Status:

COMPLETED

A Study to Evaluate the Efficacy and Safety of Tocilizumab in Hospitalized Participants With COVID-19 Pneumonia

Lead Sponsor:

Genentech, Inc.

Conditions:

COVID-19 Pneumonia

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This study (EMPACTA) will a) evaluate the efficacy and safety of tocilizumab (TCZ) compared with a placebo in combination with standard of care (SOC) in hospitalized participants with COVID-19 pneumon...

Eligibility Criteria

Inclusion

  • Inclusion Criteria
  • Hospitalized
  • COVID-19 pneumonia confirmed by a positive polymerase chain reaction (PCR) of any specimen and radiographic imaging
  • SpO2 \< 94% while on ambient air
  • Inclusion Criteria Specific to Long-Term Extension
  • Participated in Study ML42528 (EMPACTA) (includes participants who completed or discontinued early from the main study)
  • Exclusion Criteria
  • Known severe allergic reactions to TCZ or other monoclonal antibodies
  • Require continuous positive airway pressure (CPAP), bilevel positive airway pressure (BIPAP), or invasive mechanical ventilation
  • Suspected active bacterial, fungal, viral, or other infection (besides COVID-19)
  • In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments
  • Immunocompromised (besides well-controlled HIV) or on immunosuppressive therapy (except for steroids for COVID), advanced cancer
  • Have received oral anti-rejection or immunomodulatory drugs (including TCZ) within the past 3 months
  • Participating in another interleukin (IL)-6 antagonist clinical trial or other drug clinical trials (participation in COVID-19 anti-viral trials may be permitted if approved by Medical Monitor)
  • Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 10 x upper limit of normal (ULN) detected within 24 hours at screening (according to local laboratory reference ranges)
  • Absolute neutrophil count (ANC) \< 1000/uL at screening (according to local laboratory reference ranges)
  • Platelet count \< 50,000/uL at screening (according to local laboratory reference ranges)
  • Pregnant or breastfeeding, or positive pregnancy test in a pre-dose examination
  • Treatment with an investigational drug within 5 half lives or 30 days (whichever is longer) of randomization (investigational COVID-19 antivirals may be permitted if approved by Medical Monitor)
  • 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
  • Any history of Diverticulitis or GI perforation
  • Use of systemic corticosteroids unless on a stable chronic dose

Exclusion

    Key Trial Info

    Start Date :

    May 14 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    September 22 2020

    Estimated Enrollment :

    377 Patients enrolled

    Trial Details

    Trial ID

    NCT04372186

    Start Date

    May 14 2020

    End Date

    September 22 2020

    Last Update

    February 10 2023

    Active Locations (44)

    Enter a location and click search to find clinical trials sorted by distance.

    Page 1 of 11 (44 locations)

    1

    Banner - University Medical Center Phoenix; In-Patient Pharmacy

    Phoenix, Arizona, United States, 85006

    2

    Univ of AZ Coll of Med

    Tucson, Arizona, United States, 85724

    3

    El Centro Regional Medical Center

    El Centro, California, United States, 92243

    4

    eStudySite

    La Mesa, California, United States, 91942