Study of Mavrilimumab (KPL-301) in Participants Hospitali... | NCT04447469 | Trialant
NCT04447469
Sponsor
Kiniksa Pharmaceuticals International, plc
Status
Completed
Last Update Posted
Jan 22, 2025Actual
Enrollment
814Actual
Phase
Phase 2Phase 3
Conditions
COVID
Interventions
mavrilimumab
Placebo
Countries
United States
Brazil
Chile
Peru
South Africa
Protocol Section
Identification Module
NCT ID
NCT04447469
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
KPL-301-C203
Secondary IDs
Not provided
Brief Title
Study of Mavrilimumab (KPL-301) in Participants Hospitalized With Severe Corona Virus Disease 2019 (COVID-19) Pneumonia and Hyper-inflammation
Official Title
A Phase 2/3, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Mavrilimumab (KPL-301) Treatment in Adult Subjects Hospitalized With Severe COVID-19 Pneumonia and Hyper-inflammation
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
Interventional, randomized, double-blind, placebo-controlled study encompassing 2 development phases (Phase 2 and Phase 3).
Detailed Description
The Phase 2 portion of the study will evaluate the efficacy and safety of 2 dose levels of mavrilimumab relative to placebo (standard of care) in participants who have tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with x-ray/computed tomography (CT) evidence of bilateral pneumonia and active or recent signs of hyperinflammation (fever or clinical laboratory results indicative of hyper-inflammation). The Phase 3 portion is intended to confirm Phase 2 efficacy and safety findings. In both Phase 2 and Phase 3, participants will be enrolled into 2 cohorts: Cohort 1 will include non-mechanically ventilated, hospitalized participants who require supplemental oxygen to maintain oxygen saturation (SpO2) ≥ 92% (ie, "non-mechanically ventilated" participants); Cohort 2 will include hospitalized participants for whom mechanical ventilation was recently initiated (ie, "mechanically ventilated" participants). Following Screening, enrolled participants in each cohort will be randomized 1:1:1 to receive one of 2 mavrilimumab dose levels, or placebo as a single intravenous (IV) infusion (Day 1). Participants will undergo primary study assessments through Day 29 and will be followed for safety through Day 90.
Conditions Module
Conditions
COVID
Keywords
COVID-19
pneumonia
hyper-inflammation
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
814Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
10 mg/kg (Cohort 1)
Active Comparator
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
Drug: mavrilimumab
6 mg/kg (Cohort 1)
Active Comparator
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Drug: mavrilimumab
Placebo (Cohort 1)
Placebo Comparator
Non-mechanically ventilated participants administered placebo as a single IV infusion
Other: Placebo
10 mg/kg (Cohort 2)
Active Comparator
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
Drug: mavrilimumab
6 mg/kg (Cohort 2)
Active Comparator
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Cohort 1, Phase 2: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Day 29
Cohort 1, Phase 3: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Day 29
Cohort 2, Phase 2: Percentage of Participants Who Died by Day 29
Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.
Secondary Outcomes
Measure
Description
Time Frame
Cohort 1, Phase 2: Time to 2-point Clinical Improvement by Day 29
Defined as time from randomization to a 2-point improvement on the NIAID 8-point ordinal scale, or discharge from the hospital, whichever came first. Participants who died before Day 29 were censored at Day 30. Kaplan-Meier method used to estimate the survival functions for each treatment arm.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Key Inclusion Criteria:
Subject (or legally authorized representative) is able and willing to provide informed consent, which includes compliance with study requirements and restrictions listed in the consent form. Consent must be performed per institutional regulations.
Age of ≥ 18 years
Positive SARS-CoV-2 (2019-nCoV) test within 14 days prior to randomization
Hospitalized for SARS-CoV-2 (2019-nCoV)
Bilateral pneumonia on chest x-ray or computed tomography
Clinical laboratory results indicative of hyper-inflammation within 7 days prior to randomization
Cohort 1: Receiving any form of non-invasive ventilation OR oxygenation to maintain SpO2 ≥ 92% and non-mechanically ventilated (examples include nasal cannula, face mask, venturi mask, high-flow nasal cannula, or non-invasive positive pressure ventilation)
Cohort 2: Recently ventilated with mechanical ventilation beginning within 48 hours prior to randomization
Key Exclusion Criteria:
Onset of COVID-19 symptoms > 14 days prior to randomization
Hospitalized > 7 days prior to randomization
Need for invasive mechanical ventilation (Only for Cohort 1)
Need for ECMO
Serious prior or concomitant illness that in the opinion of the Investigator precludes the subject from enrolling in the trial
Recent treatment with cell-depleting biological therapies (eg, anti-CD20) within 12 months, non-cell-depleting biological therapies (such as anti-tumor necrosis factor [TNF], anakinra, anti-IL-6 receptor [eg, tocilizumab], or abatacept) within 8 weeks (or 5 half-lives, whichever is longer), treatment with alkylating agents within 12 weeks, treatment with cyclosporine A, azathioprine, cyclophosphamide, mycophenolate mofetil (MMF), or other immunosuppressant (except for corticosteroids) within 4 weeks prior to randomization. Medications that become standard of care for COVID-19 and/or receive emergency use authorization may be allowed after discussion with the medical monitor.
If subject is receiving or has received hydroxychloroquine within 3 months prior to screening visit, a corrected QT interval by Federicia method (QTcF) on Screening electrocardiogram (ECG) ≥500ms is exclusionary. If subject has a pacemaker, this criterion does not apply.
Enrolled in another investigational study of a medical intervention within 30 days prior to randomization. Participation in open label trials involving investigational treatments for COVID-19 may be allowed upon approval by the Sponsor.
Life expectancy less than 48 hours, in the opinion of the Investigator
Known human immunodeficiency virus infection (regardless of immunological status), known hepatitis B virus surface antigen positivity and/or anti-hepatitis C virus positivity
Accepts Healthy Volunteers
No
Sex
All
Sex/Gender Based
Not provided
Sex/Gender Description
Not provided
Minimum Age
18 Years
Maximum Age
Not provided
Standard Ages
AdultOlder Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Not provided
Locations
Facility
Status
City
State
ZIP
Country
Contacts
UCLA Medical Center
Los Angeles
California
90095
United States
SHARP Health Care
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
Plan to Share IPD
Yes
Description
The Sponsor will review IPD requests proposals from qualified researchers
Types
Study Protocol
Statistical Analysis Plan (SAP)
Time Frame
IPD requests will be accepted after publication of the primary data manuscript
Access Criteria
IPD access will be provided to qualified academic researchers pending the Sponsor's review of the proposed research, including scientific novelty, review of the analytical and publication plans, funding source of the proposed research, any potential conflicts of interest, and institutional capabilities to perform the planned research.
URL
Not provided
Results Section
Participant Flow Module
Pre-assignment Details
Participants were divided into 2 cohorts (non-mechanically ventilated and mechanically ventilated) and randomized 1:1:1 to receive a single IV infusion of mavrilimumab (10 mg/kg or 6 mg/kg) or placebo in addition to standard of care. There was a seamless transition in enrollment in both cohorts between the Phase 2 and Phase 3 portions of the study. (For each cohort, once the last participant in Phase 2 was enrolled, all subsequent participants were considered Phase 3 participants.)
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
FG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Periods
Title
Milestones
Reasons Not Completed
Overall Study
Type
Comment
Milestone Data
STARTED
Enrolled
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
0
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot_SAP
Yes
Yes
No
Study Protocol and Statistical Analysis Plan
Nov 8, 2021
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
Estimated Results First Submitted Date
Not provided
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Double
Masking Description
Not provided
Who Masked
ParticipantInvestigator
Placebo Comparator
Mechanically ventilated participants administered placebo as a single IV infusion
Other: Placebo
10 mg/kg (Cohort 2)
6 mg/kg (Cohort 1)
6 mg/kg (Cohort 2)
KPL-301
CAM3001
Placebo
Other
matching placebo
Placebo (Cohort 1)
Placebo (Cohort 2)
Day 29
Cohort 2, Phase 3: Percentage of Participants Who Died by Day 29
Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.
Day 29
Day 29
Phase 2, Cohort 1: Time to Return to Room Air or Discharge by Day 29
Defined as time from randomization to breathing room air (NIAID score ≥ 5), or discharge from the hospital, whichever came first. Participants who died before Day 29 were censored at Day 30.
Day 29
Phase 2, Cohort 1: Percentage of Participants Who Die by Day 29
95% CI were calculated using Clopper-Pearson exact method based on the beta distribution.
Day 29
Phase 2, Cohort 2: Time to 1-Point Clinical Improvement by Day 29
Defined as time from randomization to the date of a 1-point improvement on the NIAID score 8-point ordinal scale or discharge from the hospital, whichever occurred first, by Day 29. Participants who did not have 1-point improvement on the NIAID nor discharge from the hospital were censored at the date of the last NIAID 8-point ordinal scale assessment on/before Day 29. Participants who died were censored at Day 32.
Day 29
Phase 3, Cohort 1: Percentage of Participants Who Died at Day 29
Mortality rate at day 29 is the proportion of subjects who die by day 29. 95% CI were calculated using Clopper-Pearson exact method based on the beta distribution.
Day 29
Phase 3, Cohort 1: Ventilation-Free Survival (Time to Ventilation or Death) by Day 29
Time to ventilation or death by Day 29 was defined as time (in days) from randomization to the date of death or start date of using mechanical ventilation (NIAID score ≤ 2) by Day 29. Participants who never had NIAID score ≤ 2 by Day 29 were censored at last assessment date of NIAID 8-point ordinal scale.
Day 29
Phase 3, Cohort 1: Overall Survival by Day 29
Overall survival was defined as time from randomization to the date of death on/before Day 29. Participants who did not have a death record by Day 29 were censored at last date known alive on/before Day 29.
Day 29
Phase 3, Cohort 2: Time to 1-point Clinical Improvement by Day 29
Defined as time from randomization to the date of a 1-point improvement on the NIAID 8-point ordinal scale or discharge from the hospital, whichever occurred first, by Day 29. Participants who did not have 1-point improvement on the NIAID nor discharge from the hospital were censored at the date of the last NIAID 8-point ordinal scale assessment on/before Day 29. Participants who died were censored at Day 35.
Day 29
San Diego
California
92110
United States
Affinity Health
Chicago
Illinois
60644
United States
Tulane University School of Medicine
New Orleans
Louisiana
70112
United States
Allina Health System
Minneapolis
Minnesota
55407
United States
Mercy Clinic Hospitalists
Springfield
Missouri
65804
United States
University of Cincinnati
Cincinnati
Ohio
45229
United States
Bryn Mawr Hospital
Bryn Mawr
Pennsylvania
19010
United States
University of Texas Health Sciences
Houston
Texas
77030
United States
Hospital Cardio Pulmonar
Salvador
Estado de Bahia
40170-130
Brazil
Hospital Luxemburgo - Associação Mário Penna
Belo Horizonte
Minas Gerais
30380-472
Brazil
CPCLIN - Centro de Pesquisas ClÃnicas
Natal
Rio Grande do Norte
59025-050
Brazil
Hospital Bruno Born
Lajeado
Rio Grande do Sul
95900-000
Brazil
UPECLIN - Unidade de Pesquisa ClÃnica
Botucatu
São Paulo
18618-686
Brazil
IPECC - Instituto de Pesquisa ClÃnica de Campinas
Campinas
São Paulo
13060-080
Brazil
Hospital das ClÃnicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo
Into Research - Little Company of Mary Medical Center
Pretoria
0181
South Africa
Limpopo Clinical Research Initiative
Rustenburg
0299
South Africa
FG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
FG003
Phase 2: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
FG004
Phase 2: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
FG005
Phase 2: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
FG006
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
FG007
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
FG008
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
FG009
Phase 3: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
FG010
Phase 3: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
FG011
Phase 3: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
FG00037 subjects
FG00142 subjects
FG00241 subjects
FG00318 subjects
FG00415 subjects
FG00517 subjects
FG006198 subjects
FG007192 subjects
FG008192 subjects
FG00920 subjects
FG01022 subjects
FG01120 subjects
Enrolled and Treated
FG00035 subjects
FG00141 subjects
FG00240 subjects
FG00315 subjects
FG00415 subjects
FG00517 subjects
FG006195 subjects
FG007188 subjects
FG008191 subjects
FG00920 subjects
FG01021 subjects
FG01120 subjects
COMPLETED
FG00029 subjects
FG00132 subjects
FG00228 subjects
FG0037 subjects
FG0046 subjects
FG0057 subjects
FG006162 subjects
FG007154 subjects
FG008150 subjects
FG0099 subjects
FG01012 subjects
FG0117 subjects
NOT COMPLETED
FG0008 subjects
FG00110 subjects
FG00213 subjects
FG00311 subjects
FG0049 subjects
FG00510 subjects
FG00636 subjects
FG00738 subjects
FG00842 subjects
FG00911 subjects
FG01010 subjects
FG01113 subjects
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set); Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
BG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
BG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
BG003
Phase 2: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
BG004
Phase 2: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
BG005
Phase 2: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
BG006
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
BG007
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
BG008
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
BG009
Phase 3: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
BG010
Phase 3: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
BG011
Phase 3: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
BG012
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00035
BG00140
BG00239
BG00315
BG00415
BG00517
BG006198
BG007192
BG008192
BG00920
BG01022
BG01120
BG012805
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00057± 13.89
BG00156.9± 14.36
BG00257.4± 14.29
BG003
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
< 65 years
Title
Measurements
BG00024
BG00130
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG00012
BG00119
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG00012
BG00110
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0002
BG0011
BG002
Region of Enrollment
Count of Participants
Participants
Title
Denominators
Categories
United States
Title
Measurements
BG0009
BG00112
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Cohort 1, Phase 2: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set).
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
OG00035
OG00140
OG00239
Title
Denominators
Categories
Title
Measurements
OG00085.7(69.7 to 95.2)
OG00187.5(73.2 to 95.8)
OG00274.4(57.9 to 87.0)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Fisher Exact
0.2598
P-value and odds ratio were calculated using Fisher's Exact test.
Odds Ratio (OR)
2.069
2-Sided
95
0.555
8.615
Superiority
OG001
OG002
Fisher Exact
Primary
Cohort 1, Phase 3: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Primary
Cohort 2, Phase 2: Percentage of Participants Who Died by Day 29
Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set).
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
Primary
Cohort 2, Phase 3: Percentage of Participants Who Died by Day 29
Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 3: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
Secondary
Cohort 1, Phase 2: Time to 2-point Clinical Improvement by Day 29
Defined as time from randomization to a 2-point improvement on the NIAID 8-point ordinal scale, or discharge from the hospital, whichever came first. Participants who died before Day 29 were censored at Day 30. Kaplan-Meier method used to estimate the survival functions for each treatment arm.
The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or 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.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set).
Posted
Median
80% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 1)
Secondary
Phase 2, Cohort 1: Time to Return to Room Air or Discharge by Day 29
Defined as time from randomization to breathing room air (NIAID score ≥ 5), or discharge from the hospital, whichever came first. Participants who died before Day 29 were censored at Day 30.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set).
Posted
Median
80% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Secondary
Phase 2, Cohort 1: Percentage of Participants Who Die by Day 29
95% CI were calculated using Clopper-Pearson exact method based on the beta distribution.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug (two enrolled and treated participants [1 each in the 6 mg/kg and placebo groups] were randomized and dosed in violation of inclusion/exclusion criteria and were thus excluded from this Set).
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Secondary
Phase 2, Cohort 2: Time to 1-Point Clinical Improvement by Day 29
Defined as time from randomization to the date of a 1-point improvement on the NIAID score 8-point ordinal scale or discharge from the hospital, whichever occurred first, by Day 29. Participants who did not have 1-point improvement on the NIAID nor discharge from the hospital were censored at the date of the last NIAID 8-point ordinal scale assessment on/before Day 29. Participants who died were censored at Day 32.
Phase 2: Modified Intent-to-Treat (mITT) Analysis Set: All randomized participants who passed screening and received study drug.
Posted
Median
80% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 2: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 2: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
Secondary
Phase 3, Cohort 1: Percentage of Participants Who Died at Day 29
Mortality rate at day 29 is the proportion of subjects who die by day 29. 95% CI were calculated using Clopper-Pearson exact method based on the beta distribution.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Number
95% Confidence Interval
percentage of participants
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
Secondary
Phase 3, Cohort 1: Ventilation-Free Survival (Time to Ventilation or Death) by Day 29
Time to ventilation or death by Day 29 was defined as time (in days) from randomization to the date of death or start date of using mechanical ventilation (NIAID score ≤ 2) by Day 29. Participants who never had NIAID score ≤ 2 by Day 29 were censored at last assessment date of NIAID 8-point ordinal scale.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Median
95% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Secondary
Phase 3, Cohort 1: Overall Survival by Day 29
Overall survival was defined as time from randomization to the date of death on/before Day 29. Participants who did not have a death record by Day 29 were censored at last date known alive on/before Day 29.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Median
80% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
Secondary
Phase 3, Cohort 2: Time to 1-point Clinical Improvement by Day 29
Defined as time from randomization to the date of a 1-point improvement on the NIAID 8-point ordinal scale or discharge from the hospital, whichever occurred first, by Day 29. Participants who did not have 1-point improvement on the NIAID nor discharge from the hospital were censored at the date of the last NIAID 8-point ordinal scale assessment on/before Day 29. Participants who died were censored at Day 35.
Phase 3: Intent-to-Treat (ITT) Analysis Set: All randomized participants.
Posted
Median
95% Confidence Interval
days
Day 29
ID
Title
Description
OG000
Phase 3: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
OG001
Phase 3: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 3: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
Time Frame
From enrollment (all-cause mortality) or first dose of study drug (adverse events) to the end of study; the maximum study duration was 44 weeks.
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Phase 2: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
4
35
5
35
19
35
EG001
Phase 2: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
5
41
7
41
18
41
EG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
9
40
13
40
23
40
EG003
Phase 2: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
7
15
10
15
11
15
EG004
Phase 2: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
9
15
12
15
12
15
EG005
Phase 2: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
9
17
10
17
14
17
EG006
Phase 3: 10 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
20
195
48
195
90
195
EG007
Phase 3: 6 mg/kg (Cohort 1)
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
30
188
49
188
86
188
EG008
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
30
191
43
191
83
191
EG009
Phase 3: 10 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
7
20
13
20
12
20
EG010
Phase 3: 6 mg/kg (Cohort 2)
Mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
8
21
14
21
13
21
EG011
Phase 3: Placebo (Cohort 2)
Mechanically ventilated participants administered placebo as a single IV infusion
12
20
15
20
17
20
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG0030 affected15 at risk
EG0040 affected15 at risk
EG0050 affected17 at risk
EG0062 affected195 at risk
EG0072 affected188 at risk
EG0082 affected191 at risk
EG0090 affected20 at risk
EG0101 affected21 at risk
EG0110 affected20 at risk
Coagulopathy
Blood and lymphatic system disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Leukaemoid reaction
Blood and lymphatic system disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Thrombocytopenia
Blood and lymphatic system disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Acute coronary syndrome
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Acute myocardial infarction
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0021 affected40 at risk
EG003
Atrial tachycardia
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Bradycardia
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cardiac arrest
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cardio-respiratory arrest
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cardiogenic shock
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cardiomyopathy
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cardiovascular insufficiency
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0021 affected40 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Stress cardiomyopathy
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Tachyarrhythmia
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Tachycardia
Cardiac disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pituitary apoplexy
Endocrine disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0021 affected40 at risk
EG003
Mydriasis
Eye disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Colitis
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Gastric ulcer haemorrhage
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Incarcerated inguinal hernia
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Upper gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Brain death
General disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Chest pain
General disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Medical device site haemorrhage
General disorders
MedDRA 23.0
Systematic Assessment
EG0001 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Multiple organ dysfunction syndrome
General disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0021 affected40 at risk
EG003
Cholecystitis
Hepatobiliary disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cholecystitis acute
Hepatobiliary disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Bacteraemia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Bacterial sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Bronchopulmonary aspergillosis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
COVID-19 pneumonia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Candida pneumonia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Cytomegalovirus infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Enterobacter pneumonia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Enterobacter sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Enterococcal sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Escherichia sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Fungal infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Infectious pleural effusion
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Klebsiella infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Klebsiella sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Lower respiratory tract infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Lung abscess
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia acinetobacter
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia bacterial
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia fungal
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia klebsiella
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pneumonia pseudomonal
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pseudomembranous colitis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pseudomonas infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Pulmonary sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Respiratory tract infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0022 affected40 at risk
EG003
Septic shock
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0012 affected41 at risk
EG0024 affected40 at risk
EG003
Serratia bacteraemia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Severe acute respiratory syndrome
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Staphylococcal bacteraemia
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Staphylococcal infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Staphylococcal sepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Tracheobronchitis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Tracheobronchitis bacterial
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urinary tract candidiasis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urinary tract infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urinary tract infection bacterial
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urinary tract infection enterococcal
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urinary tract infection pseudomonal
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Urosepsis
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Vascular device infection
Infections and infestations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Fall
Injury, poisoning and procedural complications
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0020 affected40 at risk
EG003
Rib fracture
Injury, poisoning and procedural complications
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0020 affected40 at risk
EG003
Fibrin D dimer increased
Investigations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Transaminases increased
Investigations
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Hyperglycaemia
Metabolism and nutrition disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0021 affected40 at risk
EG003
Hyperkalaemia
Metabolism and nutrition disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0020 affected40 at risk
EG003
Hypoglycaemia
Metabolism and nutrition disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0011 affected41 at risk
EG0020 affected40 at risk
EG003
Hyponatraemia
Metabolism and nutrition disorders
MedDRA 23.0
Systematic Assessment
EG0000 affected35 at risk
EG0010 affected41 at risk
EG0021 affected40 at risk
EG003
Hairy cell leukaemia
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Any publication or presentation of data related to the Clinical Trial, including but not limited to, publications in specialized journals or disclosures in Medical Congresses, must be previously authorized in writing.
P-value and odds ratio were calculated using Fisher's Exact test.
Odds Ratio (OR)
2.414
2-Sided
95
0.653
9.957
Superiority
OG000
OG002
Cochran-Mantel-Haenszel
0.2448
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (standard of care antiretroviral therapy, age, and ARDS status).
Stratified Odds Ratio
2.091
2-Sided
95
0.612
7.144
Superiority
OG001
OG002
Cochran-Mantel-Haenszel
0.1378
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (standard of care antiretroviral therapy, age, and ARDS status).
Stratified Odds Ratio
2.749
2-Sided
95
0.756
9.993
Superiority
OG002
Phase 3: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
OG000198
OG001192
OG002192
Title
Denominators
Categories
Title
Measurements
OG00084.3(78.5 to 89.1)
OG00182.8(76.7 to 87.9)
OG00281.3(75.0 to 86.5)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
0.4534
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (age and ARDS status).
Stratified Odds Ratio
1.231
2-Sided
95
0.715
2.120
Superiority
OG001
OG002
Cochran-Mantel-Haenszel
0.7414
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (age and ARDS status).
Stratified Odds Ratio
1.097
2-Sided
95
0.636
1.891
Superiority
Units
Counts
Participants
OG00015
OG00115
OG00217
Title
Denominators
Categories
Title
Measurements
OG00046.7(21.3 to 73.4)
OG00153.3(26.6 to 78.7)
OG00247.1(23.0 to 72.2)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Fisher Exact
1.0000
Odds Ratio (OR)
0.984
2-Sided
95
0.198
4.884
Superiority
OG001
OG002
Fisher Exact
1.0000
Odds Ratio (OR)
1.286
2-Sided
95
0.260
6.417
Superiority
OG00020
OG00122
OG00220
Title
Denominators
Categories
Title
Measurements
OG00040.0(19.1 to 63.9)
OG00127.3(10.7 to 50.2)
OG00255.0(31.5 to 76.9)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Difference in Proportion
-15.0
2-Sided
95
-45.6
15.6
95% CI were calculated using asymptotic normal approximation. Difference = KPL-301 - placebo.
Superiority
OG001
OG002
Difference in Proportions
-27.7
2-Sided
95
-56.4
0.9
95% CI were calculated using asymptotic normal approximation. Difference = KPL-301 - Placebo .
Superiority
Non-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
OG002
Phase 2: Placebo (Cohort 1)
Non-mechanically ventilated participants administered placebo as a single IV infusion
Units
Counts
Participants
OG00035
OG00140
OG00239
Title
Denominators
Categories
Title
Measurements
OG0008.0(6.0 to 8.0)
OG0017.0(7.0 to 8.0)
OG00211.0(6.0 to 14.0)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Log Rank
0.6229
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Superiority
OG001
OG002
Log Rank
0.5526
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Superiority
Units
Counts
Participants
OG00035
OG00140
OG00239
Title
Denominators
Categories
Title
Measurements
OG0007.0(6.0 to 8.0)
OG0017.0(6.0 to 7.0)
OG0029.0(6.0 to 13.0)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Log Rank
0.9426
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Hazard Ratio (HR)
1.02
2-Sided
80
0.71
1.46
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Superiority
OG001
OG002
Log Rank
0.6838
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Hazard Ratio (HR)
1.11
2-Sided
80
0.78
1.57
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (Standard of Care antiretroviral therapy, age, and ARDS status).
Superiority
Units
Counts
Participants
OG00035
OG00140
OG00239
Title
Denominators
Categories
Title
Measurements
OG0005.7(0.7 to 19.2)
OG00110.0(2.8 to 23.7)
OG00220.5(9.3 to 36.5)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Fisher Exact
0.0905
Odds Ratio (OR)
0.235
2-Sided
95
0.023
1.328
Superiority
OG001
OG002
Fisher Exact
0.2247
Odds Ratio (OR)
0.431
2-Sided
95
0.087
1.815
Superiority
OG000
OG002
Cochran-Mantel-Haenszel
0.0623
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (standard of care antiretroviral therapy, age, and ARDS status).
Stratified Odds Ratio
0.191
2-Sided
95
0.033
1.114
Superiority
OG001
OG002
Cochran-Mantel-Haenszel
0.1957
P-value and odds ratio were calculated using Cochran Mantel-Haenszel (CMH) test, stratified by randomization strata (standard of care antiretroviral therapy, age, and ARDS status).
Stratified Odds Ratio
0.368
2-Sided
95
0.085
1.583
Superiority
Units
Counts
Participants
OG00015
OG00115
OG00217
Title
Denominators
Categories
Title
Measurements
OG00028.0(16.0 to NA)Median and upper CI were not estimable using Kaplan-Meier method due to insufficient number of participants with events
OG001NA(19.0 to NA)Median and upper CI were not estimable using Kaplan-Meier method due to insufficient number of participants with events
OG002NA(16.0 to NA)Median and upper CI were not estimable using Kaplan-Meier method due to insufficient number of participants with events
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Log Rank
0.3766
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, and age).
Hazard Ratio (HR)
1.57
2-Sided
80
0.80
3.09
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (Standard of Care antiretroviral therapy and age).
Superiority
OG001
OG002
Log Rank
0.9209
Log-rank test is stratified by randomization strata (Standard of Care antiretroviral therapy, and age).
Hazard Ratio (HR)
1.05
2-Sided
80
0.51
2.16
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (Standard of Care antiretroviral therapy and age).
Superiority
OG000198
OG001192
OG002192
Title
Denominators
Categories
Title
Measurements
OG0009.6(5.9 to 14.6)
OG00114.1(9.5 to 19.8)
OG00214.1(9.5 to 19.8)
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Cochran-Mantel-Haenszel
0.1772
Calculated using Cochran Mantel-Haenszel test, stratified by randomization strata (age and ARDS status).
Stratified Odds Ratio
0.645
2-Sided
95
0.340
1.222
Superiority
OG001
OG002
Cochran-Mantel-Haenszel
0.9269
Calculated using Cochran Mantel-Haenszel test, stratified by randomization strata (age and ARDS status).
Stratified Odds Ratio
1.029
2-Sided
95
0.563
1.881
Superiority
Counts
Participants
OG000198
OG001192
OG002192
Title
Denominators
Categories
Title
Measurements
OG000NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
OG001NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
OG002NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Log Rank
0.9578
Log-rank test is stratified by randomization strata (age, and ARDS status).
Hazard Ratio (HR)
0.99
2-Sided
95
0.66
1.49
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (age and ARDS status).
Superiority
OG001
OG002
Log Rank
0.5274
Log-rank test is stratified by randomization strata (age, and ARDS status).
Hazard Ratio (HR)
1.14
2-Sided
95
0.76
1.70
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (age and ARDS status).
Superiority
OG000198
OG001192
OG002192
Title
Denominators
Categories
Title
Measurements
OG000NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
OG001NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
OG002NA(NA to NA)Not estimable using the Kaplan-Meier method due to insufficient number of participants with events
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Log Rank
0.1336
Log-rank test is stratified by randomization strata (age, and ARDS status).
Hazard Ratio (HR)
0.64
2-Sided
95
0.36
1.15
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (age, and ARDS status).
Superiority
OG001
OG002
Log Rank
0.9767
Log-rank test is stratified by randomization strata (age, and ARDS status).
Hazard Ratio (HR)
1.01
2-Sided
95
0.59
1.72
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata ( age, and ARDS status).
Superiority
Units
Counts
Participants
OG00020
OG00122
OG00220
Title
Denominators
Categories
Title
Measurements
OG000NA(9.0 to NA)Median and upper limit confidence interval were not estimable using Kaplan-Meier method due to insufficient number of participants with events
OG00121.5(8.0 to NA)Upper limit confidence interval was not estimable using Kaplan-Meier method due to insufficient number of participants with events
OG002NA(12.0 to NA)Median and upper limit confidence interval were not estimable using Kaplan-Meier method due to insufficient number of participants with events
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
Hazard Ratio (HR)
1.43
2-Sided
95
0.55
3.71
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (age).
Superiority
OG001
OG002
Hazard Ratio (HR)
1.88
2-Sided
95
0.78
4.54
Calculated based on a Cox proportional-hazards model with treatment as covariate and stratified by randomization strata (age).