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Efficacy and safety of novel treatment options for adults with COVID-19 pneumonia

Efficacy and safety of novel treatment options for adults with COVID-19 pneumonia. A double-blinded, randomized, multi-stage, 6-armed placebo-controlled trial in the framework of an adaptive trial platform - CCAP-RCT

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2020-001367-88-DK
Enrollment
1500
Registered
2020-04-01
Start date
2020-04-14
Completion date
Unknown
Last updated
2020-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

COVID-19 MedDRA version: 23.0 Level: PT Classification code 10051905 Term: Coronavirus infection System Organ Class: 10021881 - Infections and infestations

Interventions

Trade Name: Plaquenil Product Name: Plaquenil Pharmaceutical Form: Tablet CAS Number: 747-36-4 Other descriptive name: HYDROXYCHLOROQUINE SULFATE Concentration unit: mg milligram(s) Concentration type

Sponsors

Department of Infectious diseases
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: ? =18 years of age ? Confirmed COVID-19 infection per WHO criteria / presence of SARS-CoV-2 nucleic acid by polymerase chain reaction (PCR) ? Evidence of pneumonia given by at least one of the following: ? SpO2 =93% on ambient air or PaO2/FiO2 =65 years) yes F.1.3.1 Number of subjects for this age range 750

Exclusion criteria

Exclusion criteria: ? In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatment ? History of allergic reaction to study drug (as judged by the site investigator) ? Participating in other drug clinical trials (participation in COVID-19 antiviral trials may be permitted if approved by sponsor) ? Pregnant or breastfeeding, positive pregnancy test in a pre-dose examination or patients family planning within three months after receiving study agent ? Estimated glomerular filtration (eGFR) <30 ml/min ? Severe liver dysfunction (Child Pugh score C) ? Known history of the following medical conditions: ? Active or latent tuberculosis (TB) or history of incompletely treated TB ? Chronic hepatitis B or C infection ? Retinopathy or maculopathy ? Neurogenic hearing impairment ? Presence of any of the following abnormal laboratory values at screening: ? Absolute neutrophil count (ANC) less than 1000 mm3 (= 1,0 x 10? /L) ? Alanine aminotransferase (ALT) greater than 5 x upper limit of normal (ULN) ? Platelet count <50,000 per mm3 (= 50 x 10? /L) ? Immunosuppression, defined as following: ? Treatment with immunosuppressive agents, chemotherapy or immunomodulatory drugs within 30 days prior to inclusion ? Use of chronic oral corticosteroids for a non-COVID-19-related condition in a dose higher than prednisolone 20 mg or equivalent per day for 4 weeks ? Ongoing chemotherapy ? Any serious medical condition or abnormality of clinical laboratory tests that, in the investigator’s judgment, precludes the patient’s safe participation in and completion of the study

Design outcomes

Primary

MeasureTime frame
Main Objective: The aim of this study is to evaluate the efficacy and safety of convalescent anti-SARS-CoV-2 plasma, hydroxychloroquine, sarilumab and baricitinib compared with placebo in combination with standard of care (SOC) for the treatment of moderate-to-severe COVID-19 pneumonia on the basis of the composite endpoint: All-cause mortality or need of invasive mechanical ventilation up to 28 days.;Secondary Objective: Not applicable;Primary end point(s): The primary outcome is a composite endpoint: All-cause mortality or need of invasive mechanical ventilation up to 28 days.;Timepoint(s) of evaluation of this end point: Day 28

Secondary

MeasureTime frame
Secondary end point(s): ? Frequency of adverse events ? Frequency of severe adverse events ? Time to improvement of at least 2 categories relative to baseline on a 7-category ordinal scale of clinical status ? Ventilator-free days to day 28 ? Organ failure-free days to day 28 ? Duration of ICU stay ? Mortality rate at days 7, 14, 21, 28, and 90 ? Length of hospital stay ? Duration of supplemental oxygen;Timepoint(s) of evaluation of this end point: See individual timepoints E.5.2.

Countries

Denmark

Contacts

Public ContactCharlotte Kastberg Levin

Department of infectious diseases

charlotte.kastberg.levin.01@regionh.dk+4538622941

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026