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Proof of Concept Study to Evaluate the Safety Profile of Plitidepsin in Patients With COVID-19

Multicenter, Randomized, Parallel and Proof of Concept Study to Evaluate the Safety Profile of Three Doses of Plitidepsin in Patients With COVID-19 Requiring Hospitalization

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04382066
Acronym
APLICOV-PC
Enrollment
46
Registered
2020-05-11
Start date
2020-05-12
Completion date
2020-11-26
Last updated
2022-08-23

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

Conditions

COVID-19

Keywords

Plitidepsin, COVID-19, SARS-COV-2, Coronavirus

Brief summary

In December 2019, Wuhan, in Hubei province, China, became the center of an outbreak of pneumonia of unknown cause. In a short time, Chinese scientists had shared the genome information of a novel coronavirus (SARS-CoV-2) from these pneumonia patients and developed a real-time reverse transcription PCR (real-time RT-PCR) diagnostic assay. Given no specific antiviral therapy for COVID-19 and the ready availability of plitidepsin as a potential antiviral agent, based on pre-clinical studies, this randomized, parallel and proof of concept trial will evaluate the safety of three doses of plitidepsin in patients hospitalized with COVID-19.

Detailed description

In December 2019, a new infectious respiratory disease emerged in Wuhan, China. The agent that caused this pneumonia was identified as a new virus in the Coronaviridae family (SARS-CoV-2) and the clinical symptomatology associated with the virus has been named COVID-19. COVID-19 is currently a public health emergency. Plitidepsin is an authorized drug in Australia for the treatment of multiple myeloma. Antiviral activity of plitidepsin has been analyzed in a human hepatoma cell line infected with the HCoV-229E-GFP virus, a virus similar to the SARS-CoV-2 virus. Taking into account that the available safety data from plitidepsin comes from patients with solid tumors that received treatment with a regimen of administration of plitidepsin for 5 consecutive days, we propose a multicenter, randomized, proof-of-concept clinical trial to assess the safety profile of 3 different dose levels of plitidepsin administered three consecutive days, in adult patients with confirmed diagnosis of COVID-19 who require hospital admission. This study aims to assess safety and toxicity profile and also preliminary efficacy of plitidepsin at each dose level administered according to the proposed administration scheme in patients with COVID-19 who require hospital admission. Main objective is to select the recommended dose levels of plitidepsin for a future phase II / III efficacy study.

Interventions

Plitidepsin 1.5 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days. All patients must receive the following prophylactic medications 20-30 minutes before the infusion of plitidepsin: * Diphenhydramine hydrochloride 25 mg iv or equivalent. * Ranitidine 50 mg iv or equivalent. * Dexamethasone 8 mg iv. * Ondansetron 8 mg i.v. 15 minutes infusion or equivalent. * Ondansetron 4 mg p.o. administered every 12 hours until 48 hours after the last administration of plitidepsin.

DRUGPlitidepsin 2.0 mg/day

Plitidepsin 2.0 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days. All patients must receive the following prophylactic medications 20-30 minutes before the infusion of plitidepsin: * Diphenhydramine hydrochloride 25 mg iv or equivalent. * Ranitidine 50 mg iv or equivalent. * Dexamethasone 8 mg iv. * Ondansetron 8 mg i.v. 15 minutes infusion or equivalent. * Ondansetron 4 mg p.o. administered every 12 hours until 48 hours after the last administration of plitidepsin.

DRUGPlitidepsin 2.5 mg/day

Plitidepsin 2.5 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days. All patients must receive the following prophylactic medications 20-30 minutes before the infusion of plitidepsin: * Diphenhydramine hydrochloride 25 mg iv or equivalent. * Ranitidine 50 mg iv or equivalent. * Dexamethasone 8 mg iv. * Ondansetron 8 mg i.v. 15 minutes infusion or equivalent. * Ondansetron 4 mg p.o. administered every 12 hours until 48 hours after the last administration of plitidepsin.

Sponsors

Apices Soluciones S.L.
CollaboratorINDUSTRY
PharmaMar
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

1. Patient who agrees to participate in the study by signing the informed consent. 2. Men and women (non-pregnant) aged ≥18 years. 3. COVID-19 infection confirmed by PCR obtained from nasopharyngeal exudate or sample from the lower respiratory tract. 4. Patients who require hospitalization for COVID-19. 5. Symptom onset at most within 10 days prior to study inclusion. 6. Men and women with reproductive capacity should agree to use highly effective contraceptive methods during their participation in the study and in the 6 months following the last administration of plitidepsin. 7. In addition, women participating in the study with reproductive ability must have a negative pregnancy test at enrollment.

Exclusion criteria

1. Patients participating in some other clinical trial for COVID-19 infection. 2. Patients who are receiving treatment with antivirals, interleukin 6 receptor inhibitors or immunomodulatory drugs for COVID-19. 3. Patients who are receiving treatment with chloroquine and derivatives. 4. Evidence of multi-organ failure. 5. Patients who require support with mechanical ventilation (invasive or non-invasive) at the time of inclusion. 6. D-dimer\> 4 x UNL. 7. Hb \<9 g / dL. 8. Neutrophils \<1000 / mm3. 9. Platelets \<100,000 / mm3. 10. Lymphopenia \<800 / μL. 11. GOT / GPT\> 3 X UNL. 12. Bilirubin\> 1 X UNL. 13. CPK\> 2.5 X UNL. 14. Creatinine clearance \<30ml / min. 15. Troponin elevation\> 1.5 x ULN. 16. Clinically relevant heart disease (NYHA\> 2). 17. Clinically relevant arrhythmia or previous history / presence of prolonged QT-QTc ≥ 450 ms. 18. Pre-existing neuropathies of any type ≥ grade 2. 19. Hypersensitivity to the active substance or to any of its excipients (macrogol glycerol ricinoleate and ethanol). 20. Patients who require or are being treated with potent CYP3A4 inhibitors and inducers. 21. Patients who for any reason should not be included in the study according to the evaluation of the research team.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Patients With ECG Abnormalities.At days 2, 3, 4, 5, 6, 7, 15 and 31Percentage of patients with ECG abnormalities.
Frequency of Occurrence of Neurotoxicity ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Neurotoxicity ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with QT-QTc interval extension ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Other Adverse Events ≥ Grade 3At days 3, 7, 15 and 31.Percentage of patients with Other adverse events ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Percentage of Patients in Whom Treatment Cannot be Completed.At 3 days from the first dose of study treatmentPercentage of patients in whom treatment cannot be completed and the reasons.
Percentage of Patients With Adverse Events.At days 3, 7, 15 and 31Percentage of patients with adverse events.
Percentage of Patients With Serious Adverse Events.At days 3, 7, 15 and 31Percentage of patients with serious adverse events.
Frequency of Occurrence of Neutropenia ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Neutropenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Thrombocytopenia ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Thrombocytopenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Anemia ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Anemia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Lymphopenia ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Lymphopenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of CPK Increase ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with CPK increase ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Increase ALT and / or AST ≥ grade 3 according to NCI-CTCAE v5.0 criteria.
Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3At days 3, 7, 15 and 31Percentage of patients with Increase total bilirubin or direct bilirubin ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Secondary

MeasureTime frameDescription
Time to Negative PCR Test for COVID-19Up to 31 days + 3 days for window periodTime from inclusion/randomization to date of negative PCR test for COVID-19
MortalityAt days 7, 15 and 31Percentage of patients who die during the study
Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionAt days 7, 15 and 31Percentage of patients requiring invasive mechanical ventilation and / or ICU admission
Percentage of Patients Requiring Non-invasive Mechanical VentilationAt days 7, 15 and 31Percentage of patients requiring non-invasive mechanical ventilation
Percentage of Patients Requiring Oxygen TherapyAt days 7, 15 and 31Percentage of patients requiring oxygen therapy
Change in the Viral Load of SARS-CoV-2At days 4, 7, 15 and 31Median change in the viral load of SARS-CoV-2 from baseline.

Countries

Spain

Participant flow

Participants by arm

ArmCount
Experimental 1
Plitidepsin 1.5 mg / day x 3 consecutive days Plitidepsin 1.5 mg/day: Plitidepsin 1.5 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days.
15
Experimental 2
Plitidepsin 2.0 mg / day x 3 consecutive days Plitidepsin 2.0 mg/day: Plitidepsin 2.0 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days.
15
Experimental 3
Plitidepsin 2.5 mg / day x 3 consecutive days Plitidepsin 2.5 mg/day: Plitidepsin 2.5 mg/day will be IV infused through a pump device over 1 hour and 30 minutes, 3 consecutive days.
15
Total45

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event100
Overall StudyDeath101

Baseline characteristics

CharacteristicExperimental 2TotalExperimental 1Experimental 3
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants9 Participants3 Participants4 Participants
Age, Categorical
Between 18 and 65 years
13 Participants36 Participants12 Participants11 Participants
Age, Continuous49 years52 years51 years53 years
Alanine aminotransferase0.8 x Upper Limit of Normal (ULN)0.8 x Upper Limit of Normal (ULN)0.9 x Upper Limit of Normal (ULN)0.7 x Upper Limit of Normal (ULN)
Aspartate aminotransferase0.9 x Upper Limit of Normal (ULN)0.8 x Upper Limit of Normal (ULN)0.8 x Upper Limit of Normal (ULN)0.7 x Upper Limit of Normal (ULN)
Body temperature37.0 Degrees Celsius36.5 Degrees Celsius36.5 Degrees Celsius36.2 Degrees Celsius
Chest x-rays
Abnormal
13 Participants41 Participants15 Participants13 Participants
Chest x-rays
Bilateral pneumonia
10 Participants32 Participants11 Participants11 Participants
Clinical status at randomization
Mild COVID-19 infection
3 Participants6 Participants2 Participants1 Participants
Clinical status at randomization
Moderate COVID-19 infection
7 Participants23 Participants8 Participants8 Participants
Clinical status at randomization
Severe COVID-19 infection
5 Participants16 Participants5 Participants6 Participants
Comorbidities
Asthma
0 Participants5 Participants2 Participants3 Participants
Comorbidities
Cardiac disease
0 Participants2 Participants1 Participants1 Participants
Comorbidities
Diabetes
5 Participants8 Participants1 Participants2 Participants
Comorbidities
Hypertension
2 Participants9 Participants2 Participants5 Participants
Comorbidities
Kidney disease
1 Participants1 Participants0 Participants0 Participants
Comorbidities
Lung disease (COPD)
1 Participants3 Participants1 Participants1 Participants
Comorbidities
Obesity
5 Participants10 Participants1 Participants4 Participants
C-reactive protein67.2 mg/L32.7 mg/L17.7 mg/L32.6 mg/L
Creatine phosphokinase0.3 x Upper Limit of Normal (ULN)0.4 x Upper Limit of Normal (ULN)0.4 x Upper Limit of Normal (ULN)0.4 x Upper Limit of Normal (ULN)
D-dimer463 ng/mL405 ng/mL330 ng/mL415 ng/mL
Diastolic blood pressure71 mmHg72 mmHg69 mmHg78 mmHg
Ferritin597 ng/ml412 ng/ml408 ng/ml363 ng/ml
Heart rate78 Bpm82 Bpm84 Bpm82 Bpm
Lactate dehydrogenase1.0 x Upper Limit of Normal (ULN)1.0 x Upper Limit of Normal (ULN)1.0 x Upper Limit of Normal (ULN)1.2 x Upper Limit of Normal (ULN)
Lymphocytes1.1 10^9 cells/liter1.0 10^9 cells/liter0.9 10^9 cells/liter1.1 10^9 cells/liter
Number of comorbidities
None
2 Participants9 Participants5 Participants2 Participants
Number of comorbidities
One
7 Participants15 Participants2 Participants6 Participants
Number of comorbidities
Two or more
6 Participants21 Participants8 Participants7 Participants
On supplementary O28 Participants23 Participants6 Participants9 Participants
Oxygen saturation at room air95 Percentage95.5 Percentage95 Percentage96.5 Percentage
PaO2/FiO2352 Ratio350 Ratio358 Ratio343 Ratio
Platelet count168 10^9 cells/liter183 10^9 cells/liter183 10^9 cells/liter244 10^9 cells/liter
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
15 Participants45 Participants15 Participants15 Participants
Region of Enrollment
Spain
15 participants45 participants15 participants15 participants
Respiratory rate18 Bpm17 Bpm17 Bpm16.5 Bpm
Serum creatinine0.8 mg/dL0.8 mg/dL0.8 mg/dL0.8 mg/dL
Sex: Female, Male
Female
4 Participants15 Participants4 Participants7 Participants
Sex: Female, Male
Male
11 Participants30 Participants11 Participants8 Participants
Systolic blood pressure115 mmHg119 mmHg113 mmHg124 mmHg
Viral load6.2 Log10 copies/mL6.1 Log10 copies/mL6.3 Log10 copies/mL5.7 Log10 copies/mL
White Blood Cells (WBC)5.4 10^9 cells/liter5.5 10^9 cells/liter4.4 10^9 cells/liter7.1 10^9 cells/liter

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
1 / 150 / 151 / 152 / 45
other
Total, other adverse events
15 / 1514 / 1515 / 1544 / 45
serious
Total, serious adverse events
6 / 151 / 153 / 1510 / 45

Outcome results

Primary

Frequency of Occurrence of Anemia ≥ Grade 3

Percentage of patients with Anemia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Anemia ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Anemia ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Anemia ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Anemia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Anemia ≥ Grade 3Day 30 Participants
Experimental 2Frequency of Occurrence of Anemia ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of Anemia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Anemia ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Anemia ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Anemia ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Anemia ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Anemia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Anemia ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Anemia ≥ Grade 3Day 150 Participants
TotalFrequency of Occurrence of Anemia ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Anemia ≥ Grade 3Day 30 Participants
Primary

Frequency of Occurrence of CPK Increase ≥ Grade 3

Percentage of patients with CPK increase ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of CPK Increase ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of CPK Increase ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of CPK Increase ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of CPK Increase ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of CPK Increase ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of CPK Increase ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of CPK Increase ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of CPK Increase ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of CPK Increase ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of CPK Increase ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of CPK Increase ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of CPK Increase ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of CPK Increase ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of CPK Increase ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of CPK Increase ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of CPK Increase ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3

Percentage of patients with Increase ALT and / or AST ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 30 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 70 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 150 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 310 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 30 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 70 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 150 Participants
Experimental 1Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 310 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 70 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 30 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 70 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 310 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 150 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 311 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 151 Participants
Experimental 2Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 30 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 150 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 150 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 310 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 30 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 70 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 310 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 30 Participants
Experimental 3Frequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 70 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 151 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 311 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 70 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3ALT increased Day 30 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 30 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 310 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 150 Participants
TotalFrequency of Occurrence of Increase ALT and / or AST ≥ Grade 3AST increased Day 70 Participants
Primary

Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3

Percentage of patients with Increase total bilirubin or direct bilirubin ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Increase Total Bilirubin or Direct Bilirubin ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Lymphopenia ≥ Grade 3

Percentage of patients with Lymphopenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Lymphopenia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Lymphopenia ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Lymphopenia ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Lymphopenia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Lymphopenia ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Neurotoxicity ≥ Grade 3

Percentage of patients with Neurotoxicity ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Neurotoxicity ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Neurotoxicity ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Neurotoxicity ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Neurotoxicity ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Neurotoxicity ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Neutropenia ≥ Grade 3

Percentage of patients with Neutropenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Neutropenia ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Neutropenia ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Neutropenia ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Neutropenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Neutropenia ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of Neutropenia ≥ Grade 3Day 150 Participants
Experimental 2Frequency of Occurrence of Neutropenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Neutropenia ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of Neutropenia ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Neutropenia ≥ Grade 3Day 70 Participants
Experimental 3Frequency of Occurrence of Neutropenia ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Neutropenia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Neutropenia ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Neutropenia ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Neutropenia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Neutropenia ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Other Adverse Events ≥ Grade 3

Percentage of patients with Other adverse events ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 31 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 31 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 312 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 71 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 151 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 311 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 70 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 150 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 310 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 30 Participants
Experimental 1Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 311 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 151 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 31 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 71 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 71 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 152 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 312 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 70 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 310 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 150 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 30 Participants
Experimental 2Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 31 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 31 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 310 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 31 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 70 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 150 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 311 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 30 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 71 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 151 Participants
Experimental 3Frequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 150 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 70 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Superinfection bacterial day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 70 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 150 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 70 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumonia day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Status epilepticus day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 312 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 152 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3COVID-19 pneumonia day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Diarrhoea day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 72 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 153 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Bacteraemia day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Acute respiratory distress syndrome day 314 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Anaphylactic reaction day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Leukocytosis day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 70 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 313 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 153 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 72 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Gamma-glutamyltransferase increased day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Pneumomediastinum day 150 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Serum ferritin increased day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3C-reactive protein increased day 30 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Condition aggravated day 31 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 71 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 311 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Urinary tract infection day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Respiratory distress day 151 Participants
TotalFrequency of Occurrence of Other Adverse Events ≥ Grade 3Hyperglycaemia day 151 Participants
Primary

Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3

Percentage of patients with QT-QTc interval extension ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 30 Participants
Experimental 2Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of QT-QTc Interval Extension ≥ Grade 3Day 150 Participants
Primary

Frequency of Occurrence of Thrombocytopenia ≥ Grade 3

Percentage of patients with Thrombocytopenia ≥ grade 3 according to NCI-CTCAE v5.0 criteria.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 30 Participants
Experimental 1Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 70 Participants
Experimental 1Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 150 Participants
Experimental 1Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 70 Participants
Experimental 2Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 310 Participants
Experimental 2Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 30 Participants
Experimental 2Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 30 Participants
Experimental 3Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 310 Participants
Experimental 3Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 150 Participants
Experimental 3Frequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 310 Participants
TotalFrequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 30 Participants
TotalFrequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 70 Participants
TotalFrequency of Occurrence of Thrombocytopenia ≥ Grade 3Day 150 Participants
Primary

Percentage of Patients in Whom Treatment Cannot be Completed.

Percentage of patients in whom treatment cannot be completed and the reasons.

Time frame: At 3 days from the first dose of study treatment

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients in Whom Treatment Cannot be Completed.1 Participants
Experimental 2Percentage of Patients in Whom Treatment Cannot be Completed.0 Participants
Experimental 3Percentage of Patients in Whom Treatment Cannot be Completed.0 Participants
TotalPercentage of Patients in Whom Treatment Cannot be Completed.1 Participants
Primary

Percentage of Patients With Adverse Events.

Percentage of patients with adverse events.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients With Adverse Events.Day 314 Participants
Experimental 1Percentage of Patients With Adverse Events.Day 715 Participants
Experimental 1Percentage of Patients With Adverse Events.Day 1515 Participants
Experimental 1Percentage of Patients With Adverse Events.Day 3115 Participants
Experimental 2Percentage of Patients With Adverse Events.Day 714 Participants
Experimental 2Percentage of Patients With Adverse Events.Day 1514 Participants
Experimental 2Percentage of Patients With Adverse Events.Day 3114 Participants
Experimental 2Percentage of Patients With Adverse Events.Day 311 Participants
Experimental 3Percentage of Patients With Adverse Events.Day 1515 Participants
Experimental 3Percentage of Patients With Adverse Events.Day 715 Participants
Experimental 3Percentage of Patients With Adverse Events.Day 3115 Participants
Experimental 3Percentage of Patients With Adverse Events.Day 313 Participants
TotalPercentage of Patients With Adverse Events.Day 3144 Participants
TotalPercentage of Patients With Adverse Events.Day 744 Participants
TotalPercentage of Patients With Adverse Events.Day 338 Participants
TotalPercentage of Patients With Adverse Events.Day 1544 Participants
Primary

Percentage of Patients With ECG Abnormalities.

Percentage of patients with ECG abnormalities.

Time frame: At days 2, 3, 4, 5, 6, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients With ECG Abnormalities.Day 22 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 34 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 43 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 53 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 64 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 71 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 152 Participants
Experimental 1Percentage of Patients With ECG Abnormalities.Day 312 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 71 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 61 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 32 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 310 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 152 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 51 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 41 Participants
Experimental 2Percentage of Patients With ECG Abnormalities.Day 23 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 152 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 41 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 52 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 62 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 73 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 311 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 23 Participants
Experimental 3Percentage of Patients With ECG Abnormalities.Day 32 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 45 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 56 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 38 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 28 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 67 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 313 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 156 Participants
TotalPercentage of Patients With ECG Abnormalities.Day 75 Participants
Primary

Percentage of Patients With Serious Adverse Events.

Percentage of patients with serious adverse events.

Time frame: At days 3, 7, 15 and 31

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients With Serious Adverse Events.Day 31 Participants
Experimental 1Percentage of Patients With Serious Adverse Events.Day 74 Participants
Experimental 1Percentage of Patients With Serious Adverse Events.Day 154 Participants
Experimental 1Percentage of Patients With Serious Adverse Events.Day 316 Participants
Experimental 2Percentage of Patients With Serious Adverse Events.Day 71 Participants
Experimental 2Percentage of Patients With Serious Adverse Events.Day 151 Participants
Experimental 2Percentage of Patients With Serious Adverse Events.Day 311 Participants
Experimental 2Percentage of Patients With Serious Adverse Events.Day 30 Participants
Experimental 3Percentage of Patients With Serious Adverse Events.Day 152 Participants
Experimental 3Percentage of Patients With Serious Adverse Events.Day 70 Participants
Experimental 3Percentage of Patients With Serious Adverse Events.Day 313 Participants
Experimental 3Percentage of Patients With Serious Adverse Events.Day 30 Participants
TotalPercentage of Patients With Serious Adverse Events.Day 3110 Participants
TotalPercentage of Patients With Serious Adverse Events.Day 75 Participants
TotalPercentage of Patients With Serious Adverse Events.Day 31 Participants
TotalPercentage of Patients With Serious Adverse Events.Day 157 Participants
Secondary

Change in the Viral Load of SARS-CoV-2

Median change in the viral load of SARS-CoV-2 from baseline.

Time frame: At days 4, 7, 15 and 31

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy.

ArmMeasureGroupValue (MEDIAN)Dispersion
Experimental 1Change in the Viral Load of SARS-CoV-2Day 4-1.23 Log10 copies/mLStandard Deviation 1.3
Experimental 1Change in the Viral Load of SARS-CoV-2Day 7-2.55 Log10 copies/mLStandard Deviation 1.65
Experimental 1Change in the Viral Load of SARS-CoV-2Day 15-4.22 Log10 copies/mLStandard Deviation 2.58
Experimental 1Change in the Viral Load of SARS-CoV-2Day 31-4.70 Log10 copies/mLStandard Deviation 1.74
Experimental 2Change in the Viral Load of SARS-CoV-2Day 7-2.26 Log10 copies/mLStandard Deviation 1.68
Experimental 2Change in the Viral Load of SARS-CoV-2Day 15-2.70 Log10 copies/mLStandard Deviation 2.23
Experimental 2Change in the Viral Load of SARS-CoV-2Day 31-3.53 Log10 copies/mLStandard Deviation 2.07
Experimental 2Change in the Viral Load of SARS-CoV-2Day 4-1.49 Log10 copies/mLStandard Deviation 1.42
Experimental 3Change in the Viral Load of SARS-CoV-2Day 15-2.92 Log10 copies/mLStandard Deviation 1.91
Experimental 3Change in the Viral Load of SARS-CoV-2Day 7-2.25 Log10 copies/mLStandard Deviation 1.61
Experimental 3Change in the Viral Load of SARS-CoV-2Day 31-3.49 Log10 copies/mLStandard Deviation 2.94
Experimental 3Change in the Viral Load of SARS-CoV-2Day 4-1.32 Log10 copies/mLStandard Deviation 1.9
TotalChange in the Viral Load of SARS-CoV-2Day 31-3.85 Log10 copies/mLStandard Deviation 2.35
TotalChange in the Viral Load of SARS-CoV-2Day 7-2.35 Log10 copies/mLStandard Deviation 1.61
TotalChange in the Viral Load of SARS-CoV-2Day 4-1.35 Log10 copies/mLStandard Deviation 1.54
TotalChange in the Viral Load of SARS-CoV-2Day 15-3.25 Log10 copies/mLStandard Deviation 2.29
Secondary

Mortality

Percentage of patients who die during the study

Time frame: At days 7, 15 and 31

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1MortalityDay 311 Participants
Experimental 1MortalityDay 150 Participants
Experimental 1MortalityDay 70 Participants
Experimental 2MortalityDay 310 Participants
Experimental 2MortalityDay 70 Participants
Experimental 2MortalityDay 150 Participants
Experimental 3MortalityDay 70 Participants
Experimental 3MortalityDay 150 Participants
Experimental 3MortalityDay 311 Participants
TotalMortalityDay 150 Participants
TotalMortalityDay 70 Participants
TotalMortalityDay 312 Participants
Secondary

Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU Admission

Percentage of patients requiring invasive mechanical ventilation and / or ICU admission

Time frame: At days 7, 15 and 31

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy. Cumulative results.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 72 Participants
Experimental 1Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 312 Participants
Experimental 1Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 152 Participants
Experimental 2Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 71 Participants
Experimental 2Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 311 Participants
Experimental 2Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 151 Participants
Experimental 3Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 153 Participants
Experimental 3Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 72 Participants
Experimental 3Percentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 313 Participants
TotalPercentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 75 Participants
TotalPercentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 316 Participants
TotalPercentage of Patients Requiring Invasive Mechanical Ventilation and / or ICU AdmissionDay 156 Participants
Secondary

Percentage of Patients Requiring Non-invasive Mechanical Ventilation

Percentage of patients requiring non-invasive mechanical ventilation

Time frame: At days 7, 15 and 31

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy. Cumulative results.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 74 Participants
Experimental 1Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 315 Participants
Experimental 1Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 155 Participants
Experimental 2Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 70 Participants
Experimental 2Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 311 Participants
Experimental 2Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 150 Participants
Experimental 3Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 152 Participants
Experimental 3Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 71 Participants
Experimental 3Percentage of Patients Requiring Non-invasive Mechanical VentilationDay 312 Participants
TotalPercentage of Patients Requiring Non-invasive Mechanical VentilationDay 75 Participants
TotalPercentage of Patients Requiring Non-invasive Mechanical VentilationDay 318 Participants
TotalPercentage of Patients Requiring Non-invasive Mechanical VentilationDay 157 Participants
Secondary

Percentage of Patients Requiring Oxygen Therapy

Percentage of patients requiring oxygen therapy

Time frame: At days 7, 15 and 31

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy. Cumulative results.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Experimental 1Percentage of Patients Requiring Oxygen TherapyDay 3112 Participants
Experimental 1Percentage of Patients Requiring Oxygen TherapyDay 712 Participants
Experimental 1Percentage of Patients Requiring Oxygen TherapyDay 1512 Participants
Experimental 2Percentage of Patients Requiring Oxygen TherapyDay 1512 Participants
Experimental 2Percentage of Patients Requiring Oxygen TherapyDay 712 Participants
Experimental 2Percentage of Patients Requiring Oxygen TherapyDay 3112 Participants
Experimental 3Percentage of Patients Requiring Oxygen TherapyDay 3111 Participants
Experimental 3Percentage of Patients Requiring Oxygen TherapyDay 711 Participants
Experimental 3Percentage of Patients Requiring Oxygen TherapyDay 1511 Participants
TotalPercentage of Patients Requiring Oxygen TherapyDay 1535 Participants
TotalPercentage of Patients Requiring Oxygen TherapyDay 735 Participants
TotalPercentage of Patients Requiring Oxygen TherapyDay 3135 Participants
Secondary

Time to Negative PCR Test for COVID-19

Time from inclusion/randomization to date of negative PCR test for COVID-19

Time frame: Up to 31 days + 3 days for window period

Population: One patient dosed at 1.5 mg experienced an anaphylactic reaction during the first plitidepsin infusion and discontinued study treatment, so was not considered evaluable for efficacy.

ArmMeasureValue (MEAN)
Experimental 1Time to Negative PCR Test for COVID-1911 Days
Experimental 2Time to Negative PCR Test for COVID-1914 Days
Experimental 3Time to Negative PCR Test for COVID-1914 Days
TotalTime to Negative PCR Test for COVID-1913 Days

Source: ClinicalTrials.gov · Data processed: Feb 13, 2026