- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04332094
Clinical Trial of the Use of Tocilizumab for Treatment of SARS-CoV-2 Infection (COVID-19) (TOCOVID)
Pilot, Randomized, Multicenter, Open-label Clinical Trial of the Use of Tocilizumab for Treatment of SARS-CoV-2 Infection (COVID-19)
COVID-19 is a respiratory disease caused by the new coronavirus (SARS-CoV-2) and causes considerable morbidity and mortality.
Currently, there is no vaccine or therapeutic agent to prevent and treat a SARS-CoV-2 infection. This clinical trial is designed to evaluate the use of Tocilizumab in combination with hydroxychloroquine and azithromycin for the treatment of hospitalized adult patients with COVID-19.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
Contacts and Locations
Study Contact
- Name: Pere Domingo, MD, PhD
- Email: pdomingo@santpau.cat
Study Locations
-
-
-
Barcelona, Spain
- Recruiting
- Hospital del Mar
-
Contact:
- Juan Pablo Horcajada
-
Barcelona, Spain
- Recruiting
- Hospital de La Santa Creu I Sant Pau
-
Contact:
- Pere Domingo, MD, PhD
- Email: pdomingo@santpau.cat
-
Principal Investigator:
- Pere Domingo, MD, PhD
-
Barcelona, Spain
- Recruiting
- Hospital Sant Joan Despí
-
Contact:
- Ana Coloma
-
Madrid, Spain
- Recruiting
- Hospital Clinico San Carlos
-
Contact:
- Vicente Estrada
-
-
Asturias
-
Oviedo, Asturias, Spain
- Recruiting
- Hospital Universitario Central de Asturias
-
Contact:
- Victor Asensi
-
-
Valencia
-
Alicante, Valencia, Spain
- Recruiting
- Hospital General Universitario de Alicante
-
Elche, Valencia, Spain
- Recruiting
- Hospital General Universitario de Elche
-
Contact:
- Felix Gutierrez
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject (or authorized legal representative) who can provide written informed consent before beginning any study procedure.
- Understand and agree to abide by the study procedures.
- Adult #18 years of age at the time of inclusion in the study.
- Confirmation of SARS-CoV-2 infection by a microbiological test performed before randomization, no longer than 72 hours.
- Severity 3-4 according to the WHO 7-point ordinal scale.
Exclusion Criteria:
- ALT / AST> 5 times the normal limit
- Stage 4 chronic kidney disease (GFR <30) or requiring dialysis.
- Presence of comorbidities that imply a poor prognosis (according to clinical judgment).
- Advanced dementia.
- Pregnancy or breastfeeding.
- Anticipation of transfer to another center in the 12 hours at the beginning of the study.
- Allergy to study medication.
- Serious or active bacterial infections or documented sepsis by pathogens other than SARS-CoV-2.
- Streptococcus pneumoniae antigenuria positive before study start.
- Neutropenia <500 / mm3.
- Thrombocytopenia <100,000 / mm3.
- History of diverticulosis.
- Ongoing skin infection (eg, pyodermitis).
- Transplanted patient under immunosuppressive treatment.
- Previous evidence of latent untreated tuberculosis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Early administration of tocilizumab associated with hydroxychloroquine and azithromycin.
|
162 mg sc x 2 doses + tocilizumab 162mg sc x 2 doses at 12 hours (day 1)
400 mg / 12h v.o.
day 1 followed by 200 mg / 12h v.o. for 6 days (7 days in total)
500 mg / day v.o. for 3 days
|
Active Comparator: Control
Treatment of SARS-COV-2 (COVID-19) infection with hydroxychloroquine and azithromycin.
|
400 mg / 12h v.o.
day 1 followed by 200 mg / 12h v.o. for 6 days (7 days in total)
500 mg / day v.o. for 3 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
In-hospital mortality
Time Frame: Through hospitalization, an average of 2 weeks
|
Through hospitalization, an average of 2 weeks
|
Need for mechanical ventilation in the Intensive Care Unit
Time Frame: Through hospitalization, an average of 2 weeks
|
Through hospitalization, an average of 2 weeks
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Coronavirus Infections
- Coronaviridae Infections
- Nidovirales Infections
- RNA Virus Infections
- Virus Diseases
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Pneumonia, Viral
- Pneumonia
- Lung Diseases
- COVID-19
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antirheumatic Agents
- Anti-Bacterial Agents
- Antiprotozoal Agents
- Antiparasitic Agents
- Antimalarials
- Azithromycin
- Hydroxychloroquine
Other Study ID Numbers
- IIBSP-COV-2020-23
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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