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The primary objective of the study is to evaluate the efficacy of bemcentinib as an add-on therapies to standard of care (SoC) in participants hospitalized with coronavirus disease 2019 (COVID-19).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of Care + Bemcentinib | Experimental | Bemcentinib will be administered for up to 15 days, or until discharge from hospital, whichever comes sooner. SoC will be administered based on local guidelines. |
|
| Standard of Care | Active Comparator | The SoC will be administered based on local guidelines in place at the time of treatment during the study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bemcentinib | Drug | Bemcentinib capsules will be administered orally. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Sustained Clinical Improvement of at Least 2 Points | Sustained clinical improvement is defined as improvement without subsequent worsening. Time to sustained clinical improvement (in days) from randomization is defined as the number of days to a sustained improvement of at least 2 points on a 9-point category ordinal scale, or live discharge from the hospital, or fit for discharge, whichever occurs first by Day 29. 9-point category ordinal scale: 0-Uninfected, no clinical or virological evidence of infection; 1-Ambulatory, no limitation of activities; 2-Ambulatory, limitation of activities; 3-Hospitalised - mild disease, no oxygen therapy; 4-Hospitalized - mild disease, oxygen by mask or nasal prongs; 5-Hospitalized - severe disease, non-invasive ventilation or high-flow oxygen; 6-Hospitalized - severe disease, intubation and mechanical ventilation; 7-Hospitalized - severe disease, ventilation and additional organ support - vasopressors, renal replacement therapy, extracorporeal membrane oxygenation; 8-Death. | From randomization up to Day 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Not Deteriorating According to the Ordinal Scale by 1, 2, or 3 Points | Percentage of participants not deteriorating according to the 9-point category Ordinal Scale (0= uninfected and 8= Death), by 1, 2, or 3 points was reported. Deterioration by 1, 2 or 3 points at days 2, 8, 15 and 29 is defined as an increase in ordinal scale score of at least 1, 2 or 3 points respectively compared to baseline. Participants who had no ordinal score measured at a Day and who were discharged from hospital prior to that Day had their ordinal score used from the most recent value recorded prior to the Day. Participants who died prior to a Day have a score of 8 used for all Days after death. All other participants with no ordinal score measured at a day are considered to have deterioration at that Day. |
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Inclusion Criteria:
Adults (greater than or equal to [>=] 18 years) with SARS-CoV-2 infection.
Participants with symptoms and/or signs consistent with COVID-19, requiring treatment.
A score of Grade 3 to 5 on the 9-point ordinal scale. In India; only Participants with a score of Grade 4 or 5 will be enrolled.
a) Male Participants:
A male Participant must agree to use contraception during the treatment period and for at least 120 days after the last dose of study treatment and refrain from donating sperm during this period.
b) Female Participants:
A female Participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:
Women who are lactating who agree not to breastfeed their child during the study and for at least 120 days after termination of study therapy (they may continue to express milk away from the child during this period, but this milk must be discarded).
Ability to provide informed consent signed by the study Participant or legally authorized representative.
Exclusion Criteria:
Participants who have previously had a score of 6 or 7 on the 9-point ordinal scale.
Inability to swallow capsules (administration via nasogastric tube is permitted in Participants who become unable to swallow after starting the study drug).
History of the following cardiac conditions:
Screening 12-lead ECG with a measurable QT interval according to Fridericia correction (QTcF) greater than (>) 470 msec.
Clinically significant hypokalaemia.
Therapeutic anticoagulation with vitamin K antagonists.
Previous bowel resection that would interfere with drug absorption.
Any participant whose interests are not best served by study participation, as determined by a senior attending clinician.
Alanine aminotransferase/aspartate aminotransferase >5 × the upper limit of normal.
Current treatment for human immunodeficiency virus (HIV) or tuberculosis (TB).
Positive serologic assay at screening for hepatitis B virus (Hep B surface antigen) or hepatitis C virus (hepatitis C PCR or hepatitis C core antigen) at local laboratory.
Stage 4 severe chronic kidney disease.
Anticipated transfer to another hospital that is not a study center within 72 hours.
Allergy to any study treatment.
Experimental off-label usage of medicinal products as treatments for COVID-19 at the time of enrolment.
Participants participating in another clinical study of an investigational medicinal product.
Current or planned treatment for TB.
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| Name | Affiliation | Role |
|---|---|---|
| Hani Gabra | BerGenBio ASA | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unity Trauma Center and ICU, Unity Hospital | Surat | Gujarat | 395002 | India | ||
| Kasturba Medical College |
Individual participant data that underlie the results reported in the article, after deidentification [text, tables, figures and appendices].
Beginning 3 months and ending 5 years following article publication
Proposal should be directed to HYPERLINK "mailto:clinical@bergenbio.com" clinical@bergenbio.com. To gain access, data requestors will need to sign a data access agreement.
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| ID | Title | Description |
|---|---|---|
| FG000 | Bemcentinib + Standard of Care (SoC) | Bemcentinib was administered for up to 15 days, or until discharge from hospital, whichever came sooner. SoC was administered based on local guidelines. |
| FG001 | Standard of Care | The SoC was administered based on local guidelines in place at the time of treatment during the study. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Bemcentinib + Standard of Care (SoC) | Bemcentinib was administered for up to 15 days, or until discharge from hospital, whichever came sooner. SoC was administered based on local guidelines. |
| BG001 | Standard of Care |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Time to Sustained Clinical Improvement of at Least 2 Points | Sustained clinical improvement is defined as improvement without subsequent worsening. Time to sustained clinical improvement (in days) from randomization is defined as the number of days to a sustained improvement of at least 2 points on a 9-point category ordinal scale, or live discharge from the hospital, or fit for discharge, whichever occurs first by Day 29. 9-point category ordinal scale: 0-Uninfected, no clinical or virological evidence of infection; 1-Ambulatory, no limitation of activities; 2-Ambulatory, limitation of activities; 3-Hospitalised - mild disease, no oxygen therapy; 4-Hospitalized - mild disease, oxygen by mask or nasal prongs; 5-Hospitalized - severe disease, non-invasive ventilation or high-flow oxygen; 6-Hospitalized - severe disease, intubation and mechanical ventilation; 7-Hospitalized - severe disease, ventilation and additional organ support - vasopressors, renal replacement therapy, extracorporeal membrane oxygenation; 8-Death. | Intention to treat (ITT) analysis set included all participants who were randomized and matched the inclusion/exclusion criteria of the protocol. Here, 'N' (overall number of participants analyzed) is defined as participants who were evaluable for this outcome measure. | Posted | Median | 80% Confidence Interval | days | From randomization up to Day 29 |
up to Day 90
Safety analysis set included all participants who were randomized and received at least 1 dose of study treatment (bemcentinib or SoC).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Bemcentinib + Standard of Care (SoC) | Bemcentinib was administered for up to 15 days, or until discharge from hospital, whichever came sooner. SoC was administered based on local guidelines. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac arrest | Cardiac disorders | MedDRA 23.0 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| BerGenBio Clinical Team | BerGenBio ASA | + 47 559 61 159 | cmo@bergenbio.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 8, 2020 | Feb 20, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Nov 17, 2020 | Feb 20, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C548378 | bemcentinib |
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| SoC |
| Other |
The SoC will be administered based on local guidelines. |
|
| At Days 2, 8, 15, and 29 |
| Duration of Oxygen Use (in Percentage) | In this outcome measure percentage of hospitalization days during which oxygen was used is reported. The duration of each occurrence of oxygen use was derived based on the start date and time, and end date and time of the use of any type of supplemental oxygen (including mechanical ventilation) as captured in the electronic case report form (eCRF). For each participant, the duration in days of oxygen use was derived as the sum of the duration (in minutes) of each occurrence of oxygen use, divided by 1440 (24*60). | Up to Day 29 |
| Duration of Oxygen-free Days (in Percentage) | In this outcome measure percentage of hospitalization days which were oxygen-free days was reported. | Up to Day 29 |
| Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load | SARS-CoV-2 viral load was determined by polymerase chain reaction (PCR) in oropharyngeal and nasal swab while hospitalized. Baseline is defined as the non-missing measurement taken prior to or on randomization day (including unscheduled measurements, if any). | Day 1 (Baseline), 3, 5, 8, 11, 15, and 29 |
| Duration of Ventilation Use (in Percentage) by Hospital Survival Status | In this outcome measure percentage of hospitalization days during which ventilation was used. Duration of ventilation use by hospital survival status was reported in terms of days. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. The duration of ventilation was derived based on the start date and time, and end date and time of either invasive mechanical ventilation or non-invasive mechanical ventilation as the type of supplemental oxygen captured in the eCRF. | Up to Day 29 |
| Duration of Ventilation-free Days (in Percentage)- by Hospital Survival Status | In this outcome measure percentage of hospitalization days which were ventilation-free by hospital survival status was reported. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. | Up to Day 29 |
| Number of Participants With Any Form of New Ventilation Use | Number of participants with any form of new ventilation use was reported. New ventilation was defined as either Invasive Mechanical Ventilation or Non-Invasive Mechanical Ventilation as the type of supplemental oxygen captured in the eCRF that was not occurring at the time of randomization. | Up to Day 29 |
| Duration of New Ventilation Use (in Percentage) by Hospital Survival Status | In this outcome measure percentage of hospitalization days during which new ventilation was used. The duration of new ventilation was derived based on the start date and time, and end date and time of either invasive mechanical ventilation or non-invasive mechanical ventilation as the type of supplemental oxygen captured in the eCRF that was not occurring at the time of randomization. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. | Up to Day 29 |
| Duration of Organ Support (in Percentage) | In this outcome measure percentage of hospitalization days during which organ support (e.g., including respiratory, renal, and cardiac support) was provided is reported in days. Organ support was approximated from the following adverse events of special interests (AESIs) when treatment was received: Cardiovascular organ failure; Renal organ failure requiring renal replacement therapy; Liver organ failure. For each participant the duration of AESIs was summed, noting that if there are any overlapping dates of AESIs, days were only counted once for a participant. | Up to Day 29 |
| Number of Participants With Response | Response rate was assessed on a 9-point category ordinal scale. Number of participants with response (defined as sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale, live discharge from the hospital, or considered fit for discharge (a score of 0, 1, or 2 on the ordinal scale), whichever comes first) was reported. Participants who were not discharged or who had no ordinal scale assessment on a particular study day (including participants who have died prior to that study day) were considered non-responders. | At Days 2, 8, 15, and 29 |
| Time to Live Discharge From the Hospital | Time to live discharge from the hospital (in days) was calculated from randomization. It was derived as: (date of discharge - date of randomization) +1. Participants who were alive and still in hospital at the time of analysis had their time to discharge censored at the data cut-off date for the analysis. Participants who died at the time of analysis, without having been discharged from hospital, had their time to live discharge censored at Day 29. | Up to Day 29 |
| Time to Death | Time to death (in days) was calculated from randomization. Participants who were not known to have died at the time of analysis had their time to death censored at the last date the participant was known to be alive. | Up to Day 60 |
| Overall Mortality | Number of participants who died were reported. | At Days 15, 29, and 60 |
| Change From Baseline in the Ratio of Oxygen Saturation to Fraction of Inspired Oxygen Concentration (SpO2/FiO2) | Change from baseline in the ratio of the oxygen saturation to fraction of inspired oxygen concentration (SpO2/FiO2) was measured daily from randomization to Day 15. Baseline is defined as the last non-missing measurement taken prior to randomization (including unscheduled measurements, if any). | Baseline, Days 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 and 15 |
| Number of Participants With Adverse Events (AEs) | An AE is any untoward medical occurrence in participants, temporally associated with the use of study treatment, whether or not considered related to the study treatment. | Up to Day 90 |
| Duration of Intensive Care Unit (ICU)- (in Percentage) | In this outcome measure percentage of hospitalization days for which participant was in ICU is reported. Duration of ICU was derived based on start/stop date of admission and start/stop date of ICU stay in the eCRF. Duration of ICU is the sum of duration (days) of each episode of ICU/HDU stay. If a participant died and the stop date of admission is missing, the date of death was used instead. | Up to 90 days |
| Duration of Hospitalization | Duration of hospitalization (days) was derived based on start/stop date of admission and start/stop date of HDU stay in the eCRF. Duration of hospitalization is derived as stop date of admission minus start date of admission +1. If a participant died and the stop date of admission is missing, the date of death was used instead. | Up to 90 days |
| National Early Warning Score 2 (NEWS2) | NEWS2 is based on 6 physiological measurements (respiration rate, oxygen saturation [SpO2], systolic blood pressure, pulse rate, level of consciousness or new confusion, and temperature). Each of these physiological parameters is rated using a 4-point Likert scale (0= no risk to 3 = high risk). The NEWS2 score is obtained by summing the 6 physiological parameter individual scores, with higher score indicating higher risk of deterioration and need for escalation in clinical care, including transfer of the participant to a higher level of care hospital unit. The NEWS2 score is set to missing if at least 1 physiological parameter individual score is missing, and the overall score is uplifted by 2 points for patients requiring supplemental oxygen to maintain their recommended SpO2. The range of NEWS2 score, taking into account this potential 2 point uplifting, is 0 (best) to 20 (worst). | At Days 15 and 29 |
| Time to NEWS2 of <=2, Maintained for at Least 24 Hours | The NEWS2 is based on is based on 6 physiological measurements. The range of NEWS2 score, is from 0 (best) to 20 (worst). Time to NEWS2 <=2 maintained for at least 24 hours (in days) was calculated from randomization as: The date of the first post-Baseline assessment where NEWS2 is <= 2 and sustained for at least 24 hours ) - date of randomization +1. | Up to Day 29 |
| Ranked Trajectory Over 29 Days | Ranked trajectory is not a scale outcome measure and does not have a validated scale range. It is an evaluation of dynamic changes over time in the ordinal scale (9-point; 0= uninfected to 8= death; higher scores = more severity) of severity based on individual rank. It was calculated over 29 days. Each participant ranks were assigned based on the following order of the ordinal scale, [1] The worst (highest) score, Ascending; [2] The last recorded score, Ascending; [3] The number of days at worst score, Ascending; [4] The best(lowest) score that occurred after the worst score, Ascending; [5] The number of days the participant was at [4], Descending. Orderings performed at steps [2], [3], [4] and [5] were used to resolve any tied ranks resulting from previous step. Each participant had one overall rank for their trajectory. There was no rank range associated, however lower rank = better trajectory. | 29 days |
| Mangalore |
| Karnataka |
| 575001 |
| India |
| JSS Hospital | Mysuru | Karnataka | 570 004 | India |
| Chopda Medicare & Research Centre Pvt. Ltd (CMARC) - Magnum Heart Institute | Nashik | Maharashtra | 422005 | India |
| Sahyadri Specialty Hospital | Pune | Maharashtra | 411004 | India |
| Krishna Institute of Medical Sciences (KIMS Hospitals) | Secunderabad | Telangana | 500003 | India |
| Maulana Azad Medical College | New Delhi | 110002 | India |
| Lakeview Hospital | Mowbray | Benoni | South Africa |
| Tiervlei Trial Centre | Bellville | Cape Town | South Africa |
| Vergelegen Mediclinic | Somerset West | Cape Town | South Africa |
| Into Research | Groenkloof | Pretoria | South Africa |
| Clinical Projects Research | Worcester | South Africa |
The SoC was administered based on local guidelines in place at the time of treatment during the study.
| BG002 | Total | Total of all reporting groups |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Secondary | Percentage of Participants Not Deteriorating According to the Ordinal Scale by 1, 2, or 3 Points | Percentage of participants not deteriorating according to the 9-point category Ordinal Scale (0= uninfected and 8= Death), by 1, 2, or 3 points was reported. Deterioration by 1, 2 or 3 points at days 2, 8, 15 and 29 is defined as an increase in ordinal scale score of at least 1, 2 or 3 points respectively compared to baseline. Participants who had no ordinal score measured at a Day and who were discharged from hospital prior to that Day had their ordinal score used from the most recent value recorded prior to the Day. Participants who died prior to a Day have a score of 8 used for all Days after death. All other participants with no ordinal score measured at a day are considered to have deterioration at that Day. | Population included ITT analysis set. | Posted | Number | Percentage of participants | At Days 2, 8, 15, and 29 |
|
|
|
| Secondary | Duration of Oxygen Use (in Percentage) | In this outcome measure percentage of hospitalization days during which oxygen was used is reported. The duration of each occurrence of oxygen use was derived based on the start date and time, and end date and time of the use of any type of supplemental oxygen (including mechanical ventilation) as captured in the electronic case report form (eCRF). For each participant, the duration in days of oxygen use was derived as the sum of the duration (in minutes) of each occurrence of oxygen use, divided by 1440 (24*60). | Population included ITT analysis set. | Posted | Mean | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Duration of Oxygen-free Days (in Percentage) | In this outcome measure percentage of hospitalization days which were oxygen-free days was reported. | Population included ITT analysis set. | Posted | Mean | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Viral Load | SARS-CoV-2 viral load was determined by polymerase chain reaction (PCR) in oropharyngeal and nasal swab while hospitalized. Baseline is defined as the non-missing measurement taken prior to or on randomization day (including unscheduled measurements, if any). | Population included ITT analysis set. Here, 'N' (overall number of participants analyzed) is defined as participants who were evaluable for this outcome measure and 'n' (number analyzed) is defined as number of participants who were analyzed at specified timepoints. | Posted | Mean | Standard Deviation | copies/milliliter (mL) | Day 1 (Baseline), 3, 5, 8, 11, 15, and 29 |
|
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| Secondary | Duration of Ventilation Use (in Percentage) by Hospital Survival Status | In this outcome measure percentage of hospitalization days during which ventilation was used. Duration of ventilation use by hospital survival status was reported in terms of days. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. The duration of ventilation was derived based on the start date and time, and end date and time of either invasive mechanical ventilation or non-invasive mechanical ventilation as the type of supplemental oxygen captured in the eCRF. | Population included ITT analysis set. Here, 'n' (number analyzed) is defined as number of participants who were analyzed for specified category per hospital survival status. | Posted | Mean | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Duration of Ventilation-free Days (in Percentage)- by Hospital Survival Status | In this outcome measure percentage of hospitalization days which were ventilation-free by hospital survival status was reported. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. | Population included ITT analysis set. Here, 'n' (number analyzed) is defined as number of participants who were analyzed in specified category per hospital survival status. | Posted | Median | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Number of Participants With Any Form of New Ventilation Use | Number of participants with any form of new ventilation use was reported. New ventilation was defined as either Invasive Mechanical Ventilation or Non-Invasive Mechanical Ventilation as the type of supplemental oxygen captured in the eCRF that was not occurring at the time of randomization. | Population included ITT analysis set. | Posted | Count of Participants | Participants | Up to Day 29 |
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| Secondary | Duration of New Ventilation Use (in Percentage) by Hospital Survival Status | In this outcome measure percentage of hospitalization days during which new ventilation was used. The duration of new ventilation was derived based on the start date and time, and end date and time of either invasive mechanical ventilation or non-invasive mechanical ventilation as the type of supplemental oxygen captured in the eCRF that was not occurring at the time of randomization. Alive is defined as a participant who did not die whilst in hospital and died is defined as a participant who died whilst in hospital. | Population included ITT analysis set. Here, 'n' (number analyzed) is defined as number of participants who were analyzed for specified category per hospital survival status. | Posted | Mean | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Duration of Organ Support (in Percentage) | In this outcome measure percentage of hospitalization days during which organ support (e.g., including respiratory, renal, and cardiac support) was provided is reported in days. Organ support was approximated from the following adverse events of special interests (AESIs) when treatment was received: Cardiovascular organ failure; Renal organ failure requiring renal replacement therapy; Liver organ failure. For each participant the duration of AESIs was summed, noting that if there are any overlapping dates of AESIs, days were only counted once for a participant. | Population included ITT analysis set. | Posted | Mean | Standard Deviation | Percentage of days | Up to Day 29 |
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| Secondary | Number of Participants With Response | Response rate was assessed on a 9-point category ordinal scale. Number of participants with response (defined as sustained clinical improvement of at least 2 points (from randomization) on a 9-point category ordinal scale, live discharge from the hospital, or considered fit for discharge (a score of 0, 1, or 2 on the ordinal scale), whichever comes first) was reported. Participants who were not discharged or who had no ordinal scale assessment on a particular study day (including participants who have died prior to that study day) were considered non-responders. | Population included ITT analysis set. | Posted | Count of Participants | Participants | At Days 2, 8, 15, and 29 |
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| Secondary | Time to Live Discharge From the Hospital | Time to live discharge from the hospital (in days) was calculated from randomization. It was derived as: (date of discharge - date of randomization) +1. Participants who were alive and still in hospital at the time of analysis had their time to discharge censored at the data cut-off date for the analysis. Participants who died at the time of analysis, without having been discharged from hospital, had their time to live discharge censored at Day 29. | Population included ITT analysis set. | Posted | Median | 80% Confidence Interval | days | Up to Day 29 |
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| Secondary | Time to Death | Time to death (in days) was calculated from randomization. Participants who were not known to have died at the time of analysis had their time to death censored at the last date the participant was known to be alive. | Population included ITT analysis set. | Posted | Median | 80% Confidence Interval | days | Up to Day 60 |
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| Secondary | Overall Mortality | Number of participants who died were reported. | Population included ITT analysis set. | Posted | Count of Participants | Participants | At Days 15, 29, and 60 |
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| Secondary | Change From Baseline in the Ratio of Oxygen Saturation to Fraction of Inspired Oxygen Concentration (SpO2/FiO2) | Change from baseline in the ratio of the oxygen saturation to fraction of inspired oxygen concentration (SpO2/FiO2) was measured daily from randomization to Day 15. Baseline is defined as the last non-missing measurement taken prior to randomization (including unscheduled measurements, if any). | Population included ITT analysis set. Here, 'N' (overall number of participants analyzed) is defined as participants who were evaluable for this outcome measure and 'n' (number analyzed) is defined as number of participants analyzed at specified timepoints. | Posted | Mean | Standard Deviation | ratio | Baseline, Days 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 and 15 |
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| Secondary | Number of Participants With Adverse Events (AEs) | An AE is any untoward medical occurrence in participants, temporally associated with the use of study treatment, whether or not considered related to the study treatment. | Safety analysis set included all participants who were randomized and received at least 1 dose of study treatment (bemcentinib or SoC). | Posted | Count of Participants | Participants | Up to Day 90 |
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| Secondary | Duration of Intensive Care Unit (ICU)- (in Percentage) | In this outcome measure percentage of hospitalization days for which participant was in ICU is reported. Duration of ICU was derived based on start/stop date of admission and start/stop date of ICU stay in the eCRF. Duration of ICU is the sum of duration (days) of each episode of ICU/HDU stay. If a participant died and the stop date of admission is missing, the date of death was used instead. | Population included ITT analysis set. | Posted | Mean | Standard Deviation | Percentage of days | Up to 90 days |
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| Secondary | Duration of Hospitalization | Duration of hospitalization (days) was derived based on start/stop date of admission and start/stop date of HDU stay in the eCRF. Duration of hospitalization is derived as stop date of admission minus start date of admission +1. If a participant died and the stop date of admission is missing, the date of death was used instead. | Population included ITT analysis set. | Posted | Mean | Standard Deviation | days | Up to 90 days |
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| Secondary | National Early Warning Score 2 (NEWS2) | NEWS2 is based on 6 physiological measurements (respiration rate, oxygen saturation [SpO2], systolic blood pressure, pulse rate, level of consciousness or new confusion, and temperature). Each of these physiological parameters is rated using a 4-point Likert scale (0= no risk to 3 = high risk). The NEWS2 score is obtained by summing the 6 physiological parameter individual scores, with higher score indicating higher risk of deterioration and need for escalation in clinical care, including transfer of the participant to a higher level of care hospital unit. The NEWS2 score is set to missing if at least 1 physiological parameter individual score is missing, and the overall score is uplifted by 2 points for patients requiring supplemental oxygen to maintain their recommended SpO2. The range of NEWS2 score, taking into account this potential 2 point uplifting, is 0 (best) to 20 (worst). | Population included ITT analysis set. Here, 'N' (overall number of participants analyzed) is defined as participants who were evaluable for this outcome measure and 'n' (number analyzed) is defined as number of participants analyzed at specified timepoints. | Posted | Mean | Standard Deviation | units on a scale | At Days 15 and 29 |
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| Secondary | Time to NEWS2 of <=2, Maintained for at Least 24 Hours | The NEWS2 is based on is based on 6 physiological measurements. The range of NEWS2 score, is from 0 (best) to 20 (worst). Time to NEWS2 <=2 maintained for at least 24 hours (in days) was calculated from randomization as: The date of the first post-Baseline assessment where NEWS2 is <= 2 and sustained for at least 24 hours ) - date of randomization +1. | Population included ITT analysis set. | Posted | Median | 95% Confidence Interval | days | Up to Day 29 |
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| Secondary | Ranked Trajectory Over 29 Days | Ranked trajectory is not a scale outcome measure and does not have a validated scale range. It is an evaluation of dynamic changes over time in the ordinal scale (9-point; 0= uninfected to 8= death; higher scores = more severity) of severity based on individual rank. It was calculated over 29 days. Each participant ranks were assigned based on the following order of the ordinal scale, [1] The worst (highest) score, Ascending; [2] The last recorded score, Ascending; [3] The number of days at worst score, Ascending; [4] The best(lowest) score that occurred after the worst score, Ascending; [5] The number of days the participant was at [4], Descending. Orderings performed at steps [2], [3], [4] and [5] were used to resolve any tied ranks resulting from previous step. Each participant had one overall rank for their trajectory. There was no rank range associated, however lower rank = better trajectory. | Population included ITT analysis set. | Posted | Mean | Standard Error | rank score | 29 days |
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| 4 |
| 58 |
| 6 |
| 58 |
| 18 |
| 58 |
| EG001 | Standard of Care | The SoC was administered based on local guidelines in place at the time of treatment during the study. | 4 | 57 | 4 | 57 | 22 | 57 |
| Myocardial infarction | Cardiac disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Death | General disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Multiple organ dysfunction syndrome | General disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Sepsis | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Septic shock | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Aspergillus infection | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Candida infection | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Ischaemic limb pain | Vascular disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Thrombocytosis | Blood and lymphatic system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypercoagulation | Blood and lymphatic system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Leukocytosis | Blood and lymphatic system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Tachycardia | Cardiac disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Bradycardia | Cardiac disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Anal inflammation | Gastrointestinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Asthenia | General disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Pneumonia bacterial | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Gastroenteritis | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Herpes simplex | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Impetigo | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Respiratory syncytial virus infection | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Urinary tract infection | Infections and infestations | MedDRA 23.0 | Non-systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| Aspartate aminotransferase increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| Gamma-glutamyltransferase increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| Blood alkaline phosphatase increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| Transaminases increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| White blood cell count increased | Investigations | MedDRA 23.0 | Non-systematic Assessment |
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| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Diabetic ketoacidosis | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Electrolyte imbalance | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Gout | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Iron deficiency | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Acoustic neuritis | Nervous system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Anxiety disorder | Psychiatric disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Acute respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Emphysema | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypoxia | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Pneumothorax | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Rash papular | Skin and subcutaneous tissue disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA 23.0 | Non-systematic Assessment |
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| Haematoma | Vascular disorders | MedDRA 23.0 | Non-systematic Assessment |
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PI's will not discuss or publish trial results after the trial is completed without seeking prior permission of sponsor.
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| Day 15: deterioration of 1 point |
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| Day 29: deterioration of 1 point |
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| Day 2: deterioration of 2 point |
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| Day 8: deterioration of 2 point |
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| Day 15: deterioration of 2 point |
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| Day 29: deterioration of 2 point |
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| Day 2: deterioration of 3 point |
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| Day 8: deterioration of 3 point |
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| Day 15: deterioration of 3 point |
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| Day 29: deterioration of 3 point |
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| Day 3: Oropharyngeal Swab |
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| Day 5: Oropharyngeal Swab |
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| Day 8: Oropharyngeal Swab |
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| Day 11: Oropharyngeal Swab |
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| Day 15: Oropharyngeal Swab |
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| Day 29: Oropharyngeal Swab |
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| Baseline: Nasopharyngeal Swab |
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| Day 3: Nasopharyngeal Swab |
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| Day 5: Nasopharyngeal Swab |
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| Day 8: Nasopharyngeal Swab |
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| Day 11: Nasopharyngeal Swab |
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| Day 15: Nasopharyngeal Swab |
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| Day 29: Nasopharyngeal Swab |
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| Died |
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| Died |
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| Died |
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| Day 15 |
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| Day 29 |
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| Day 60 |
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| Day 3 |
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| Day 4 |
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| Day 5 |
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| Day 6 |
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| Day 7 |
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| Day 8 |
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| Day 9 |
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| Day 10 |
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| Day 11 |
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| Day 12 |
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| Day 13 |
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| Day 14 |
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| Day 15 |
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| Day 29 |
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