COVID-19Phase 2COVIDOSE-2NCT04479358
Low-dose Tocilizumab Versus Standard of Care in Hospitalized Patients With COVID-19
A Phase 2 study testing Tocilizumab in people with COVID-19, run by University of Chicago at 1 site in United States.
Trial summary
Tocilizumab is an effective treatment for severe coronavirus disease 2019 (Covid-19) pneumonia and related inflammation. Given limited global supplies, clarification of the optimal tocilizumab dose is critical. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- COVID-19
- What is being tested?
- Tocilizumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 85 participants
- Where
- 1 siteUnited States
- Study dates
- 10 Sep 2020to 10 Feb 2025
- Phase
- Phase 2
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adults ≥ 18 years of age
- Approval from the patient's primary inpatient service
- Hospitalized
- Fever, documented in electronic medical record and defined as: T ≥ 38 degrees C by any conventional clinical method (forehead, tympanic, oral, axillary, rectal)
- Positive test for active SARS-CoV-2 infection
- Radiographic evidence of infiltrates on chest radiograph (CXR) or computed tomography (CT)
- Ability to provide written informed consent on the part of the subject or, in the absence of decisional capacity of the subject, an appropriate surrogate (e.g. a legally authorized representative).
Who cannot join
- Concurrent use of invasive mechanical ventilation
- Concurrent use of vasopressor or inotropic medications
- Previous receipt of tocilizumab or another anti-IL6R or IL-6 inhibitor in the year prior.
- Known history of hypersensitivity to tocilizumab.
- Diagnosis of end-stage liver disease or listed for liver transplant.
- Elevation of AST or ALT in excess of 10 times the upper limit of normal.
Show all 65Show fewer
- Neutropenia (Absolute neutrophil count < 500/uL).
- Thrombocytopenia (Platelets < 50,000/uL).
- On active therapy with a Bruton's tyrosine kinase-targeted agent, which include the following:
- Acalabrutinib
- Ibrutinib
- Zanubrutinib
- On active therapy with a JAK2-targeted agent, which include the following:
- Tofacitinib
- Baricitinib
- Upadacitinib
- Ruxolitinib
- Any of the following biologic immunosuppressive agent (and any biosimilar versions thereof) administered in the past 6 months or less::
- Abatacept
- Adalimumab
- Alemtuzumab
- Atezolizumab
- Belimumab
- Blinatumomab
- Brentuximab
- Certolizumab
- Daratumumab
- Durvalumab
- Eculizumab
- Elotuzumab
- Etanercept
- Gemtuzumab
- Golimumab
- Ibritumomab
- Infliximab
- Inotuzumab
- Ipilimumab
- Ixekizumab
- Moxetumomab
- Nivolumab
- Obinutuzumab
- Ocrelizumab
- Ofatumumab
- Pembrolizumab
- Polatuzumab
- Rituximab
- Rituximab
- Sarilumab
- Secukinumab
- Tocilizumab
- Tositumumab
- Tremelimumab
- Urelumab
- Ustekinumab
- History of bone marrow transplantation (including chimeric antigen receptor T-cell) or solid organ transplant
- Known history of Hepatitis B or Hepatitis C (patients who have completed curative-intent anti-HCV treatments are not excluded from trial)
- Positive result on hepatitis B or C screening
- Known history of mycobacterium tuberculosis infection at risk for reactivation
- Known history of gastrointestinal perforation
- Active diverticulitis
- Multi-organ failure as determined by primary treating physicians
- Any other documented serious, active infection besides COVID-19 - including but not limited to: lobar pneumonia consistent with bacterial infection, bacteremia, culture-negative endocarditis, or current mycobacterial infection - at the discretion of primary treating physicians
- Pregnant patients or nursing mothers
- Patients who are unable to discontinue scheduled antipyretic medications, either as monotherapy (e.g., acetaminophen or ibuprofen [aspirin is acceptable]) or as part of combination therapy (e.g., hydrocodone/acetaminophen, aspirin/acetaminophen/caffeine [Excedrin®])
- CRP < 40 mg/L
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Chicago Medicine
Chicago, Illinois, 60637
About this study
Official title: COVIDOSE-2: A Multi-center, Randomized, Controlled Phase 2 Trial Comparing Early Administration of Low-dose Tocilizumab to Standard of Care in Hospitalized Patients With COVID-19 Pneumonitis Not Requiring Invasive Ventilation
Tocilizumab is an effective treatment for severe coronavirus disease 2019 (Covid-19) pneumonia and related inflammation. Given limited global supplies, clarification of the optimal tocilizumab dose is critical. We conducted an open-label, randomized, controlled trial evaluating two different dose levels of tocilizumab in Covid-19 (40mg and 120mg). Randomization was stratified on remdesivir and corticosteroid at enrollment. The primary outcome was the time to recovery. The key secondary outcome was 28-day mortality.
Read the detailed description
COVID-19's high mortality may be driven by hyperinflammation. Interleukin-6 (IL-6) axis therapies may reduce COVID-19 mortality. Retrospective analyses of tocilizumab in severe to critical COVID-19 patients have demonstrated survival advantage and lower likelihood of requiring invasive ventilation following tocilizumab administration. The majority of patients have rapid resolution (i.e., within 24-72 hours following administration) of both clinical and biochemical signs (fever and CRP, respectively) of hyperinflammation with only a single tocilizumab dose.
The investigators hypothesized that a dose of tocilizumab significantly lower than the EMA- and FDA-labeled dose (8mg/kg) as well as the emerging standard of care dose (400mg) may be effective in patients with COVID-19 pneumonitis and hyperinflammation. Advantages to the lower dose of tocilizumab may include lower likelihood of secondary bacterial infections as well as extension of this drug's limited supply. The investigators conducted an adaptive single-arm phase 2 trial (NCT04331795) evaluating clinical and biochemical response to low-dose tocilizumab in patients with COVID-19 pneumonitis and hyperinflammation.
This multi-center, prospective, randomized controlled phase 2 trial -- designed as two sub-studies to allow for the possible emergence of data demonstrating the clinical efficacy of tocilizumab 8mg/kg or 400mg -- formally tests the clinical efficacy of low-dose tocilizumab in COVID-19 pneumonia.
Sub-Study A Primary Objective A: To establish whether low-dose tocilizumab reduces the time to clinical recovery in patients with COVID-19 pneumonitis and hyperinflammation, when compared to a tocilizumab-free standard of care.
Hypothesis A: The investigators hypothesize that low-dose tocilizumab, when compared to a tocilizumab-free standard of care, decreases the time to recovery in hospitalized, non-invasively ventilated patients with COVID-19 pneumonitis and hyperinflammation by three days or more.
Sub-Study B Primary Objective B: To establish whether low-dose tocilizumab is near-equivalent to high-dose tocilizumab (400mg or 8 mg/kg) in reducing the time to clinical recovery in patients with COVID-19 pneumonitis and hyperinflammation.
Hypothesis B: The investigators hypothesize that low-dose tocilizumab is near-equivalent to high-dose tocilizumab in reducing the time to clinical recovery in hospitalized, non-invasively ventilated patients with COVID-19 pneumonitis and hyperinflammation.
- Conditions
- COVID-19
- Being tested
- Tocilizumab, Standard of Care
- Keywords
- COVID-19, Tocilizumab
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TocilizumabDrug
Also called Tocilizumab 40mg
Tocilizumab 40mg
TocilizumabDrug
Also called Tocilizumab 120mg
Tocilizumab 120mg
Standard of CareOther
Tocilizumab-Free Standard of Care
Standard of CareOther
Tocilizumab 400mg or 8mg/kg
| Study group | Role | What they receive |
|---|---|---|
| Sub-study A, Tocilizumab-Free Standard of Care | Active comparator | Patient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive no tocilizumab. Receives: Other: Standard of Care |
| Sub-study A, Tocilizumab 40mg | Experimental | Patient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive tocilizumab 40mg. Receives: Drug: Tocilizumab |
| Sub-study A, Tocilizumab 120mg | Experimental | Patient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive tocilizumab 120mg. Receives: Drug: Tocilizumab |
| Sub-study B, Tocilizumab 400mg or 8mg/kg Standard of Care | Active comparator | Patient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab dose (400mg or 8mgkg). Receives: Other: Standard of Care |
| Sub-study B, Tocilizumab 40mg | Experimental | Patient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab 40mg. Receives: Drug: Tocilizumab |
| Sub-study B, Tocilizumab 120mg | Experimental | Patient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab 120mg. Receives: Drug: Tocilizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Recovery
Day of recovery is defined as the first day on which the patient achieves one of the following two categories from a seven-point ordinal scale: 6) Hospitalized, not requiring supplemental oxygen or ongoing medical care or 7) Not hospitalized. Time to recovery is the number of days from randomization to achievement of this status. Note that the ordinal scale is measured once daily, with the patient's worst clinical status during the 24-hour time period (0:00-23:59) being documented.
Measured: 28 days
Secondary outcomes (13)
Achievement of Recovery
This will be defined as the percentage of patients achieving one of the following two categories by day 7: hospitalized but not requiring supplemental oxygen or ongoing medical care or not hospitalized.
Measured: 7 days
Overall Survival
This will be defined as the percentage of patients in a given arm of the study who are alive thirty days following randomization. Patients who are discharged to hospice will be counted as deceased on the day of discharge. Patients who are transitioned to inpatient hospice or inpatient comfort measures only will be counted as deceased on the day of transition.
Measured: 30 days
Hospital Length of Stay
This will be defined as the number of days that pass between the day of a patient's randomization and his or her discharge from the hospital.
Measured: Up to 1 year
Clinical Response: Maximum Temperature (Tmax) Response
Maximum temperature (Tmax) in the 24-hour period immediately following randomization minus the measured Tmax in the 24-hour period immediately preceding randomization.
Measured: 24-hour period immediately preceding randomization and 24-hour period immediately following randomization
Clinical Response: Rate of Non-Elective Invasive Mechanical Ventilation
This will be a binary outcome defined as worsening COVID-19 disease resulting in the use of invasive mechanical ventilation during the course of the patient's COVID-19 infection.
Measured: Up to 28 days
Clinical Response: Duration of Non-Elective Invasive Mechanical Ventilation
This will be a continuous outcome defined by the amount of time between initiation and cessation of non-elective invasive mechanical ventilation.
Measured: Up to 28 days
Clinical Response: Time to Non-Elective Invasive Mechanical Ventilation
This will be a continuous outcome defined by the amount of time between randomization and the initiation of non-elective invasive mechanical ventilation.
Measured: Up to 28 days
Clinical Response: Rate of Vasopressor/Inotrope Utilization
This will be a binary outcome defined as utilization of any vasopressor or inotropic medication.
Measured: Up to 28 days
Clinical Response: Duration of Vasopressor/Inotrope Utilization
This will be a continuous outcome defined by the amount of time between initiation of first and cessation of last vasopressor medications.
Measured: Up to 28 days
Clinical Response: Time to Vasopressor/Inotrope Utilization
This will be a continuous outcome defined by the amount of time between randomization and the initiation of any vasopressor or inotropic medication.
Measured: Up to 28 days
Clinical Response: Duration of Increased Supplemental Oxygen From Baseline
This will be an ordinal outcome defined by the number of days counted from randomization over which the participant requires supplemental oxygen in excess over his/her baseline supplemental oxygen requirement. The supplemental oxygen requirement is defined as the highest liters-per-minute flow of supplemental oxygen required by the patient each day over the course of the hospitalization.
Measured: 28 days
Biochemical Response: C-reactive Protein Response Rate
Decline in CRP of ≥ 25% in the 27 +/- 3 hours after tocilizumab administration, as compared to pre-treatment baseline.
Measured: Pre-treatment baseline and 27 +/- 3 hours after tocilizumab administration
Safety: Rate of Secondary Infection
This will be defined as the percentage of patients in a study arm who develop serious non-COVID-19 viral, bacterial, or fungal infections (e.g., bloodstream infection, hospital-acquired pneumonia, ventilator-associated pneumonia, opportunistic infection) following randomization and up to the 28-day assessment of overall survival.
Measured: 28 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jul 2020
- Study start10 Sep 2020
- Primary completion1 Mar 2024
- Study completion10 Feb 2025
Why it stopped: Lack of recruitment of patients into the trial
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 (1)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 University of ChicagoThe 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Two sub-studies in parallel, each of three arms (maximum).
- Masking
- None (open label)
- Enrolment
- 85 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Chicago
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Pankti D Reid, MD, MPH, Principal investigator, University of Chicago
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04479358
- Sponsor's protocol ID
- IRB20-1179
- Acronym
- COVIDOSE-2
- Status last verified
- May 2026
- First submitted
- 13 Jul 2020
- Last updated
- 8 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data that underlie the results of this article, after de-identification. Sharing period will be 1 month after data are published and available indefinitely thereafter. Researchers who provide methodologically sound proposals for the purposes of achieving stated aims in their proposal will be eligible for data-sharing.
Publications
Strohbehn GW, Reid PD, Ratain MJ. Applied Clinical Pharmacology in a Crisis: Interleukin-6 Axis Blockade and COVID-19. Clin Pharmacol Ther. 2020 Sep;108(3):425-427. doi: 10.1002/cpt.1931. Epub 2020 Jul 4.
PubMed 32488861
Study at a glance
From the registry record, last updated by the sponsor on 8 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- COVIDOSE-2: A Multi-center, Randomized, Controlled Phase 2 Trial Comparing Early Administration of Low-dose Tocilizumab to Standard of Care in Hospitalized Patients With COVID-19 Pneumonitis Not Requiring Invasive Ventilation
- ClinicalTrials.gov ID
- NCT04479358
- Acronym / sponsor ID
- COVIDOSE-2 / IRB20-1179
- Conditions
- COVID-19
- Keywords
- COVID-19, Tocilizumab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Lack of recruitment of patients into the trial
- Enrolment
- 85 participants (actual)
- Lead sponsor
- University of ChicagoUniversity, hospital or other
- Study start
- 10 Sep 2020 (actual)
- Primary completion
- 1 Mar 2024 (actual)
- Study completion
- 10 Feb 2025 (actual)
- First posted
- 21 Jul 2020 (actual)
- Results
- Posted 5 Jun 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Tocilizumab is an effective treatment for severe coronavirus disease 2019 (Covid-19) pneumonia and related inflammation. Given limited global supplies, clarification of the optimal tocilizumab dose is critical. We conducted an open-label, randomized, controlled trial evaluating two different dose levels of tocilizumab in Covid-19 (40mg and 120mg). Randomization was stratified on remdesivir and corticosteroid at enrollment. The primary outcome was the time to recovery. The key secondary outcome was 28-day mortality.
Detailed description
COVID-19's high mortality may be driven by hyperinflammation. Interleukin-6 (IL-6) axis therapies may reduce COVID-19 mortality. Retrospective analyses of tocilizumab in severe to critical COVID-19 patients have demonstrated survival advantage and lower likelihood of requiring invasive ventilation following tocilizumab administration. The majority of patients have rapid resolution (i.e., within 24-72 hours following administration) of both clinical and biochemical signs (fever and CRP, respectively) of hyperinflammation with only a single tocilizumab dose.
The investigators hypothesized that a dose of tocilizumab significantly lower than the EMA- and FDA-labeled dose (8mg/kg) as well as the emerging standard of care dose (400mg) may be effective in patients with COVID-19 pneumonitis and hyperinflammation. Advantages to the lower dose of tocilizumab may include lower likelihood of secondary bacterial infections as well as extension of this drug's limited supply. The investigators conducted an adaptive single-arm phase 2 trial (NCT04331795) evaluating clinical and biochemical response to low-dose tocilizumab in patients with COVID-19 pneumonitis and hyperinflammation.
This multi-center, prospective, randomized controlled phase 2 trial -- designed as two sub-studies to allow for the possible emergence of data demonstrating the clinical efficacy of tocilizumab 8mg/kg or 400mg -- formally tests the clinical efficacy of low-dose tocilizumab in COVID-19 pneumonia.
Sub-Study A Primary Objective A: To establish whether low-dose tocilizumab reduces the time to clinical recovery in patients with COVID-19 pneumonitis and hyperinflammation, when compared to a tocilizumab-free standard of care.
Hypothesis A: The investigators hypothesize that low-dose tocilizumab, when compared to a tocilizumab-free standard of care, decreases the time to recovery in hospitalized, non-invasively ventilated patients with COVID-19 pneumonitis and hyperinflammation by three days or more.
Sub-Study B Primary Objective B: To establish whether low-dose tocilizumab is near-equivalent to high-dose tocilizumab (400mg or 8 mg/kg) in reducing the time to clinical recovery in patients with COVID-19 pneumonitis and hyperinflammation.
Hypothesis B: The investigators hypothesize that low-dose tocilizumab is near-equivalent to high-dose tocilizumab in reducing the time to clinical recovery in hospitalized, non-invasively ventilated patients with COVID-19 pneumonitis and hyperinflammation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 6
- Model description
- Two sub-studies in parallel, each of three arms (maximum).
| Arm | Type | Receives |
|---|---|---|
| Sub-study A, Tocilizumab-Free Standard of Care | Active comparator | Other: Standard of CarePatient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive no tocilizumab. |
| Sub-study A, Tocilizumab 40mg | Experimental | Drug: TocilizumabPatient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive tocilizumab 40mg. |
| Sub-study A, Tocilizumab 120mg | Experimental | Drug: TocilizumabPatient assigned to Sub-study A by primary treating physicians. Patient enrolled on trial sub-study A and randomized to receive tocilizumab 120mg. |
| Sub-study B, Tocilizumab 400mg or 8mg/kg Standard of Care | Active comparator | Other: Standard of CarePatient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab dose (400mg or 8mgkg). |
| Sub-study B, Tocilizumab 40mg | Experimental | Drug: TocilizumabPatient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab 40mg. |
| Sub-study B, Tocilizumab 120mg | Experimental | Drug: TocilizumabPatient assigned to Sub-study B by primary treating physicians. Patient enrolled on trial sub-study B and randomized to receive standard of care tocilizumab 120mg. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adults ≥ 18 years of age
- Approval from the patient's primary inpatient service
- Hospitalized
- Fever, documented in electronic medical record and defined as: T ≥ 38 degrees C by any conventional clinical method (forehead, tympanic, oral, axillary, rectal)
- Positive test for active SARS-CoV-2 infection
Key exclusion criteria (65 listed)
- Concurrent use of invasive mechanical ventilation
- Concurrent use of vasopressor or inotropic medications
- Previous receipt of tocilizumab or another anti-IL6R or IL-6 inhibitor in the year prior.
- Known history of hypersensitivity to tocilizumab.
- Diagnosis of end-stage liver disease or listed for liver transplant.
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 |
|---|---|---|
| TocilizumabAlso: Tocilizumab 40mgTocilizumab 40mg | Drug | Sub-study A, Tocilizumab 40mg, Sub-study B, Tocilizumab 40mg |
| TocilizumabAlso: Tocilizumab 120mgTocilizumab 120mg | Drug | Sub-study A, Tocilizumab 120mg, Sub-study B, Tocilizumab 120mg |
| Standard of CareTocilizumab-Free Standard of Care | Other | Sub-study A, Tocilizumab-Free Standard of Care |
| Standard of CareTocilizumab 400mg or 8mg/kg | Other | Sub-study B, Tocilizumab 400mg or 8mg/kg Standard of Care |
Primary outcome
Time to Recovery
Time frame: 28 days
Day of recovery is defined as the first day on which the patient achieves one of the following two categories from a seven-point ordinal scale: 6) Hospitalized, not requiring supplemental oxygen or ongoing medical care or 7) Not hospitalized. Time to recovery is the number of days from randomization to achievement of this status. Note that the ordinal scale is measured once daily, with the patient's worst clinical status during the 24-hour time period (0:00-23:59) being documented.
13 secondary outcomes
Achievement of Recovery
Time frame: 7 days
Overall Survival
Time frame: 30 days
Hospital Length of Stay
Time frame: Up to 1 year
Clinical Response: Maximum Temperature (Tmax) Response
Time frame: 24-hour period immediately preceding randomization and 24-hour period immediately following randomization
Clinical Response: Rate of Non-Elective Invasive Mechanical Ventilation
Time frame: Up to 28 days
Clinical Response: Duration of Non-Elective Invasive Mechanical Ventilation
Time frame: Up to 28 days
Clinical Response: Time to Non-Elective Invasive Mechanical Ventilation
Time frame: Up to 28 days
Clinical Response: Rate of Vasopressor/Inotrope Utilization
Time frame: Up to 28 days
Clinical Response: Duration of Vasopressor/Inotrope Utilization
Time frame: Up to 28 days
Clinical Response: Time to Vasopressor/Inotrope Utilization
Time frame: Up to 28 days
Clinical Response: Duration of Increased Supplemental Oxygen From Baseline
Time frame: 28 days
Biochemical Response: C-reactive Protein Response Rate
Time frame: Pre-treatment baseline and 27 +/- 3 hours after tocilizumab administration
Safety: Rate of Secondary Infection
Time frame: 28 days
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jun 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 32488861Strohbehn GW, Reid PD, Ratain MJ. Applied Clinical Pharmacology in a Crisis: Interleukin-6 Axis Blockade and COVID-19. Clin Pharmacol Ther. 2020 Sep;108(3):425-427. doi: 10.1002/cpt.1931. Epub 2020 Jul 4.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie the results of this article, after de-identification. Sharing period will be 1 month after data are published and available indefinitely thereafter. Researchers who provide methodologically sound proposals for the purposes of achieving stated aims in their proposal will be eligible for data-sharing.
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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.
Pankti D Reid, MD, MPH principal investigator
University of Chicago
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Tocilizumab in people with COVID-19, run by University of Chicago at 1 site in United States.
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 65 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: stopped early, as of the sponsor's last update on 8 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 5 Jun 2025). 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?
Time to Recovery (time frame: 28 days). 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 NCT04479358, which also lists 1 linked publication.
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 Jun 2026.