ACTIV-3: Therapeutics for Inpatients With COVID-19 (TICO)
Covid19
About this trial
This is an interventional treatment trial for Covid19 focused on measuring COVID-19, COVID 19, Coronaviridae Infections, Coronavirus Infections, RNA Virus Infections, Virus Diseases, Nidovirales Infections, SARS-CoV-2, SARS Coronavirus, ACTIV-3, ACTIV3
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent.
- Positive test for COVID-19 and progressive disease suggestive of ongoing COVID-19 infection.
- Symptoms of COVID-19 for ≤ 12 days.
- Require admission to hospital for acute medical care (not for purely public health or quarantine purposes).
Exclusion Criteria:
- Patients who have received plasma from a person who recovered from COVID-19 or who have received neutralizing monoclonal antibodies at any time prior to hospitalization.
- Patients not willing to abstain from participation in other COVID-19 treatment trials until after Day 5 of the study. Co-enrollment in certain trials that compare recommended Standard of Care treatments may be allowed, based on the opinion of the study leadership team.
- Any condition which, in the opinion of the responsible investigator, participation would not be in the best interest of the participant or that could prevent, limit, or confound the protocol-specified assessments.
- Patients considered unable to participate in study procedures.
- Women of child-bearing potential who are not already pregnant at study entry and who are unwilling to acknowledge strong advice to abstain from sexual intercourse with men or practice appropriate contraception through 18 months of the study.
- Women of child-bearing potential who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with men or practice appropriate contraception through 5 weeks of the study (PF-07304814 investigational agent).
- Pregnant women (PF-07304814 investigational agents).
- Nursing mothers (PF-07304814 investigational agents).
- Men who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with women of child-bearing potential or to use barrier contraception through 18 months of the study.
- Men who are unwilling to acknowledge the strong advice to abstain from sexual intercourse with women of child-bearing potential or to use barrier contraception through 5 weeks of the study (PF-07304814 investigational agent).
Presence at study enrollment of any of the following:
- stroke
- meningitis
- encephalitis
- myelitis
- myocardial ischemia
- myocarditis
- pericarditis
- symptomatic congestive heart failure
- arterial or deep venous thrombosis or pulmonary embolism
Current or imminent requirement for any of the following:
- invasive mechanical ventilation
- ECMO (extracorporeal membrane oxygenation)
- Mechanical circulatory support
- vasopressor therapy
- commencement of renal replacement therapy at this admission (i.e. not patients on chronic renal replacement therapy).
- Participants with moderate to severe hepatic impairment (i.e. Child-Pugh class B or C) or acute liver failure (PF-07304814 investigational agent).
- Participants receiving any medications or substances that are strong inhibitors or inducers of cytochrome P450 (CYP) 3A4 (PF-07304814 investigational agent).
- Patients will be excluded if taking drugs which have a narrow therapeutic window that are substrates of CYP3A4, including but not limited to: astemizole, cisapride, cyclosporine, dihydroergotamine, ergotamine, pimozide, quinidine, sirolimus, tacrolimus, and terfenadine (PF-07304814 investigational agent).
- Patients with a history of deep vein thrombosis or pulmonary thrombotic embolism (Prior to initial futility assessment of PF-07304814 investigational agent).
Sites / Locations
- Banner University Medical Center Tucson (Site 206-004), 1625 N. Campbell Avenue
- Southern Arizona VA Healthcare System (Site 074-009), 3601 S. 6th Ave.
- Velocity Chula Vista (Site 080-034), 752 Medical Center Ct., Ste. 304
- Community Regional Medical Center (Site 203-005), 2823 Fresno Street
- Velocity San Diego (Site 080-035), 5565 Grossmont Center Drive, Building 2, Suite 1
- VA Loma Linda Healthcare System (Site 074-017), 11201 Benton Street
- VA Long Beach Healthcare System (Site 074-026), 5901 East 7th Street (09/151-M2)
- Keck Hospital of USC (Site 301-020), 1500 San Pablo Street
- Cedars-Sinai Medical Center (Site 208-002), 8700 Beverly Blvd.
- Ronald Reagan UCLA Medical Center (Site 203-002), 757 Westwood Plaza
- Sacramento VA Medical Center (Site 074-023), 10535 Hospital Way
- Hoag Memorial Hospital Presbyterian (Site 080-026), One Hoag Drive
- Palo Alto VAMC (Site 074-005), 3801 Miranda Avenue
- UC Davis Health (Site 203-004), 2315 Stockton Blvd.
- VA San Diego Healthcare System (Site 074-016), 3350 La Jolla Village Drive
- UCSF Medical Center at Mount Zion (Site 203-007), 1600 Divisadero St.
- San Francisco VAMC (Site 074-002), 4150 Clement St.
- UCSF Medical Center (Site 203-001), Moffitt-Long Hospital, 505 Parnassus Ave.
- Stanford University Hospital & Clinics (Site 203-003), 300 Pasteur Dr.
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center (Site 066-002), 1124 W. Carson Street, CDCRC Building
- University of Colorado Hospital (Site 204-001), 12605 E. 16th Avenue
- Denver Public Health (Site 017-004), 660 Bannock St., MC2600 (Infectious Disease Clinic)
- National Jewish Health / St. Joseph Hospital (Site 204-003), 1400 Jackson Street
- West Haven VA Medical Center (Site 025-007), 950 Campbell Avenue
- MedStar Georgetown University Hospital (Site 067-001), 3800 Reservoir Road NW
- MedStar Health Research Institute (Site 009-021), MedStar Washington Hospital Center, 110 Irving St., NW.
- Washington DC VA Medical Center (Site 009-004), 50 Irving Street NW
- Bay Pines VAMC (Site 074-004), 10000 Bay Pines Blvd., Bldg. 100, Room 5B-104
- Baycare Health System (Site 301-025), Morton Plant Hospital, 300 Pinellas Street
- North Florida/South Georgia Veterans Health System (Site 074-011), 1601 SW. Archer Road
- Memorial Healthcare System (Site 648-002), Memorial Regional Hospital, 3501 Johnson Street
- Miami VAMC (Site 074-003), 1201 NW 16 Street
- Hillsborough County Health Department, University of South Florida (Site 032-001)
- Emory University (Site 301-008), The Emory Clinic, Bldg. A, Suite 2236, 1365 Clifton Rd., NE
- Lutheran Medical Group (Site 301-010), 7916 W. Jefferson Boulevard
- Cotton O'Neil Clinical Research Center (Site 080-030), Stormont Vail Health, 1500 SW 10th Avenue
- University of Kentucky Hospital (Site 210-004), 1000 South Limestone St.
- Ochsner Clinic Foundation (Site 301-015), 1514 Jefferson Highway
- University of Maryland Medical Center (Site 301-019), 22 South Greene Street
- Massachusetts General Hospital (Site 202-002), 55 Fruit Street
- Beth Israel Deaconess Medical Center (Site 202-001), 330 Brookline Ave.
- Baystate Medical Center (Site 201-001), 759 Chestnut Street
- University of Michigan (Site 205-001), 1500 East Medical Center Drive
- Henry Ford Health System, Henry Ford Hospital (Site 014-001), 2799 W. Grand Blvd.
- Minneapolis Heart Institute Foundation (Site 301-026), Abbott Northwestern Hospital, 920 E 28th St. #100
- Hennepin Healthcare (Site 027-001), 701 Park Avenue
- Minneapolis VA Health Care System (Site 105-001), 1 Veterans Drive, Bldg 70
- M Health Fairview University of Minnesota Medical Center (Site 112-001), 500 Harvard St. SE.
- University of Mississippi Medical Center (Site 202-005), 2500 North State Street
- VA St. Louis Healthcare System (Site 074-027), 915 North Grand Blvd., Rm. C201
- Dartmouth-Hitchcock Medical Center/Mary Hitchcock Memorial Hospital (Site 301-024), One Medical Center Drive
- Cooper University Hospital (Site 019-001), One Cooper Plaza
- Lincoln Medical Center (New York Health and Hospitals/Lincoln) (Site 003-016), 234 E. 149th Street
- Montefiore Medical Center Weiler Hospital (Site 206-003), 1825 Eastchester Road
- Montefiore Medical Center Moses Hospital (Site 206-001), 111 E. 210th Street
- SUNY Downstate Medical Center (Site 033-001), 450 Clarkson Ave.
- Maimonides Medical Center (Site 033-002), 4802 10th Avenue
- Ichan School of Medicine at Mount Sinai (Site 301-012), One Gustave L. Levy Place, Box 1620
- Duke University Hospital (Site 301-006), 2301 Erwin Road
- Wake Forest University Health Sciences (Site 210-001), Medical Center Blvd
- University of Cincinnati Medical Center (Site 207-003), 234 Goodman Ave.
- University Hospitals Cleveland Medical Center (Site 108-001), 11100 Euclid Avenue
- Cleveland Clinic Fairview Hospital (Site 207-005), 18101 Lorain Avenue
- Cleveland Clinic Foundation (Site 207-001), 9500 Euclid Avenue
- Cleveland Clinic Marymount Hospital (Site 207-006), 12300 McCraken Road
- Oregon Health & Science University (Site 208-003), 3181 SW Sam Jackson Park Rd.
- Portland VA Healthcare System (Site 074-024), 3710 SW. US Veterans Hospital Road
- UPMC Magee-Womens Hospital (Site 209-003), 300 Halket Street
- UPMC Presbyterian Hospital (Site 209-001), 200 Lothrop Street
- UPMC Shadyside Hospital (Site 209-005), 5230 Centre Avenue
- Rhode Island Hospital (Site 080-036), 593 Eddy Street
- The Miriam Hospital (Site 080-039), 164 Summit Ave.
- VA Providence Healthcare System (Site 074-025), 830 Chalkstone Ave.
- Ralph H. Johnson VA Medical Center (Site 074-015), 109 Bee Street
- MUSC Research Nexus Clinic (Site 210-002), 96 Jonathan Lucas St., CSB 214
- MUSC Health Florence Medical Center (Site 210-006), 805 Pamplico Highway
- VA TVHS Nashville Campus (Site 074-022), 1310 24th Avenue South
- Vanderbilt University Medical Center (Site 212-001), 1211 Medical Center Drive
- Hendrick Medical Center (Site 080-014), 1900 Pine Street
- CHRISTUS Spohn Shoreline Hospital (Site 080-001), 600 Elizabeth Street
- Parkland Health and Hospital Systems (Site 084-002), 5200 Harry Hines Blvd
- UT Southwestern Medical Center (Site 084-001), 1936 Amelia Court, 2nd Floor
- Baylor, Scott and White Health (Site 301-003), Baylor University Medical Center, 3500 Gaston Ave.
- Memorial Hermann Hospital (Site 203-006), 6411 Fannin Street
- Michael E. DeBakey Veterans Affairs Medical Center (MEDV AMC) (Site 074-006), 2002 Holcombe Blvd.
- Texas Heart Institute (Site 301-017), 6770 Bertner, MC4-266
- CHRISTUS Good Shepherd Medical Center (Site 080-031), 700 E. Marshall Ave.
- Intermountain Medical Center (Site 211-001), 5121 South Cottonwood Street
- University of Utah Hospital (Site 211-002), 419 Wakara Way, Suite 207
- LDS Hospital (Site 211-004), 8th Ave. C Street
- University of Virginia Health Systems (Site 301-021), 1215 Lee Street
- Virginia Commonwealth University Health System (Site 210-005), 1250 East Marshall Street
- Carilion Roanoke Memorial Hospital (Site 080-018), 1906 Belleview Avenue
- Salem VA Medical Center (Site 074-014), 1970 Roanoke Blvd.
- Harborview Medical Center (Site 208-001), 325 9th Avenue
- Swedish Hospital First Hill (Site 208-005), 747 Broadway
- University of Washington Medical Center - Montlake (Site 208-006), 1959 NE Pacific Street
- West Virginia University (Site 301-023), One Medical Center Drive
- Aalborg Hospital (Site 625-005), Hobrovej 18
- Aarhus Universitetshospital, Skejby (Site 625-002), Department of Infectious Diseases, Palle Juul-Hensens Boulevard 99
- Righospitalet (Site 625-006), Blegdamsvej 9,
- Bispebjerg Hospital (Site 625-013), Bispebjerg Bakke 23
- Herlev/Gentofte Hospital (Site 625-012), Medicinsk Afdeling, Herlev Ringvej 75
- Nordsjællands Hospital (Site 625-009), Dyrehavevej 29
- Hvidovre University Hospital, Department of Infectious Diseases (Site 625-001), Kettegård allé 30
- Kolding Sygehus (Site 625-011), Medicinsk Afdeling, Sygehusvej 24
- Odense University Hospital (Site 625-004), Infektionsmedicinsk Forskningsenhed, J.B. Winsløwsgade 4
- Zealand University Hospital, Roskilde (Site 625-010), Sygehusvej 10
- Democritus University of Thrace (Site 635-021), University General Hospital of Alexandroupolis, Dragana
- Evangelismos COVID-19 Unit, (Site 635-020), 1st Dept. of Pulmonary and Critical Care Medicine, Evangelismos General Hospital, Dept., Ipsilantou 45-47
- 1st Respiratory Medicine Dept., Athens University Medical School (Site 635-015), Athens Hospital for Diseases of the Chest "Sotiria Hospital", 152 Mesogeion Ave.
- 3rd Dept. of Medicine, Medical School, NKUA (Site 635-022), Sotiria General Hospital, 152 Mesogeion Ave.
- Attikon University General Hospital (Site 635-009), 4th Dept. of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 1 Rimini St., Haidari
- Institute of Human Virology Nigeria (IHVN) (Site 612-601), Plot 252, Herbert Macaulay Way, Central Business District
- Wojewódzki Szpital Zakazny (Site 625-302), Wolska 37
- Tan Tock Seng Hospital (Site 612-201), National Centre for Infectious Diseases (NCID), 11 Jalan Tan Tock Seng
- Hospital Universitari Germans Trias i Pujol (Site 626-003), Infectious Disease Unit, Second Floor, Building Maternal, Road Canyet s/n
- Hospital Universitari Arnau de Vilanova (Site 626-035), Av. Alcalde Rovira Roure 80
- Hospital Del Mar (Site 626-025), Paseo Maritimo 25-29
- Hospital Universitari Vall d'Hebron (Site 626-033), Passeig de la Vall d'Hebron 119-129
- Hospital Clínic de Barcelona (Site 626-004), Carrer de Villaroel 170
- Hospital Universitario de Bellvitge (Site 626-034), Carrer de la Feixa Llarga, s/n
- Hospital General Universitario Gregorio Marañón (Site 626-001), Dr. Esquerdo, 46
- Hospital Clínico San Carlos (Site 626-017), Enfermedades infecciosas, C/Martin Lagos CN
- UCICEC (Clinical Trial Unit) Hospital Universitario La Paz (Site 626-012), Paseo de la Castellana 261, 2a planta Hospital Maternal
- University Hospital Zurich (Site 621-201), Department of Infectious Diseases and Hospital Epidemiology, Raemistrasse 100
- MRC/UVRI and LSHTM Uganda Research Unit (Site 634-601), Entebbe Regional Referral Hospital
- Gulu Regional Referral Hospital (Site 634-603), Laroo Division, PO Box 160
- Makerere University Lung Institute (Site 634-604), New Mulago Hospital Complex, Mulago Hill
- St. Francis Hospital, Nsambya (Site 634-607), Nsambya Road Nsambya Hill, P.O. Box 7146
- Lira Regional Referral Hospital (Site 634-605)
- Masaka Regional Referral Hospital (Site 634-606), MRC/UVRI and LSHTM Uganda Research Unit, Plot 6 Circle Road, PO Box 556
- Royal Victoria Infirmary (Site 634-007), Queen Victoria Road
- Royal Free Hospital (Site 634-006), Pond Street, Hampstead
- Guy's and St. Thomas' NHS Foundation Trust (Site 634-011)
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
ACTIV-3 Drug plus SOC
Placebo plus SOC
Participants in this study will be randomized to receive one of the ACTIV-3 drug treatments plus Standard of Care (SOC) or placebo plus SOC
The placebo arm may be pooled across more than one experimental arm if multiple investigational drugs are available to be tested at the same time. If it is not possible to use matching placebo over more than one experimental arm, additional placebo arms will be included in the study