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Zilucoplan®Wiki

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There is one clinical trial.

Clinical Trials


1 A Prospective, Randomized, Open-label, Interventional Study to Investigate the Efficacy of Complement C5 Inhibition With Zilucoplan® in Improving Oxygenation and short-and Long-term Outcome of COVID-19 Patients With Acute Hypoxic Respiratory Failure

The study is a randomized controlled, open-label trial comparing subcutaneous Zilucoplan® with standard of care to standard of care alone. In the active group, Zilucoplan® will be administered subcutaneously once daily for 14 days or till discharge from the hospital, whichever comes first. The hypothesis of the proposed intervention is that Zilucoplan® (complement C5 inhibitor) has profound effects on inhibiting acute lung injury post COVID-19, and can promote lung repair mechanisms, that lead to a 25% improvement in lung oxygenation parameters. This hypothesis is based on experiments performed in mice showing that C5a blockade can prevent mortality and prevent ARDS in mice with post-viral acute lung injury. Eligible patients include patients with confirmed COVID-19 infection suffering from hypoxic respiratory failure defined as O2 saturation below 93% on minimal 2l/min O2 therapy and/or ratio PaO2/FiO2 below 350.

NCT04382755 COVID-19 Drug: Zilucoplan® Drug: Placebo
MeSH:Respiratory Insufficiency

Primary Outcomes

Description: defined by Pa02/FiO2 ratio while breathing room air, P(Aa)O2 gradient and a/A pO2 ratio

Measure: Mean change in oxygenation

Time: at predose, day 6 and day 15 (or at discharge, whichever comes first)

Description: defined by Pa02/FiO2 ratio while breathing room air, P(Aa)O2 gradient and a/A pO2 ratio

Measure: Median change in oxygenation

Time: at predose, day 6 and day 15 (or at discharge, whichever comes first)

Secondary Outcomes

Measure: number of AE's (Adverse Events)

Time: during hospital admission (up to 28 days)

Measure: number of SAE's (Serious Adverse Events)

Time: during hospital admission (up to 28 days)]

Description: 6-point ordinal scale defined as Death Hospitalized, on invasive mechanical ventilation or ECMO; Hospitalized, on non-invasive ventilation Hospitalized, requiring supplemental oxygen Hospitalized, not requiring supplemental oxygen Not hospitalized

Measure: mean change in 6-point ordinal scale change

Time: between day 1 and respectively day 6, day 15 (or discharge, whichever comes first) and day 28 (by phone call).

Description: defined as independence from supplemental oxygen

Measure: Time since randomization until improvement in oxygenation

Time: during hospital admission (up to 28 days)

Description: defined as SpO2 < 93% breathing room air or the dependence on supplemental oxygen

Measure: Number of days with hypoxia

Time: during hospital admission (up to 28 days)

Measure: Number of days of supplemental oxygen use

Time: during hospital admission (up to 28 days)

Measure: Time to absence of fever (defined as 37.1°C or more) for more than 48h without antipyretic

Time: during hospital admission (up to 28 days)

Description: defined as 37.1°C or more

Measure: Number of days with fever

Time: during hospital admission (up to 28 days)

Measure: Mean change in CRP levels between day 1 and day 6

Time: day 1, day 6

Measure: Mean change in CRP levels between day 1 and day 15 (or discharge whichever comes first)

Time: day 1, day 15

Measure: Mean change in ferritin levels between day 1 and day 6

Time: day 1, day 6

Measure: Mean change in ferritin levels between day 1 and day 15 (or discharge, whichever comes first)

Time: day 1, day 15

Measure: Incidence of AE's

Time: during hospital admission (up to 28 days)

Measure: Incidence of SAE's

Time: at 10-20 weeks follow-up

Measure: Incidence of SUSAR's (Suspected Unexpected Serious Adverse Reaction)

Time: during hospital admission (up to 28 days)

Measure: Incidence of SAR's (Serious Adverse Reaction)

Time: during hospital admission (up to 28 days)

Measure: Duration of hospital stay

Time: during hospital admission (up to 28 days)

Measure: Duration of hospital stay in survivors

Time: during hospital admission (up to 28 days)

Description: SOFA score: 0 (best) - 24 (worse)

Measure: Mean change of SOFA score between day 1 and day 6 (or on discharge, whichever is first)

Time: day 1, day 6 or on discharge, whichever is first

Description: SOFA score: 0 (best) - 24 (worse)

Measure: Mean change of SOFA score between day 1 and day 15 or on discharge, whichever is first)

Time: day 1, day 15 or on discharge, whichever is first

Description: 6-point ordinal scale: Death Hospitalized, on invasive mechanical ventilation or ECMO; Hospitalized, on non-invasive ventilation or high flow oxygen devices; Hospitalized, requiring supplemental oxygen Hospitalized, not requiring supplemental oxygen Not hospitalized

Measure: Percentage of patients reporting each severity rating on a 6-point ordinal scale at randomization, day 6 and 15 (or discharge, whichever comes first) and day 28 (phone call)

Time: day 1, day 6, day 15 (or discharge, whichever comes first)

Description: 6-point ordinal scale: Death Hospitalized, on invasive mechanical ventilation or ECMO; Hospitalized, on non-invasive ventilation or high flow oxygen devices; Hospitalized, requiring supplemental oxygen Hospitalized, not requiring supplemental oxygen Not hospitalized

Measure: 6-point Ordinal Scale at 6 and 15 days (or discharge whichever comes first) and day 28 (phone call), in relation to serum D-dimers and complement C5a levels at randomization

Time: day 1, day 6, day 15 (or discharge, whichever comes first)

Measure: Incidence of nosocomial bacterial or invasive fungal infection for 28 days (phone call) after enrolment in trial

Time: day 28

Measure: Time since randomization until first use of high-flow oxygen devices in non-ventilated patients

Time: during hospital admission (up to 28 days)

Measure: Time since randomization until first use of non-invasive mechanical ventilation in non-ventilated patients

Time: during hospital admission (up to 28 days)

Measure: Time since randomization until first use of invasive mechanical ventilation in non-ventilated patients

Time: during hospital admission (up to 28 days)

Measure: Number of ventilator-free days

Time: day 1, day 28 or discharge whichever comes first

Measure: Duration of invasive and non-invasive mechanical ventilation in ventilated patients

Time: during hospital admission (up to 28 days)

Measure: Duration of ICU stay in patients that enrolled in trial on invasive or non-invasive mechanical ventilation for less than 24h prior to or after randomization

Time: during hospital admission (up to 28 days)

Description: criteria-defined ARDS criteria-defined ARDS according to the adapted Berlin criteria as follow: within 1 week of a known Clinical insult or new or worsening respiratory symptoms bilateral infiltrates not supposed to be of cardiac origin or fluid overload PaO2/FiO2 < 300 mmHg

Measure: Time since randomization to progression to ARDS (Acute Respiratory Distress Syndrome)

Time: during hospital admission (up to 28 days)

Measure: Time to progression to ARDS in ventilated patients according to D-dimers at randomization

Time: during hospital admission (up to 28 days)

Measure: Time to progression to ARDS in ventilated patients according to complement C5a at randomization

Time: during hospital admission (up to 28 days)

Measure: All-cause mortality rate (excluding group that entered during ventilation)

Time: at day 28

Measure: All-cause mortality rate (including group that entered during ventilation)

Time: at day 28

Measure: Percentage of patients in clinical status on 6-point Ordinal Scale

Time: at 12-22 weeks follow-up

Measure: Incidence of lung function abnormalities at follow up

Time: at 12-22 weeks follow-up

Measure: Incidence of lung fibrosis on chest CT scan at follow up

Time: at 12-22 weeks follow-up

Measure: All cause mortality for the entire study population

Time: at follow up 12-22 weeks


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