| Primary | Lanadelumab Sub-protocol: Time to Confirmed Clinical Recovery Without Rehospitalization Through Day 29 | Confirmed clinical recovery means the participant is fit for discharge from hospital, defined by achieving a score of 6 (hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care), 7 (not hospitalized, limitation on activities and/or requiring home oxygen), or 8 (not hospitalized, no limitations on activities) on the clinical severity status 8-point ordinal scale, without being re-hospitalized prior to Day 29. The Kaplan-Meier estimate of the time to confirmed clinical recovery through Day 29, without re-hospitalization through Day 29, was calculated from Study Day 1 to the earliest date on which the participant had a score of 6, 7, or 8 up to Day 29. Participants who never reached a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale before or on Day 29 were censored at Day 29. Participants who discontinued from the study before or on Day 29 were censored at time of discontinuation from study. | The lanadelumab sub-protocol primary analysis set includes all participants who were randomized to lanadelumab as well as all participants who were randomized to any placebo arm included in the control arm for lanadelumab with a baseline clinical severity status of Grade 3 to Grade 5 on the clinical severity status 8-point ordinal scale. | Posted | | Median | 95% Confidence Interval | days | | Day 1 (the day of the first dose of study drug for randomized participants who received at least one dose of study drug or the day of randomization for randomized participants who did not receive any study drug) to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
| | | Title | Denominators | Categories |
|---|
| | | Title | Measurements |
|---|
| - OG00010.0(5.00 to NA)Not estimable due to the low number of events
- OG00115.5(8.00 to NA)Not estimable due to the low number of 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 |
|---|
| | Stratified log-rank test | Stratified by baseline score of 2 on the ordinal scale for clinical severity (yes/no), remdesivir use at baseline (yes/no), and geographic region. | 0.6672 | | Hazard Ratio (HR) | 1.17 | | | 2-Sided | 95 | 0.59 | 2.35 | | | Hazard ratio (Lanadelumab vs. placebo) from a Cox regression model including baseline clinical severity of 2 on the ordinal scale for clinical severity (yes/no), remdesivir use at baseline (yes/no), geographic region, and treatment arm as factors. | | Superiority | | |
|
| Primary | Apremilast Sub-protocol: Time to Confirmed Clinical Recovery Without Rehospitalization Through Day 29 | Confirmed clinical recovery means the participant is fit for discharge from hospital, defined by achieving a score of 6 (hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care), 7 (not hospitalized, limitation on activities and/or requiring home oxygen), or 8 (not hospitalized, no limitations on activities) on the clinical severity status 8-point ordinal scale, without being re-hospitalized prior to Day 29. The Kaplan-Meier estimate of the time to confirmed clinical recovery through Day 29, without re-hospitalization through Day 29, was calculated from Study Day 1 to the earliest date on which the participant had a score of 6, 7, or 8 up to Day 29. Participants who never reached a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale before or on Day 29 were censored at Day 29. Participants who discontinued from the study before or on Day 29 were censored at time of discontinuation from study. | The apremilast full analysis set (FAS) includes all participants who were randomized to the apremilast arm as well as all participants who were randomized to any placebo arm included in the control arm for apremilast. | Posted | | Median | 95% Confidence Interval | days | | Day 1 (the day of the first dose of study drug for randomized participants who received at least one dose of study drug or the day of randomization for randomized participants who did not receive any study drug) to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day (BID) in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. |
|
| Primary | Zilucoplan Sub-protocol: Time to Confirmed Clinical Recovery Without Rehospitalization Through Day 29 | Confirmed clinical recovery means the participant is fit for discharge from hospital, defined by achieving a score of 6 (hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care), 7 (not hospitalized, limitation on activities and/or requiring home oxygen), or 8 (not hospitalized, no limitations on activities) on the clinical severity status 8-point ordinal scale, without being re-hospitalized prior to Day 29. The Kaplan-Meier estimate of the time to confirmed clinical recovery through Day 29, without re-hospitalization through Day 29, was calculated from Study Day 1 to the earliest date on which the participant had a score of 6, 7, or 8 up to Day 29. Participants who never reached a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale before or on Day 29 were censored at Day 29. Participants who discontinued from the study before or on Day 29 were censored at time of discontinuation from study. | The zilucoplan full analysis set includes all participants who were randomized to the zilucoplan arm as well as all participants who were randomized to any placebo arm included in the control arm for zilucoplan. | Posted | | Median | 95% Confidence Interval | days | | Day 1 (the day of the first dose of study drug for randomized participants who received at least one dose of study drug or the day of randomization for randomized participants who did not receive any study drug) to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. |
|
| Secondary | Lanadelumab Sub-protocol: Percentage of Participants Who Achieved Oxygen-Free Recovery at Day 29 | Oxygen-free recovery at Day 29 is defined as being alive, discharged, and not receiving supplemental oxygen at Day 29. Participants who reached a score of 7 on the ordinal scale for clinical severity who were discharged to hospice care before or on Day 29 were considered as not discharged at Day 29. Participants with a missing oxygen-free recovery status at Day 29 were considered as not having an oxygen-free recovery. | Lanadelumab sub-protocol primary analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
| |
| Secondary | Lanadelumab Sub-protocol: Percentage of Participants With a ≥ 2-point Improvement From Baseline or Fit for Discharge on the Clinical Severity Status 8-Point Ordinal Scale at Day 29 | Fit for discharge is defined as achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with an ordinal scale score of 7 must not have been discharged to hospice care to be considered as fit for discharge. Participants with a missing clinical severity score at Day 29 were considered as not having met the event at Day 29. The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Lanadelumab sub-protocol primary analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline (Day 1) and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control |
|
| Secondary | Lanadelumab Sub-protocol: Percentage of Participants Who Died Before or on Day 29 | All-cause mortality is death due to any cause. Participants with an unknown alive/death status on Day 29 were considered alive for this analysis, with the exception of patients with a score of 7 who were discharged to hospice care before or on Day 29. | Lanadelumab sub-protocol primary analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
| |
| Secondary | Lanadelumab Sub-protocol: Clinical Severity Status 8-Point Ordinal Scale Score at Days 8, 15, and 29 | The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
Participants with a score of 7 who were discharged to hospice care are counted with participants with a score of 1 (death) for this endpoint. | Lanadelumab sub-protocol primary analysis set | Posted | | Count of Participants | | Participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
|
| Secondary | Lanadelumab Sub-protocol: Worst Post-Baseline Score on Clinical Severity Status 8-point Ordinal Scale From Baseline to Day 29 | The worst post-baseline score (lower scores are worse) through Day 29 in the clinical severity status 8-point ordinal scale, derived from all scores recorded after baseline up to and including Day 29. Participants with a score of 7 discharged to hospice care are considered as having a score of 1 (death) instead of a score of 7 for this endpoint. The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Lanadelumab sub-protocol primary analysis set | Posted | | Count of Participants | | Participants | | Day 2 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
|
| Secondary | Lanadelumab Sub-protocol: Number of Intensive Care Unit (ICU) Days From Day 1 Through Day 29 | Number of ICU days is the sum of the duration of any episode of ICU admission between Day 1 and Day 29, both inclusive. The number of ICU days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30 (worst possible outcome). | Lanadelumab sub-protocol primary analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
| |
| Secondary | Lanadelumab Sub-protocol: Number of Invasive Mechanical Ventilator Days From Day 1 Through Day 29 | Number of invasive mechanical ventilator days is the sum of the duration of any episode of invasive mechanical ventilator admission between Day 1 and Day 29, both inclusive. The number of invasive mechanical ventilator days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30. | Lanadelumab sub-protocol primary analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | Includes participants randomized to receive matching placebo to lanadelumab plus standard of care treatment as well as participants who were randomized to receive placebo to apremilast or placebo to zilucoplan plus standard of care treatment at a site that enrolled at least one participant in the lanadelumab sub-protocol. |
| |
| Secondary | Lanadelumab Sub-protocol: Percentage of Participants Who Achieved Clinical Recovery by Days 8, 15, and 29 | Clinical recovery is defined as being fit for discharge, i.e., the achievement of a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who discontinued the study on or before Days 8, 15, or 29 or with a missing clinical recovery status were considered as not having clinical recovery at each respective time point. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Lanadelumab sub-protocol primary analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | |
|
| Secondary | Lanadelumab Sub-protocol: Percentage of Participants Who Achieved Sustained Clinical Recovery | Sustained clinical recovery is defined as being fit for discharge (achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale) by Day 29, without re-hospitalization by Day 60. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who died or discontinued from study or with a missing clinical recovery status at Day 60 were not considered having sustained clinical recovery. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Lanadelumab sub-protocol primary analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 60 | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants randomized to receive lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control | |
|
| Secondary | Lanadelumab Sub-protocol: Number of Participants With Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to study treatment. A TEAE is an AE that occurs after the first dose of study drug. A Serious AE is any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of hospitalization, resulted in persistent disability/incapacity, a congenital anomaly/birth defect, or an important medical event that may jeopardize the patient or require intervention to prevent an outcome listed above. The Investigator assessed the intensity of each AE according to the Common Terminology Criteria for Adverse Events (CTCAE):
- Grade 1 Mild; asymptomatic or mild symptoms;
- Grade 2 Moderate; minimal, local or noninvasive intervention indicated;
- Grade 3 Severe or medically significant, not immediately life-threatening;
- Grade 4 Life-threatening; urgent intervention indicated;
- Grade 5 Death due to AE.
| Lanadelumab safety analysis set included all participants in the lanadelumab FAS who received at least one dose of study drug. | Posted | | Count of Participants | | Participants | | From first dose of study drug to end of study (Day 60) | | | | ID | Title | Description |
|---|
| OG000 | Lanadelumab + Standard of Care | Participants received lanadelumab 300 mg by intravenous infusion on Day 1, and a second dose administered on Day 4, in addition to standard of care. | | OG001 | Lanadelumab Placebo Control |
|
| Secondary | Apremilast Sub-protocol: Percentage of Participants Who Achieved Oxygen-Free Recovery at Day 29 | Oxygen-free recovery at Day 29 is defined as being alive, discharged, and not receiving supplemental oxygen at Day 29. Participants who reached a score of 7 on the ordinal scale for clinical severity who were discharged to hospice care before or on Day 29 were considered as not discharged at Day 29. Participants with a missing oxygen-free recovery status at Day 29 were considered as not having an oxygen-free recovery. | Apremilast sub-protocol full analysis set | Posted | | Number | | percentage of participants | | Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | Includes participants randomized to receive matching placebo to apremilast plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to zilucoplan plus standard of care treatment at a site concurrently enrolling apremilast sub-protocol participants and who would have been eligible for the apremilast sub-protocol. |
| |
| Secondary | Apremilast Sub-protocol: Percentage of Participants With a ≥ 2-point Improvement From Baseline or Fit for Discharge on the Clinical Severity Status 8-Point Ordinal Scale at Day 29 | Fit for discharge is defined as achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with an ordinal scale score of 7 must not have been discharged to hospice care to be considered as fit for discharge. Participants with a missing clinical severity score at Day 29 were considered as not having met the event at Day 29. The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Apremilast sub-protocol full analysis set | Posted | | Number | | percentage of participants | | Baseline (Day 1) and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control |
|
| Secondary | Apremilast Sub-protocol: Percentage of Participants Who Died Before or on Day 29 | All-cause mortality is death due to any cause. Participants with an unknown alive/death status on Day 29 were considered alive for this analysis, with the exception of patients with a score of 7 who were discharged to hospice care before or on Day 29. | Apremilast sub-protocol full analysis set | Posted | | Number | | percentage of participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | Includes participants randomized to receive matching placebo to apremilast plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to zilucoplan plus standard of care treatment at a site concurrently enrolling apremilast sub-protocol participants and who would have been eligible for the apremilast sub-protocol. |
| |
| Secondary | Apremilast Sub-protocol: Clinical Severity Status 8-Point Ordinal Scale Score at Days 8, 15, and 29 | The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
Participants with a score of 7 who were discharged to hospice care are counted with participants with a score of 1 (death) for this endpoint. | Apremilast sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | Includes participants randomized to receive matching placebo to apremilast plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to zilucoplan plus standard of care treatment at a site concurrently enrolling apremilast sub-protocol participants and who would have been eligible for the apremilast sub-protocol. |
|
| Secondary | Apremilast Sub-protocol: Worst Post-Baseline Score on Clinical Severity Status 8-Point Ordinal Scale From Baseline to Day 29 | The worst post-baseline score (lower scores are worse) through Day 29 in the clinical severity status 8-point ordinal scale, derived from all scores recorded after baseline up to and including Day 29. Participants with a score of 7 discharged to hospice care are considered as having a score of 1 (death) instead of a score of 7 for this endpoint. The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO)
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Apremilast sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 2 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | |
|
| Secondary | Apremilast Sub-protocol: Number of Intensive Care Unit (ICU) Days From Day 1 Through Day 29 | Number of ICU days is the sum of the duration of any episode of ICU admission between Day 1 and Day 29, both inclusive. The number of ICU days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30 (worst possible outcome). | Apremilast sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | Includes participants randomized to receive matching placebo to apremilast plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to zilucoplan plus standard of care treatment at a site concurrently enrolling apremilast sub-protocol participants and who would have been eligible for the apremilast sub-protocol. |
| |
| Secondary | Apremilast Sub-protocol: Number of Invasive Mechanical Ventilator Days From Day 1 Through Day 29 | Number of invasive mechanical ventilator days is the sum of the duration of any episode of invasive mechanical ventilator admission between Day 1 and Day 29, both inclusive. The number of invasive mechanical ventilator days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30. | Apremilast sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | Includes participants randomized to receive matching placebo to apremilast plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to zilucoplan plus standard of care treatment at a site concurrently enrolling apremilast sub-protocol participants and who would have been eligible for the apremilast sub-protocol. |
| |
| Secondary | Apremilast Sub-protocol: Percentage of Participants Who Achieved Clinical Recovery at Days 8, 15, and 29 | Clinical recovery is defined as being fit for discharge, i.e., the achievement of a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who discontinued the study on or before Days 8, 15, or 29 or with a missing clinical recovery status were considered as not having clinical recovery at each respective time point. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Apremilast sub-protocol full analysis set | Posted | | Number | | percentage of participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | |
|
| Secondary | Apremilast Sub-protocol: Percentage of Participants Who Achieved Sustained Clinical Recovery | Sustained clinical recovery is defined as being fit for discharge (achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale) by Day 29, without re-hospitalization by Day 60. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who died or discontinued from study or with a missing clinical recovery status at Day 60 were not considered having sustained clinical recovery. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Apremilast sub-protocol full analysis set | Posted | | Number | | percentage of participants | | Day 60 | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants randomized to receive 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control | |
|
| Secondary | Apremilast Sub-protocol: Number of Participants With Treatment-emergent Adverse Events (TEAEs) | An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to study treatment. A TEAE is an AE that occurs after the first dose of study drug. A serious AE is any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of hospitalization, resulted in persistent disability/incapacity, a congenital anomaly/birth defect, or an important medical event that may jeopardize the patient or require intervention to prevent an outcome listed above. The Investigator assessed the intensity of each AE according to the CTCAE grades:
- Grade 1 Mild; asymptomatic or mild symptoms;
- Grade 2 Moderate; minimal, local or noninvasive intervention indicated;
- Grade 3 Severe or medically significant, not immediately life-threatening;
- Grade 4 Life-threatening; urgent intervention indicated;
- Grade 5 Death due to AE.
| Apremilast safety analysis set included all participants in the apremilast FAS who received at least one dose of study drug. | Posted | | Count of Participants | | Participants | | From first dose of study drug to end of study (Day 60) | | | | ID | Title | Description |
|---|
| OG000 | Apremilast + Standard of Care | Participants received 30 mg apremilast orally twice a day in addition to standard of care treatment for 14 days or until hospital discharge, whichever occurred first. | | OG001 | Apremilast Placebo Control |
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| Secondary | Zilucoplan Sub-protocol: Percentage of Participants Who Achieved Oxygen-Free Recovery at Day 29 | Oxygen-free recovery at Day 29 is defined as being alive, discharged, and not receiving supplemental oxygen at Day 29. Participants who reached a score of 7 on the ordinal scale for clinical severity who were discharged to hospice care before or on Day 29 were considered as not discharged at Day 29. Participants with a missing oxygen-free recovery status at Day 29 were considered as not having an oxygen-free recovery. | Zilucoplan sub-protocol full analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 29 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | Includes participants randomized to receive matching placebo to zilucoplan plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to apremilast plus standard of care treatment at a site that enrolled at least one participant in the zilucoplan sub-protocol. |
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| Secondary | Zilucoplan Sub-protocol: Percentage of Participants With a ≥ 2-point Improvement From Baseline or Fit for Discharge on the Clinical Severity Status 8-Point Ordinal Scale at Day 29 | Fit for discharge is defined as achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with an ordinal scale score of 7 must not have been discharged to hospice care to be considered as fit for discharge. Participants with a missing clinical severity score at Day 29 were considered as not having met the event at Day 29. The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Zilucoplan sub-protocol full analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Baseline (Day 1) and Day 29 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control |
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| Secondary | Zilucoplan Sub-protocol: Percentage of Participants Who Died Before or on Day 29 | All-cause mortality is death due to any cause. Participants with an unknown alive/death status on Day 29 were considered alive for this analysis, with the exception of patients with a score of 7 who were discharged to hospice care before or on Day 29. | Zilucoplan sub-protocol full analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 1 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | Includes participants randomized to receive matching placebo to zilucoplan plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to apremilast plus standard of care treatment at a site that enrolled at least one participant in the zilucoplan sub-protocol. |
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| Secondary | Zilucoplan Sub-protocol: Clinical Severity Status 8-Point Ordinal Scale Score at Days 8, 15, and 29 | The clinical severity status 8-point ordinal scale scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
Participants with a score of 7 who were discharged to hospice care are counted with participants with a score of 1 (death) for this endpoint. | Zilucoplan sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | Includes participants randomized to receive matching placebo to zilucoplan plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to apremilast plus standard of care treatment at a site that enrolled at least one participant in the zilucoplan sub-protocol. |
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| Secondary | Zilucoplan Sub-protocol: Worst Post-Baseline Score on Clinical Severity Status 8-Point Ordinal Scale From Baseline to Day 29 | The worst post-baseline score (lower scores are worse) through Day 29 in the clinical severity status 8-point ordinal scale scores, derived from all scores recorded after baseline up to and including Day 29. Participants with a score of 7 discharged to hospice care were considered as having a score of 1 (death) instead of a score of 7 for this endpoint. The clinical severity status 8-point ordinal scale scores scores are:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care (COVID-19 related or otherwise)
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Zilucoplan sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 2 to Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | |
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| Secondary | Zilucoplan Sub-protocol: Number of Intensive Care Unit (ICU) Days From Day 1 Through Day 29 | Number of ICU days is the sum of the duration of any episode of ICU admission between Day 1 and Day 29, both inclusive. The number of ICU days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30 (worst possible outcome). | Zilucoplan sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | Includes participants randomized to receive matching placebo to zilucoplan plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to apremilast plus standard of care treatment at a site that enrolled at least one participant in the zilucoplan sub-protocol. |
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| Secondary | Zilucoplan Sub-protocol: Number of Invasive Mechanical Ventilator Days From Day 1 Through Day 29 | Number of invasive mechanical ventilator days is the sum of the duration of any episode of invasive mechanical ventilator admission between Day 1 and Day 29, both inclusive. The number of invasive mechanical ventilator days of participants who died before or on Day 29 as well as of participants with a score of 7 on the clinical severity status 8-point ordinal scale who were discharged to hospice care by Day 29 was set to 30. | Zilucoplan sub-protocol full analysis set | Posted | | Count of Participants | | Participants | | Day 1 to Day 29 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | Includes participants randomized to receive matching placebo to zilucoplan plus standard of care treatment as well as participants who were randomized to receive placebo to lanadelumab or placebo to apremilast plus standard of care treatment at a site that enrolled at least one participant in the zilucoplan sub-protocol. |
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| Secondary | Zilucoplan Sub-protocol: Percentage of Participants Who Achieved Clinical Recovery by Days 8, 15, and 29 | Clinical recovery is defined as being fit for discharge, i.e., the achievement of a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who discontinued the study on or before Days 8, 15, or 29 or with a missing clinical recovery status were considered as not having clinical recovery at each respective time point. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high-flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Zilucoplan sub-protocol full analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 8, Day 15, and Day 29 | | | | ID | Title | Description |
|---|
| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control |
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| Secondary | Zilucoplan Sub-protocol: Percentage of Participants Who Achieved Sustained Clinical Recovery | Sustained clinical recovery is defined as being fit for discharge (achieving a score of 6, 7, or 8 on the clinical severity status 8-point ordinal scale) by Day 29, without re-hospitalization by Day 60. Participants with a score of 7 discharged to hospice care were not considered fit for discharge. Participants who died or discontinued from study or with a missing clinical recovery status at Day 60 were not considered having sustained clinical recovery. Clinical severity status 8-point ordinal scale:
- Death
- Hospitalized, on invasive mechanical ventilation or ECMO
- Hospitalized, on noninvasive ventilation or high flow oxygen devices
- Hospitalized, requiring supplemental oxygen
- Hospitalized, not requiring supplemental oxygen, requiring ongoing medical care
- Hospitalized, not requiring supplemental oxygen, no longer requires ongoing medical care
- Not hospitalized, limitation on activities and/or requiring home oxygen
- Not hospitalized, no limitations on activities
| Zilucoplan sub-protocol full analysis set | Posted | | Number | 95% Confidence Interval | percentage of participants | | Day 60 | | | | ID | Title | Description |
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| OG000 | Zilucoplan + Standard of Care | Participants randomized to receive 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control | |
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| Secondary | Zilucoplan Sub-protocol: Number of Participants With Treatment-emergent Adverse Events | An adverse event is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to study treatment. A TEAE is an AE that occurs after the first dose of study drug. A serious AE is any AE that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of hospitalization, resulted in persistent disability/incapacity, a congenital anomaly/birth defect, or an important medical event that may jeopardize the patient or require intervention to prevent an outcome listed above. The Investigator assessed the intensity of each AE according to the CTCAE grades:
- Grade 1 Mild; asymptomatic or mild symptoms;
- Grade 2 Moderate; minimal, local or noninvasive intervention indicated;
- Grade 3 Severe or medically significant, not immediately life-threatening;
- Grade 4 Life-threatening; urgent intervention indicated;
- Grade 5 Death due to AE.
| Zilucoplan safety analysis set included all participants in the zilucoplan FAS who received at least one dose of study drug. | Posted | | Count of Participants | | Participants | | From first dose of study drug to end of study (Day 60) | | | | ID | Title | Description |
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| OG000 | Zilucoplan+ Standard of Care | Participants received 32.4 mg zilucoplan by subcutaneous injection every day for 14 days, or until discharge if discharge was before 14 days of treatment, in addition to standard of care. | | OG001 | Zilucoplan Placebo Control |
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