Name (Synonyms) | Correlation | |
---|---|---|
drug693 | Remestemcel-L Wiki | 0.71 |
drug581 | Oral placebo Wiki | 0.71 |
drug426 | Injective placebo Wiki | 0.71 |
drug229 | Convalescent anti-SARS-CoV-2 plasma Wiki | 0.71 |
drug732 | Sarilumab Wiki | 0.29 |
drug360 | Hydroxychloroquine Wiki | 0.09 |
Name (Synonyms) | Correlation | |
---|---|---|
D011024 | Pneumonia, Viral NIH | 0.12 |
D055371 | Acute Lung Injury NIH | 0.11 |
D013577 | Syndrome NIH | 0.11 |
D012127 | Respiratory Distress Syndrome, Newborn NIH | 0.11 |
D012128 | Respiratory Distress Syndrome, Adult NIH | 0.09 |
D014777 | Virus Diseases NIH | 0.08 |
D011014 | Pneumonia NIH | 0.06 |
D045169 | Severe Acute Respiratory Syndrome NIH | 0.05 |
D018352 | Coronavirus Infections NIH | 0.04 |
Name (Synonyms) | Correlation |
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There are 2 clinical trials
This study plans to learn more about the effects of a medicine called baricitinib on the progression of COVID-19 (coronavirus disease of 2019), the medical condition caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Baricitinib is FDA-approved for the treatment of rheumatoid arthritis, an autoimmune condition. This study intends to define the impact of baricitinib on the severity and progression of COVID-19. This drug might to lower the hyperinflammation caused by the virus, which would prevent damage to the lungs and possibly other organs. The study will recruit patients who have been diagnosed with COVID-19. The goal is to recruit 80 patients.
Description: Description: Grade 3 AEs are defined as events that interrupt usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as events that are potentially life threatening. AEs will be collected and graded daily and cumulative incidence will be reported.
Measure: Phase 2: Cumulative incidence of Grade 3 and 4 adverse events (AEs) Time: Day 0 (screening) through Day 29Description: Description: An SAE is defined as an AE that is life-threatening or results in death, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. SAEs will be collected and graded daily and cumulative incidence will be reported.
Measure: Phase 2: Cumulative incidence of serious adverse events (SAEs) Time: Day 0 (screening) through Day 29Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as standard of care (SOC). Mean changes from baseline to Day 15 will be reported.
Measure: Phase 2: Changes in white blood cell count (CBC) through Day 15 Time: Day 1 to Day 15Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.
Measure: Phase 2: Changes in white blood cell count (CBC) through End of Study (EOS) Time: Day through Day 29 or hospital discharge, whichever is firstDescription: The 8-point ordinal scale described below, where a lower score indicates a worse outcome, will be performed daily or as recommended by participant's physician as SOC. The percent of participants scored at each severity will be reported on Day 15. The 8-point ordinal scale is as follows: Death Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) Hospitalized, on non-invasive ventilation or high flow oxygen devices Hospitalized, requiring supplemental oxygen Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise) Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care Not hospitalized, limitation on activities and/or requiring home oxygen Not hospitalized, no limitations on activities
Measure: Phase 3: Percentage of patients reporting each severity on an 8-point ordinal scale at Day 15 Time: Day 15Description: The 8-point ordinal scale described above will be assessed using MR data collected as SOC or follow-up phone call on Day 29, where a lower score indicates a worse outcome. Mean changes from baseline to Day 29 will be reported.
Measure: Phase 2: Change in the 8-point ordinal scale Time: Day 1 to Day 29Description: The NEWS is a cumulative score (range: 0 - 20) based on 7 clinical parameters as depicted below and discriminates patients at risk of poor outcomes. A higher score indicates a higher risk. The assessment will be calculated daily using MR data collected as SOC. Mean changes from baseline to End of Study (Day 29 or discharge) will be reported.
Measure: Phase 2: Change in National Early Warning Score (NEWS) Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The 8-point ordinal scale described above will be assessed daily using MR data collected as SOC or follow-up phone call, where a lower score indicates a worse outcome. Mean changes from baseline to Day 29 will be reported.
Measure: Phase 3: Change in the 8-point ordinal scale Time: Day 1 to Day 29Description: The NEWS is a cumulative score (range: 0 - 20) based on 7 clinical parameters as depicted below and discriminates patients at risk of poor outcomes. A higher score indicates a higher risk. The assessment will be calculated daily using MR data collected as SOC. Mean changes from baseline to End of Study (Day 29 or discharge) will be reported.
Measure: Phase 3: Change in National Early Warning Score (NEWS) Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The 8-point ordinal scale described above will be assessed daily using MR data collected as SOC, where a lower score indicates a worse outcome. Mean time in days to a one-category improvement will be reported.
Measure: Phase 3: Time to an improvement of one category using the 8-point ordinal scale Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The 8-point ordinal scale described above will be assessed daily, where a lower score indicates a worse outcome. Mean time in days to a two-category improvement will be reported.
Measure: Phase 3: Time to an improvement of two categories using the 8-point ordinal scale Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The NEWS will be calculated daily. Mean time in days to achieve a score of ≤2 and maintain this score for at least 24 hours OR to be discharged from the hospital, whichever occurs first, will be reported. A higher score indicates a higher risk. End of study is defined as day 29 or discharge, whichever occurs first.
Measure: Phase 3: Time to discharge or to a NEWS ≤2 and maintained for 24 hours, whichever occurs first Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: Grade 3 AEs are defined as events that interrupt usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as events that are potentially life threatening. AEs will be collected and graded daily and cumulative incidence will be reported.
Measure: Phase 3: Cumulative incidence of Grade 3 and 4 adverse events (AEs) Time: Day 0 (screening) through Day 29Description: An SAE is defined as an AE that is life-threatening or results in death, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. SAEs will be collected and graded daily and cumulative incidence will be reported.
Measure: Phase 3: Cumulative incidence of serious adverse events (SAEs) Time: Day 0 (screening) through Day 29Description: The mean duration of hospitalization will be reported, measured in days.
Measure: Phase 3: Duration of hospitalization Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The mean duration of new oxygen use will be reported, measured in days.
Measure: Phase 3: Duration of new oxygen use Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The mean duration of new ventilator or ECMO use will be reported, measured in days.
Measure: Phase 3: Duration of new ventilator or ECMO use Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The incidence of interruption of baricitinib treatment, along with mean duration and reasons for the interruptions, will be reported.
Measure: Phase 3: Incidence of discontinuation or temporary suspension of drug for any reason Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The incidence of new oxygen use will be reported.
Measure: Phase 3: Incidence of new oxygen use Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The incidence of new ventilator or ECMO use will be reported.
Measure: Phase 3: Incidence of new ventilator use Time: Day 1 to Day 29 or hospital discharge, whichever is firstDescription: The mean number of days patients are free from use of oxygen will be reported.
Measure: Phase 3: Number of oxygen free days Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The mean number of days patients are free from use of a ventilator or ECMO will be reported.
Measure: Phase 3: Number of ventilator or ECMO free days Time: Day 1 through Day 29 or hospital discharge, whichever is firstDescription: The rate of participant death from Day 1 through Day 15 will be reported.
Measure: Phase 3: 14 day mortality rate Time: Day 1 through Day 15Description: The rate of participant death from Day 1 through Day 29 will be reported.
Measure: Phase 3: 28 day mortality rate Time: Day 1 through Day 29Description: Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.
Measure: Phase 3: Changes in white blood cell count (CBC) through End of Study (EOS) Time: Day 1 through Day 29 or hospital discharge, whichever is firstCCAP is an investigator-initiated multicentre, randomized, double blinded, placebo-controlled, multi-stage trial, which aims to assess the safety and efficacy of novel treatment option of moderate-severe COVID-19. Participants will be randomized 1:1:1:1:1:1 to parallel treatment arms: Convalescent plasma, sarilumab, hydroxychloroquine, baricitinib, intravenous and subcutaneous placebo, or oral placebo. Primary outcome is a composite endpoint of all-cause mortality or need of invasive mechanical ventilation up to 28 days.
Description: Composite outcome
Measure: All-cause mortality or need of invasive mechanical ventilation Time: 28 daysDescription: Number of participants with adverse events with possible relation to study drug
Measure: Frequency of adverse events Time: 90 daysDescription: Number of participants with serious adverse events according to International Council of Harmonisation-Good Clinical Practice (ICH-GCP) guidelines
Measure: Frequency of severe adverse events Time: 90 daysDescription: Number of days to improvement of at least 2 categories relative to baseline on the ordinal scale. Categories are as follows: Death; Hospitalized, in intensive care requiring Extracorporeal Membrane Oxygenation (ECMO) or mechanical ventilation; Hospitalized, on non-invasive ventilation or high-flow oxygen device; Hospitalized, requiring supplemental oxygen; Hospitalized, not requiring supplemental oxygen; Not hospitalized, limitation on activities and/or requiring home oxygen; Not hospitalized, no limitations on activities
Measure: Time to improvement of at least 2 categories relative to baseline on a 7-category ordinal scale of clinical status Time: 90 daysDescription: Number of days without mechanical ventilation
Measure: Ventilator-free days Time: 28 daysDescription: Number of days without organ-failure
Measure: Organ failure-free days Time: 28 daysDescription: Number of days in ICU
Measure: Duration of ICU stay Time: 90 daysDescription: Number of deaths by any cause
Measure: Mortality rate Time: 7, 14, 21, 28 and 90 daysDescription: Days from the date of hospital admission for COVID-19 to the date of discharge
Measure: Length of hospital stay Time: 90 daysDescription: Days requiring supplement oxygen
Measure: Duration of supplemental oxygen Time: 90 days