Name (Synonyms) | Correlation | |
---|---|---|
drug97 | AVP-786 Wiki | 0.71 |
drug204 | Apple Watch Series 5 Wiki | 0.71 |
drug335 | Best Supportive Care Wiki | 0.50 |
drug315 | Baricitinib Wiki | 0.27 |
drug2326 | Standard of care Wiki | 0.16 |
drug1822 | Placebo Wiki | 0.04 |
Name (Synonyms) | Correlation | |
---|---|---|
D011595 | Psychomotor Agitation NIH | 0.71 |
D000374 | Aggression NIH | 0.71 |
D000070642 | Brain Injuries, Traumatic NIH | 0.32 |
D001930 | Brain Injuries, NIH | 0.27 |
D055370 | Lung Injury NIH | 0.15 |
D011024 | Pneumonia, Viral NIH | 0.09 |
D013577 | Syndrome NIH | 0.08 |
D055371 | Acute Lung Injury NIH | 0.07 |
D012127 | Respiratory Distress Syndrome, Newborn NIH | 0.07 |
D012128 | Respiratory Distress Syndrome, Adult NIH | 0.06 |
D011014 | Pneumonia NIH | 0.04 |
Name (Synonyms) | Correlation | |
---|---|---|
HP:0000718 | Aggressive behavior HPO | 0.71 |
HP:0002090 | Pneumonia HPO | 0.04 |
There are 2 clinical trials
This study will evaluate the efficacy, safety, pharmacokinetics, and pharmacodynamics of ravulizumab administered in adult patients with Coronavirus Disease 2019 (COVID-19) severe pneumonia, acute lung injury, or acute respiratory distress syndrome. Patients will be randomly assigned to receive ravulizumab in addition to best supportive care (BSC) (2/3 of the patients) or BSC alone (1/3 of the patients). Best supportive care will consist of medical treatment and/or medical interventions per routine hospital practice.
TACTIC-R is a randomised, parallel arm, open-label platform trial for investigating potential treatment for COVID-19 disease. While SARS-CoV infection evades detection by the immune system in the first 24 hours of infection, it ultimately produces a massive immune system response in the subgroup of people who develop severe complications. Most tissue damage following infection with COVID19 appears to be due to a later, exaggerated, host immune response. This leads to lung and sometimes multi-organ damage. Most people who develop these severe complications still have virus present in their respiratory tract at the time-point when the disease starts to evolve. Immune modulation in the presence of active infection has potential to cause more harm than benefit. Safety considerations when studying immune modulation strategies are paramount. Therefore, this study proposes to assess the efficacy of immunomodulatory agents that target dysregulated immune response that drive the severe lung, and other organ, damage. The medications investigated for efficacy in this trial are Baricitinib and Ravulizumab.
Description: Number of days taken for occurrence of one of the following events: 1. Death 2. Mechanical ventilation 3. Extracorporeal membrane oxygenation (ECMO) 4. Cardiovascular organ support (balloon pump or inotropes) 5. Renal failure (estimated creatinine clearance (by Cockcroft-Gault formula) <15 ml /min/1.73m^2), haemofiltration or dialysis
Measure: Time to incidence of the composite endpoint of: Death, Mechanical ventilation, ECMO, Cardiovascular organ support, or Renal failure Time: up to Day 14Description: The clinical status of the patients is assessed using 7-point ordinal scale as follows: 1 = Death, 2 = Mechanical ventilation, 3 = Non-invasive or high flow oxygen, 4 = Low flow oxygen, 5 = Hospitalised - no oxygen, 6 = Discharged - normal activities not resumed, 7 = Discharged - normal activities resumed
Measure: Change in clinical status as assessed on 7-point ordinal scale compared to baseline Time: 14 daysDescription: The proportion of patients in each treatment arm that experience adverse events of special interest, defined as: venous thromboembolism, new infections requiring antimicrobials
Measure: Proportion of patients with adverse events of special interest in each treatment arm Time: 14 daysDescription: The time taken to achieve blood oxygen saturation levels above 94% in patients on room air, measured in hours/days
Measure: Time to Sp02 >94% on room air Time: 14 daysDescription: The amount of time between a patient's first positive SARS-CoV2 PCR test and a patient's first negative SARS-CoV2 PCR test, measured in days
Measure: Time to first negative SARS-CoV2 PCR Time: 14 daysDescription: The duration of oxygen therapy given to a patient, measured in days
Measure: Duration of oxygen therapy Time: 14 daysDescription: The duration of hospitalisation of a patient, measured in days
Measure: Duration of hospitalisation Time: 14 daysDescription: The number of deaths recorded at 28 days irrespective of the cause
Measure: All cause mortality at day 28 Time: 28 DaysDescription: The time to clinical improvement for a patient, defined as: >2 point improvement from Day 1 on the 7-point ordinal scale, measured in days
Measure: Time to clinical improvement Time: 14 days