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COVID-19Phase 2/3NCT04348071

Safety and Efficacy of Ruxolitinib for COVID-19

A Phase 2/3 study testing Ruxolitinib in people with COVID-19, run by University of Colorado, Denver.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This study plans to learn more about the effects of a medicine called ruxolitinib on the progression of COVID-19 (coronavirus disease of 2019), the medical condition caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Read more about this study

Who is it for?
Ages 18 to 89 years
Conditions the study is for
COVID-19
What is being tested?
Ruxolitinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Jul 2021to Oct 2021
Phase
Phase 2/3
Are there results?
None posted in the registry

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 18 to 89 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female aged 18 - 89 years at time of enrollment
  • Hospitalized (or documented plan to hospitalize if patient is in the emergency department) with symptoms suggestive of COVID-19
  • lllness of any duration that meets each of the following:
  • Evidence of pneumonia, including radiographic infiltrates by imaging (chest x-ray, CT scan, etc.) or clinical assessment (rales/crackles on exam)
  • Requires supportive care, including non-invasive supplemental oxygen
  • Laboratory-confirmed SARS-CoV-2 infection as determined by PCR or other commercial or public health assay within 7 days of enrollment
  • Understands and agrees to comply with planned study procedures
  • Provides informed consent signed by study patient or legally acceptable representative

Who cannot join

  • Absolute platelet counts are less than 75 x 10^9/L
  • Absolute neutrophil count is less than 0.5 x 10^9/L
  • Hemoglobin is less than 8 g/dL
  • Severe renal impairment defined by serum creatinine greater than 2 mg/dL or CrCl less than 30 mL/min
  • Treatment with other JAK inhibitors, strong CYP3A4 inhibitors, biologic disease-modifying anti-rheumatic drugs (DMARDs, including anti-IL-6 or anti-IL-6R antibodies), or potent immunosuppressants such as azathioprine and cyclosporine concurrently or within the past 5 days. Note: recent or concurrent treatment with hydroxychloroquine or chloroquine is allowable, as these are 'non-biologic' DMARDs with potential antiviral activity.
  • History of HIV infection and on active immunosuppressant therapy
Show all 14Show fewer
  • Current hematological or solid organ malignancy and on active immunosuppressant therapy
  • Active tuberculosis (TB) infection or known or suspected systemic bacterial or fungal infection
  • Pregnancy or breast feeding
  • Known allergy to ruxolitinib
  • In the opinion of the investigator, they are unlikely to survive for >48 hours from screening
  • Any physical examination findings and/or history of any illness that, in the opinion of the investigator, might confound the results of the study or pose an additional risk to the patient by their participation in the study
  • Additional Exclusion Criteria for Phase 2 only:
  • Invasive oxygen supplementation, including mechanical ventilation and extracorporeal membrane oxygenation (ECMO)

About this study

This study plans to learn more about the effects of a medicine called ruxolitinib on the progression of COVID-19 (coronavirus disease of 2019), the medical condition caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Ruxolitinib is FDA-approved for the treatment of myelofibrosis, polycythemia vera, and graft-versus-host disease. This study intends to define the impact of ruxolitinib on the severity and progression of COVID-19. This drug might to lower the hyperinflammation caused by the virus, which would prevent damage to the lungs and possibly other organs.

The study will recruit patients who have been diagnosed with COVID-19.

The goal is to recruit 80 patients.

Read the detailed description

This is an adaptive Phase 2/3 clinical trial, with a focus on the assessment of safety in the first 20 participants (Phase 2), followed by a much broader assessment of efficacy, while continuing to monitor safety, in an additional 60 participants (Phase 3, total participants across Phase 2/3 n=80). Both phases are single arm, open label, and occur at a single site at the University of Colorado Hospital (UCH). Data from participants in this study will be compared with data from other COVID-19 patients not receiving ruxolitinib. Study participants will receive 10 mg twice daily of ruxolitinib for 14 days and will be followed for up to 29 days.

Conditions
COVID-19
Being tested
Ruxolitinib
Keywords
JAK inhibitor, SARS-CoV-2, inflammation, cytokine release syndrome
Medical subject headings
COVID-19, Inflammation, Cytokine Release Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RuxolitinibDrug

    Also called Jakafi, Jakavi

    Participants will receive 10 mg ruxolitinib twice daily.

Study groups in NCT04348071
Study groupRoleWhat they receive
RuxolitinibExperimentalThis study is an Adaptive Phase 2/3 trial designed to test the safety (Phase 2) and efficacy (Phase 2 and 3) of ruxolitinib to treat COVID-19. Phase 2 consists of a single-arm, open-label assignment of 20 participants receiving 10 mg ruxolitinib twice daily for 14 days. Phase 3 consists of a single-arm, open-label assignment of 60 additional participants receiving ruxolitinib at the same dose. In both phases, participants will be monitored daily while hospitalized for 29 days, or until discharge, whichever occurs first. Participants who are discharged will be followed up with via phone on Day 15 and Day 29.
Receives: Drug: Ruxolitinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 2: Cumulative incidence of Grade 3 and 4 adverse events (AEs)

    Grade 3 AEs are defined as events that interrupt usual activities of daily living, or significantly affects clinical status, or may require intensive therapeutic intervention. Severe events are usually incapacitating. Grade 4 AEs are defined as events that are potentially life threatening. AEs will be collected and graded daily and cumulative incidence will be reported.

    Measured: Day 0 (screening) through Day 29

  2. Phase 2: Cumulative incidence of serious adverse events (SAEs)

    An SAE is defined as an AE that is life-threatening or results in death, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions, or a congenital anomaly/birth defect. SAEs will be collected and graded daily and cumulative incidence will be reported.

    Measured: Day 0 (screening) through Day 29

  3. Phase 2: Changes in white blood cell count (CBC) through Day 15

    Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as standard of care (SOC). Mean changes from baseline to Day 15 will be reported.

    Measured: Day 1 to Day 15

  4. Phase 2: Changes in hemoglobin through Day 15

    Measured: Day 1 to Day 15

  5. Phase 2: Changes in platelets through Day 15

    Measured: Day 1 to Day 15

  6. Phase 2: Changes in creatinine through Day 15

    Measured: Day 1 to Day 15

  7. Phase 2: Changes in glucose through Day 15

    Measured: Day 1 to Day 15

  8. Phase 2: Changes in prothrombin time (PT) through Day 15

    Measured: Day 1 to Day 15

  9. Phase 2: Changes in total bilirubin through Day 15

    Measured: Day 1 to Day 15

  10. Phase 2: Changes in ALT through Day 15

    Measured: Day 1 to Day 15

  11. Phase 2: Changes in AST through Day 15

    Measured: Day 1 to Day 15

  12. Phase 2: Changes in white blood cell count (CBC) through End of Study (EOS)

    Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.

    Measured: Day through Day 29 or hospital discharge, whichever is first

  13. Phase 2: Changes in hemoglobin through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  14. Phase 2: Changes in platelets through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  15. Phase 2: Changes in creatinine through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  16. Phase 2: Changes in glucose through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  17. Phase 2: Changes in prothrombin time (PT) though End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  18. Phase 2: Changes in total bilirubin through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  19. Phase 2: Changes in ALT through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  20. Phase 2: Changes in AST through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  21. Phase 3: Percentage of patients reporting each severity on an 8-point ordinal scale at Day 15

    The 8-point ordinal scale described below, where a lower score indicates a worse outcome, will be performed daily or as recommended by participant's physician as SOC. The percent of participants scored at each severity will be reported on Day 15.

    The 8-point ordinal 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 supplemental oxygen
    5. Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
    6. Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
    7. Not hospitalized, limitation on activities and/or requiring home oxygen
    8. Not hospitalized, no limitations on activities

    Measured: Day 15

Secondary outcomes (37)
  1. Phase 2: Change in the 8-point ordinal scale

    Measured: Day 1 to Day 29

  2. Phase 2: Change in National Early Warning Score (NEWS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  3. Phase 3: Change in the 8-point ordinal scale

    Measured: Day 1 to Day 29

  4. Phase 3: Change in National Early Warning Score (NEWS)

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  5. Phase 3: Time to an improvement of one category using the 8-point ordinal scale

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  6. Phase 3: Time to an improvement of two categories using the 8-point ordinal scale

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  7. Phase 3: Time to discharge or to a NEWS ≤2 and maintained for 24 hours, whichever occurs first

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  8. Phase 3: Cumulative incidence of Grade 3 and 4 adverse events (AEs)

    Measured: Day 0 (screening) through Day 29

  9. Phase 3: Cumulative incidence of serious adverse events (SAEs)

    Measured: Day 0 (screening) through Day 29

  10. Phase 3: Duration of hospitalization

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  11. Phase 3: Duration of new oxygen use

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  12. Phase 3: Duration of new ventilator or ECMO use

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  13. Phase 3: Incidence of discontinuation or temporary suspension of drug for any reason

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  14. Phase 3: Incidence of new oxygen use

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  15. Phase 3: Incidence of new ventilator use

    Measured: Day 1 to Day 29 or hospital discharge, whichever is first

  16. Phase 3: Number of oxygen free days

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  17. Phase 3: Number of ventilator or ECMO free days

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  18. Phase 3: 14 day mortality rate

    Measured: Day 1 through Day 15

  19. Phase 3: 28 day mortality rate

    Measured: Day 1 through Day 29

  20. Phase 3: Changes in white blood cell count (CBC) through Day 15

    Measured: Day 1 to Day 15

  21. Phase 3: Changes in hemoglobin through Day 15

    Measured: Day 1 to Day 15

  22. Phase 3: Changes in platelets through Day 15

    Measured: Day 1 to Day 15

  23. Phase 3: Changes in creatinine through Day 15

    Measured: Day 1 to Day 15

  24. Phase 3: Changes in glucose through Day 15

    Measured: Day 1 to Day 15

  25. Phase 3: Changes in prothrombin time (PT) through Day 15

    Measured: Day 1 to Day 15

  26. Phase 3: Changes in total bilirubin through Day 15

    Measured: Day 1 to Day 15

  27. Phase 3: Changes in ALT through Day 15

    Measured: Day 1 to Day 15

  28. Phase 3: Changes in AST through Day 15

    Measured: Day 1 to Day 15

  29. Phase 3: Changes in white blood cell count (CBC) through End of Study (EOS)

    Safety assessment via standard blood chemistry and metabolic panels will be performed daily as recommended by participant's physician as SOC. Mean changes from baseline to EOS will be reported.

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  30. Phase 3: Changes in hemoglobin through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  31. Phase 3: Changes in platelets through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  32. Phase 3: Changes in creatinine through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  33. Phase 3: Changes in glucose through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  34. Phase 3: Changes in prothrombin time (PT) though End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  35. Phase 3: Changes in total bilirubin through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  36. Phase 3: Changes in ALT through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

  37. Phase 3: Changes in AST through End of Study (EOS)

    Measured: Day 1 through Day 29 or hospital discharge, whichever is first

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Apr 2020
  2. Study startJul 2021 (estimated)
  3. Primary completionAug 2021 (estimated)
  4. Study completionOct 2021 (estimated)

Why it stopped: Could not make FDA required changes

Resources

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 2/3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single arm, open label, single site study. Data from participants in this study with data from other COVID-19 patients not receiving ruxolitinib.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04348071
Sponsor's protocol ID
20-0869
Status last verified
Mar 2021
First submitted
13 Apr 2020
Last updated
8 Mar 2021
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data will be made available for all primary outcome measures.

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Ruxolitinib in people with COVID-19, run by University of Colorado, Denver.

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 8 inclusion and 14 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: withdrawn, as of the sponsor's last update on 8 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Phase 2: Cumulative incidence of Grade 3 and 4 adverse events (AEs) (time frame: Day 0 (screening) through Day 29). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Mar 2021.

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