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Efficacy and Safety of Emapalumab and Anakinra in Reducing Hyperinflammation and Respiratory Distress in Patients With COVID-19 Infection.

A Phase 2/3, Randomized, Open-label, Parallel Group, 3-arm, Multicenter Study Investigating the Efficacy and Safety of Intravenous Administrations of Emapalumab, an Anti-interferon Gamma (Anti-IFNγ) Monoclonal Antibody, and Anakinra, an Interleukin-1(IL-1) Receptor Antagonist, Versus Standard of Care, in Reducing Hyper-inflammation and Respiratory Distress in Patients With SARS-CoV-2 Infection.

Status
Terminated
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04324021
Enrollment
16
Registered
2020-03-27
Start date
2020-04-02
Completion date
2020-11-13
Last updated
2022-03-10

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

Conditions

SARS-CoV-2

Brief summary

Hyper-inflammation, caused by a cytokine storm resulting from an exaggerated response of the immune system in the presence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is considered to represent one of the most important negative prognostic factors in patients infected with sSARS-CoV-2. The objective of this study is to investigate new treatment options to reduce the number of patients requiring mechanical ventilation. This is intended to address the most urgent need to preserve the access to intensive care unit support to the lowest possible number of patients and may potentially reduce mortality.

Detailed description

This is an open label, controlled, parallel group, 3-arm, multicenter study to assess the efficacy and safety of Emapalumab or Anakinra, versus standard of care (SoC). Patients between 30 and 80 years will be eligible to participate in the study. The study is planned to consist of three groups, each comprising 18 patients. Treatment will be randomized to either Emapalumab+SoC, Anakinra+SoC or only SoC for two weeks. Follow-up visit or phone calls will be made 4 and 8 weeks after end of treatment period.

Interventions

BIOLOGICALEmapalumab

I.v. infusion every third day

BIOLOGICALAnakinra

Daily i.v. infusion

Sponsors

Swedish Orphan Biovitrum
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

1. Signed informed consent provided by the patient, or by the patient's legally authorized representative(s), as applicable. 2. Documented presence of SARS-CoV-2 infection as per hospital routine. 3. Age \> 18 to \< 85 years at the time of screening. 4. Presence of respiratory distress, defined as: 1. PaO2/FiO2 \< 300 mm Hg and \>200 mm Hg or 2. Respiratory Rate (RR) ≥30 breaths/min or 3. SpO2 \< 93 percent in air at rest. Note: Patients given continous positive airway pressure (CPAP) ventilator support are eligible for inclusion. Presence of hyperinflammation defined as: 1. Lymphocyte counts: * \< 1000 cells/µL, in patients who have not received systemic glucocorticoids for at least 2 days prior to the assessment of the lymphocyte count * \< 1200 cells/µL, in patients who have received systemic glucocorticoids for at least 2 days prior to the assessment of the lymphocyte count and 2. One of the following three criteria: i. Ferritin \> 500ng/mL ii. LDH \> 300 U/L iii. D-Dimers \> 1000 ng/mL

Exclusion criteria

1. Patients in mechanical ventilation or with modified early warning score (MEWS) \>4 with evidence of moderate or above ARDS (Berlin definition, namely with PaO2/FiO2 \>100, but \<200 mm Hg) or severe respiratory insufficiency or evidence of rapid worsening (respiratory distress requiring mechanical ventilation or presence of shock or presence of concomitant organ failure requiring ICU admission). Note: For the evaluation of patient eligibility, temperature will not be considered in the calculation of the total MEWS score since presence of fever is a hallmark of SARS-CoV-2 infection 2. Impairment of cardiac function defined as poorly controlled heart diseases, such as New York heart association (NYHA) class II (mild) and above, cardiac insufficiency, unstable angina pectoris, myocardial infarction within 1 year before enrollment, supraventricular or ventricular arrhythmia need treatment or intervention. 3. Severe renal dysfunction (estimated glomerular filtration rate ≤ 30 mL/min/1.73 m2) or receive continuous renal replacement therapy, hemodialysis, or peritoneal dialysis. 4. Uncontrolled hypertension (seated systolic blood pressure \>180 mmHg, or diastolic blood pressure \>110mmHg) . 5. Administration of plasma from convalescent patients who recovered from SARS-CoV-2 infection. 6. Clinical suspicion of latent tuberculosis. 7. History of hypersensitivity or allergy to any component of the study drug. 8. Pregnant women. 9. Existence of any life-threatening co-morbidity or any other medical condition which, in the opinion of the investigator, makes the patient unsuitable for inclusion. 10. Enrollment in another concurrent clinical interventional study, or intake of an investigational drug within three months or 5 half-lives prior to inclusion in this study, if considered interfering with this study objectives as assessed by the Investigator. 11. Foreseeable inability to cooperate with given instructions or study procedures. 12. Clinical suspicion of active mycobacteria, histoplasma capsulatum, herpes zoster, salmonella, and shigella Infections. 13. Patients with liver dysfunction defined as AST or ALT \> 5 × ULN

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment SuccessUp to Day 15Defined as the number of patients not requiring invasive mechanical ventilation or Extracorporeal membrane oxygenation (ECMO)

Secondary

MeasureTime frameDescription
Change From Baseline in D-dimersBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Number of Participants Requiring Mechanical VentilationDate of randomization to date of mechanical ventilation, up to 15 DaysMeasured in number of participants
Change From Baseline in Modified Early Warning System ScoreBaseline, Day 15The full (unabbreviated) scale name is Modified Early Warning system score (MEWS score) Measured in total score Total score is the sum of 5 categorized components (blood pressure, heart rate, respiratory rate, temperature and alert/voice/pain/unresponsive score) that are assigned a score between 0 and 2 or 0 and 3. MEWS total score range is 0 to 14. Higher score= worse outcome
Change From Baseline in FerritinBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Baseline, 3 assessments every Days 4, 7, 10, 13 and 15Measured in percent (%)
Change From Baseline in Oxygen SupplementationBaseline, Days 4, 7, 10, 13 and 15.Measured in l/min
Change From Baseline in Partial Pressure of Oxygen/Fraction of Inspired Oxygen (PaO2/FiO2)Baseline, Day 15Measured in mmHg
Number of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestScreening, Day 15Measured in scan evaluation: Normal, Abnormal but not clinically significant, Abnormal clinical significant, Not Done
Overall SurvivalWeeks 6 and 10Confirmation of death
Number of Patients With Hospital DischargeUntil discharge up to Week 10Measured in number of patients
Change of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Oxygen Tension (pO2) in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Potassium in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Sodium in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Chloride in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Lactate Dehydrogenase (LDH)Baseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Hemoglobin in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in White Blood Cells With Differential CountsBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Red Blood CountsBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in HemoglobinBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Platelet CountBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in FibrinogenBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Complement Factors C3/C4Day 15Measured in local units
Change From Baseline in Prothrombin TimeBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Cardiac TroponinBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Aspartate Aminotransferase (AST)Baseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Alanine Aminotransferase (ALT)Baseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in Total Bilirubin LevelsBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in C-Reactive ProteinBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change From Baseline in CreatinineBaseline, Days 4, 7, 10, 13 and 15Measured in local units
Change of Lactic Acid in Hemogasanalysis From BaselineBaseline, Days 4, 7, 10, 13 and 15Measured in local units

Countries

Italy, United States

Participant flow

Pre-assignment details

Patients were screened within 72h prior to the first IMP administration. A total of 54 patients were planned to be randomized. A total of 16 patients were randomized and analyzed.

Participants by arm

ArmCount
Emapalumab
Emapalumab i.v. infusion every 3rd day for a total 5 infusions. Day 1: 6mg/kg. Days 4, 7, 10 and 13: 3 mg/kg Emapalumab: I.v. infusion every third day
5
Anakinra
Anakinra i.v. infusion four times daily for 15 days. 400 mg/day in total, divided into 4 doses given every 6 hours Anakinra: Daily i.v. infusion
5
Standard of Care
Standard of care according to local practice
6
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event100
Overall StudyDeath110
Overall StudyLack of Efficacy001

Baseline characteristics

CharacteristicTotalStandard of CareAnakinraEmapalumab
Age, Continuous63.3 years
STANDARD_DEVIATION 12.3
62.5 years
STANDARD_DEVIATION 62.5
62.4 years
STANDARD_DEVIATION 11.1
65.0 years
STANDARD_DEVIATION 14.8
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants0 Participants1 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants5 Participants3 Participants4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants1 Participants1 Participants0 Participants
Fraction of Inspired oxygen (FiO2) (%)56.3 % of inspired oxygen
STANDARD_DEVIATION 27.4
53.2 % of inspired oxygen
STANDARD_DEVIATION 22.4
54.8 % of inspired oxygen
STANDARD_DEVIATION 37.1
61.8 % of inspired oxygen
STANDARD_DEVIATION 29.9
Height (cm)171 cm
STANDARD_DEVIATION 9.5
172.3 cm
STANDARD_DEVIATION 14.4
170.2 cm
STANDARD_DEVIATION 4.4
170.8 cm
STANDARD_DEVIATION 10.9
Hospitalization16 Participants6 Participants5 Participants5 Participants
Oxygen levels (mmHg)85.2 mmHg
STANDARD_DEVIATION 27.7
78.6 mmHg
STANDARD_DEVIATION 20.5
78.5 mmHg
STANDARD_DEVIATION 21
103.0 mmHg
STANDARD_DEVIATION 38.2
Region of Enrollment
Italy
16 participants6 participants5 participants5 participants
Sex: Female, Male
Female
2 Participants0 Participants1 Participants1 Participants
Sex: Female, Male
Male
14 Participants6 Participants4 Participants4 Participants
Symptom duration (days)3.6 days
STANDARD_DEVIATION 4
5.3 days
STANDARD_DEVIATION 4.8
1.0 days
STANDARD_DEVIATION 0
4.0 days
STANDARD_DEVIATION 4.2
Weight (kg)79.7 kg
STANDARD_DEVIATION 13
83.0 kg
STANDARD_DEVIATION 12.8
79.4 kg
STANDARD_DEVIATION 13.4
77.4 kg
STANDARD_DEVIATION 15

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
2 / 51 / 50 / 6
other
Total, other adverse events
1 / 51 / 51 / 6
serious
Total, serious adverse events
2 / 51 / 50 / 6

Outcome results

Primary

Number of Participants With Treatment Success

Defined as the number of patients not requiring invasive mechanical ventilation or Extracorporeal membrane oxygenation (ECMO)

Time frame: Up to Day 15

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
EmapalumabNumber of Participants With Treatment Success3 Participants
AnakinraNumber of Participants With Treatment Success4 Participants
Standard of CareNumber of Participants With Treatment Success5 Participants
Secondary

Change From Baseline in Alanine Aminotransferase (ALT)

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D13-111.0 U/LStandard Deviation 293.3
EmapalumabChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D10-107.8 U/LStandard Deviation 258.3
EmapalumabChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D4-74.8 U/LStandard Deviation 152.9
EmapalumabChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D7-97.5 U/LStandard Deviation 237.1
EmapalumabChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline at D15-90.6 U/LStandard Deviation 260.7
AnakinraChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D105.0 U/LStandard Deviation 54.5
AnakinraChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D42.6 U/LStandard Deviation 38.8
AnakinraChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D716.6 U/LStandard Deviation 66.9
AnakinraChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D13-4.8 U/LStandard Deviation 51.9
AnakinraChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline at D15-5.8 U/LStandard Deviation 53.2
Standard of CareChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline at D15-121.8 U/LStandard Deviation 309.1
Standard of CareChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D13-119.2 U/LStandard Deviation 352.2
Standard of CareChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D4-23.6 U/LStandard Deviation 148.8
Standard of CareChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D10-107.0 U/LStandard Deviation 350
Standard of CareChange From Baseline in Alanine Aminotransferase (ALT)Change from Baseline D7-62.0 U/LStandard Deviation 251.3
Secondary

Change From Baseline in Aspartate Aminotransferase (AST)

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D13-44.0 U/LStandard Deviation 119.3
EmapalumabChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D10-53.3 U/LStandard Deviation 108.6
EmapalumabChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D4-46.0 U/LStandard Deviation 79.8
EmapalumabChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D7-52.8 U/LStandard Deviation 107
EmapalumabChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D15-35.4 U/LStandard Deviation 105.3
AnakinraChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D10-27.8 U/LStandard Deviation 32.9
AnakinraChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D4-19.2 U/LStandard Deviation 32
AnakinraChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D7-27.6 U/LStandard Deviation 36.8
AnakinraChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D13-25.2 U/LStandard Deviation 28.9
AnakinraChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D15-25.8 U/LStandard Deviation 28.3
Standard of CareChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D15-77.7 U/LStandard Deviation 151
Standard of CareChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D13-83.6 U/LStandard Deviation 163.2
Standard of CareChange From Baseline in Aspartate Aminotransferase (AST)Change from baseline at D4-63.2 U/LStandard Deviation 146
Standard of CareChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D10-79.8 U/LStandard Deviation 170.6
Standard of CareChange From Baseline in Aspartate Aminotransferase (AST)Change from Baseline at D7-65.4 U/LStandard Deviation 171.1
Secondary

Change From Baseline in Cardiac Troponin

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for the whole population

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Cardiac TroponinChange from Baseline at D7-0.022 ug/L
EmapalumabChange From Baseline in Cardiac TroponinChange from Baseline at D13-0.021 ug/L
EmapalumabChange From Baseline in Cardiac TroponinChange from Baseline at D10-0.022 ug/L
EmapalumabChange From Baseline in Cardiac TroponinChange from Baseline at D15-0.022 ug/L
EmapalumabChange From Baseline in Cardiac TroponinChange from Baseline at D4-0.017 ug/L
Standard of CareChange From Baseline in Cardiac TroponinChange from Baseline at D15-0.001 ug/LStandard Deviation 0.001
Standard of CareChange From Baseline in Cardiac TroponinChange from Baseline at D40.002 ug/LStandard Deviation 0.002
Standard of CareChange From Baseline in Cardiac TroponinChange from Baseline at D70.001 ug/LStandard Deviation 0.001
Standard of CareChange From Baseline in Cardiac TroponinChange from Baseline at D10-0.001 ug/LStandard Deviation 0.001
Standard of CareChange From Baseline in Cardiac TroponinChange from Baseline at D13-0.001 ug/LStandard Deviation 0.001
Secondary

Change From Baseline in Complement Factors C3/C4

Measured in local units

Time frame: Day 15

Population: Change from baseline at Day 15

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Complement Factors C3/C4C30.054 g/LStandard Deviation 0.094
EmapalumabChange From Baseline in Complement Factors C3/C4C40.024 g/LStandard Deviation 0.043
AnakinraChange From Baseline in Complement Factors C3/C4C3-0.068 g/LStandard Deviation 0.222
AnakinraChange From Baseline in Complement Factors C3/C4C4-0.108 g/LStandard Deviation 0.08
Standard of CareChange From Baseline in Complement Factors C3/C4C3-0.020 g/LStandard Deviation 0.581
Standard of CareChange From Baseline in Complement Factors C3/C4C4-0.007 g/LStandard Deviation 0.192
Secondary

Change From Baseline in C-Reactive Protein

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15. Data not available for the whole population

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in C-Reactive ProteinChange from Baseline D13-60.50 mg/LStandard Deviation 106.66
EmapalumabChange From Baseline in C-Reactive ProteinChange from Baseline D10-60.05 mg/LStandard Deviation 106.21
EmapalumabChange From Baseline in C-Reactive ProteinChange from Baseline D4-53.73 mg/LStandard Deviation 98.88
EmapalumabChange From Baseline in C-Reactive ProteinChange from Baseline D7-63.65 mg/LStandard Deviation 101.74
EmapalumabChange From Baseline in C-Reactive ProteinChange from Baseline D15-38.96 mg/LStandard Deviation 103.48
AnakinraChange From Baseline in C-Reactive ProteinChange from Baseline D10-20.70 mg/LStandard Deviation 30.57
AnakinraChange From Baseline in C-Reactive ProteinChange from Baseline D4-20.66 mg/LStandard Deviation 22.29
AnakinraChange From Baseline in C-Reactive ProteinChange from Baseline D7-19.20 mg/LStandard Deviation 30.95
AnakinraChange From Baseline in C-Reactive ProteinChange from Baseline D13-8.26 mg/LStandard Deviation 50.51
AnakinraChange From Baseline in C-Reactive ProteinChange from Baseline D15-8.32 mg/LStandard Deviation 50.53
Standard of CareChange From Baseline in C-Reactive ProteinChange from Baseline D15-15.26 mg/LStandard Deviation 12.71
Standard of CareChange From Baseline in C-Reactive ProteinChange from Baseline D13-16.33 mg/LStandard Deviation 14.27
Standard of CareChange From Baseline in C-Reactive ProteinChange from Baseline D4-12.65 mg/LStandard Deviation 12.81
Standard of CareChange From Baseline in C-Reactive ProteinChange from Baseline D10-14.60 mg/LStandard Deviation 15.72
Standard of CareChange From Baseline in C-Reactive ProteinChange from Baseline D7-10.98 mg/LStandard Deviation 19.57
Secondary

Change From Baseline in Creatinine

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in CreatinineChange from Baseline D13-5.304 umol/LStandard Deviation 20.171
EmapalumabChange From Baseline in CreatinineChange from Baseline D10-7.514 umol/LStandard Deviation 14.481
EmapalumabChange From Baseline in CreatinineChange from Baseline D4-6.542 umol/LStandard Deviation 9.43
EmapalumabChange From Baseline in CreatinineChange from Baseline D7-8.840 umol/LStandard Deviation 14.454
EmapalumabChange From Baseline in CreatinineChange from Baseline D15-9.901 umol/LStandard Deviation 19.281
AnakinraChange From Baseline in CreatinineChange from Baseline D100.000 umol/LStandard Deviation 5.83
AnakinraChange From Baseline in CreatinineChange from Baseline D41.414 umol/LStandard Deviation 8.516
AnakinraChange From Baseline in CreatinineChange from Baseline D70.530 umol/LStandard Deviation 6.893
AnakinraChange From Baseline in CreatinineChange from Baseline D130.000 umol/LStandard Deviation 8.928
AnakinraChange From Baseline in CreatinineChange from Baseline D15-0.354 umol/LStandard Deviation 9.756
Standard of CareChange From Baseline in CreatinineChange from Baseline D15-5.746 umol/LStandard Deviation 24.292
Standard of CareChange From Baseline in CreatinineChange from Baseline D13-1.945 umol/LStandard Deviation 3.088
Standard of CareChange From Baseline in CreatinineChange from Baseline D4-6.041 umol/LStandard Deviation 8.148
Standard of CareChange From Baseline in CreatinineChange from Baseline D10-0.530 umol/LStandard Deviation 5.506
Standard of CareChange From Baseline in CreatinineChange from Baseline D70.000 umol/LStandard Deviation 6.156
Secondary

Change From Baseline in D-dimers

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in D-dimersChange from Baseline at D4-0.19 nmol/LStandard Deviation 0.34
EmapalumabChange From Baseline in D-dimersChange from Baseline at D13-7.99 nmol/LStandard Deviation 13.4
EmapalumabChange From Baseline in D-dimersChange from Baseline at D10-10.07 nmol/LStandard Deviation 18.16
EmapalumabChange From Baseline in D-dimersChange from Baseline at D15-6.84 nmol/LStandard Deviation 12.67
EmapalumabChange From Baseline in D-dimersChange from Baseline at D7-7.37 nmol/LStandard Deviation 13.84
AnakinraChange From Baseline in D-dimersChange from Baseline at D136.84 nmol/LStandard Deviation 19.39
AnakinraChange From Baseline in D-dimersChange from Baseline at D45.13 nmol/LStandard Deviation 14.73
AnakinraChange From Baseline in D-dimersChange from Baseline at D76.78 nmol/LStandard Deviation 19.41
AnakinraChange From Baseline in D-dimersChange from Baseline at D104.66 nmol/LStandard Deviation 12.82
AnakinraChange From Baseline in D-dimersChange from Baseline at D156.64 nmol/LStandard Deviation 19.51
Standard of CareChange From Baseline in D-dimersChange from Baseline at D7-4.30 nmol/LStandard Deviation 1.96
Standard of CareChange From Baseline in D-dimersChange from Baseline at D13-5.67 nmol/LStandard Deviation 7.11
Standard of CareChange From Baseline in D-dimersChange from Baseline at D4-2.05 nmol/LStandard Deviation 1.65
Standard of CareChange From Baseline in D-dimersChange from Baseline at D15-5.55 nmol/LStandard Deviation 6.45
Standard of CareChange From Baseline in D-dimersChange from Baseline at D10-7.18 nmol/LStandard Deviation 5.96
Secondary

Change From Baseline in Ferritin

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in FerritinChange from Baseline at D13-823.1 pmol/LStandard Deviation 2792.5
EmapalumabChange From Baseline in FerritinChange from Baselind at D10-527.5 pmol/LStandard Deviation 3086.3
EmapalumabChange From Baseline in FerritinChange from Baseline at D4-380.8 pmol/LStandard Deviation 3026.3
EmapalumabChange From Baseline in FerritinChange from Baselind at D760.5 pmol/LStandard Deviation 2503.4
EmapalumabChange From Baseline in FerritinChange from baseline at D15-506.6 pmol/LStandard Deviation 2518.2
AnakinraChange From Baseline in FerritinChange from Baselind at D10-2066.8 pmol/LStandard Deviation 3342.9
AnakinraChange From Baseline in FerritinChange from Baseline at D4-2864.2 pmol/LStandard Deviation 3789.3
AnakinraChange From Baseline in FerritinChange from Baselind at D7-2179.6 pmol/LStandard Deviation 3108.3
AnakinraChange From Baseline in FerritinChange from Baseline at D13-1931.1 pmol/LStandard Deviation 3601.8
AnakinraChange From Baseline in FerritinChange from baseline at D15-2045.2 pmol/LStandard Deviation 3627.7
Standard of CareChange From Baseline in FerritinChange from baseline at D15-842.6 pmol/LStandard Deviation 1020
Standard of CareChange From Baseline in FerritinChange from Baseline at D13-1260.6 pmol/LStandard Deviation 781.7
Standard of CareChange From Baseline in FerritinChange from Baseline at D4-770.2 pmol/LStandard Deviation 1093
Standard of CareChange From Baseline in FerritinChange from Baselind at D10-1295.0 pmol/LStandard Deviation 359.8
Standard of CareChange From Baseline in FerritinChange from Baselind at D7-1103.3 pmol/LStandard Deviation 168.4
Secondary

Change From Baseline in Fibrinogen

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in FibrinogenChange from baseline at D13-2.587 umol/LStandard Deviation 9.308
EmapalumabChange From Baseline in FibrinogenChange from baseline at D10-3.535 umol/LStandard Deviation 8.998
EmapalumabChange From Baseline in FibrinogenChange from baseline at D4-1.435 umol/LStandard Deviation 3.137
EmapalumabChange From Baseline in FibrinogenChange from baseline at D7-3.925 umol/LStandard Deviation 6.113
EmapalumabChange From Baseline in FibrinogenChange from baseline at D15-0.588 umol/LStandard Deviation 9.21
AnakinraChange From Baseline in FibrinogenChange from baseline at D10-4.980 umol/LStandard Deviation 2.625
AnakinraChange From Baseline in FibrinogenChange from baseline at D4-2.434 umol/LStandard Deviation 1.83
AnakinraChange From Baseline in FibrinogenChange from baseline at D7-4.898 umol/LStandard Deviation 2.61
AnakinraChange From Baseline in FibrinogenChange from baseline at D13-6.227 umol/LStandard Deviation 2.627
AnakinraChange From Baseline in FibrinogenChange from baseline at D15-6.380 umol/LStandard Deviation 2.357
Standard of CareChange From Baseline in FibrinogenChange from baseline at D15-4.596 umol/LStandard Deviation 5.624
Standard of CareChange From Baseline in FibrinogenChange from baseline at D13-5.479 umol/LStandard Deviation 5.027
Standard of CareChange From Baseline in FibrinogenChange from baseline at D4-0.088 umol/LStandard Deviation 4.582
Standard of CareChange From Baseline in FibrinogenChange from baseline at D10-5.562 umol/LStandard Deviation 5.089
Standard of CareChange From Baseline in FibrinogenChange from baseline at D7-1.147 umol/LStandard Deviation 7.883
Secondary

Change From Baseline in Hemoglobin

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in HemoglobinChange from baseline at D13-10.8 g/LStandard Deviation 36.8
EmapalumabChange From Baseline in HemoglobinChange from baseline at D10-11.3 g/LStandard Deviation 24.5
EmapalumabChange From Baseline in HemoglobinChange from baseline at D4-6.2 g/LStandard Deviation 14.6
EmapalumabChange From Baseline in HemoglobinChange from baseline at D7-9.3 g/LStandard Deviation 21.3
EmapalumabChange From Baseline in HemoglobinChange from baseline at D15-14.0 g/LStandard Deviation 28.8
AnakinraChange From Baseline in HemoglobinChange from baseline at D106.6 g/LStandard Deviation 11.9
AnakinraChange From Baseline in HemoglobinChange from baseline at D40.8 g/LStandard Deviation 7
AnakinraChange From Baseline in HemoglobinChange from baseline at D70.8 g/LStandard Deviation 13.1
AnakinraChange From Baseline in HemoglobinChange from baseline at D132.8 g/LStandard Deviation 13.6
AnakinraChange From Baseline in HemoglobinChange from baseline at D150.00 g/LStandard Deviation 15.6
Standard of CareChange From Baseline in HemoglobinChange from baseline at D15-3.7 g/LStandard Deviation 16.9
Standard of CareChange From Baseline in HemoglobinChange from baseline at D13-8.2 g/LStandard Deviation 17.3
Standard of CareChange From Baseline in HemoglobinChange from baseline at D4-3.5 g/LStandard Deviation 9.1
Standard of CareChange From Baseline in HemoglobinChange from baseline at D10-8.0 g/LStandard Deviation 16
Standard of CareChange From Baseline in HemoglobinChange from baseline at D7-6.2 g/LStandard Deviation 10.7
Secondary

Change From Baseline in Lactate Dehydrogenase (LDH)

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D15-163.6 U/LStandard Deviation 252.4
EmapalumabChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D10-184.3 U/LStandard Deviation 200.2
EmapalumabChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D7-164.3 U/LStandard Deviation 267.4
EmapalumabChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D13-185.3 U/LStandard Deviation 260.9
EmapalumabChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D4-128.3 U/LStandard Deviation 160.9
AnakinraChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D13-2.6 U/LStandard Deviation 264.4
AnakinraChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D15-20.6 U/LStandard Deviation 274.8
AnakinraChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D4-31.8 U/LStandard Deviation 13
AnakinraChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D7-16.8 U/LStandard Deviation 162.9
AnakinraChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D10-60.4 U/LStandard Deviation 76.4
Standard of CareChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D4-70.4 U/LStandard Deviation 85.5
Standard of CareChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D15-158.4 U/LStandard Deviation 108.3
Standard of CareChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D10-143.5 U/LStandard Deviation 128.7
Standard of CareChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D13-155.0 U/LStandard Deviation 121
Standard of CareChange From Baseline in Lactate Dehydrogenase (LDH)Change from Baseline at D7-96.0 U/LStandard Deviation 107.3
Secondary

Change From Baseline in Modified Early Warning System Score

The full (unabbreviated) scale name is Modified Early Warning system score (MEWS score) Measured in total score Total score is the sum of 5 categorized components (blood pressure, heart rate, respiratory rate, temperature and alert/voice/pain/unresponsive score) that are assigned a score between 0 and 2 or 0 and 3. MEWS total score range is 0 to 14. Higher score= worse outcome

Time frame: Baseline, Day 15

ArmMeasureValue (MEAN)Dispersion
EmapalumabChange From Baseline in Modified Early Warning System Score-1.00 scores on a scaleStandard Deviation 0
AnakinraChange From Baseline in Modified Early Warning System Score0.00 scores on a scaleStandard Deviation 0.82
Standard of CareChange From Baseline in Modified Early Warning System Score-0.75 scores on a scaleStandard Deviation 0.96
Secondary

Change From Baseline in Oxygen Supplementation

Measured in l/min

Time frame: Baseline, Days 4, 7, 10, 13 and 15.

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Oxygen SupplementationChange from baseline at D13-4.3 L/minStandard Deviation 8.1
EmapalumabChange From Baseline in Oxygen SupplementationChange from baseline at D10-3.3 L/minStandard Deviation 6.9
EmapalumabChange From Baseline in Oxygen SupplementationChange from baseline at D40.0 L/minStandard Deviation 0
EmapalumabChange From Baseline in Oxygen SupplementationChange from baseline at D7-1.0 L/minStandard Deviation 5.8
EmapalumabChange From Baseline in Oxygen SupplementationChange from baseline at D15-3.6 L/minStandard Deviation 9.3
AnakinraChange From Baseline in Oxygen SupplementationChange from baseline at D10-2.3 L/minStandard Deviation 6.2
AnakinraChange From Baseline in Oxygen SupplementationChange from baseline at D42.8 L/minStandard Deviation 5.5
AnakinraChange From Baseline in Oxygen SupplementationChange from baseline at D7-1.8 L/minStandard Deviation 4.8
AnakinraChange From Baseline in Oxygen SupplementationChange from baseline at D13-3.3 L/minStandard Deviation 7.8
AnakinraChange From Baseline in Oxygen SupplementationChange from baseline at D15-4.3 L/minStandard Deviation 7.9
Standard of CareChange From Baseline in Oxygen SupplementationChange from baseline at D15-15.3 L/minStandard Deviation 19.3
Standard of CareChange From Baseline in Oxygen SupplementationChange from baseline at D13-20.0 L/minStandard Deviation 17
Standard of CareChange From Baseline in Oxygen SupplementationChange from baseline at D4-0.2 L/minStandard Deviation 9.5
Standard of CareChange From Baseline in Oxygen SupplementationChange from baseline at D10-17.8 L/minStandard Deviation 18.2
Standard of CareChange From Baseline in Oxygen SupplementationChange from baseline at D7-7.8 L/minStandard Deviation 9.1
Secondary

Change From Baseline in Partial Pressure of Oxygen/Fraction of Inspired Oxygen (PaO2/FiO2)

Measured in mmHg

Time frame: Baseline, Day 15

Population: Change from baseline at Day 15 Data not available for the whole population

ArmMeasureValue (MEAN)Dispersion
EmapalumabChange From Baseline in Partial Pressure of Oxygen/Fraction of Inspired Oxygen (PaO2/FiO2)28.98 mmHgStandard Deviation 106.66
AnakinraChange From Baseline in Partial Pressure of Oxygen/Fraction of Inspired Oxygen (PaO2/FiO2)51.19 mmHg
Standard of CareChange From Baseline in Partial Pressure of Oxygen/Fraction of Inspired Oxygen (PaO2/FiO2)156.72 mmHgStandard Deviation 113.53
Secondary

Change From Baseline in Platelet Count

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Platelet CountChange from baseline at D13-32.0 10^9 cells /LStandard Deviation 126.5
EmapalumabChange From Baseline in Platelet CountChange from baseline at D10-3.8 10^9 cells /LStandard Deviation 142.5
EmapalumabChange From Baseline in Platelet CountChange from baseline at D429.0 10^9 cells /LStandard Deviation 77.2
EmapalumabChange From Baseline in Platelet CountChange from baseline at D719.8 10^9 cells /LStandard Deviation 116.6
EmapalumabChange From Baseline in Platelet CountChange from baseline at D15-37.6 10^9 cells /LStandard Deviation 129
AnakinraChange From Baseline in Platelet CountChange from baseline at D10129.8 10^9 cells /LStandard Deviation 223.9
AnakinraChange From Baseline in Platelet CountChange from baseline at D485.4 10^9 cells /LStandard Deviation 76.7
AnakinraChange From Baseline in Platelet CountChange from baseline at D7140.4 10^9 cells /LStandard Deviation 191.8
AnakinraChange From Baseline in Platelet CountChange from baseline at D1380.8 10^9 cells /LStandard Deviation 213.2
AnakinraChange From Baseline in Platelet CountChange from baseline at D1541.2 10^9 cells /LStandard Deviation 169.3
Standard of CareChange From Baseline in Platelet CountChange from baseline at D15-67.2 10^9 cells /LStandard Deviation 158.1
Standard of CareChange From Baseline in Platelet CountChange from baseline at D13-53.8 10^9 cells /LStandard Deviation 191.9
Standard of CareChange From Baseline in Platelet CountChange from baseline at D49.8 10^9 cells /LStandard Deviation 153.7
Standard of CareChange From Baseline in Platelet CountChange from baseline at D109.0 10^9 cells /LStandard Deviation 232.8
Standard of CareChange From Baseline in Platelet CountChange from baseline at D747.4 10^9 cells /LStandard Deviation 232.9
Secondary

Change From Baseline in Prothrombin Time

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Prothrombin TimeChange from Baseline at D13-2.250 secStandard Deviation 0.354
EmapalumabChange From Baseline in Prothrombin TimeChange from Baseline at D10-1.003 secStandard Deviation 0.895
EmapalumabChange From Baseline in Prothrombin TimeChange from baseline at D4-0.867 secStandard Deviation 0.058
EmapalumabChange From Baseline in Prothrombin TimeChange from baseline at D7-1.250 secStandard Deviation 0.071
EmapalumabChange From Baseline in Prothrombin TimeChange from baseline at D15-1.278 secStandard Deviation 1.087
AnakinraChange From Baseline in Prothrombin TimeChange from Baseline at D10-0.150 secStandard Deviation 0.919
AnakinraChange From Baseline in Prothrombin TimeChange from baseline at D40750 secStandard Deviation 0.071
AnakinraChange From Baseline in Prothrombin TimeChange from baseline at D70.300 secStandard Deviation 0.283
AnakinraChange From Baseline in Prothrombin TimeChange from Baseline at D130.050 secStandard Deviation 0.495
AnakinraChange From Baseline in Prothrombin TimeChange from baseline at D15-0.150 secStandard Deviation 0.778
Standard of CareChange From Baseline in Prothrombin TimeChange from baseline at D15-0.800 secStandard Deviation 1.697
Standard of CareChange From Baseline in Prothrombin TimeChange from Baseline at D13-1.600 sec
Standard of CareChange From Baseline in Prothrombin TimeChange from baseline at D4-0.550 secStandard Deviation 1.344
Standard of CareChange From Baseline in Prothrombin TimeChange from Baseline at D10-1.700 sec
Standard of CareChange From Baseline in Prothrombin TimeChange from baseline at D7-2.100 sec
Secondary

Change From Baseline in Red Blood Counts

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Red Blood CountsChange from baseline at D13-0.350 10^12 cells/LStandard Deviation 1.254
EmapalumabChange From Baseline in Red Blood CountsChange from baseline at D10-0.415 10^12 cells/LStandard Deviation 0.875
EmapalumabChange From Baseline in Red Blood CountsChange from baseline at D4-0.260 10^12 cells/LStandard Deviation 0.47
EmapalumabChange From Baseline in Red Blood CountsChange from baseline at D7-0.385 10^12 cells/LStandard Deviation 0.732
EmapalumabChange From Baseline in Red Blood CountsChange from baseline at D15-0.510 10^12 cells/LStandard Deviation 0.969
AnakinraChange From Baseline in Red Blood CountsChange from baseline at D100.220 10^12 cells/LStandard Deviation 0.435
AnakinraChange From Baseline in Red Blood CountsChange from baseline at D4-0.022 10^12 cells/LStandard Deviation 0.351
AnakinraChange From Baseline in Red Blood CountsChange from baseline at D70.016 10^12 cells/LStandard Deviation 0.422
AnakinraChange From Baseline in Red Blood CountsChange from baseline at D130.106 10^12 cells/LStandard Deviation 0.395
AnakinraChange From Baseline in Red Blood CountsChange from baseline at D150.004 10^12 cells/LStandard Deviation 0.531
Standard of CareChange From Baseline in Red Blood CountsChange from baseline at D15-0.163 10^12 cells/LStandard Deviation 0.571
Standard of CareChange From Baseline in Red Blood CountsChange from baseline at D13-0.275 10^12 cells/LStandard Deviation 0.564
Standard of CareChange From Baseline in Red Blood CountsChange from baseline at D4-0.108 10^12 cells/LStandard Deviation 0.359
Standard of CareChange From Baseline in Red Blood CountsChange from baseline at D10-0.262 10^12 cells/LStandard Deviation 0.549
Standard of CareChange From Baseline in Red Blood CountsChange from baseline at D7-0.196 10^12 cells/LStandard Deviation 0.465
Secondary

Change From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)

Measured in percent (%)

Time frame: Baseline, 3 assessments every Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D131.358 SpO2%Standard Deviation 2.14
EmapalumabChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D100.625 SpO2%Standard Deviation 3.523
EmapalumabChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D4-0.667 SpO2%Standard Deviation 3.598
EmapalumabChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D70.867 SpO2%Standard Deviation 2.923
EmapalumabChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D15-1.640 SpO2%Standard Deviation 3.383
AnakinraChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D100.267 SpO2%Standard Deviation 1.754
AnakinraChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D40.267 SpO2%Standard Deviation 2.06
AnakinraChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D70.667 SpO2%Standard Deviation 1.748
AnakinraChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D13-2.233 SpO2%Standard Deviation 6.098
AnakinraChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D15-2.400 SpO2%Standard Deviation 5.771
Standard of CareChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D152.944 SpO2%Standard Deviation 2.84
Standard of CareChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D131.600 SpO2%Standard Deviation 3.639
Standard of CareChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D40.722 SpO2%Standard Deviation 2.603
Standard of CareChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D102.333 SpO2%Standard Deviation 3.528
Standard of CareChange From Baseline in Resting Peripheral Capillary Oxygen Saturation (SpO2)Change from baseline at D72.000 SpO2%Standard Deviation 2.415
Secondary

Change From Baseline in Total Bilirubin Levels

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Day 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in Total Bilirubin LevelsChange from Baseline at D15-3.523 umol/LStandard Deviation 4.473
EmapalumabChange From Baseline in Total Bilirubin LevelsChange from Baseline D10-0.385 umol/LStandard Deviation 4.598
EmapalumabChange From Baseline in Total Bilirubin LevelsChange from Baseline D7-1.496 umol/LStandard Deviation 4.011
EmapalumabChange From Baseline in Total Bilirubin LevelsChange from Baseline at D4-0.171 umol/LStandard Deviation 3.519
EmapalumabChange From Baseline in Total Bilirubin LevelsChange from Baseline D13-1.710 umol/LStandard Deviation 4.413
AnakinraChange From Baseline in Total Bilirubin LevelsChange from Baseline at D4-1.129 umol/LStandard Deviation 12.314
AnakinraChange From Baseline in Total Bilirubin LevelsChange from Baseline at D1514.125 umol/LStandard Deviation 29.771
AnakinraChange From Baseline in Total Bilirubin LevelsChange from Baseline D1313.885 umol/LStandard Deviation 30.276
AnakinraChange From Baseline in Total Bilirubin LevelsChange from Baseline D104.685 umol/LStandard Deviation 21.108
AnakinraChange From Baseline in Total Bilirubin LevelsChange from Baseline D7-0.376 umol/LStandard Deviation 15.492
Standard of CareChange From Baseline in Total Bilirubin LevelsChange from Baseline at D15-0.057 umol/LStandard Deviation 9.046
Standard of CareChange From Baseline in Total Bilirubin LevelsChange from Baseline D100.787 umol/LStandard Deviation 11.931
Standard of CareChange From Baseline in Total Bilirubin LevelsChange from Baseline at D40.376 umol/LStandard Deviation 2.6
Standard of CareChange From Baseline in Total Bilirubin LevelsChange from Baseline D133.591 umol/LStandard Deviation 14.146
Standard of CareChange From Baseline in Total Bilirubin LevelsChange from Baseline D70.684 umol/LStandard Deviation 9.922
Secondary

Change From Baseline in White Blood Cells With Differential Counts

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D131.548 10^9 cells /LStandard Deviation 5.265
EmapalumabChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D102.728 10^9 cells /LStandard Deviation 1.867
EmapalumabChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D41.000 10^9 cells /LStandard Deviation 4.408
EmapalumabChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D70.340 10^9 cells /LStandard Deviation 2.623
EmapalumabChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D151.686 10^9 cells /LStandard Deviation 4.395
AnakinraChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D104.796 10^9 cells /LStandard Deviation 3.091
AnakinraChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D40.294 10^9 cells /LStandard Deviation 0.886
AnakinraChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D72.812 10^9 cells /LStandard Deviation 2.953
AnakinraChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D131.588 10^9 cells /LStandard Deviation 2.653
AnakinraChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D151.070 10^9 cells /LStandard Deviation 2.42
Standard of CareChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D151.878 10^9 cells /LStandard Deviation 4.788
Standard of CareChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D13-0.318 10^9 cells /LStandard Deviation 4.079
Standard of CareChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D40.332 10^9 cells /LStandard Deviation 3.009
Standard of CareChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D100.806 10^9 cells /LStandard Deviation 3.643
Standard of CareChange From Baseline in White Blood Cells With Differential CountsChange from baseline at D71.738 10^9 cells /LStandard Deviation 4.165
Secondary

Change of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D130.30 mmHgStandard Deviation 9.48
EmapalumabChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D102.33 mmHgStandard Deviation 6.03
EmapalumabChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D40.00 mmHgStandard Deviation 7.21
EmapalumabChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D7-0.33 mmHgStandard Deviation 9.45
EmapalumabChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D150.77 mmHgStandard Deviation 8.33
AnakinraChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D103.67 mmHgStandard Deviation 8.08
AnakinraChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D4-1.00 mmHgStandard Deviation 3.46
AnakinraChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D71.00 mmHgStandard Deviation 1.41
AnakinraChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D136.50 mmHgStandard Deviation 3.54
AnakinraChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D153.75 mmHgStandard Deviation 5.74
Standard of CareChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D154.00 mmHgStandard Deviation 5.1
Standard of CareChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D130.25 mmHgStandard Deviation 4.11
Standard of CareChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D42.00 mmHgStandard Deviation 5.77
Standard of CareChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D104.20 mmHgStandard Deviation 5.12
Standard of CareChange of Carbon Dioxide Tension (pCO2) in Hemogasanalysis From BaselineChange from baseline at D75.46 mmHgStandard Deviation 5.68
Secondary

Change of Chloride in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D13-1.0 mmol/L
EmapalumabChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D100.0 mmol/LStandard Deviation 2.8
EmapalumabChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D42.0 mmol/LStandard Deviation 5.7
EmapalumabChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D70.5 mmol/LStandard Deviation 0.7
EmapalumabChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D152.0 mmol/LStandard Deviation 4.2
AnakinraChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D10-4.5 mmol/LStandard Deviation 3.5
AnakinraChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D4-0.5 mmol/LStandard Deviation 2.1
AnakinraChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D7-4.0 mmol/L
AnakinraChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D13-4.0 mmol/L
AnakinraChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D15-2.0 mmol/LStandard Deviation 3
Standard of CareChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D153.0 mmol/LStandard Deviation 2.8
Standard of CareChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D133.0 mmol/L
Standard of CareChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D41.5 mmol/LStandard Deviation 2.1
Standard of CareChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D104.0 mmol/LStandard Deviation 1.4
Standard of CareChange of Chloride in Hemogasanalysis From BaselineChange from baseline at D72.5 mmol/LStandard Deviation 0.7
Secondary

Change of Hemoglobin in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D13-73.0 g/L
EmapalumabChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D10-34.0 g/LStandard Deviation 62.2
EmapalumabChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D4-34.0 g/LStandard Deviation 46.7
EmapalumabChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D7-41.0 g/LStandard Deviation 65.1
EmapalumabChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D15-38.0 g/LStandard Deviation 49.5
AnakinraChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D107.5 g/LStandard Deviation 6.4
AnakinraChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D4-15.5 g/LStandard Deviation 10.6
AnakinraChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D73.0 g/L
AnakinraChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D132.0 g/L
AnakinraChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D15-3.0 g/LStandard Deviation 18
Standard of CareChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D15-4.0 g/LStandard Deviation 15.9
Standard of CareChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D13-6.5 g/LStandard Deviation 20.5
Standard of CareChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D48.0 g/LStandard Deviation 2.8
Standard of CareChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D10-1.7 g/LStandard Deviation 9.5
Standard of CareChange of Hemoglobin in Hemogasanalysis From BaselineChange from baseline at D76.7 g/LStandard Deviation 1.5
Secondary

Change of Lactic Acid in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D150.00 mmol/L
EmapalumabChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D40.20 mmol/L
EmapalumabChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D100.90 mmol/L
EmapalumabChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D70.70 mmol/L
AnakinraChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D101.20 mmol/LStandard Deviation 0.17
AnakinraChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D40.00 mmol/LStandard Deviation 0.28
AnakinraChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D71.80 mmol/L
AnakinraChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D130.10 mmol/L
AnakinraChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D151.27 mmol/LStandard Deviation 1.16
Standard of CareChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D15-0.05 mmol/LStandard Deviation 0.07
Standard of CareChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D130.20 mmol/L
Standard of CareChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D4-0.45 mmol/LStandard Deviation 1.2
Standard of CareChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D70.00 mmol/LStandard Deviation 0.85
Standard of CareChange of Lactic Acid in Hemogasanalysis From BaselineChange from baseline at D10-0.50 mmol/LStandard Deviation 0.28
Secondary

Change of Oxygen Tension (pO2) in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D1318.00 mmHgStandard Deviation 84.85
EmapalumabChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D104.00 mmHgStandard Deviation 37.36
EmapalumabChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D419.33 mmHgStandard Deviation 44.28
EmapalumabChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D719.33 mmHgStandard Deviation 36.56
EmapalumabChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D1517.57 mmHgStandard Deviation 61.05
AnakinraChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D10-1.33 mmHgStandard Deviation 11.93
AnakinraChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D440.67 mmHgStandard Deviation 34.78
AnakinraChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D718.50 mmHgStandard Deviation 13.44
AnakinraChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D13-12.00 mmHgStandard Deviation 5.66
AnakinraChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D158.75 mmHgStandard Deviation 47.84
Standard of CareChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D158.80 mmHgStandard Deviation 21.37
Standard of CareChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D1324.25 mmHgStandard Deviation 36.04
Standard of CareChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D45.75 mmHgStandard Deviation 16.92
Standard of CareChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D104.00 mmHgStandard Deviation 43.73
Standard of CareChange of Oxygen Tension (pO2) in Hemogasanalysis From BaselineChange from baseline at D723.64 mmHgStandard Deviation 35.04
Secondary

Change of Potassium in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D13-0.50 mmol/L
EmapalumabChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D100.25 mmol/LStandard Deviation 0.92
EmapalumabChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D40.55 mmol/LStandard Deviation 0.92
EmapalumabChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D70.45 mmol/LStandard Deviation 1.2
EmapalumabChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D150.00 mmol/LStandard Deviation 0.71
AnakinraChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D100.25 mmol/LStandard Deviation 0.49
AnakinraChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D4-0.35 mmol/LStandard Deviation 0.49
AnakinraChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D70.40 mmol/L
AnakinraChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D130.10 mmol/L
AnakinraChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D150.03 mmol/LStandard Deviation 0.75
Standard of CareChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D150.17 mmol/LStandard Deviation 0.47
Standard of CareChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D130.10 mmol/LStandard Deviation 0.85
Standard of CareChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D40.45 mmol/LStandard Deviation 1.34
Standard of CareChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D100.43 mmol/LStandard Deviation 1.22
Standard of CareChange of Potassium in Hemogasanalysis From BaselineChange from baseline at D70.53 mmol/LStandard Deviation 0.93
Secondary

Change of Sodium in Hemogasanalysis From Baseline

Measured in local units

Time frame: Baseline, Days 4, 7, 10, 13 and 15

Population: Change from baseline at Days 4, 7, 10, 13 and 15 Data not available for all patients at all timepoints

ArmMeasureGroupValue (MEAN)Dispersion
EmapalumabChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D13-2.0 mmol/L
EmapalumabChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D102.0 mmol/LStandard Deviation 4.2
EmapalumabChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D43.0 mmol/LStandard Deviation 5.7
EmapalumabChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D71.0 mmol/LStandard Deviation 1.4
EmapalumabChange of Sodium in Hemogasanalysis From BaselineChange from Baseline at D152.5 mmol/LStandard Deviation 6.4
AnakinraChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D10-3.0 mmol/LStandard Deviation 7.1
AnakinraChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D4-0.5 mmol/LStandard Deviation 2.1
AnakinraChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D7-5.0 mmol/L
AnakinraChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D13-6.0 mmol/L
AnakinraChange of Sodium in Hemogasanalysis From BaselineChange from Baseline at D150.0 mmol/LStandard Deviation 2.6
Standard of CareChange of Sodium in Hemogasanalysis From BaselineChange from Baseline at D150.7 mmol/LStandard Deviation 2.1
Standard of CareChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D13-1.0 mmol/LStandard Deviation 1.4
Standard of CareChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D4-4.5 mmol/LStandard Deviation 2.1
Standard of CareChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D101.3 mmol/LStandard Deviation 1.2
Standard of CareChange of Sodium in Hemogasanalysis From BaselineChange from baseline at D70.3 mmol/LStandard Deviation 4
Secondary

Number of Participants Requiring Mechanical Ventilation

Measured in number of participants

Time frame: Date of randomization to date of mechanical ventilation, up to 15 Days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
EmapalumabNumber of Participants Requiring Mechanical Ventilation1 Participants
AnakinraNumber of Participants Requiring Mechanical Ventilation1 Participants
Standard of CareNumber of Participants Requiring Mechanical Ventilation1 Participants
Secondary

Number of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the Chest

Measured in scan evaluation: Normal, Abnormal but not clinically significant, Abnormal clinical significant, Not Done

Time frame: Screening, Day 15

Population: Data not available for all patients

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
EmapalumabNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (NC)1 Participants
EmapalumabNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestNormal0 Participants
EmapalumabNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (CS)3 Participants
AnakinraNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (NC)3 Participants
AnakinraNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (CS)1 Participants
AnakinraNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestNormal0 Participants
Standard of CareNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestNormal1 Participants
Standard of CareNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (CS)2 Participants
Standard of CareNumber of Participants With Changes in High-resolution Computed Tomography (CT) Scan of the ChestAbnormal (NC)1 Participants
Secondary

Number of Patients With Hospital Discharge

Measured in number of patients

Time frame: Until discharge up to Week 10

Population: Hospital discharge

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
EmapalumabNumber of Patients With Hospital DischargeHospital Discharge3 Participants
EmapalumabNumber of Patients With Hospital DischargeTerminated prior to discharge2 Participants
AnakinraNumber of Patients With Hospital DischargeHospital Discharge4 Participants
AnakinraNumber of Patients With Hospital DischargeTerminated prior to discharge1 Participants
Standard of CareNumber of Patients With Hospital DischargeHospital Discharge5 Participants
Standard of CareNumber of Patients With Hospital DischargeTerminated prior to discharge1 Participants
Secondary

Overall Survival

Confirmation of death

Time frame: Weeks 6 and 10

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
EmapalumabOverall Survival2 Participants
AnakinraOverall Survival1 Participants
Standard of CareOverall Survival0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026