COVID-19Phase 3NCT04292730
Study to Evaluate the Safety and Antiviral Activity of Remdesivir (GS-5734™) in Participants With Moderate Coronavirus Disease (COVID-19) Compared to Standard of Care Treatment
A Phase 3 study testing Remdesivir in people with COVID-19, run by Gilead Sciences at 184 sites in 15 countries.
Trial summary
The primary objective of this study was to evaluate the efficacy of 2 remdesivir (RDV) regimens compared to standard of care (SOC), with respect to clinical status assessed by a 7-point ordinal scale on Day 11. Read more about this study
- Who is it for?
- Ages 12 years and older
- Conditions the study is for
- COVID-19
- What is being tested?
- Remdesivir
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,113 participants
- Where
- 184 sitesin 15 countries
- Study dates
- 15 Mar 2020to 26 Jun 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Willing and able to provide written informed consent prior to performing study procedures (participants ≥ 18 years of age) or assent (participants ≥ 12 and < 18 years of age) prior to performing study procedures. For participants ≥ 12 and < 18 years of age, a parent or legal guardian willing and able to provide written informed consent prior to performing study procedures
- Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by polymerase chain reaction (PCR) test ≤ 4 days before randomization
- Currently hospitalized and requiring medical care for COVID-19
- Peripheral capillary oxygen saturation (SpO2) > 94% on room air at screening
- Radiographic evidence of pulmonary infiltrates
Who cannot join
- Participation in any other clinical trial of an experimental treatment for COVID-19
- Concurrent treatment or planned concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2
- Requiring mechanical ventilation at screening
- Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit of normal (ULN)
- Creatinine clearance < 50 mL/min using the Cockcroft-Gault formula for participants ≥ 18 years of age {Cockcroft 1976} and Schwartz Formula for participants < 18 years of age
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
184 sites in 15 countries.
184 sites in 15 countries
United States106 sites
Kaiser Permanente Los Angeles Medical Center, 3340 E. La Palma Avenue
Anaheim, California, 92806
The University of Michigan Hospitals and Health Systems
Ann Arbor, Michigan, 48109-5378
Virginia Hospital Center
Arlington, Virginia, 22205
University of Colorado Denver, University of Colorado Hospital
Aurora, Colorado, 80045
Alta Bates Summit Medical Center
Berkeley, California, 94609
Tufts Medical Center
Boston, Massachusetts, 02111
Brigham & Women's Hospital and Harvard Medical School
Boston, Massachusetts, 02115
Center for Virology and Vaccine Research, Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Mills-Peninsula Medical Center
Burlingame, California, 94010
Eden Medical Center
Castro Valley, California, 94546
Cook County General Hospital
Chicago, Illinois, 60612
Rush University Medical Center
Chicago, Illinois, 60612
University of Chicago
Chicago, Illinois, 60637
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Prisma Health Richland Hospital
Columbia, South Carolina, 29203
The Liver Institute of Methodist Dallas Medical Center
Dallas, Texas, 75203
UT Southwestern Medical Center Amelia Court, HIV Research Clinic
Dallas, Texas, 75235
Baylor University Medical Center
Dallas, Texas, 75246
UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 5201 Harry Hines Blvd.
Dallas, Texas, 75390
UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 6201 Harry Hines Blvd
Dallas, Texas, 75390
SCL Health St. Joseph Hospital, 1375 East 19th Ave
Denver, Colorado, 80208
SCL Health St. Joseph Hospital
Denver, Colorado, 80218
Rose Medical Center
Denver, Colorado, 80220
Henry Ford Health System
Detroit, Michigan, 48202
Kaiser Permanente Los Angeles Medical Center, 9333 Imperial Highway
Downey, California, 90241
Duke University Medical Center
Durham, North Carolina, 27710
Providence Medical Research Center
Everett, Washington, 98201
Inova Fairfax Hospital
Falls Church, Virginia, 22042
Kaiser Permanente Los Angeles Medical Center, 9961 Sierra Ave
Fontana, California, 92335
Baylor University Medical Center, 1400 8th Ave
Fort Worth, Texas, 76104
St Joseph Hospital Eureka
Fortuna, California, 95540
Prisma Health Richland Hospital, 701 Grove Road
Greenville, South Carolina, 29605
Hackensack Medical Center
Hackensack, New Jersey, 07601
Kaiser Permanente Los Angeles Medical Center, 25825 S. Vermont Ave.
Harbor City, California, 90710
Kaiser Sunnyside Medical Center, 2875 NW Stucki Ave
Hillsboro, Oregon, 97124
Robert Wood Johnson University Hospital Somerset
Hillsborough, New Jersey, 08844
Kaiser Permanente Hawaii Moanalua Medical Center
Honolulu, Hawaii, 96819
Houston Methodist Hospital
Houston, Texas, 77030
IU Health Methodist Hospital
Indianapolis, Indiana, 46077
University of Iowa Hospitals & Clinics
Iowa City, Iowa, 52242
Jamaica Hospital Medical Center
Jamaica, New York, 11418
Kadlec Regional Medical Center
Kennewick, Washington, 99336
SCL Health St. Joseph Hospital, 200 Exempla Circle.
Lafayette, Colorado, 80026
Danbury Hospital
Lagrangeville, New York, 12540
Darmouth-Hitchhock Medical Center
Lebanon, New Hampshire, 03756
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027
Kaiser Permanente Los Angeles Medical Center, 6041 Cadillac Ave.
Los Angeles, California, 90034
Kaiser Permanente Los Angeles Medical Center, 5601 De Soto Avenue
Los Angeles, California, 91365
North Shore University Hospital
Manhasset, New York, 11030
Hennepin Healthcare
Minneapolis, Minnesota, 55415
Mission Hospital Regional Medical Center
Mission Viejo, California, 92691
Providence St Patrick Hospital and International Heart Institute of MT Foundation
Missoula, Montana, 59802
Kaiser Permanente Los Angeles Medical Center,27300 Iris Avenue
Moreno Valley, California, 92555
El Camino Hospital
Mountain View, California, 94040
Robert Wood Johnson University Hospital Somerset, 1 RWJ Place
New Brunswick, New Jersey, 08901
Yale University
New Haven, Connecticut, 06510
North Shore University Hospital, 270-05 76th Ave
New Hyde Park, New York, 11040
Tulane University
New Orleans, Louisiana, 70112
Icahn School of Medicine at Mount Sinai, 350 East 17th Street
New York, New York, 10003
Icahn School of Medicine at Mount Sinai, 1000 10th Avenue
New York, New York, 10019
Icahn School of Medicine at Mount Sinai, 440 West 114th St.
New York, New York, 10025
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Columbia University Irving Medical Center
New York, New York, 10032
Weill Cornell Medical College/NYU Presbyterian Hospital
New York, New York, 10065
Robert Wood Johnson University Hospital Somerset, 201 Lyons Avenue
Newark, New Jersey, 07112
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92658
Kaiser Permanente Oakland Medical Center
Oakland, California, 94611
Providence St. Peter Hospital
Olympia, Washington, 98506
Kaiser Permanente Los Angeles Medical Center, 2295 S. Vineyard Avenue
Ontario, California, 91761
The Center for Cancer Prevention and Treatment at St. Joseph Hospital of Orange
Orange, California, 92868
Kaiser Permanente Los Angeles Medical Center,13651 Willard Street
Panorama City, California, 91402
St. Joseph's University Medical Center
Paterson, New Jersey, 07503
Hospital of the University of Pennsylvania, 51 N. 31st Street
Philadelphia, Pennsylvania, 19104
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Maine Medical Center
Portland, Maine, 04102
Providence Portland Medical Center
Portland, Oregon, 97213
Providence St. Vincent Medical Center
Portland, Oregon, 97225
Kaiser Sunnyside Medical Center
Portland, Oregon, 97227
The Miriam Hospital
Providence, Rhode Island, 02906
VCU Health Medical Center
Richmond, Virginia, 23298
Kaiser Permanente Los Angeles Medical Center, 10800 Magnolia Avenue
Riverside, California, 92505
Mayo Clinic
Rochester, Minnesota, 55905
Sutter Medical Center Sacramento, One Medical Plaza
Roseville, California, 95661
Sutter Medical Center Sacramento
Sacramento, California, 95815
University of Utah Health
Salt Lake City, Utah, 84132
Kaiser Permanente Los Angeles Medical Center, 4647 Zion Avenue
San Diego, California, 92120-2507
Kaiser Permanente Los Angeles Medical Center, 9455 Clairemont Mesa Blvd
San Diego, California, 92123
Kaiser Permanente Oakland Medical Center, 1200 El Camino Real
San Francisco, California, 94080
California Pacific Medical Center-Infectious Disease Associates Medical Group
San Francisco, California, 94109
Kaiser Permanente Oakland Medical Center, 2425 Geary Blvd
San Francisco, California, 94115
Kaiser Permanente Oakland Medical Center, 250 Hospital Parkway, Suite 850
San Jose, California, 95119
Kaiser Permanente Oakland Medical Center, 2500 Merced St
San Leandro, California, 94577
Kaiser Permanente Oakland Medical Center, 700 Lawrence Expressway
Santa Clara, California, 95051
Providence St. Johns Medical Center
Santa Monica, California, 90404
Sutter Santa Rosa Regional Hospital
Santa Rosa, California, 95403
Virginia Mason Medical Center
Seattle, Washington, 98101
Swedish Center for Comprehensive Care
Seattle, Washington, 98104
Holy Cross Hospital
Silver Spring, Maryland, 20910
MultiCare Deaconess Hospital
Spokane, Washington, 99204
Stanford Hospital
Stanford, California, 94305
MultiCare Tacoma General Hospital
Tacoma, Washington, 98405
St Joseph Medical Center
Tacoma, Washington, 98405
Baylor University Medical Center, 2401 S. 31st St.
Temple, Texas, 76508
Jacobi Medical Center
The Bronx, New York, 10461
James J. Peters Veterans Administration Medical Center
The Bronx, New York, 10468
United Kingdom15 sites
NHS Lothian, Royal lnfirmary of Edinburgh
Edinburgh, EH4 2XU
Queen Elizabeth University Hospital
Glasgow, G51 4TF
Hull University Teaching Hospitals NHS Trust
Hull, HU16 5JQ
Royal Lancaster Hospital
Lancaster, LA1 4RP
Liverpool University Hospital
Liverpool, L7 8XP
Imperial College NHS Trust
London, Greater London, W2 1NY
Northwick Park Hospital
London, HA1 3UJ
Royal Free London NHS Foundation Trust
London, NW3 2QG
King's College Hospital NHS Trust
London, SE5 9RS
University College London
London, WC1E 6JF
Manchester University NHS Foundation Trust
Manchester, M13 9WL
Manchester University NHS Foundation Trust
Manchester, M23 9LT
Pennine Acute Hospitals NHS Trust
Manchester, M8 5RB
Derriford Hospital
Plymouth, PL6 8BG
Sheffield Teaching Hospitals
Sheffield, S10 2JF
Spain13 sites
Complejo Hospitalario Universitario A Coruña
A Coruña, 15006
Hospital Principe de Asturias
Alcalá de Henares, Madrid, 28805
Hospital Universitario Vall d'Hebron
Barcelona, 08035
Hospital Universitari de Bellvitge
Barcelona, 08907
Hospital Clinic de Barcelona
Barcelona, 8036
Hospital Universitario Cruces
Bizkaia, 48903
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Regional Universitario de Málaga
Málaga, 29010
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Italy12 sites
UOC Malattie Infettive, ASST Papa Giovanni XXIII
Bergamo, 24127
ASST degli Spedali Civili di Brescia
Brescia, 25123
ASST di Cremona - Azienda Socio Sanitaria Territor
Cremona, 26100
UO Malattie Infettive, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122
UOC Malattie Infettive, IRCCS Ospedale San Raffaele
Milan, 20127
ASST Fatebenefratelli Sacco
Milan, 20157
UOC Malattie Infettive e Tropicali, Azienda Ospedaliera di Padova
Padova PD, 35121
Azienda Ospedaliero Universitaria di Parma
Parma, 43126
Malattie Infettive I, Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Ospedale Guglielmo da Saliceto AUSL di Piacenza
Piacenza
UOC Malattie Infettive ad Alta Intensita di Cure, Istituto Nazionale Malattie Infettive Lazzaro Spallanzani I.R.C.C.S.
Roma, 00149
Clinica Universitaria Malattie Infettive, Ospedale Amedeo di Savoia
Torino, 10149
Germany8 sites
Charite Universitatsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik Infektiologie Pneumologie
Berlin, 13353
Universitatsklinikum Dusseldorf, Klinik fur Gastroenterologie, Hepatologie und Infektiologie
Düsseldorf, 40225
Universitatsklinikum Hamburg-Eppendorf
Hamburg, 20246
Universitätsklinikum Schleswig-Holstein Campus Kiel
Kiel, 24105
Klinikum St. Georg gGmbH Klinik fur Infektiologie, Tropenmedizin, Nephrologie und Rheumatologie
Leipzig, 4129
Klinik für Hämatologie, Onkologie, Immunologie
München, 80804
Klinikum rechts der Isar der TU Munchen, Klinik und Poliklinik Innere Medizin 2
Munich, 81675
Robert-Bosch-Krankenhaus (RBK), Klinik Schillerhohe (KSH) und Dr. Margarete Fischer-Bosch-Institut fur klinische Pharmakologie (IKP)
Stuttgart, 70376
France5 sites
CHU Pellegrin
Bordeaux, 33076
CHU de Montpellier-Hopital Gui de Chauliac
Montpelier Cedex 5, 34295
CHU de Nantes-Hotel Dieu
Nantes, 44035
Hopital Saint-Louis
Paris, 75010
Hopital Saint Antoine
Paris, 75012
Hong Kong3 sites
Prince of Wales Hospital
Hong Kong
Princess Margaret Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Japan3 sites
Yokohama Municipal Citizen's Hospital
Kanagawa, 240-8555
Nagoya City East Medical Center
Nagoya, 464-8547
Tokyo Metropolitan Bokutoh Hospital
Tokyo, 130-8575
Netherlands3 sites
Amsterdam University Medical Centre - Location AMC
Amsterdam, 1105 AZ
Leiden University Medical Center
Leiden, 2300 RC
Erasmus Medical Centre
Rotterdam, 3015 GD
Singapore3 sites
National University Hospital
Singapore, 119228
Singapore General Hospital
Singapore, 169856
National Centre for Infectious Diseases, Tan Tock Seng Hospital
Singapore, 308442
South Korea3 sites
Kyungpook National University Hospital
Daegu, 41944
Seoul Medical Center
Seoul, 02053
National Medical Center
Seoul, 04564
Sweden3 sites
Sahlgrenska University Hospital, Ostra
Gothenburg, 41685
SUS (Skanes University Hospital)
Malmö, 20502
Karolinska University Hospital
Stockholm, SE-141 86
Switzerland3 sites
Hopitaux Universitaires de Genève
Geneva, 1211
Ospedale Regionale di Locarno La Carità
Lugano, CH- 6900
Universitätsspital Zürich
Zurich, 8091
Taiwan3 sites
Kaohsiung Veterans General Hospital
Kaohsiung City, 81362
China Medical University Hospital
Taichung, 40447
National Taiwan University Hospital
Taipei, 10002
China1 site
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou
About this study
Official title: A Phase 3 Randomized Study to Evaluate the Safety and Antiviral Activity of Remdesivir (GS-5734™) in Participants With Moderate COVID-19 Compared to Standard of Care Treatment
The primary objective of this study was to evaluate the efficacy of 2 remdesivir (RDV) regimens compared to standard of care (SOC), with respect to clinical status assessed by a 7-point ordinal scale on Day 11.
- Conditions
- COVID-19
- Being tested
- Remdesivir, Standard of Care
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RemdesivirDrug
Also called GS-5734™, Veklury®
Administered as an intravenous infusion
Standard of CareDrug
Standard of Care Treatment for COVID-19 Infection
| Study group | Role | What they receive |
|---|---|---|
| Part A: Remdesivir (RDV), 5 Days | Experimental | Participants will receive continued standard of care (SOC) therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, and 5. Receives: Drug: Remdesivir; Drug: Standard of Care |
| Part A: Remdesivir, 10 Days | Experimental | Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10. Receives: Drug: Remdesivir; Drug: Standard of Care |
| Part A: SOC Therapy | Active comparator | Participants will receive continued standard of care therapy. Receives: Drug: Standard of Care |
| Part B: Extension Treatment, Remdesivir 10 Days | Experimental | Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10. Receives: Drug: Remdesivir; Drug: Standard of Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Percentage of Participants in Each Clinical Status Category as Assessed by a 7-Point Ordinal Scale on Day 11
Clinical status was derived from death, hospital discharge, and ordinal scale as follows: score of "1" was used for all days on or after the date of death; score of "7" was used for all days on or after discharged alive date; last available assessment for missing value. The scale is as follows: 1. Death; 2. Hospitalized, on invasive mechanical ventilation or Extracorporeal Membrane Oxygenation (ECMO); 3. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 5. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (coronavirus (COVID-19) related or otherwise); 6. Hospitalized, not requiring supplemental oxygen - no longer required ongoing medical care (other than per protocol remdesivir administration; 7. Not hospitalized. The odds ratio represents the odds of improvement in the ordinal scale for a RDV group relative to the SOC group.
Measured: Day 11
Secondary outcomes (1)
Part A: Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
TEAEs were defined as the following: any AE with an onset date on or after the study treatment start date and no later than 30 days after permanent discontinuation of study treatment and/or any AE leading to premature discontinuation of study treatment. For participants randomized to the SOC group, all AEs reported on or after the protocol-specified Day 1 visit were considered as treatment emergent.
Measured: First dose date up to last dose date (maximum: 10 days) plus 30 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Mar 2020
- Study start15 Mar 2020
- Primary completion29 Apr 2020
- Study completion26 Jun 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for COVID-19Studies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gilead Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04292730
- Sponsor's protocol ID
- GS-US-540-5774
- Other IDs
- 2020-000842-32, ISRCTN85762140
- Status last verified
- Jan 2021
- First submitted
- 28 Feb 2020
- Last updated
- 26 Jan 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.
- Expanded access
- Available
Publications
Spinner CD, Gottlieb RL, Criner GJ, Arribas Lopez JR, Cattelan AM, Soriano Viladomiu A, Ogbuagu O, Malhotra P, Mullane KM, Castagna A, Chai LYA, Roestenberg M, Tsang OTY, Bernasconi E, Le Turnier P, Chang SC, SenGupta D, Hyland RH, Osinusi AO, Cao H, Blair C, Wang H, Gaggar A, Brainard DM, McPhail MJ, Bhagani S, Ahn MY, Sanyal AJ, Huhn G, Marty FM; GS-US-540-5774 Investigators. Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19: A Randomized Clinical Trial. JAMA. 2020 Sep 15;324(11):1048-1057. doi: 10.1001/jama.2020.16349.
PubMed 32821939Grundeis F, Ansems K, Dahms K, Thieme V, Metzendorf MI, Skoetz N, Benstoem C, Mikolajewska A, Griesel M, Fichtner F, Stegemann M. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2023 Jan 25;1(1):CD014962. doi: 10.1002/14651858.CD014962.pub2.
PubMed 36695483Ansems K, Grundeis F, Dahms K, Mikolajewska A, Thieme V, Piechotta V, Metzendorf MI, Stegemann M, Benstoem C, Fichtner F. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD014962. doi: 10.1002/14651858.CD014962.
PubMed 34350582
Study at a glance
From the registry record, last updated by the sponsor on 26 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized Study to Evaluate the Safety and Antiviral Activity of Remdesivir (GS-5734™) in Participants With Moderate COVID-19 Compared to Standard of Care Treatment
- ClinicalTrials.gov ID
- NCT04292730
- Acronym / sponsor ID
- GS-US-540-5774
- Conditions
- COVID-19
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,113 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 15 Mar 2020 (actual)
- Primary completion
- 29 Apr 2020 (actual)
- Study completion
- 26 Jun 2020 (actual)
- First posted
- 3 Mar 2020 (actual)
- Results
- Posted 26 Jan 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study was to evaluate the efficacy of 2 remdesivir (RDV) regimens compared to standard of care (SOC), with respect to clinical status assessed by a 7-point ordinal scale on Day 11.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Part A: Remdesivir (RDV), 5 Days | Experimental | Drug: Remdesivir, Drug: Standard of CareParticipants will receive continued standard of care (SOC) therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, and 5. |
| Part A: Remdesivir, 10 Days | Experimental | Drug: Remdesivir, Drug: Standard of CareParticipants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10. |
| Part A: SOC Therapy | Active comparator | Drug: Standard of CareParticipants will receive continued standard of care therapy. |
| Part B: Extension Treatment, Remdesivir 10 Days | Experimental | Drug: Remdesivir, Drug: Standard of CareParticipants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Willing and able to provide written informed consent prior to performing study procedures (participants ≥ 18 years of age) or assent (participants ≥ 12 and < 18 years of age) prior to performing study procedures. For participants ≥ 12 and < 18 years of age, a parent or legal guardian willing and able to provide written informed consent prior to performing study procedures
- Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by polymerase chain reaction (PCR) test ≤ 4 days before randomization
- Currently hospitalized and requiring medical care for COVID-19
- Peripheral capillary oxygen saturation (SpO2) > 94% on room air at screening
- Radiographic evidence of pulmonary infiltrates
Key exclusion criteria (6 listed)
- Participation in any other clinical trial of an experimental treatment for COVID-19
- Concurrent treatment or planned concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2
- Requiring mechanical ventilation at screening
- Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit of normal (ULN)
- Creatinine clearance < 50 mL/min using the Cockcroft-Gault formula for participants ≥ 18 years of age {Cockcroft 1976} and Schwartz Formula for participants < 18 years of age
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RemdesivirAlso: GS-5734™, Veklury®Administered as an intravenous infusion | Drug | Part A: Remdesivir (RDV), 5 Days, Part A: Remdesivir, 10 Days, Part B: Extension Treatment, Remdesivir 10 Days |
| Standard of CareStandard of Care Treatment for COVID-19 Infection | Drug | Part A: Remdesivir (RDV), 5 Days, Part A: Remdesivir, 10 Days, Part A: SOC Therapy, Part B: Extension Treatment, Remdesivir 10 Days |
Primary outcome
Part A: Percentage of Participants in Each Clinical Status Category as Assessed by a 7-Point Ordinal Scale on Day 11
Time frame: Day 11
Clinical status was derived from death, hospital discharge, and ordinal scale as follows: score of "1" was used for all days on or after the date of death; score of "7" was used for all days on or after discharged alive date; last available assessment for missing value. The scale is as follows: 1. Death; 2. Hospitalized, on invasive mechanical ventilation or Extracorporeal Membrane Oxygenation (ECMO); 3. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 5. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (coronavirus (COVID-19) related or otherwise); 6. Hospitalized, not requiring supplemental oxygen - no longer required ongoing medical care (other than per protocol remdesivir administration; 7. Not hospitalized. The odds ratio represents the odds of improvement in the ordinal scale for a RDV group relative to the SOC group.
1 secondary outcome
Part A: Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
Time frame: First dose date up to last dose date (maximum: 10 days) plus 30 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Jan 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 32821939Spinner CD, Gottlieb RL, Criner GJ, Arribas Lopez JR, Cattelan AM, Soriano Viladomiu A, Ogbuagu O, Malhotra P, Mullane KM, Castagna A, Chai LYA, Roestenberg M, Tsang OTY, Bernasconi E, Le Turnier P, Chang SC, SenGupta D, Hyland RH, Osinusi AO, Cao H, Blair C, Wang H, Gaggar A, Brainard DM, McPhail MJ, Bhagani S, Ahn MY, Sanyal AJ, Huhn G, Marty FM; GS-US-540-5774 Investigators. Effect of Remdesivir vs Standard Care on Clinical Status at 11 Days in Patients With Moderate COVID-19: A Randomized Clinical Trial. JAMA. 2020 Sep 15;324(11):1048-1057. doi: 10.1001/jama.2020.16349.
- Derived from this study: PubMed 36695483Grundeis F, Ansems K, Dahms K, Thieme V, Metzendorf MI, Skoetz N, Benstoem C, Mikolajewska A, Griesel M, Fichtner F, Stegemann M. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2023 Jan 25;1(1):CD014962. doi: 10.1002/14651858.CD014962.pub2.
- Derived from this study: PubMed 34350582Ansems K, Grundeis F, Dahms K, Mikolajewska A, Thieme V, Piechotta V, Metzendorf MI, Stegemann M, Benstoem C, Fichtner F. Remdesivir for the treatment of COVID-19. Cochrane Database Syst Rev. 2021 Aug 5;8(8):CD014962. doi: 10.1002/14651858.CD014962.
- Individual participant dataSharing planned: Yes. Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gilead.com/science-and-medicine/research/clinical-trials-transparency-and-data-sharing-policy.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gilead Study Director study director
Gilead Sciences
184 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Remdesivir in people with COVID-19, run by Gilead Sciences at 184 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 184 sites in United States, United Kingdom, Spain, Italy, Germany and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Jan 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part A: Percentage of Participants in Each Clinical Status Category as Assessed by a 7-Point Ordinal Scale on Day 11 (time frame: Day 11). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04292730, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jan 2021.