Either you have JavaScript disabled or your browser does not support Javascript . To work properly, this page requires JavaScript to be enabled.
How to enable JavaScript in your browser?

Cohort Multiple Randomized Controlled Trials Open-label of Immune Modulatory Drugs and Other Treatments in COVID-19 Patients - Sarilumab Trial - CORIMUNO-19 - SARI

Trial Profile

Cohort Multiple Randomized Controlled Trials Open-label of Immune Modulatory Drugs and Other Treatments in COVID-19 Patients - Sarilumab Trial - CORIMUNO-19 - SARI

Status: Completed
Phase of Trial: Phase II/III

Latest Information Update: 18 Jun 2025

At a glance

  • Drugs Sarilumab (Primary)
  • Indications COVID 2019 infections; Pneumonia
  • Focus Therapeutic Use
  • Acronyms CORIMUNO-19-SARI; CORIMUNO-SARI; SARI-2

Most Recent Events

  • 12 Jun 2025 The protocol has been amended to change in study time frame.
  • 12 Jun 2025 Status changed from active, no longer recruiting to completed.
  • 03 Feb 2022 Results of TOCI-2 trial and SARI-2 study analysis published in the European Respiratory Journal

Trial Overview

Purpose

The overall objective of the study is to determine the therapeutic effect and tolerance of Sarilumab in patients with moderate, severe pneumonia or critical pneumonia associated with Coronavirus disease 2019 (COVID-19). Sarilumab is a human IgG1 monoclonal antibody that binds specifically to both soluble and membrane-bound IL-6Rs (sIL-6Rα and mIL-6Rα) and has been shown to inhibit IL-6-mediated signaling through these receptors. The study has a cohort multiple Randomized Controlled Trials (cmRCT) design. Randomization will occur prior to offering Sarilumab administration to patients enrolled in the CORIMUNO-19 cohort. Sarilumab will be administered to consenting adult patients hospitalized with COVID-19 either diagnosed with moderate or severe pneumonia requiring no mechanical ventilation or critical pneumonia requiring mechanical ventilation. Patients who will chose not to receive Sarilumab will receive standard of care. Outcomes of Sarilumab-treated patients will be compared with outcomes of standard of care-treated patients as well as with outcomes of patients treated with other immune modulators.

Primary Endpoints

Percentage of Participants With WHO Clinical Progression Scale > 5 at Day 4 -- Severe COVID Population (WHO Clinical Progression Scale =5 at Baseline)

description: Percentage of participants who has died or needed non-invasive or mechanical ventilation
by day 4 (WHO clinical progression scale > 5). A patient with new do-not-resuscitate
order at day 4 will be considered as with a score > 5.
WHO progression scale:
Uninfected; non viral RNA detected: 0 Asymptomatic; viral RNA detected: 1 Symptomatic;
Independent: 2 Symptomatic; Assistance needed: 3 Hospitalized; No oxygen therapy: 4
Hospitalized; oxygen by mask or nasal prongs: 5 Hospitalized; oxygen by NIV or High flow:
6 Intubation and Mechanical ventilation, pO2/FIO2≥150 OR SpO2/FIO2≥200: 7 Mechanical
ventilation, (pO2/FIO2<150 OR SpO2/FIO2<200) OR vasopressors (norepinephrine >0.3
microg/kg/min): 8 Mechanical ventilation, pO2/FIO2<150 AND vasopressors (norepinephrine
>0.3 microg/kg/min), OR Dialysis OR ECMO: 9 Dead: 10
time_frame: 4 days

Percentage of Participants With Non-invasive Ventilation, Mechanical Ventilation or Death at Day 14 (WHO Clinical Progression Scale =5 at Baseline)

description: Survival without needs of ventilator utilization (including non invasive ventilation and
high flow) at day 14. Percentage of non-invasive ventilation, mechanical ventilation or
death. Thus, events considered are needing ventilator utilization (mechanical or
non-invasive ventilation including high flow oxygen), or death. New do-not-resuscitate
(DNR) order (if given after the inclusion of the patient) will be considered as an event
at the date of the DNR.
time_frame: Day 1 to Day 14

Percentage of Participants With no Improvement in WHO Clinical Progression Scale at Day 4 -- Critical COVID Population ( WHO Clinical Progression Scale >5 at Baseline)

description: Results are presented as the percentage not improved, so that an effective treatment
would be associated with a decrease in percentage
Scale:
Uninfected; non viral RNA detected: 0 Asymptomatic; viral RNA detected: 1 Symptomatic;
Independent: 2 Symptomatic; Assistance needed: 3 Hospitalized; No oxygen therapy: 4
Hospitalized; oxygen by mask or nasal prongs: 5 Hospitalized; oxygen by NIV or High flow:
6 Intubation and Mechanical ventilation, pO2/FIO2≥150 OR SpO2/FIO2≥200: 7 Mechanical
ventilation, (pO2/FIO2<150 OR SpO2/FIO2<200) OR vasopressors (norepinephrine >0.3
microg/kg/min): 8 Mechanical ventilation, pO2/FIO2<150 AND vasopressors (norepinephrine
>0.3 microg/kg/min), OR Dialysis OR ECMO: 9
time_frame: 4 days

Cumulative Incidence (Percentage of Participants) With Successful Tracheal Extubation at Day 14 -- Critical COVID Population (WHO Clinical Progression Scale >5 at Baseline)

description: Cumulative incidence of successful tracheal extubation (defined as duration extubation >
48h) at day 14 if patients have been intubated before day 14 ; or removal of Non Invasive
Ventilation or high flow (for > 48h) if they were included under oxygen by Non Invasive
Ventilation or High flow (score 6) and remained without intubation. Death or new
do-not-resuscitate order (if given after the inclusion of the patient) will be considered
as a competing event.
time_frame: Day 1 to Day 14

Other Endpoints

Percentage of Participants Surviving (Overall Survival)

description: Percentage of participants surviving at 14, 28 and 90 days
time_frame: 14, 28 and 90 days

WHO Progression Scale

description: WHO progression scale:
Uninfected; non viral RNA detected: 0 Asymptomatic; viral RNA detected: 1 Symptomatic;
Independent: 2 Symptomatic; Assistance needed: 3 Hospitalized; No oxygen therapy: 4
Hospitalized; oxygen by mask or nasal prongs: 5 Hospitalized; oxygen by NIV or High flow:
6 Intubation and Mechanical ventilation, pO2/FIO2≥150 OR SpO2/FIO2≥200: 7 Mechanical
ventilation, (pO2/FIO2<150 OR SpO2/FIO2<200) OR vasopressors (norepinephrine >0.3
microg/kg/min): 8 Mechanical ventilation, pO2/FIO2<150 AND vasopressors (norepinephrine
>0.3 microg/kg/min), OR Dialysis OR ECMO: 9 Dead: 10
time_frame: 4, 7 and 14 days

Mean of Ventilator Free-days at Day 28 -- Critical COVID Population (WHO-clinical Progression Scale >5 at Baseline)

description: 28-day ventilator free-days
time_frame: 28 days

Cumulative Incidence (Percentage of Participants) of Oxygen Supply Independency

description: Time to oxygen supply independency
time_frame: 28, 90 days

Cumulative Incidence (Percentage of Participants) of Discharge From Hospital

description: Time to discharge from hospital
time_frame: 28, 90 days

Cumulative Incidence (Percentage of Participants) of Intensive Care Unit Discharge -- Critical COVID Population (WHO Clinical Progression Scale >5 at Baseline)

description: Time to discharge from Intensive Care Unit
time_frame: 28, 90 days

PaO2/FiO2 Ratio -- Critical COVID Population (WHO-CPS >5)

description: evolution of PaO2/FiO2 ratio PaO2 is partial pressure of arterial oxygen expressed in
mmHg. FiO2 is fraction of inspired oxygen (for instance, 0.33 for 33% oxygen) with no
units.
PaO2/FiO2 ratio is expressed in mmHg.
time_frame: day 1 to day 14 [1]

Diseases Treated

Indication Qualifiers Patient Segments
COVID 2019 infections treatment -
Pneumonia treatment moderate, severe

Biomarker

NCT Number Biomarker Name Biomarker Function
NCT04324073 IQ motif containing GTPase activating protein 1 Brief Title, Official Title
secretion associated Ras related GTPase 1A Brief Title, Official Title
For more detail, check out BiomarkerBase: the leading source of information about biomarkers used in drug development and diagnostic tests, tracking a comprehensive list of biomarker uses worldwide by over 800 companies

Subjects

  • Subject Type patients
  • Number

    Planned: 240

    Actual: 239

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

Patient Inclusion Criteria

1. Patients included in the CORIMUNO-19 cohort 2. Patients belonging to one of the 2 following groups: - Group 1: patients not requiring Intensive Care Unit at admission with moderate and severe pneumopathy according to the OMS Criteria of severity of COVID pneumopathy. Moderate cases : Cases meeting all of the following criteria: - Showing fever and respiratory symptoms with radiological findings of pneumonia. - Requiring between 3L/min and 5L/min of oxygen to maintain SpO2 >97% Severe cases Cases meeting any of the following criteria: - Respiratory distress (???30 breaths/ min); - Oxygen saturation≤93% at rest in ambient air; or Oxygen saturation ≤97 % with O2 > 5L/min. - PaO2/FiO2???300mmHg - Group 2: patients requiring Intensive Care Unit based on Criteria of severity of COVID pneumopathy. - Respiratory failure and requiring mechanical ventilation - No do-not-resuscitate order (DNR order).

Patient Exclusion Criteria

- Patients with exclusion criteria to the CORIMUNO-19 cohort. - Known hypersensitivity to Sarilumab or to any of their excipients. - Pregnancy - Current documented bacterial infection - Patient with any of following laboratory results out of the ranges detailed below at screening should be discussed depending of the medication: - Absolute neutrophil count (ANC) ≤ 1.0 x 109/L - Haemoglobin level: no limitation - Platelets (PLT) < 50 G /L - SGOT or SGPT > 5N

Trial Details

Identifiers

Identifier Owner
NCT04324073 ClinicalTrials.gov: US National Institutes of Health
APHP200375-2 -

Trial Dates

  • Initiation Dates

    Planned : 26 Mar 2020

    Actual : 27 Mar 2020

  • Primary Completion Dates

    Planned : 27 Mar 2021

    Actual : 21 Apr 2020

  • End Dates

    Planned : 31 Dec 2021

    Actual : 24 Sep 2020

Other Details

  • Design multicentre; open; parallel; prospective; randomised
  • Phase of Trial Phase II/III
  • Location France
  • Focus Therapeutic Use

Interventions

Drugs Route Formulation Target
Sarilumab
Primary Drug
Intravenous Infusion Interleukin 6 receptor

SARILUMAB -- Critical COVID population (WHO Clinical Progression Scale >5 at baseline)

Sarilumab (an IV dose of 400 mg of sarilumab in a 1 hour-infusion at Day 1). Administration of Sarilumab fixed dose on day 3 was recommended and left to the treating physician Drug: Sarilumab( (an IV dose of 400 mg of sarilumab in a 1 hour-infusion at D1 )

SARILUMAB -- Severe COVID population (WHO Clinical Progression Scale =5 at baseline)

Sarilumab (an IV dose of 400 mg of sarilumab in a 1 hour-infusion at Day 1). Administration of Sarilumab fixed dose on day 3 was recommended and left to the treating physician Drug: Sarilumab( (an IV dose of 400 mg of sarilumab in a 1 hour-infusion at D1 )

Standard of care -- Severe COVID population (WHO Clinical Progression Scale =5 at baseline)

Usual care was provided at the discretion of the clinicians

Standard of care -- Critical COVID population (WHO Clinical Progression Scale >5)

Usual care was provided at the discretion of the clinicians

Results

Publications

  1. Hermine O, Mariette X, Porcher R, Resche-Rigon M, Tharaux PL, Ravaud P. Effect of Interleukin-6 Receptor Antagonists in Critically Ill Adult Patients with COVID-19 Pneumonia: two Randomised Controlled Trials of the CORIMUNO-19 Collaborative Group. . Eur-Respir-J 2022;.

    PubMed | CrossRef Fulltext

Authors

Author Total Publications First Author Last Author
Hermine O 1 1 -
Mariette X 1 - -
Porcher R 1 - -
Ravaud P 1 - 1
Resche-Rigon M 1 - -
Tharaux PL 1 - -

Trial Centres

Investigators

Investigator Centre Name Trial Centre Country
Matthieu RESCHE-RIGON, MD PhD
685740240 Ext: +33 matthieu.resche-rigon@u-paris.fr
show details
-
matthieu resche-rigon, MD-PhD
685740240 +33 matthieu.resche-rigon@u-paris.fr
show details
NECKER Hospital France
Olivier HERMINE, MD-PhD
603707920 Ext: +33 ohermine@gmail.com
show details
-
Xavier Mariette, MD-PHD Kremlin Bicetre hospital APHP France

Centres

Centre Name Location Trial Centre Country
-
-
-
Assistance Publique - Hôpitaux de Paris
-
-
Cochin Aphp Paris, Ile De France France
HEGP Paris, Ile De France France
Kremlin Bicetre hospital APHP Le Kremlin-Bicêtre, Ile De France France
NECKER Hospital Paris France

Trial History

Event Date Event Type Comment
18 Jun 2025 Other trial event Last checked against the ClinicalTrials.gov record. Updated 18 Jun 2025
12 Jun 2025 Protocol amendment The protocol has been amended to change in study time frame. Updated 18 Jun 2025
12 Jun 2025 Status change - completed Status changed from active, no longer recruiting to completed. Updated 18 Jun 2025
07 Mar 2022 Other trial event According to ClinicalTrials.gov, the recruitment status of this study is unknown because the information has not been verified recently (last verified Mar 2020). Updated 07 Mar 2022
03 Feb 2022 Results Results of TOCI-2 trial and SARI-2 study analysis published in the European Respiratory Journal Updated 11 Feb 2022
15 Apr 2020 Biomarker Update Biomarkers information updated Updated 04 Nov 2021
14 Apr 2020 Status change - active, no longer recruiting Status changed from recruiting to active, no longer recruiting. Updated 16 Apr 2020
31 Mar 2020 Other trial event Planned number of patients changed from 180 to 240. Updated 03 Apr 2020
31 Mar 2020 Other trial event Planned primary completion date changed from 26 Mar 2021 to 27 Mar 2021. Updated 03 Apr 2020
31 Mar 2020 Status change - recruiting Status changed from not yet recruiting to recruiting. Updated 03 Apr 2020
30 Mar 2020 New trial record New trial record Updated 30 Mar 2020

References

  1. ClinicalTrials.gov: US National Institutes of Health. Trial-Reg 2024;.

    Available from: URL: http://clinicaltrials.gov
  2. Hermine O, Mariette X, Porcher R, Resche-Rigon M, Tharaux PL, Ravaud P. Effect of Interleukin-6 Receptor Antagonists in Critically Ill Adult Patients with COVID-19 Pneumonia: two Randomised Controlled Trials of the CORIMUNO-19 Collaborative Group. . Eur-Respir-J 2022;.

    PubMed | CrossRef Fulltext
Back to top