A Study to Evaluate the Safety and Efficacy of MSTT1041A (Astegolimab) or UTTR1147A in Patients With Severe COVID-19 Pneumonia (COVASTIL)
COVID-19 Pneumonia
About this trial
This is an interventional treatment trial for COVID-19 Pneumonia
Eligibility Criteria
Inclusion Criteria:
- Hospitalized with COVID-19 pneumonia confirmed per WHO criteria (including a positive PCR of any specimen; e.g., respiratory, blood, urine, stool, other bodily fluid) and evidenced by chest X-ray or CT scan
- Peripheral capillary oxygen saturation (SpO2) ≤93% (on room air or supplemental oxygen) or partial pressure of oxygen (PaO2)/fraction of inspired oxygen (FiO2) ≤300 millimetres of mercury (mmHg) or requiring supplemental oxygen to maintain SpO2 >93% or requirement for supplemental oxygen to maintain SpO2 at an acceptable level per local standard of care
Exclusion Criteria:
- Pregnant or breastfeeding, or positive pregnancy test at screening
- Any serious medical condition or abnormality of clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
- In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments
- Participating in another clinical drug trial
- Treatment with investigational therapy (other than for COVID-19) within 5 half-lives or 30 days (whichever is longer) prior to initiation of study drug
- Use of Janus kinase (JAK) inhibitor within 30 days or 5 drug elimination half-lives (whichever is longer) prior to screening
- Have received high-dose systemic corticosteroids (≥1 mg/kg/day methylprednisolone or equivalent) within 72 hours prior to Day 1
- Known HIV infection with CD4 <200 cells/microlitre (uL) or <14% of all lymphocytes
- ALT or AST >10 times the upper limit of normal (ULN) detected at screening
- History of anaplastic large-cell lymphoma or mantle-cell lymphoma
- History of cancer within the previous 5 years unless it has been adequately treated and considered cured or remission-free in the investigator's judgment
- Clinical evidence of active or unstable cardiovascular disease (e.g., acute myocardial ischemia or decompensated heart failure), as determined by investigator assessment, ECG, laboratory assessment, or echocardiographic data
- History of moderate or severe allergic, anaphylactic, or anaphylactoid reactions or hypersensitivity to any component of study treatment
Sites / Locations
- University of Arkansas For Medical Sciences
- eStudySite - Chula Vista - PPDS
- eStudySite
- Torrance Memorial Medical Center
- Denver Health Medical Center
- Bay Pines VA Medical Center - NAVREF
- WellStar Research Institute
- DM Clinical Research - Alexandria Cardiology Clinic - ERN - PPDS
- MedPharmics
- Southeast Louisiana Veterans Health Care System - NAVREF
- Henry Ford Health System
- St. Joseph'S Regional Medical Center
- San Juan Oncology Associates
- Albany Medical Center
- Lincoln Medical Mental Health Center
- Staten Island University Hospital; Department of Pharmacy
- Mercy St. Vincent Medical Center
- Providence Portland Medical Center; Investigational Drug Services/Regional Research
- Lehigh Valley Health Network
- Parkland Health & Hospital System
- University of Texas Southwestern Medical Center
- Virginia Commonwealth University
- Virginia Mason Medical Center
- MultiCare Institute for Research and Innovation; Clinic/Outpatient Facility
- Instituto de Pesquisa Clinica Evandro Chagas FIOCRUZ
- Santa Casa de Porto Alegre
- Hospital E Maternidade Celso Pierro PUCCAMP
- Hospital de Base Da Faculdade de Medicina de Sao Jose Do Rio Preto
- Hospital Alemao Oswaldo Cruz
- Instituto do Coração - HCFMUSP
- Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca
- Hospital Universitario Dr. Jose Eleuterio Gonzalez
- Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
- Instituto Nacional De Enfermedades Respiratorias INER National Institute of Respiratory Diseases
- Hospital General de Tijuana
- Hospital Universitario de Bellvitge
- Hospital Costa del Sol; Servicio de Oncologia
- Hospital del Mar
- Hospital General Universitario de Guadalajara
- Complejo Asistencial Universitario de Salamanca - H. Clinico
- Hospital Clinico Universitario Valladolid
Arms of the Study
Arm 1
Arm 2
Arm 3
Placebo Comparator
Experimental
Experimental
All Placebo
MSTT1041A
UTTR1147A
Participants randomized to this arm received one intravenous (IV) infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo on Day 1. A second IV infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo (same placebo as the first infusion) was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
Participants randomized to this arm received one intravenous (IV) infusion of MSTT1041A 700 milligrams (mg) on Day 1. A second IV dose of MSTT1041A 350 mg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
Participants randomized to this arm received one intravenous (IV) infusion of UTTR1147A 90 micrograms/kilogram body weight (μg/kg) on Day 1. A second IV dose of UTTR1147A 90 μg/kg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.