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Coronavirus Disease 2019 (COVID-19) PneumoniaPhase 3NCT04351152

Phase 3 Study to Evaluate Efficacy and Safety of Lenzilumab in Patients With COVID-19

A Phase 3 study testing Lenzilumab in people with Coronavirus Disease 2019 (COVID-19) Pneumonia, run by Humanigen, Inc. at 29 sites in 2 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The primary objective of this study is to assess whether the use of lenzilumab in addition to current standard of care can alleviate the immune-mediated cytokine release syndrome (CRS) and improve ventilator-free survival in hospitalized subjects with severe or critical COVID-19 pneumonia. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Lenzilumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
520 participants
Where
29 sitesin 2 countries
Study dates
5 May 2020to Mar 2021
Phase
Phase 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults 18 years of age or older who are capable of providing informed consent or have a proxy capable of giving consent for them
  • Virologic confirmation of SARS-CoV-2 infection via any FDA authorized diagnostic test for SARS-CoV-2
  • Pneumonia diagnosed by Chest X-ray or Computed Tomography revealing infiltrates consistent with pneumonia
  • SpO2 ≤ 94% on room air and/or require low-flow supplemental oxygen and/or require high-flow oxygen support or NIPPV
  • Hospitalized, not requiring invasive mechanical ventilation during this hospitalization
  • Have not participated in other clinical trial for COVID-19 using an immunomodulatory monoclonal antibody or kinase inhibitor (use of remdesivir, corticosteroids, convalescent plasma, hydroxychloroquine or chloroquine is permitted)
  • Females of childbearing potential must have a negative serum or urine pregnancy test

Who cannot join

  • Requiring invasive mechanical ventilation or extracorporeal membrane oxygenation prior to randomization
  • Confirmed diagnosis of bacterial pneumonia or other active/uncontrolled fungal or viral infections at screening/baseline
  • Known active tuberculosis (TB), history of incompletely treated TB or suspected or known extrapulmonary TB
  • Currently receiving treatment for hepatitis A, hepatitis B, hepatitis C or HIV infection
  • History of pulmonary alveolar proteinosis (PAP)
  • Women of childbearing potential who are pregnant or breastfeeding
Show all 11Show fewer
  • Known hypersensitivity to lenzilumab or any of its components
  • Use of any FDA authorized anti-IL-6 (e.g., tocilizumab, sarilumab, sitlukimab), anti-IL-1 (e.g., anakinra, canakinumab), kinase inhibitor (e.g., baracitinib, ibrutinib, acalabrutinib), or neutralizing monoclonal antibody (e.g. bamlanivimab or casirivimab/imdevimab) therapy to treat COVID-19 within 8 weeks prior to randomization
  • Use of GM-CSF agents (e.g., sargramostim) within prior 2 months of randomization
  • Expected survival < 48h in the opinion of the investigator
  • Any condition that, in the opinion of the investigator, is likely to interfere with the safety and efficacy of the study treatment or puts the patient at unacceptably high risk from the study

Trial locations and contacts

29 sites in 2 countries.

29 sites in 2 countries

United States18 sites
  • Emory University

    Atlanta, Georgia, 30322

  • St. David's Healthcare

    Austin, Texas, 78705

  • St. David's North Austin Medical Center

    Austin, Texas, 78758

  • Atrium Health

    Charlotte, North Carolina, 28203

  • Texas Health

    Dallas, Texas, 75231

  • St. Elizabeth Healthcare

    Edgewood, Kentucky, 41017

  • University of California, Irvine

    Irvine, California, 92697

  • Mayo Clinic

    Jacksonville, Florida, 32216

  • Dartmouth-Hitchcock

    Lebanon, New Hampshire, 03756

  • Saint Barnabas Medical Center

    Livingston, New Jersey, 07039

  • University of Southern California (USC) Medical Center

    Los Angeles, California, 90033

  • USC - Los Angeles County Medical Center

    Los Angeles, California, 90033

  • Hennepin County Medical Center

    Minneapolis, Minnesota, 55415

  • AdventHealth Orlando

    Orlando, Florida, 32803

  • Mayo Clinic

    Phoenix, Arizona, 85054

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Mercy Medical Center

    Rockville Centre, New York, 11570

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Brazil11 sites
  • Hospital Vera Cruz

    Belo Horizonte, Minas Gerais, 30140-060

  • Hospital Dia do Pulmão

    Blumenau, São Paulo, 89030-101

  • Sociedade Literaria e Caritativa Santo Agostinho

    Criciúma, Santa Catarina, 88811-500

  • CPCLIN - Centro de Pesquisas Clínicas de Natal

    Natal, Rio Grande do Norte, 59025-050

  • Hospital São Lucas - PUCRS

    Porto Alegre, Rio Grande do Sul, 90610-000

  • Hospital Guilherme Alvaro

    Santos, São Paulo, 11045-904

  • CEMEC - Centro Multidisciplinar de Estudos Clínicos LTDA-EPP

    São Bernardo do Campo, São Paulo, 09715-090

  • Escola Paulista de Medicina (UNIFESP)

    São Paulo, 04037-002

  • Hospital Heliópolis

    São Paulo, 04231-030

  • Hospital São Luiz do Jabaquara/IDOR

    São Paulo, 04501-000

  • Clinica de Alergia Martti Antila S/S LTDA

    Sorocaba, São Paulo, 18040-425

Other trials in Brazil

About this study

Official title: A Phase 3 Randomized, Placebo-Controlled Study of Lenzilumab in Hospitalized Patients With Severe and Critical COVID-19 Pneumonia

The primary objective of this study is to assess whether the use of lenzilumab in addition to current standard of care can alleviate the immune-mediated cytokine release syndrome (CRS) and improve ventilator-free survival in hospitalized subjects with severe or critical COVID-19 pneumonia.

Read the detailed description

In COVID-19, high levels of granulocyte macrophage-colony stimulating factor (GM-CSF) and inflammatory myeloid cells correlate with disease severity, cytokine storm, and respiratory failure. The mortality rate for hospitalized COVID-19 patients remains unacceptably high, particularly in patients who progress to invasive mechanical ventilation (IMV). This randomized, double-blind, multicenter, placebo-controlled pivotal phase 3 trial will evaluate the impact of lenzilumab (anti-human GM-CSF monoclonal antibody) on ventilator-free survival in hospitalized, hypoxic patients with COVID-19. The study is also designed to evaluate other key endpoints, including ventilator-free days, duration of ICU stay, incidence of IMV, ECMO and/or death, time to death, all-cause mortality and time to recovery.

Approximately 516 patients will be randomized to receive lenzilumab + SOC vs. placebo + SOC in a 1:1 ratio.

Being tested
Lenzilumab, Standard of Care
Keywords
Granulocyte Macrophage-Colony Stimulating Factor (GM-CSF), GM-CSF monoclonal antibody, Cytokine Release Syndrome (CRS), Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Lenzilumab, Cytokine Storm
Medical subject headings
COVID-19, Pneumonia, Cytokine Release Syndrome

What participants receive

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

  • LenzilumabBiological

    Also called Humaneered® anti-human GM-CSF monoclonal Antibody

    Administered as an intravenous (IV) infusion

  • Standard of CareDrug

    Standard of care therapy can include remdesivir and/or dexamethasone per institutional treatment guidelines or written policies

Study groups in NCT04351152
Study groupRoleWhat they receive
Lenzilumab ArmExperimentalParticipants will receive IV infusion of lenzilumab upon randomization at a pre-specified dosing interval and continued administration of standard of care
Receives: Biological: Lenzilumab; Drug: Standard of Care
Placebo ArmPlacebo comparatorParticipants will receive IV infusion of preservative-free 0.9% sodium chloride solution upon randomization matched to lenzilumab at same pre-specified dosing interval and continued administration of standard of care
Receives: Drug: Standard of Care

What is being measured

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

  1. Ventilator-free Survival

    Measured: Up to Day 28

Secondary outcomes (18)
  1. Ventilator-free Days

    Measured: Up to Day 28

  2. Duration of Intensive Care Unit (ICU) Stay

    Measured: Up to Day 28

  3. Incidence of Invasive Mechanical Ventilation, ECMO and/or Death

    Measured: Up to Day 28

  4. Time to Death

    Measured: Up to Day 28

  5. All-cause Mortality

    Measured: Day 28

  6. Time to Recovery

    Time to recovery is defined as the first day on which a subject satisfies one of the following 3 categories from the 8-point ordinal scale (Hospitalized, not requiring supplemental oxygen-no longer requires ongoing medical care; Not hospitalized, limitation on activities and/or requiring home oxygen; Not hospitalized, no limitations on activities).

    Measured: Up to Day 28

  7. Incidence of severe acute respiratory distress syndrome (ARDS)

    Measured: Up to Day 28

  8. Duration of Hospitalization

    Measured: Up to Day 28

  9. Time to Improvement in 1 or 2 Categories using 8-point Ordinal Scale

    Measured: Up to Day 28

  10. Number of Subjects Alive and Off Oxygen

    Measured: Up to Day 60

  11. Percentage of Participants Experiencing Adverse Events

    Using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0

    Measured: Up to Day 60

  12. Percentage of Participants Experiencing Serious Adverse Events

    Using the NCI CTCAE version 5.0

    Measured: Up to Day 60

  13. Proportion of Subjects Discharged from Hospital

    Measured: Up to Day 60

  14. Time to improvement in oxygenation for > 48 hours

    Measured: Up to Day 28

  15. Incidence of Non-invasive Ventilation (or Use of High-flow Oxygen Device)

    Measured: Up to Day 28

  16. Time to Clinical Improvement, Defined as NEWS2 < 2 Maintained for 24 Hours

    NEWS2 consists of: Physiological Parameters: respiration rate (per minute), SpO2 Scale 1 (%), SpO2 Scale 2 (%), use of air or oxygen, systolic blood pressure (mmHg), pulse (per minute), consciousness and temperature (°C)

    Measured: Up to Day 28

  17. Change from Baseline to Day 28 in Clinical status Based on the 8-point Ordinal Scale

    Measured: Up to Day 28

  18. Duration of Time on Low-flow or High-flow Supplemental Oxygen

    Measured: Up to Day 28

Timeline

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

  1. First posted17 Apr 2020
  2. Study start5 May 2020
  3. Primary completionMar 2021 (estimated)
  4. Study completionMar 2021 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
520 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04351152
Sponsor's protocol ID
HGEN003-06
Status last verified
Mar 2021
First submitted
15 Apr 2020
Last updated
3 Mar 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Temesgen Z, Kelley CF, Cerasoli F, Kilcoyne A, Chappell D, Durrant C, Ahmed O, Chappell G, Catterson V, Polk C, Badley A, Marconi VC; LIVE-AIR Study Group. C reactive protein utilisation, a biomarker for early COVID-19 treatment, improves lenzilumab efficacy: results from the randomised phase 3 'LIVE-AIR' trial. Thorax. 2023 Jun;78(6):606-616. doi: 10.1136/thoraxjnl-2022-218744. Epub 2022 Jul 6.

    PubMed 35793833
  • Temesgen Z, Burger CD, Baker J, Polk C, Libertin CR, Kelley CF, Marconi VC, Orenstein R, Catterson VM, Aronstein WS, Durrant C, Chappell D, Ahmed O, Chappell G, Badley AD; LIVE-AIR Study Group. Lenzilumab in hospitalised patients with COVID-19 pneumonia (LIVE-AIR): a phase 3, randomised, placebo-controlled trial. Lancet Respir Med. 2022 Mar;10(3):237-246. doi: 10.1016/S2213-2600(21)00494-X. Epub 2021 Dec 1.

    PubMed 34863332
  • Temesgen Z, Burger CD, Baker J, Polk C, Libertin C, Kelley C, Marconi VC, Orenstein R, Durrant C, Chappell D, Ahmed O, Chappell G, Badley AD. LENZILUMAB EFFICACY AND SAFETY IN NEWLY HOSPITALIZED COVID-19 SUBJECTS: RESULTS FROM THE LIVE-AIR PHASE 3 RANDOMIZED DOUBLE-BLIND PLACEBO-CONTROLLED TRIAL. medRxiv [Preprint]. 2021 May 5:2021.05.01.21256470. doi: 10.1101/2021.05.01.21256470.

    PubMed 33972949
  • Aroldi A, Chiarle R, Gambacorti-Passerini C. Clinical Benefit of Lenzilumab in Cases of Coronavirus Disease 2019. Mayo Clin Proc. 2021 Mar;96(3):817. doi: 10.1016/j.mayocp.2020.12.030. Epub 2021 Jan 11. No abstract available.

    PubMed 33673929
  • Temesgen Z, Assi M, Shweta FNU, Vergidis P, Rizza SA, Bauer PR, Pickering BW, Razonable RR, Libertin CR, Burger CD, Orenstein R, Vargas HE, Palraj R, Dababneh AS, Chappell G, Chappell D, Ahmed O, Sakemura R, Durrant C, Kenderian SS, Badley AD. GM-CSF Neutralization With Lenzilumab in Severe COVID-19 Pneumonia: A Case-Cohort Study. Mayo Clin Proc. 2020 Nov;95(11):2382-2394. doi: 10.1016/j.mayocp.2020.08.038. Epub 2020 Sep 3.

    PubMed 33153629

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lenzilumab in people with Coronavirus Disease 2019 (COVID-19) Pneumonia, run by Humanigen, Inc. at 29 sites in 2 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 7 inclusion and 11 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: status not confirmed, as of the sponsor's last update on 3 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in United States, Brazil. 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. Some participants in this study may receive a placebo. 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?

Results are not available in the source record.

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?

Ventilator-free Survival (time frame: Up to Day 28). 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 NCT04351152, which also lists 5 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 3 Mar 2021.

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