- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04412772
Trial of Tocilizumab for Treatment of Severe COVID-19: ARCHITECTS (ARCHITECTS)
November 13, 2020 updated by: Queen's Medical Center
A Randomized, Controlled Clinical Trial of the Safety and Efficacy of Tocilizumab for the Treatment of Severe COVID-19
The overall objective is to evaluate the clinical efficacy and safety of tocilizumab relative to placebo among approximately 300 hospitalized adult patients who have severe COVID-19.
The study will be a 2 arm double blinded comparison between tocilizumab 8 mg/kg and matching placebo IV.
The dose may be repeated in 8-12 hours if clinical symptoms worsens, (e.g. increase in oxygen requirements).
Participants will be followed for 28 days.
Study Overview
Study Type
Interventional
Enrollment (Anticipated)
300
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Todd Seto, MD
- Phone Number: 808 354-3533
- Email: tseto@queens.org
Study Contact Backup
- Name: May Vawer, RN
- Phone Number: 808 691-7185
- Email: mvawer@queens.org
Study Locations
-
-
Hawaii
-
Honolulu, Hawaii, United States, 96813
- Recruiting
- Queen's Medical Center
-
Contact:
- May Vawer, RN
- Phone Number: 808 691-7185
- Email: mvawer@queens.org
-
Contact:
- Todd Seto, MD
- Phone Number: 808-354-3533
- Email: tseto@queens.org
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 95 years (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- ii. Hospitalized with COVID-19 pneumonia, based on chest X-ray or CT scan AND iii. Evidence of hyperinflammation: IL-6>40pg/mL (if available) OR CRP >2 mg/dL OR ferritin >2000 ng/mL AND iv. One or more of the following: impending need for requiring invasive or non-invasive mechanical ventilation OR shock requiring vasopressor (without evidence of bacterial / fungal infection) OR need for extracorporeal membrane oxygenation (ECMO) OR severe, refractor ARDS (PaO2/FiO2<200 mmHg)
Exclusion Criteria:
Known severe allergic reactions to tocilizumab or other monoclonal antibodies
- Active tuberculosis infection based on history
- Suspected active bacterial, fungal, viral, or other infection (besides COVID-19)
- In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments
- Have received oral anti-rejection or immunomodulatory drugs (including tocilizumab) with the past 6 months
- Participating in other drug clinical trials (participation in COVID-19 trials allowed)
- Self-reported pregnant or breastfeeding
- Any serious medical condition or abnormality of clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 10 x upper limit of normal (ULN) detected within 24 hours at baseline
- Absolute neutrophil count (ANC) < 1000/mL at baseline
- Platelet count < 50,000/mL at baseline
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Tocilizumab (TCZ) Arm
Participants will receive 1 intravenous (IV) infusion of TCZ, dosed at 8 mg/kg, up to a maximum dose 800 mg.
Up to 1 additional dose may be given if clinical symptoms worsen.
|
Participants will receive 1 dose of IV TCZ. 1 additional dose may be given if clinical symptoms worsen.
Other Names:
|
PLACEBO_COMPARATOR: Placebo Arm
Participants will receive 1 IV infusion of placebo matched to TCZ.
Up to 1 additional dose may be given if clinical symptoms worsen.
|
Participants will receive 1 dose of IV placebo matched to TCZ.
Up to 1 additional dose may be given if clinical symptoms worsen.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical status (on a 7-point ordinal scale) at day 28
Time Frame: up to day 28
|
Clinical Status 7-point ordinal scale:
|
up to day 28
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical improvement
Time Frame: up to day 28
|
ii.
Time to clinical improvement, defined as a National Early Warning Score (NEWS) of < 2 maintained for 24 hours iii.
Time to clinical improvement of at least 2 categories relative to baseline on a 7-category ordinal scale of clinical status
|
up to day 28
|
Mechanical Ventilation
Time Frame: up to day 28
|
iv. Incidence of mechanical ventilation v. Ventilator-free days
|
up to day 28
|
Oxygenation
Time Frame: up to day 28
|
vi. Duration of time on supplemental oxygen
|
up to day 28
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
June 12, 2020
Primary Completion (ANTICIPATED)
December 31, 2021
Study Completion (ANTICIPATED)
December 31, 2021
Study Registration Dates
First Submitted
June 1, 2020
First Submitted That Met QC Criteria
June 1, 2020
First Posted (ACTUAL)
June 2, 2020
Study Record Updates
Last Update Posted (ACTUAL)
November 17, 2020
Last Update Submitted That Met QC Criteria
November 13, 2020
Last Verified
November 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RA-2020-019
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
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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