center
- Erasmus Medical Centre
- National University Hospital
- Singapore General Hospital
- National Centre for Infectious Diseases, Tan Tock Seng Hospital
- Hospital Principe de Asturias
- Complejo Hospitalario Universitario A Coruña
- Hospital Universitario Vall d'Hebron
- Hospital Universitari de Bellvitge
- Hospital Clinic de Barcelona
- Hospital Universitario Cruces
- Hospital Universitario Ramón y Cajal
- Hospital Universitario Fundación Jiménez Díaz
- Hospital Universitario 12 de Octubre
- Hospital Universitario La Paz
- Hospital Regional Universitario de Málaga
- Hospital Universitario Virgen del Rocio
- Hospital Universitari i Politecnic La Fe
- Sahlgrenska University Hospital, Ostra
- SUS (Skanes University Hospital)
- Karolinska University Hospital
- Hopitaux Universitaires de Genève
- Ospedale Regionale di Locarno La Carità
- Universitätsspital Zürich
- Kaohsiung Veterans General Hospital
- China Medical University Hospital
- National Taiwan University Hospital
- Imperial College NHS Trust
- NHS Lothian, Royal lnfirmary of Edinburgh
- Queen Elizabeth University Hospital
- Hull University Teaching Hospitals NHS Trust
- Royal Lancaster Hospital
- Liverpool University Hospital
- Northwick Park Hospital
- Royal Free London NHS Foundation Trust
- King's College Hospital NHS Trust
- University College London
- Manchester University NHS Foundation Trust
- Manchester University NHS Foundation Trust
- Pennine Acute Hospitals NHS Trust
- Derriford Hospital
- Sheffield Teaching Hospitals
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Active Comparator
Experimental
Part A: Remdesivir (RDV), 5 Days
Part A: Remdesivir, 10 Days
Part A: SOC Therapy
Part B: Extension Treatment, Remdesivir 10 Days
Participants will receive continued standard of care (SOC) therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, and 5.
Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10.
Participants will receive continued standard of care therapy.
Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10.