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- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT05074420
Un estudio de baricitinib (LY3009104) en niños con COVID-19 (COV-BARRIER-PEDS) (COV-BARRIER)
Un estudio multicéntrico, abierto, farmacocinético y de seguridad de baricitinib en pacientes pediátricos de 1 año a menos de 18 años hospitalizados con COVID-19
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Actual)
Fase
- Fase 3
Contactos y Ubicaciones
Ubicaciones de estudio
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Campinas, Brasil, 13060-080
- Instituto de Pesquisa clinica de Campinas
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Campinas, Brasil, 13034-685
- Centro de Pesquisa São Lucas
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Jaú, Brasil, 17201130
- CECIP - Centro de Estudos do Interior Paulista
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Porto Alegre, Brasil, 90410000
- Hospital de Clinicas de Porto Alegre
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Santo André, Brasil, 09080-110
- Pesquisare Saude
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Madrid, España, 28041
- Hospital Universitario 12 de Octubre
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Madrid, España, 28046
- Hospital Universitario La Paz
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Pamplona, España, 31009
- Complejo Hospitalario de Navarra
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Vitoria-Gasteiz, España, 01009
- Hospital Universitario de Araba (HUA)- Hospital Txagorritxu
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Florida
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Orlando, Florida, Estados Unidos, 32806
- Arnold Palmer Hospital for Children
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Michigan
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Detroit, Michigan, Estados Unidos, 48201
- Children's Hospital of Michigan
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Ohio
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Cleveland, Ohio, Estados Unidos, 44106
- University Hospitals Cleveland Medical Center
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Mexico City, México, 04530
- Instituto Nacional de Pediatría
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Mexico City, México, 06720
- Hospital Infantil de México Federico Gómez
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Descripción
Criterios de inclusión:
- Hospitalizado con infección por coronavirus (SARS-CoV-2).
- Participantes masculinos o femeninos de 1 a <18 años de edad.
- Requiere oxígeno suplementario y tiene hallazgos de imágenes de tórax para confirmar la enfermedad respiratoria debido a COVID-19 dentro de las 72 horas posteriores al ingreso al estudio y la inscripción.
- Oxígeno suplementario que incluye, entre otros: cánula nasal, máscara, dispositivos de alto flujo, CPAP/BiPAP, ventilación mecánica invasiva y ECMO.
Criterio de exclusión:
- Están recibiendo tratamientos biológicos (como inhibidores del factor de necrosis tumoral [TNF], inhibidores de interleucina, terapias dirigidas a células T o células B, interferón o inhibidores de Janus quinasa (JAK)); o está recibiendo otros inmunosupresores de modo que, en opinión del investigador, participar en el estudio pondría al participante en un riesgo inaceptable de inmunosupresión.
Nota: Se requiere un período de lavado antes de la selección.
- Están recibiendo inhibidores potentes del transportador de aniones orgánicos 3 (OAT3) (como probenecid) que no se pueden suspender al ingresar al estudio.
- Tener diagnóstico de tuberculosis (TB) activa actual o, si se conoce, TB latente tratada durante menos de 4 semanas con la terapia antituberculosa adecuada según las pautas locales (solo por historial, no se requieren pruebas de detección).
- Sospecha de infección bacteriana, fúngica, viral u otra infección grave y activa (además de COVID-19) que, en opinión del investigador, podría constituir un riesgo al tomar el producto en investigación.
- Haber recibido alguna vacuna viva dentro de las 4 semanas antes de la selección, o tiene la intención de recibir una vacuna viva durante el estudio. Nota: Se permite el uso de vacunas no vivas (inactivadas) para todos los participantes.
- Requerir ventilación mecánica invasiva, incluida la oxigenación por membrana extracorpórea (ECMO) al ingresar al estudio.
- Diagnóstico actual de malignidad activa que, a juicio del investigador, podría constituir un riesgo al tomar el producto en investigación.
- Tiene antecedentes de tromboembolismo venoso (TEV) (trombosis venosa profunda [TVP] y/o embolia pulmonar [EP]) o se considera de alto riesgo de TEV (TVP/PE).
- Alta anticipada del hospital, o transferencia a otro hospital (u otra unidad), que no es un sitio de estudio dentro de las 72 horas posteriores al ingreso al estudio.
- Tiene neutropenia (recuento absoluto de neutrófilos <1000 células/microlitros).
- Tiene linfopenia (recuento absoluto de linfocitos <200 células/microlitros).
- Tener alanina aminotransferasa (ALT) o aspartato aminotransferasa (AST) >5 veces AAULN.
- Tasa de filtración glomerular estimada (eGFR) (Modification of Diet in Renal Disease [MDRD]) <40 mililitros/minuto/1,73 metros cuadrados.
- Tener hipersensibilidad conocida a baricitinib o a alguno de sus excipientes.
- Está actualmente inscrito en cualquier otro estudio clínico que involucre un producto de investigación o cualquier otro tipo de investigación médica que se considere no científica o médicamente compatible con este estudio. Nota: El participante no debe estar inscrito (comenzado) en otro ensayo clínico para el tratamiento de COVID-19 o SARS CoV-2 hasta el día 28.
- Está embarazada o tiene la intención de quedar embarazada o amamantar durante el estudio.
- Están, en opinión del investigador o patrocinador, en riesgo de inmunosupresión o no son aptos para su inclusión en el estudio.
- Está usando o usará un dispositivo de purificación de sangre extracorpórea (EBP, por sus siglas en inglés) para eliminar las citocinas proinflamatorias de la sangre, como un dispositivo de absorción o filtrado de citocinas, por ejemplo, CytoSorb®.
- En opinión del investigador, es poco probable que sobrevivan durante al menos 48 horas después de la selección.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: Baricitinib QD
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Administrado oralmente
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC) of Baricitinib
Periodo de tiempo: Day 1: 0.25, 0.5, 2-4 hours post-dose; Day 4: Pre-dose, 1, 6-10 hours post-dose
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PK: Overall AUC of Baricitinib in pediatric participants with COVID-19.
Summarized data were reported in this outcome measure.
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Day 1: 0.25, 0.5, 2-4 hours post-dose; Day 4: Pre-dose, 1, 6-10 hours post-dose
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PK: Maximum Concentration (Cmax) of Baricitinib
Periodo de tiempo: Day 1: 0.25, 0.5, 2-4 hours post-dose; Day 4: Pre-dose, 1, 6-10 hours post-dose
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PK: Overall Cmax of Baricitinib in pediatric participants with COVID-19.
Summarized data were reported in this outcome measure.
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Day 1: 0.25, 0.5, 2-4 hours post-dose; Day 4: Pre-dose, 1, 6-10 hours post-dose
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Percentage of Participants Who Progressed to Non-Invasive Ventilation/High-Flow Oxygen or Invasive Mechanical Ventilation (Including Extracorporeal Membrane Oxygenation [ECMO]) by Day 28
Periodo de tiempo: Day 1 to Day 28
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NIAID-OS is an assessment of clinical status. The scale is as follows: 1)Not hospitalized, no limitations on activities; 2)Not hospitalized, limitation on activities and/or requiring home oxygen; 3)Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4)Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5)Hospitalized, requiring supplemental oxygen; 6)Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7)Hospitalized, on invasive mechanical ventilation or ECMO; 8)Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Progression to ventilation (only progressed excluding death) by Day 28 was defined as reaching NIAID-OS ≥6; for participants with baseline NIAID-OS 6, progression required NIAID-OS ≥7, and those with a baseline score of 7 were excluded. |
Day 1 to Day 28
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Percentage of Participants Who Died or Progressed to Non-Invasive Ventilation/High-Flow Oxygen, Invasive Mechanical Ventilation, or ECMO by Day 28
Periodo de tiempo: Day 1 to Day 28
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NIAID-OS is an assessment of clinical status. The scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Progression to ventilation (who died or progressed) by Day 28, defined as reaching a score ≥6; for baseline scores of 6 and 7, progression required scores ≥7 and Death (NIAID-OS=8). |
Day 1 to Day 28
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Percentage of Participants With at Least 1-Point Improvement on National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) or Live Discharge From Hospital
Periodo de tiempo: Day 4, Day 7, Day 10, Day 14, and Day 28
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NIAID-OS is an assessment of clinical status. The scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. At each visit (Day 4/7/10/14/28), percentage of participants with ≥1-point improvement on NIAID-OS or discharged alive by that visit were reported in this outcome measure. |
Day 4, Day 7, Day 10, Day 14, and Day 28
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Number of Ventilator-Free Days (Days Free of Invasive Mechanical Ventilation)
Periodo de tiempo: Day 1 to Day 28
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NIAID-OS is an assessment of clinical status. The 8-point scale as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Number of ventilator free-days were defined as total number of days participants were alive and had NIAID-OS <7 point (free of invasive mechanical ventilation/ECMO) by Day 28. |
Day 1 to Day 28
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Time to Recovery
Periodo de tiempo: Day 1 to Day 28
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NIAID-OS is an assessment of clinical status. The 8-point scale as follows:1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Time to recovery was time from Day 1 to the first day the participant's maximum daily NIAID-OS was 1, 2, or 3. Participants who died before recovery were censored at Day 28 (not considered recovered). |
Day 1 to Day 28
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Percentage of Participants With Overall Improvement in the National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) at Day 4
Periodo de tiempo: Day 4
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NIAID-OS is an assessment of clinical status. The 8-point scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Improvement was defined as the reduction from baseline in the NIAID-OS score, calculated as baseline score minus Day 4 score. A higher positive value indicates greater improvement. |
Day 4
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Percentage of Participants With Overall Improvement in the National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) at Day 7
Periodo de tiempo: Day 7
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NIAID-OS is an assessment of clinical status. The 8-point scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Improvement was defined as the reduction from baseline in the NIAID-OS score, calculated as baseline score minus Day 7 score. A higher positive value indicates greater improvement. |
Day 7
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Percentage of Participants With Overall Improvement in the National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) at Day 10
Periodo de tiempo: Day 10
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NIAID-OS is an assessment of clinical status. The 8-point scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen- no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Improvement was defined as the reduction from baseline in the NIAID-OS score, calculated as baseline score minus Day 10 score. A higher positive value indicates greater improvement. |
Day 10
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Percentage of Participants With Overall Improvement in the National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) at Day 14
Periodo de tiempo: Day 14
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NIAID-OS is an assessment of clinical status. The 8-point scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen- no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Improvement was defined as the reduction from baseline in the NIAID-OS score, calculated as baseline score minus Day 14 score. A higher positive value indicates greater improvement. |
Day 14
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Percentage of Participants With Overall Improvement in the National Institute of Allergy and Infectious Diseases Ordinal Scale (NIAID-OS) at Day 28
Periodo de tiempo: Day 28
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NIAID-OS is an assessment of clinical status. The 8-point scale is as follows: 1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen- no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 5) Hospitalized, requiring supplemental oxygen; 6) Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7) Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range: 1-8); minimum value: 1 (not hospitalized, no limitations on activities); maximum value: 8 (death); higher scores indicate worse clinical status. Improvement was defined as the reduction from baseline in the NIAID-OS score, calculated as baseline score minus Day 28 score. A higher positive value indicates greater improvement. |
Day 28
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Duration of Hospitalization
Periodo de tiempo: Day 1 to Day 28
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NIAID-OS is an assessment of clinical status. The 8-point scale as follows:1) Not hospitalized, no limitations on activities; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 3) Hospitalized, not requiring supplemental oxygen- no longer requires ongoing medical care; 4) Hospitalized, not requiring supplemental oxygen- requiring ongoing medical care; 5)Hospitalized, requiring supplemental oxygen; 6)Hospitalized, on non-invasive ventilation or high-flow oxygen devices; 7)Hospitalized, on invasive mechanical ventilation or ECMO; 8) Death. NIAID-OS (range:1-8); minimum value:1; maximum value:8; higher scores indicate worse clinical status. Duration of hospitalization through Day 28 was defined as the total number of days with NIAID-OS scores of 4, 5, 6, or 7. Participants who died on or before Day 28 were assigned 28 days. For Day 1, hospitalization status was determined using worst NIAID-OS value recorded between baseline and the remainder of Day 1. |
Day 1 to Day 28
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All-Cause Mortality
Periodo de tiempo: Baseline (Day 1) up to end of follow-up (up to Day 60)
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Number of deaths by day 60 were reported in this outcome measure.
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Baseline (Day 1) up to end of follow-up (up to Day 60)
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Duration of Stay in the Intensive Care Unit (ICU) in Days
Periodo de tiempo: Day 1 to Day 28
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Duration of ICU stay through Day 28 was defined as the total number of days spent in the ICU through Day 28, with days following death counted up to Day 28.
For participants alive at Day 28, duration was calculated as (Date of ICU discharge - Date of ICU admission) + 1.
For participants who died in the ICU on or before Day 28, duration was calculated as (Date of death - Date of ICU admission + 1) + (Date of Day 28 - Date of death).
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Day 1 to Day 28
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Director de estudio: Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST), Eli Lilly and Company
Publicaciones y enlaces útiles
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 18253
- I4V-MC-KHAB (Otro identificador: Eli Lilly and Company)
- 2021-001338-21 (Número EudraCT)
- 2024-516824-32-00 (Ctis)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Descripción del plan IPD
Marco de tiempo para compartir IPD
Criterios de acceso compartido de IPD
Tipo de información de apoyo para compartir IPD
- PROTOCOLO DE ESTUDIO
- SAVIA
- RSC
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .