SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19.
Nina Kreuzberger, Caroline Hirsch, Khai Li Chai...
https://pubmed.ncbi.nlm.nih.gov/34473343/Actively Recruiting
Led by The Methodist Hospital Research Institute · Updated on 2020-07-31
60
Participants Needed
1
Research Sites
30 weeks
Total Duration
Researchers are evaluating clazakizumab, an antibody that blocks certain inflammatory processes, compared to a placebo to treat COVID-19 infection. This study focuses on patients with COVID-19 who show signs of lung involvement but are not yet on ventilators. The goal is to see if clazakizumab can safely reduce the risk of the disease progressing to acute respiratory distress syndrome ARDS. Participants are randomly assigned to receive either clazakizumab or placebo through an intravenous infusion over 30 minutes. If a participants condition does not improve or worsens within 24 hours or up to 14 days after the first dose, they may receive an open-label dose of clazakizumab. This trial is double-blind during the initial treatment period and then open-label as needed. During the study, participants will be monitored closely for safety and effectiveness through assessments such as clinical status scales, lung imaging, survival, and need for mechanical ventilation or intensive care. The main outcome is measured 24 hours after infusion, with further follow-up up to 60 days to track hospital stay, ICU time, and lung condition changes. The total participation time varies depending on individual progress and follow-up requirements.
CONDITIONS
Clazakizumab vs. Placebo - COVID-19 Infection
I
Isioma Agboli, MD
D
Darrel Cleere, BSN
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
The Methodist Hospital Research Institute
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Clazakizumab Infusion | Placebo Infusion | Current Standard of Care (No Routine IL-6 Inhibitor) |
|---|---|---|---|
| What it is | Clazakizumab is a monoclonal antibody targeting interleukin-6, administered as an intravenous infusion for patients hospitalized with COVID-19. | Placebo is an inactive intravenous infusion given under the same conditions as clazakizumab, serving as a control in the trial. | Guideline-directed standard-of-care typically includes supportive care, dexamethasone, and anticoagulation as indicated, but routine use of interleukin-6 inhibitors is not recommended in similar hospitalized adults without respiratory failure requiring mechanical ventilation or ECMO. |
| Role in the trial | Investigational arm to evaluate the effect of clazakizumab on outcomes in hospitalized adults with COVID-19 pneumonia. | Randomized comparator arm receiving placebo infusion; serves as the control for measuring treatment effects. | Current guideline-based care is intended as the primary treatment approach outside clinical trials for similar hospitalized COVID-19 patients. |
| Primary use | Evaluated to see whether blocking interleukin-6 activity with clazakizumab improves outcomes in adults hospitalized for COVID-19 pneumonia with inflammation. | Serves as the inactive comparator; does not alter standard immune or inflammatory pathways. | Aims to provide supportive and evidence-based care using treatments like steroids and oxygen, without routine addition of new immune modulators unless clinical escalation occurs. |
| How it is given or performed | Administered as a one-time intravenous infusion by health professionals in a hospital setting. | Given as a one-time intravenous infusion identical in appearance and timing to clazakizumab. | Standard care includes oxygen support, oral or intravenous steroids, and other guideline therapies as appropriate for respiratory needs. |
| Evidence status | As of now, the effectiveness and safety of clazakizumab for COVID-19 remain unproven and under investigation in clinical trials. | Placebo has no active therapeutic effect and is used for comparison purposes only. | Treatment with glucocorticoids, oxygen, and guideline-based care has demonstrated mortality and recovery benefits in hospitalized COVID-19 patients in multiple clinical trials. |
| Important limitations | Effectiveness, safety profile, and optimal patient selection for clazakizumab in COVID-19 are unknown; results of ongoing trials are needed. | Placebo does not offer clinical benefit and has no therapeutic effect for COVID-19. | Best practices are evolving; while supportive care is effective for most, patients with severe inflammation or cytokine storm may require additional therapies that are still under active investigation. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 14 days
Participants receive either clazakizumab or placebo through an intravenous infusion over 30 minutes. If no improvement or worsening occurs within 24 hours or up to 14 days, an open-label dose of clazakizumab may be given.
Duration - Up to 60 days
Participants are monitored for safety, lung function, need for ventilation, and survival up to 60 days after treatment.
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Nina Kreuzberger, Caroline Hirsch, Khai Li Chai...
https://pubmed.ncbi.nlm.nih.gov/34473343/Puja Mehta, Daniel F McAuley, Michael Brown...
https://pubmed.ncbi.nlm.nih.gov/32192578/Peter Uciechowski, Wolfram C M Dempke
https://pubmed.ncbi.nlm.nih.gov/31958792/Yong Gao, Tuantuan Li, Mingfeng Han...
https://pubmed.ncbi.nlm.nih.gov/32181911/Simon A Jones, Brendan J Jenkins
https://pubmed.ncbi.nlm.nih.gov/30254251/Robert Q Le, Liang Li, Weishi Yuan...
https://pubmed.ncbi.nlm.nih.gov/29622697/Toshio Tanaka, Tadamitsu Kishimoto
https://pubmed.ncbi.nlm.nih.gov/23136551/Chaomin Wu, Xiaoyan Chen, Yanping Cai...
https://pubmed.ncbi.nlm.nih.gov/32167524/Qiurong Ruan, Kun Yang, Wenxia Wang...
https://pubmed.ncbi.nlm.nih.gov/32253449/The Methodist Hospital Research Institute
Lead Sponsor