Phase 3
N=207
Octagam 10% Therapy in COVID-19 Patients With Severe Disease Progression
Covid-19
Bottom Line
View on ClinicalTrials.gov: NCT04400058 ↗Enrolled (actual)
207
Serious AEs
13.2%
Results posted
Jan 2024
Primary outcome: Primary: Proportion of Subjects Reaching Stabilization or Improvement in Clinical Status at Day 7 — 89; 82 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Octagam 10% (Biological); Saline Solution (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Octapharma
- Primary completion
- Feb 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Subjects Reaching Stabilization or Improvement in Clinical Status at Day 7 |
89; 82 | — |
| SECONDARY Length of Hospital Stay (Time to Discharge) |
12; 11 | — |
| SECONDARY Number of Subjects Reaching Stabilization or Improvement In Clinical Status at Day 14 |
86; 83 | — |
| SECONDARY Cumulative Duration of Invasive Mechanical Venitlation (IMV) |
2.7; 1.6 | — |
| SECONDARY Number of Subjects With Severe Disease Progression |
15; 12 | — |
| SECONDARY ICU Stay Length |
4.6; 3.9 | — |
| SECONDARY Cumulative Mortality Rate Through Day 33 |
12; 6 | — |
Summary
This is a randomized, double-blind, placebo-controlled, multicenter, Phase 3 study to evaluate if high-dose Octagam 10% therapy can stabilize or improve clinical status in patients with severe Coronavirus disease
Eligibility Criteria
Inclusion Criteria
- Adult aged ≥18years old
- Provide voluntary, fully informed written and signed consent before any study-related procedures are conducted
- Able to understand and comply with the relevant aspects of the study protocol
- Laboratory (RT-PCR) confirmed COVID-19 infection on throat swab and/or sputum and/or lower respiratory tract samples
- Hospitalized with a resting room-air SpO2 of ≤93% or PaO2/FiO2 ratio 0.5ng/mL and concomitant neutrophilia]), known fungal pneumonia, suspected fungal pneumonia based on compromised immune system with a history of past fungal infections, noninfectious causes, etc.
- Known history of serious allergic reactions, including anaphylaxis, to IVIG or its preparation components
- Subjects with a history of thromboembolic event (TEE) within the last 12 months, such as deep vein thrombosis, pulmonary embolism, myocardial infarction, ischemic stroke, transient ischemic attack, peripheral artery disease (Fontaine IV)
- Subjects with an underlying medical condition that can lead to hypercoagulable states and hyperviscosity such as antithrombin III deficiency, Factor V Leiden, Protein C deficiency, antiphospholipid syndrome and malignancy
- Known history of selective IgA deficiency with antibodies against IgA
- Subjects with conditions such as human immunodeficiency virus (HIV) infection, known acute or chronic hepatitis B or C (HBsAg positive or HCV ribonucleic acid (RNA) PCR positive or currently treated with antivirals), pulmonary fibrosis, elevated procalcitonin (> 0.5) with concomitant neutrophilia (elevated polys), heparin induced thrombocytopenia (HIT), and moderate to severe renal dysfunction (per investigator discretion based on estimated glomerular filtration rate [eGFR] 125 kg
- Women who are pregnant or breast-feeding
- Subjects who received COVID-19 convalescent plasma, IVIG products, anti-interleukin agents (eg, Tocilizumab), or interferons for their COVID-19 disease before enrollment or plan to receive this treatment during the course of the study
- Enrolled in other experimental interventional studies or taking experimental medications (ie, convalescent plasma). Diagnostic studies can be allowed if the anticipated total blood volume to be drawn across both studies and for therapeutic purposes does not exceed 450 mL over any 8-week period.
Data sourced from ClinicalTrials.gov (NCT04400058). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.