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A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Tocilizumab in Patients With Severe COVID-19 Pneumonia

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Trial Profile

A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of Tocilizumab in Patients With Severe COVID-19 Pneumonia

Status: Completed
Phase of Trial: Phase III

Latest Information Update: 12 Jul 2023

At a glance

  • Drugs Tocilizumab (Primary)
  • Indications COVID-19 pneumonia
  • Focus Registrational; Therapeutic Use
  • Acronyms COVACTA
  • Sponsors Roche
  • Most Recent Events

    • 24 May 2023 Results assessing effect of IL-6R blockade on key immune pathways associated with severe COVID-19, presented at the 119th International Conference of the American Thoracic Society
    • 04 Apr 2022 According to a Genentech media release, A decision on U.S. FDA approval is expected in the second half of this year.
    • 04 Apr 2022 According to a Genentech media release, the U.S. FDA has accepted the company's supplemental Biologics License Application (sBLA) and has granted Priority Review for Actemra (tocilizumab) intravenous (IV) for the treatment of COVID-19 in hospitalized adults who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).

Trial Overview

Outcome

Primary endpoint not met - negative

Purpose

This placebo-controlled Phase III study (COVACTA) is designed to evaluate the safety and efficacy of intravenous Actemra/RoActemra added to standard of care in adult patients hospitalised with severe COVID-19 pneumonia compared to placebo plus standard of care.
Patients will be followed for 60 days post-randomisation, and an interim analysis will be conducted to look for early evidence of efficacy.

Comments

In April 2022, The U.S. Food and Drug Administration (FDA) has accepted the company's supplemental Biologics License Application (sBLA) and has granted Priority Review for Actemra® (tocilizumab) intravenous (IV) for the treatment of COVID-19 in hospitalized adults who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO). A decision on U.S. FDA approval is expected in the second half of this year.
According to a Chugai Pharmaceutical media release, the company received regulatory approval from the Ministry of Health, Labour and Welfare for Actemra Intravenous Infusion 80 mg, 200 mg, and 400 mg for the additional indication of the treatment of SARS-CoV-2 pneumonia (limited to patients requiring oxygen intervention), based on results from COVACTA, EMPACTA, REMDACTA, J-COVACTA and RECOVERY studies.

According to Roche media release, the European Commission has extended the marketing authorisation for Actemra®/RoActemra® (tocilizumab) to include the treatment of COVID-19 in adults who are receiving systemic corticosteroids and require supplemental oxygen or mechanical ventilation. The decision from the European Commission follows an accelerated assessment by the EMA's CHMP, which reviewed results from four studies of Actemra/RoActemra ( RECOVERY, EMPACTA, COVACTA and REMDACTA studies) in over 5,500 patients with severe or critical COVID-19.

According to a Genentech media release, U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for intravenous Actemra (tocilizumab) for the treatment of COVID-19 in hospitalized adults and pediatric patients (2 years of age and older) who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO).Data from RECOVERY, EMPACTA, COVACTA and REMDACTA studies was included in the EUA submission.

Primary Endpoints

Not met, 29 Jul 2020

Clinical Status Assessed Using a 7-Category Ordinal Scale

time_frame: Day 28 [1]

Other Endpoints

Time to Clinical Improvement (TTCI), Defined as a National Early Warning Score 2 (NEWS2) of </= 2 Maintained for 24 Hours

description: Defined as time from first dose of study drug to at least two NEWS2 assessments with a score of ≤2 covering a span of at least 21.5 hours, with a maximum of 26.5 hours between the first and last of these assessments and no assessments with a score >2 in between. If one of the components of the NEWS2 score was missing at a particular time point, then the NEWS2 score was not calculated. Participants who died were censored at Day 28.
time_frame: Up to Day 28

Time to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status

description: Time to improvement for this outcome measure was defined as the days from the first dose of study drug to when at least a 2-category improvement in clinical status (based on a 7-category ordinal scale) is observed. Participants who died were censored at Day 28.
time_frame: Up to Day 28

Time to Hospital Discharge or "Ready for Discharge"

description: Time to Hospital Discharge was defined as the time from the first dose of study drug to hospital discharge or "ready for discharge" (normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or </=2L supplemental oxygen) Participants who died were censored at Day 28.
time_frame: Up to Day 28

Incidence of Mechanical Ventilation by Day 28

description: Participants who died by Day 28 were assumed to have required mechanical ventilation.
time_frame: Up to Day 28

Ventilator-Free Days to Day 28

description: Participants who died by Day 28 were assigned 0 ventilator-free days.
time_frame: Up to Day 28

Incidence of Intensive Care Unit (ICU) Stay by Day 28 (Week 4)

description: Participants who died by Day 28 were assumed to have required an ICU stay.
time_frame: Up to Day 28

Duration of ICU Stay to Day 28 (Week 4)

description: Participants who died by Day 28 were assigned a duration from the first dose of study drug to Day 28 at hour 23:59:59.
time_frame: Up to Day 28

Clinical Status Assessed Using a 7-Category Ordinal Scale at Day 14

description: Clinical status was assessed using a 7-category ordinal scale:
- Discharged (or "ready for discharge")
- Non- intensive care unit (ICU) hospital ward (or "ready for hospital ward") not requiring supplemental oxygen
- Non-ICU hospital ward (or "ready for hospital ward") requiring supplemental oxygen
- ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen
- ICU, requiring intubation and mechanical ventilation
- ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support
- Death
time_frame: Day 14

Time to Clinical Failure to Day 28 (Week 4)

description: Time to clinical failure was defined as the number of days from the first dose of study drug to the first occurrence on study of death, mechanical ventilation, ICU admission, or study withdrawal prior to discharge, whichever occurs first.
time_frame: Up to Day 28

Mortality Rate at Day 28 (Week 4)

time_frame: Day 28

Time to Recovery to Day 28 (Week 4)

description: Time to recovery was defined as the number of days from the first dose of study drug to hospital discharge or "ready for discharge" (normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or </= 2L supplemental oxygen) or non-ICU hospital ward or "ready for hospital ward" not requiring supplemental oxygen. Participants who died were censored at Day 28.
time_frame: Up to Day 28

Duration of Supplemental Oxygen to Day 28 (Week 4)

description: Participants who died by Day 28 were assigned a duration of 28 days of supplemental oxygen.
time_frame: Up to Day 28 [2]

Diseases Treated

Indication Qualifiers Patient Segments
COVID-19 pneumonia treatment severe

Subjects

  • Subject Type patients
  • Number

    Planned: 450

    Actual: 452

  • Sex male & female
  • Age Group ≥ 18 years; adult

Patient Inclusion Criteria

- Hospitalized with COVID-19 pneumonia confirmed per WHO criteria (including a positive PCR of any specimen; e.g., respiratory, blood, urine, stool, other bodily fluid) and evidenced by chest X-ray or CT scan - SPO2 </=93% or PaO2/FiO2 <300 mmHg

Patient Exclusion Criteria

- Known severe allergic reactions to TCZ or other monoclonal antibodies - Active tuberculosis (TB) infection - 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 TCZ) with the past 3 months - Participating in other drug clinical trials (participation in COVID-19 anti-viral trials may be permitted if approved by Medical Monitor) - Pregnant or breastfeeding, or positive pregnancy test in a pre-dose examination - Treatment with an investigational drug within 5 half-lives or 30 days (whichever is longer) of randomization (investigational COVID-19 antivirals may be permitted if approved by Medial Monitor) - 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 screening (per local lab) - Absolute neutrophil count (ANC) < 1000/mL at screening (per local lab) - Platelet count < 50,000/mL at screening (per local lab)

Trial Details

Identifiers

Identifier Owner
NCT04320615 ClinicalTrials.gov: US National Institutes of Health
EudraCT2020-001154-22 European Clinical Trials Database
13593711 ISRCTN: Current Controlled Trials
WA42380 Roche
HHSO100201800036C -

Organisations

  • Sponsors Roche
  • Affiliations Chugai Pharmaceutical; Genentech; Roche

Trial Dates

  • Initiation Dates

    Planned : 03 Apr 2020

    Actual : 03 Apr 2020

  • Primary Completion Dates

    Planned : 31 Aug 2020

    Actual : 24 Jun 2020

  • End Dates

    Planned : 30 Sep 2020

    Actual : 28 Jul 2020

Other Details

  • Design double-blind; multicentre; parallel; prospective; randomised
  • Phase of Trial Phase III
  • Location Canada; Denmark; England; France; Germany; Ireland; Italy; Netherlands; Scotland; Spain; Sweden; Switzerland; United Kingdom; USA
  • Focus Registrational; Therapeutic Use

Interventions

Drugs Route Formulation
TocilizumabPrimary Drug Intravenous Infusion

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 or show no improvement.
Drug: Tocilizumab (TCZ) (Participants will receive 1 dose of IV TCZ. 1 additional dose may be given if clinical symptoms worsen or show no improvement.)

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 or show no improvement.
Drug: Placebo (Participants will receive 1 dose of IV placebo matched to TCZ. Up to 1 additional dose may be given if clinical symptoms worsen or show no improvement.)

Results

Therapeutic efficacy

Pneumonia (associated with COVID-2019)
Results from the phase III COVACTA trial did not meet its primary endpoint of improved clinical status in patients with COVID-19 associated pneumonia and the key secondary endpoint which included the difference in patient mortality at week four, were not met. A positive trend in time to hospital discharge was observed in tocilizumab patients. Tocilizumab and placebo in patients assessed using a 7-category ordinal scale at week four was not statistically significant (p=0.36; odds ratio [95% CI] = 1.19 [0.81, 1.76]. There was no difference between tocilizumab and placebo in the percentage of patients that died by week four (tocilizumab = 19.7% and placebo = 19.4% with a difference [95% CI] of 0.3% [-7.6%, 8.2%], p=0.9410). Time to hospital discharge or ‘ready to discharge’ was shorter in patients treated with tocilizumab than in those treated with placebo. The median time to discharge or ‘ready to discharge’ for tocilizumab was 20 days and for placebo was 28 days (median time [95% CI]: tocilizumab = 20.0 [17.0, 27.0]; placebo = 28.0 [20.0, NE], p=0.0370). The difference in ventilator-free days between tocilizumab and placebo was not statistically significant (median of 22 days for tocilizumab and 16.5 days with placebo, difference in medians [95% CI] = 5.5 [-2.8, 13.0], p=0.3202). At week four, rates of infections were 38.3% and 40.6% in the tocilizumab and placebo arms, respectively, and the rates of serious infections were 21.0% and 25.9% in the tocilizumab and placebo arms, respectively [3] .

Adverse events

Pneumonia (associated with COVID-2019): Results from the phase III COVACTA trial in patients with severe COVID-19 pneumonia showed no new safety signals for tocilizumab. The most common adverse events in tocilizumab patients were COVID-19 pneumonia (10.5%), hypertension (6.4%), pneumonia, acute kidney injury and diarrhea (5.8% each). The trial enrolled 450 patients [1] .
2023-10-11 10:15:44.250

Publications

  1. Genentech. Genentech Provides an Update on the Phase III COVACTA Trial of Actemra in Hospitalized Patients With Severe COVID-19 Associated Pneumonia. Media-Rel 2020;.

    Media Release
  2. Roche. Roche provides an update on the phase III COVACTA trial of Actemra/RoActemra in hospitalised patients with severe COVID-19 associated pneumonia. Media-Rel 2020;.

    Media Release
  3. Chugai Pharmaceutical. Chugai Provides an Update on Phase III COVACTA Study of Actemra in Hospitalized Patients with Severe COVID-19 Associated Pneumonia. Media-Rel 2020;.

    Media Release
  4. Rosas IO, Brau N, Waters M, Go RC, Hunter BD, Bhagani S, et al. Tocilizumab in Hospitalized Patients with Severe Covid-19 Pneumonia. . N-Engl-J-Med 2021;.

    PubMed | CrossRef Fulltext
  5. Bauer RN, Hackney J, Rosenberger C, Teterina A, Qamra A, Onabajo O, et al. Tocilizumab Treatment Leads to Early Resolution of Myeloid Dysfunction and Lymphopenia in Patients Hospitalized With COVID-19. ATS-2023 2023; abstr. N/A.

    Available from: URL: https://www.abstractsonline.com/pp8/#!/10703/presentation/8922

Authors

Author Total Publications First Author Last Author
Aziz MS 1 - -
Bao M 2 - -
Bauer RN 1 1 -
Bhagani S 1 - -
Brau N 1 - -
Cai F 1 - -
Chugai Pharmaceutical 1 1 1
Cooper N 1 - -
Cubillo Gracian A 1 - -
De La Zerda DJ 1 - -
Del Sorbo L 1 - -
Dimonaco S 1 - -
Douglas IS 1 - -
Genentech 1 1 1
Go RC 1 - -
Graham E 1 - -
Hackney J 1 - -
Hunter BD 1 - -
Malhotra A 1 - 1
Matharu B 1 - -
McBride J 1 - -
Onabajo O 1 - -
Qamra A 1 - -
Regev A 1 - -
Roche 1 1 1
Rosas IO 2 1 -
Rosenberger C 1 - -
Savic S 1 - -
Shivram H 1 - 1
Skiest D 1 - -
Spotswood H 1 - -
Teterina A 1 - -
Tsai L 2 - -
Ustianowski A 1 - -
Waters M 1 - -
Youngstein T 1 - -

Trial Centres

Investigators

Investigator Centre Name Trial Centre Country
Clinical Trials
1 DNA Way South San Francisco 94080 United States of America +1 (0)888 662 6728 global-roche-genentech-trials@gene.com
https://www.roche.com/about_roche/roche_worldwide.htm
show details
Hoffmann-La Roche USA
Reference Study ID Number: WA42380 www.roche.com/about_roche/roche_worldwide.htm
888-662-6728 global-roche-genentech-trials@gene.com
show details
-

Centres

Centre Name Location Trial Centre Country
-
-
-
Amphia Ziekenhuis Breda Netherlands
ASST Fatebenefratelli Sacco - Ospedale Luigi Sacco Milano, Lombardia Italy
ASST Papa Giovanni XXIII; Dipartimento Interaziendale di Farmacia Clinica Bergamo, Lombardia Italy
Azienda Ospedaliera Dei Colli Napoli, Campania Italy
Azienda Ospedaliera San Gerardo di Monza Monza MI, Lombardia Italy
Baylor St. Luke's Medical Center Houston, Texas USA
Baystate Health System Springfield, Massachusetts USA
Ben Taub General Hospital - HCHD Houston, Texas USA
Centre Hospitalier Departemental de Vendee La Roche Sur Yon France
Centre Hospitalier et Universitaire de Limoges Limoges France
CHRU de Tours, Pharmacie Tours France
Cleveland Clinic Foundation; Pulmonary, Allergy & Critical Care Medicine Cleveland, Ohio USA
Clinical Research Institute of Montreal Montreal, Quebec Canada
David Geffen School of Medicine UCLA Los Angeles, California USA
Denver Health Medical Center Denver, Colorado USA
Duke University Medical Center Durham, North Carolina USA
Erasmus MC Rotterdam Netherlands
eStudySite La Mesa, California USA
Evergreen Health Infectious Disease Kirkland, Washington USA
F. Hoffmann-La Roche Ltd
-
-
Fondazione IRCCS Policlinico San Matteo di Pavia; S.S. Fisiopatologia Respiratoria Pavia, Lombardia Italy
Greater Glasgow and Clyde Health Board Glasgow United-Kingdom
Hackensack University Medical Center Hackensack, New Jersey USA
Hoffmann-La Roche San Francisco USA
HOPITAL COCHIN university hospital Paris France
Hopital de la Pitie Salpetriere Paris France
Hospital Clinic de Barcelona Barcelona Spain
Hospital General Universitario Gregorio Maranon Madrid Spain
Hospital Universitari Vall d'Hebron Barcelona Spain
Hospital Universitario de Bellvitge Hospitalet de Llobregat, Barcelona Spain
Hospital Universitario HM Sanchinarro-CIOCC Madrid Spain
Hospital Universitario La Paz Madrid Spain
Hospital Universitario Ramon y Cajal Madrid Spain
Hotel Dieu - Nantes Nantes France
Hvidovre Hospital Hvidovre Denmark
Hôpital de La Croix Rousse Lyon France
Imperial College London London United-Kingdom
Intermountain LDS Hospital Salt Lake City, Utah USA
Intermountain Medical Group Saint George, Utah USA
Istituto Nazionale Malattie Infettive Lazzaro Spallanzani IRCCS Roma, Lazio Italy
James J Peters Veterans Administration Medical Center - NAVREF Bronx, New York USA
Leeds Teaching Hospitals NHS Trust Leeds United-Kingdom
LMU Klinikum der Universitat Munchen Munchen Germany
Mayo Clinic - PPDS Rochester, Minnesota USA
McMaster University Medical Centre Hamilton, Ontario Canada
Medizinische Hochschule Hannover Hannover Germany
New York University Langone Medical Center New York, New York USA
North Manchester General Hospital Manchester United-Kingdom
NYU-Langone Medical Center New York, New York USA
Ochsner Clinic Foundation Baton Rouge, Louisiana USA
Odense Universitetshospital Odense C Denmark
Rigshospitalet Copenhagen University Hospital Copenhagen Denmark
Robert Wood Johnson University Hospital/Rutgers New Brunswick, New Jersey USA
Royal Free Hospital London United-Kingdom
Rush University Medical Center Chicago, Illinois USA
Salford Royal Hospital Salford United-Kingdom
Sjællands Universitetshospital, Roskilde Roskilde Denmark
Smith Clinic-Harris County Hospital Houston, Texas USA
St. Antonius Ziekenhuis Nieuwegein Nieuwegein Netherlands
Stanford University Stanford, California USA
Swedish Hospital Medical Center Seattle, Washington USA
Thomas Jefferson University Philadelphia, Pennsylvania USA
Toronto Western Hospital Toronto, Ontario Canada
Uniklinik Köln Köln Germany
Universitair Medisch Centrum Utrecht Utrecht Netherlands
Universitatsklinikum Dusseldorf Dusseldorf Germany
Universitatsklinikum Schleswig Holstein; Klinik fur Allgemeine Innere Medizin Kiel Germany
University Health Network Toronto, Ontario Canada
University of California San Diego La Jolla, California USA
University of Chicago Chicago, Illinois USA
University of Miami Miller School of Medicine Miami, Florida USA

Trial History

Event Date Event Type Comment
24 May 2023 Results Results assessing effect of IL-6R blockade on key immune pathways associated with severe COVID-19, presented at the 119th International Conference of the American Thoracic Society Updated 12 Jul 2023
13 Apr 2022 Other trial event Last checked against European Clinical Trials Database record. Updated 13 Apr 2022
04 Apr 2022 Other trial event According to a Genentech media release, A decision on U.S. FDA approval is expected in the second half of this year. Updated 08 Apr 2022
04 Apr 2022 Other trial event According to a Genentech media release, the U.S. FDA has accepted the company's supplemental Biologics License Application (sBLA) and has granted Priority Review for Actemra (tocilizumab) intravenous (IV) for the treatment of COVID-19 in hospitalized adults who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO). Updated 08 Apr 2022
21 Jan 2022 Other trial event According to a Chugai Pharmaceutical media release, the company received regulatory approval from the Ministry of Health, Labour and Welfare for Actemra Intravenous Infusion 80 mg, 200 mg, and 400 mg for the additional indication of the treatment of SARS-CoV-2 pneumonia (limited to patients requiring oxygen intervention), based on results from COVACTA, EMPACTA, REMDACTA, J-COVACTA and RECOVERY studies. Updated 27 Jan 2022
07 Dec 2021 Other trial event According to Roche media release, the European Commission has extended the marketing authorisation for tocilizumab to include the treatment of COVID-19 in adults who are receiving systemic corticosteroids and require supplemental oxygen or mechanical ventilation. The decision from the European Commission follows an accelerated assessment by the EMAs CHMP, which reviewed results from four studies of Actemra/RoActemra ( RECOVERY, EMPACTA, COVACTA and REMDACTA studies). Updated 13 Dec 2021
15 Jul 2021 Other trial event This trial has been completed in Italy, according to European Clinical Trials Database record. Updated 15 Jul 2021
07 Jul 2021 Other trial event Last checked against Clinicaltrials.gov record. Updated 07 Jul 2021
24 Jun 2021 Other trial event According to a Genentech media release, U.S. Food and Drug Administration (FDA) has issued an Emergency Use Authorization (EUA) for intravenous Actemra (tocilizumab) for the treatment of COVID-19 in hospitalized adults and pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation.Data from RECOVERY, EMPACTA, COVACTA and REMDACTA studies was included in the EUA submission. Updated 01 Jul 2021
25 Feb 2021 Results Results published in the New England Journal of Medicine Updated 05 Mar 2021
27 Jan 2021 Other trial event New source identified and integrated (ISRCTN: Current Controlled Trials record 13593711). Updated 27 Jan 2021
29 Jul 2020 Results Results presented in a Chugai Pharmaceutical Media Release. Updated 04 Aug 2020
29 Jul 2020 Results Results published in the Roche Media Release Updated 31 Jul 2020
29 Jul 2020 Status change - completed Status changed from active, no longer recruiting to completed, according to a Genentech media release. Updated 30 Jul 2020
29 Jul 2020 Other trial event According to a Genentech media release, further analysis of the trial results is needed to fully understand the data. The results will be submitted for publication in a peer-reviewed journal. Updated 30 Jul 2020
29 Jul 2020 Results Results published in the Genentech Media Release. Updated 30 Jul 2020
29 Jul 2020 Endpoint not met Primary endpoint has not been met. (Clinical Status Assessed Using a 7-Category Ordinal Scale), according to a Genentech media release. Updated 30 Jul 2020
28 May 2020 Status change - active, no longer recruiting Status changed from recruiting to active, no longer recruiting. Updated 02 Jun 2020
28 May 2020 Other trial event According to an Roche media release, the data from the REMDACTA trial are designed to this study. Updated 29 May 2020
28 May 2020 Other trial event According to an Roche media release, the increase in original target of 330 patients to 450 patients will allow for even more robust data, while minimally extending the recruitment period. In addition, the protocol for COVACTA allows the inclusion of patients who are being treated with antivirals, including investigational antivirals. Updated 29 May 2020
28 May 2020 Other trial event According to an Roche media release, this study is close to completing enrolment. The first patient in this study was randomised on April 3, 2020. Updated 29 May 2020
06 May 2020 Other trial event Planned number of patients changed from 330 to 450. Updated 06 May 2020
22 Apr 2020 Completion date Planned End Date changed from 30 Sep 2021 to 30 Sep 2020. Updated 27 Apr 2020
22 Apr 2020 Other trial event Planned primary completion date changed from 31 Aug 2021 to 31 Aug 2020. Updated 27 Apr 2020
22 Apr 2020 Other trial event According to a Roche media release, results from this study are expected in early summer. Updated 23 Apr 2020
06 Apr 2020 Status change - recruiting Status changed from not yet recruiting to recruiting. Updated 09 Apr 2020
06 Apr 2020 Other trial event New source identified and integrated (European Clinical Trials Database;EudraCT2020-001154-22). Updated 06 Apr 2020
27 Mar 2020 Other trial event New source identified and integrated (ClinicalTrials.gov record: NCT04320615). Updated 27 Mar 2020
23 Mar 2020 Status change - not yet recruiting Status changed from planning to not yet recruiting. Updated 27 Mar 2020
23 Mar 2020 Other trial event According to a Genentech media release, the U.S. Food and Drug Administration (FDA) has approved this trial. The company is moving forward to enroll as quickly as possible. Updated 24 Mar 2020
19 Mar 2020 Other trial event According to a Roche media release, an interim analysis will be conducted to look for early evidence of efficacy.This is the first global study of Actemra/RoActemra in this setting and is expected to begin enrolling as soon as possible in early April. Updated 19 Mar 2020
19 Mar 2020 Other trial event According to a Roche media release, the company is working with the FDA to initiate this Phase III clinical trial in collaboration with the Biomedical Advanced Research and Development Authority (BARDA), a part of the US Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR). Updated 19 Mar 2020
19 Mar 2020 New trial record New trial record Updated 19 Mar 2020

References

  1. Genentech. Genentech Provides an Update on the Phase III COVACTA Trial of Actemra in Hospitalized Patients With Severe COVID-19 Associated Pneumonia. Media-Rel 2020;.

    Media Release
  2. ClinicalTrials.gov: US National Institutes of Health. Trial-Reg 2023;.

    Available from: URL: http://clinicaltrials.gov
  3. Roche. Roche provides an update on the phase III COVACTA trial of Actemra/RoActemra in hospitalised patients with severe COVID-19 associated pneumonia. Media-Rel 2020;.

    Media Release
  4. Chugai Pharmaceutical. Chugai Provides an Update on Phase III COVACTA Study of Actemra in Hospitalized Patients with Severe COVID-19 Associated Pneumonia. Media-Rel 2020;.

    Media Release
  5. Roche. Roches Actemra/RoActemra receives U.S. FDA Emergency Use Authorization for the treatment of COVID-19 in hospitalised adults and children. Media-Rel 2021;.

    Media Release
  6. ISRCTN: Current Controlled Trials. Trial-Reg 2023;.

    Available from: URL: http://www.controlled-trials.com
  7. Chugai Pharmaceutical. Chugai's Actemra Approved for Additional Indication of SARS-CoV-2 Pneumonia in Japan. Media-Rel 2022;.

    Media Release
  8. European Clinical Trials Database. Trial-Reg 2023;.

    Available from: URL: https://www.clinicaltrialsregister.eu
  9. Rosas IO, Brau N, Waters M, Go RC, Hunter BD, Bhagani S, et al. Tocilizumab in Hospitalized Patients with Severe Covid-19 Pneumonia. . N-Engl-J-Med 2021;.

    PubMed | CrossRef Fulltext
  10. Roche. U.S. FDA grants priority review to Roches Actemra/RoActemra for the treatment of COVID-19 in hospitalised adults. Media-Rel 2022;.

    Media Release
  11. Bauer RN, Hackney J, Rosenberger C, Teterina A, Qamra A, Onabajo O, et al. Tocilizumab Treatment Leads to Early Resolution of Myeloid Dysfunction and Lymphopenia in Patients Hospitalized With COVID-19. ATS-2023 2023; abstr. N/A.

    Available from: URL: https://www.abstractsonline.com/pp8/#!/10703/presentation/8922
  12. Roche. Actemra/RoActemra approved by the European Commission to treat patients with severe COVID-19. Media-Rel 2021;.

    Media Release
  13. Roche. Investor Update: Roche- 22 April 2020. Media-Rel 2020;.

    Media Release
  14. Roche. Roche initiates Phase III clinical trial of Actemra/RoActemra in hospitalised patients with severe COVID-19 pneumonia. Media-Rel 2020;.

    Media Release
  15. Genentech. Genentechs Actemra Receives FDA Emergency Use Authorization for the Treatment of COVID-19 In Hospitalized Adults and Children. Media-Rel 2021;.

    Media Release
  16. Roche. Roche initiates phase III clinical trial of Actemra/RoActemra plus remdesivir in hospitalised patients with severe COVID-19 pneumonia. Media-Rel 2020;.

    Media Release
  17. Genentech. U.S. FDA Grants Priority Review to Genentechs Actemra for the Treatment of COVID-19 in Hospitalized Adults. Media-Rel 2022;.

    Media Release
  18. Genentech. Genentech Announces FDA Approval of Clinical Trial for Actemra to Treat Hospitalized Patients With Severe COVID-19 Pneumonia. Media-Rel 2020;.

    Media Release
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