Trial Outcomes & Findings for Study of SOC Plus IVIG Compared to SOC Alone in the Treatment of COVID-19 (NCT NCT04411667)

NCT ID: NCT04411667

Last Updated: 2021-06-25

Results Overview

Number of subjects requiring mechanical ventilation due to respiratory failure

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

34 participants

Primary outcome timeframe

from date of patient admission to date of patient discharge or date of death, whichever came first, assessed up to 45 days

Results posted on

2021-06-25

Participant Flow

Participant milestones

Participant milestones
Measure
Group A (Study Drug+SOC)
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
Standard of Care
Overall Study
STARTED
17
17
Overall Study
COMPLETED
16
17
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A (Study Drug+SOC)
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
Standard of Care
Overall Study
Physician Decision
1
0

Baseline Characteristics

Study of SOC Plus IVIG Compared to SOC Alone in the Treatment of COVID-19

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A (Study Drug+SOC)
n=16 Participants
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
n=17 Participants
Standard of Care
Total
n=33 Participants
Total of all reporting groups
Age, Continuous
59 years
n=99 Participants
51 years
n=107 Participants
56 years
n=206 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
7 Participants
n=107 Participants
13 Participants
n=206 Participants
Sex: Female, Male
Male
10 Participants
n=99 Participants
10 Participants
n=107 Participants
20 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants
n=99 Participants
15 Participants
n=107 Participants
28 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Body Mass Index
32.5 kg/m^2
n=99 Participants
34.9 kg/m^2
n=107 Participants
33.6 kg/m^2
n=206 Participants
Comorbidities
Diabetes mellitus
6 Participants
n=99 Participants
6 Participants
n=107 Participants
12 Participants
n=206 Participants
Comorbidities
Hypertension
4 Participants
n=99 Participants
7 Participants
n=107 Participants
11 Participants
n=206 Participants
Comorbidities
Chronic kidney disease
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Comorbidities
Coronary artery disease
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Comorbidities
Congestive heart failure
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Comorbidities
Asthma/chronic obstructive pulmonary disease
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Comorbidities
Current smoker
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Comorbidities
Former smoker
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Comorbidities
Immunocompromised
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Comorbidities Continued (HbA1c)
10.1 % glycosylated hemoglobin
n=99 Participants
6.4 % glycosylated hemoglobin
n=107 Participants
8.1 % glycosylated hemoglobin
n=206 Participants
Other Coronavirus Disease 2019 Therapies
Remdesivir
8 Participants
n=99 Participants
9 Participants
n=107 Participants
17 Participants
n=206 Participants
Other Coronavirus Disease 2019 Therapies
Convalescent plasma
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Other Coronavirus Disease 2019 Therapies
Glucocorticoids
16 Participants
n=99 Participants
10 Participants
n=107 Participants
26 Participants
n=206 Participants

PRIMARY outcome

Timeframe: from date of patient admission to date of patient discharge or date of death, whichever came first, assessed up to 45 days

Number of subjects requiring mechanical ventilation due to respiratory failure

Outcome measures

Outcome measures
Measure
Group A (Study Drug+SOC)
n=16 Participants
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
n=17 Participants
Standard of Care
Mechanical Ventilation
2 Participants
7 Participants

SECONDARY outcome

Timeframe: from date of patient admission to date of patient discharge or date of death, whichever came first, assessed up to 45 days

Population: This data was not collected although it was originally intended to be an outcome measure

Number of days requiring oxygen therapy

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: from date of patient admission to date of patient discharge or date of death, whichever came first, assessed up to 60 days

Number of days in hospital

Outcome measures

Outcome measures
Measure
Group A (Study Drug+SOC)
n=16 Participants
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
n=17 Participants
Standard of Care
Length of Stay
12 days
Interval 6.0 to 29.0
17 days
Interval 4.0 to 60.0

Adverse Events

Group A (Study Drug+SOC)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 1 deaths

Group B (SOC)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 3 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group A (Study Drug+SOC)
n=16 participants at risk
Standard of care plus IVIG (Octagam) 0.5g/kg IVPB actual body weight daily x 3 days, with premedication methylprednisolone 40 mg IV push x 1 30-50 minutes before each IVIG infusion. Initial infusion rate of IVIG (Octagam) will be of 0.6 mL/kg/hour, increasing to a maximum rate of 100ml/hr, if tolerated. Octagam: Standard of Care plus Octagam infusion for 3 days.
Group B (SOC)
n=17 participants at risk
Standard of Care
General disorders
Hyperglycemia
18.8%
3/16 • Number of events 3 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
11.8%
2/17 • Number of events 2 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
General disorders
Thrombocytosis
6.2%
1/16 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
5.9%
1/17 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
General disorders
Anemia
0.00%
0/16 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
17.6%
3/17 • Number of events 3 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
General disorders
Leukocytosis
6.2%
1/16 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
5.9%
1/17 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
General disorders
Elevated D-Dimer
12.5%
2/16 • Number of events 2 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
11.8%
2/17 • Number of events 2 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
Respiratory, thoracic and mediastinal disorders
Acute Hypoxic Respiratory Failure
6.2%
1/16 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
5.9%
1/17 • Number of events 1 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
General disorders
Elevated Liver Function Tests
18.8%
3/16 • Number of events 3 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days
0.00%
0/17 • from date of patient enrollment to date of patient discharge or date of death, whichever came first, assessed up to 45 days

Additional Information

Matthew Geriak, PharmD / Research Pharmacist

Sharp HealthCare

Phone: 8589393717

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place