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A Study to Evaluate the Safety and Efficacy of MSTT1041A (Astegolimab) or UTTR1147A in Patients With Severe COVID-19 Pneumonia

A Phase II, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Safety and Efficacy of MSTT1041A or UTTR1147A in Patients With Severe COVID-19 Pneumonia

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04386616
Acronym
COVASTIL
Enrollment
396
Registered
2020-05-13
Start date
2020-06-02
Completion date
2021-02-12
Last updated
2022-01-10

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

Conditions

COVID-19 Pneumonia

Brief summary

This is a Phase II, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of MSTT1041A (astegolimab) compared with placebo and of UTTR1147A compared with placebo, in combination with standard of care (SOC), in patients hospitalized with severe coronavirus disease 2019 (COVID-19) pneumonia.

Interventions

Participants received one intravenous (IV) infusion of MSTT1041A 700 milligrams (mg) on Day 1. A second IV dose of MSTT1041A 350 mg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen.

DRUGMSTT1041A-matched Placebo

Participants received up to 2 intravenous infusions of MSTT1041A-matched placebo.

Participants received one intravenous (IV) infusion of UTTR1147A 90 micrograms/kilogram body weight (μg/kg) on Day 1. A second IV dose of UTTR1147A 90 μg/kg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen.

DRUGUTTR1147A-matched Placebo

Participants received up to 2 intravenous infusions of UTTR1147A-matched placebo.

Sponsors

Biomedical Advanced Research and Development Authority
CollaboratorFED
Genentech, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

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

Inclusion criteria

* Hospitalized with COVID-19 pneumonia confirmed per WHO criteria (including a positive PCR of any specimen; e.g., respiratory, blood, urine, stool, other bodily fluid) and evidenced by chest X-ray or CT scan * Peripheral capillary oxygen saturation (SpO2) ≤93% (on room air or supplemental oxygen) or partial pressure of oxygen (PaO2)/fraction of inspired oxygen (FiO2) ≤300 millimetres of mercury (mmHg) or requiring supplemental oxygen to maintain SpO2 \>93% or requirement for supplemental oxygen to maintain SpO2 at an acceptable level per local standard of care

Exclusion criteria

* Pregnant or breastfeeding, or positive pregnancy test at screening * Any serious medical condition or abnormality of clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study * In the opinion of the investigator, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments * Participating in another clinical drug trial * Treatment with investigational therapy (other than for COVID-19) within 5 half-lives or 30 days (whichever is longer) prior to initiation of study drug * Use of Janus kinase (JAK) inhibitor within 30 days or 5 drug elimination half-lives (whichever is longer) prior to screening * Have received high-dose systemic corticosteroids (≥1 mg/kg/day methylprednisolone or equivalent) within 72 hours prior to Day 1 * Known HIV infection with CD4 \<200 cells/microlitre (uL) or \<14% of all lymphocytes * ALT or AST \>10 times the upper limit of normal (ULN) detected at screening * History of anaplastic large-cell lymphoma or mantle-cell lymphoma * History of cancer within the previous 5 years unless it has been adequately treated and considered cured or remission-free in the investigator's judgment * Clinical evidence of active or unstable cardiovascular disease (e.g., acute myocardial ischemia or decompensated heart failure), as determined by investigator assessment, ECG, laboratory assessment, or echocardiographic data * History of moderate or severe allergic, anaphylactic, or anaphylactoid reactions or hypersensitivity to any component of study treatment

Design outcomes

Primary

MeasureTime frameDescription
Time to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 28From Baseline up to 28 daysThe time to recovery was defined as the time from baseline to a clinical status score of 1 or 2 on the 7-category ordinal scale (whichever occurs first); clinical status scores are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death.

Secondary

MeasureTime frameDescription
Serum Concentration of MSTT1041A at Specified TimepointsFor the first dose: at 0.5 hours post-dose on Day 1, on Days 2, 3, 7, and 15; and for the second dose: Days 15 (0.5 hours post-dose), 21, and 28
Time to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status by Day 28From Baseline up to 28 daysThe 7 categories of the clinical status ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death
Time to Hospital Discharge or Ready for Discharge by Day 28Up to 28 daysHospital discharge is category number 1 out of the 7 categories of the clinical status ordinal scale, and it is defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen).
Duration of Supplemental Oxygen by Day 28Up to 28 daysDuration of supplemental oxygen was defined as the number of days during the 28-day treatment period when the participant is alive and receives Supplemental Oxygen or other forms of ventilation, as recorded in the Vital Signs and Oxygen Saturation form. For each participant, the duration of multiple non-consecutive periods during which the participant received supplemental oxygen was summed. For any days prior to Day 28 where status of supplemental oxygen use was missing, the last known status was to be carried forward.
Percentage of Participants Alive and Free of Respiratory Failure by Day 28Up to 28 daysRespiratory failure was defined as requiring non-invasive ventilation, high-flow oxygen, mechanical ventilation, or extracorporeal membrane oxygenation \[ECMO\]).
Clinical Status Score at Day 14, Assessed Using a 7-Category Ordinal ScaleDay 14The clinical status scores of the 7 category ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death
Clinical Status Score at Day 28, Assessed Using a 7-Category Ordinal ScaleDay 28The clinical status scores of the 7 category ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death
Percentage of Participants Needing Invasive Mechanical Ventilation or Extracorporeal Membrane Oxygenation (ECMO) by Day 28Up to 28 days
Number of Ventilator-Free Days by Day 28Up to 28 daysThe number of ventilator-free days was defined as the number of days during the 28-day treatment period when the participant is alive and without need for invasive mechanical ventilation. For any day during Day 1 and Day 28, if invasive mechanical ventilation or ECMO was recorded for any part of the day ( \>= 12 hours during mechanical invasive ventilation for patients with tracheostomy), the day was not to be counted as a ventilator-free day; otherwise, the day was to be counted. For any days prior to Day 28 where status of mechanical ventilator was missing, the last known status was to be carried forward. The total number of days was the sum of all ventilator-free days, regardless of whether the days occurred consecutively or in nonconsecutive intervals.
Percentage of Participants With an Intensive Care Unit (ICU) Stay by Day 28Up to 28 days
Serum Concentration of UTTR1147A at Specified TimepointsFor the first dose: at 0.5 hours post-dose on Day 1, on Days 2, 3, 7, and 15; and for the second dose: Days 15 (0.5 hours post-dose), 21, and 28
Time to Clinical Failure by Day 28, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal of Care (Whichever Occurs First)Up to 28 days
Percentage of Participants Who Died by Day 14Up to Day 14
Percentage of Participants Who Died by Day 28Up to Day 28
Time to Clinical Improvement, Defined as a National Early Warning Score 2 (NEWS2) Aggregate Score of ≤2 Maintained for 24 HoursUp to 28 daysThe National Early Warning Score 2 (NEWS2) is a system for scoring the physiological measurements that are routinely recorded at the patient's bedside. Its purpose is to identify acutely ill patients. The NEWS2 scoring system measures 7 physiological parameters: respiration rate, peripheral capillary oxygen saturation, breathing air or supplementary oxygen, systolic blood pressure, pulse rate, level of consciousness or new-onset confusion, and body temperature. A score of 0, 1, 2, or 3 is allocated to each parameter (except for air or oxygen, with respective scores of 0 and 2); a higher score means the parameter is further from the normal range. The scores for each parameter are then summed (with an aggregate score ranging from 0 to 20), and a higher aggregate score indicates a worse clinical condition of the patient, thus indicating the need for a more urgent clinical response.
Safety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)From Baseline until study completion/discontinuation (up to 60 days)The terms severe and serious are not synonymous with respect to an adverse event (AE). Severity refers to the intensity of an AE (rated according to NCI-CTCAE v5.0 criteria or, if not listed, the following scale: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to AE), whereas a serious AE (SAE) is a significant medical event (per standard SAE criteria), such as a life-threatening or fatal AE or an AE that prolongs inpatient hospitalization. Severity and seriousness were independently assessed by the investigator for each AE that was recorded. The investigator also assessed each AE for whether the event was considered to be related to the study drug.
Number of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFrom Baseline up to 60 daysClinical laboratory tests were performed over the course of the study and the grading of any abnormal values outside of the normal range (High or Low) was based on the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0); the higher the grade, the greater the lab parameter deviated from the normal range. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. SGPT/ALT = alanine aminotransferase; SGOT/AST = aspartate aminotransferase; INR = international normalized ratio; aPTT = activated partial thromboplastin time
Number of Participants With Vital Sign Abnormalities at Anytime Post-BaselineFrom Baseline up to 60 daysThe number of participants with vital sign abnormalities outside of the normal upper (i.e., High) and lower limits (i.e., Low) were summarized for each parameter. The normal reference range used for each vital sign parameter was as follows: Diastolic Blood Pressure, 50-90 millimetres of mercury (mmHg); Oxygen Saturation, ≥94%; Pulse Rate, 60-100 beats per minute; Respiratory Rate, 8-20 breaths per minute; Systolic Blood Pressure, 90-140 mmHg; Temperature, 36.5-38 degrees Celsius (C). Not every vital sign abnormality qualified as an adverse event. A vital sign result was to be reported as an adverse event if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgement.
Number of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline, Days 14 and 28, Discharge Day (up to Day 28), and Study Completion Visit (up to Day 60)Electrocardiogram (ECG) recordings were to be performed after the participant had been resting in a supine position for at least 10 minutes if possible. The investigator's interpretation of the ECG (e.g., normal or abnormal) was recorded.
Percentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineAt Baseline (pre-dose on Day 1) and post-baseline (Days 15 and 28; and discharge day and study completion [up to 60 days])Serum samples were collected, and participants who received treatment with MSTT1041A or MSTT1041A-matched placebo were assessed for antidrug antibodies (ADAs) to MSTT1041A, while those who received UTTR1147A or UTTR1147A-matched placebo were assessed for ADAs to UTTR1147A. Participants who received placebo treatment were only assessed for the presence of ADAs at baseline. The percentage of ADA-positive participants at baseline (baseline prevalence) and after drug administration (postbaseline incidence) are summarized. When determining postbaseline incidence, participants were considered to be ADA positive if they were ADA negative or had missing data at baseline but developed an ADA response following study drug exposure (treatment-induced ADA response), or if they were ADA positive at baseline and the titer of one or more postbaseline samples was at least 0.60 titer unit greater than the titer of the baseline sample (treatment-enhanced ADA response).
Duration of Intensive Care Unit (ICU) Stay by Day 28Up to 28 daysDuration of ICU stay was calculated as the total number of hours (expressed in days) spent in ICU up to and inclusive of 28 days. ICU duration was derived from the ICU Stay Information Log using the difference between ICU discharge date/time and ICU admission date/time. If ICU admission occurred before randomization, the ICU duration was to be counted from the date of dosing. Partial admission and discharge date/time were to be imputed following a conservative approach. For each participant, durations of multiple ICU stays were to be summed.

Countries

Brazil, Mexico, Spain, United States

Participant flow

Participants by arm

ArmCount
All Placebo
Participants randomized to this arm received one intravenous (IV) infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo on Day 1. A second IV infusion of either MSTT1041A-matched placebo or UTTR1147A-matched placebo (same placebo as the first infusion) was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
134
MSTT1041A
Participants randomized to this arm received one intravenous (IV) infusion of MSTT1041A 700 milligrams (mg) on Day 1. A second IV dose of MSTT1041A 350 mg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
130
UTTR1147A
Participants randomized to this arm received one intravenous (IV) infusion of UTTR1147A 90 micrograms/kilogram body weight (μg/kg) on Day 1. A second IV dose of UTTR1147A 90 μg/kg was given on Day 15 if the participant remained hospitalized with a requirement for supplemental oxygen. Study treatment was given in combination with the standard of care for COVID-19 pneumonia.
132
Total396

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event110
Overall StudyDeath222221
Overall StudyLost to Follow-up586
Overall StudyWithdrawal by Subject241

Baseline characteristics

CharacteristicTotalAll PlaceboUTTR1147AMSTT1041A
Age, Continuous57.0 Years
STANDARD_DEVIATION 13.1
56.0 Years
STANDARD_DEVIATION 13.5
57.8 Years
STANDARD_DEVIATION 12.6
57.3 Years
STANDARD_DEVIATION 13.4
Clinical Status Score at Baseline
Clinical Status Score Not Available
2 Participants0 Participants1 Participants1 Participants
Clinical Status Score at Baseline
Clinical Status Score of 1
0 Participants0 Participants0 Participants0 Participants
Clinical Status Score at Baseline
Clinical Status Score of 2
8 Participants3 Participants1 Participants4 Participants
Clinical Status Score at Baseline
Clinical Status Score of 3
153 Participants47 Participants57 Participants49 Participants
Clinical Status Score at Baseline
Clinical Status Score of 4
198 Participants71 Participants63 Participants64 Participants
Clinical Status Score at Baseline
Clinical Status Score of 5
26 Participants10 Participants8 Participants8 Participants
Clinical Status Score at Baseline
Clinical Status Score of 6
9 Participants3 Participants2 Participants4 Participants
Clinical Status Score at Baseline
Clinical Status Score of 7
0 Participants0 Participants0 Participants0 Participants
Country of Enrollment
Brazil
59 Participants19 Participants20 Participants20 Participants
Country of Enrollment
Mexico
54 Participants14 Participants17 Participants23 Participants
Country of Enrollment
Spain
44 Participants16 Participants15 Participants13 Participants
Country of Enrollment
United States
239 Participants85 Participants80 Participants74 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
219 Participants77 Participants70 Participants72 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
164 Participants53 Participants58 Participants53 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
13 Participants4 Participants4 Participants5 Participants
Mechanical Ventilation Required (Yes/No)
No Baseline Mechanical Ventilation
360 Participants122 Participants121 Participants117 Participants
Mechanical Ventilation Required (Yes/No)
Yes, Baseline Mechanical Ventilation
36 Participants12 Participants11 Participants13 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
6 Participants2 Participants0 Participants4 Participants
Race/Ethnicity, Customized
Asian
15 Participants6 Participants5 Participants4 Participants
Race/Ethnicity, Customized
Black or African American
27 Participants10 Participants10 Participants7 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
5 Participants0 Participants1 Participants4 Participants
Race/Ethnicity, Customized
Unknown
75 Participants24 Participants27 Participants24 Participants
Race/Ethnicity, Customized
White
268 Participants92 Participants89 Participants87 Participants
Region of Enrollment
North America
293 Participants99 Participants97 Participants97 Participants
Region of Enrollment
South America
59 Participants19 Participants20 Participants20 Participants
Region of Enrollment
Western Europe
44 Participants16 Participants15 Participants13 Participants
Sex: Female, Male
Female
153 Participants45 Participants52 Participants56 Participants
Sex: Female, Male
Male
243 Participants89 Participants80 Participants74 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
23 / 13423 / 13021 / 132
other
Total, other adverse events
29 / 13442 / 13040 / 132
serious
Total, serious adverse events
38 / 13438 / 13034 / 132

Outcome results

Primary

Time to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 28

The time to recovery was defined as the time from baseline to a clinical status score of 1 or 2 on the 7-category ordinal scale (whichever occurs first); clinical status scores are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring extracorporeal membrane oxygenation (ECMO) or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death.

Time frame: From Baseline up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboTime to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 2810.0 Days
MSTT1041ATime to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 2811.0 Days
UTTR1147ATime to Recovery, Defined as the Time to a Clinical Status Score of 1 or 2 on the 7-Category Ordinal Scale (Whichever Occurs First) by Day 2810.0 Days
p-value: 0.926695% CI: [0.75, 1.36]Unstratified Log Rank
p-value: 0.35795% CI: [0.86, 1.54]Unstratified Log Rank
p-value: 0.981295% CI: [0.74, 1.36]Stratified Log Rank
p-value: 0.515195% CI: [0.82, 1.49]Stratified Log Rank
Secondary

Clinical Status Score at Day 14, Assessed Using a 7-Category Ordinal Scale

The clinical status scores of the 7 category ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death

Time frame: Day 14

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboClinical Status Score at Day 14, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
MSTT1041AClinical Status Score at Day 14, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
UTTR1147AClinical Status Score at Day 14, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
p-value: 0.5273Van Elteren
p-value: 0.6515Van Elteren
p-value: 0.547595% CI: [0.71, 1.91]Proportional Odds Model
p-value: 0.565295% CI: [0.71, 1.89]Proportional Odds Model
Secondary

Clinical Status Score at Day 28, Assessed Using a 7-Category Ordinal Scale

The clinical status scores of the 7 category ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death

Time frame: Day 28

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboClinical Status Score at Day 28, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
MSTT1041AClinical Status Score at Day 28, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
UTTR1147AClinical Status Score at Day 28, Assessed Using a 7-Category Ordinal Scale1.0 Score on a scale
p-value: 0.3401Van Elteren
p-value: 0.4676Van Elteren
p-value: 0.340895% CI: [0.75, 2.29]Proportional Odds Model
p-value: 0.33295% CI: [0.76, 2.29]Proportional Odds Model
Secondary

Duration of Intensive Care Unit (ICU) Stay by Day 28

Duration of ICU stay was calculated as the total number of hours (expressed in days) spent in ICU up to and inclusive of 28 days. ICU duration was derived from the ICU Stay Information Log using the difference between ICU discharge date/time and ICU admission date/time. If ICU admission occurred before randomization, the ICU duration was to be counted from the date of dosing. Partial admission and discharge date/time were to be imputed following a conservative approach. For each participant, durations of multiple ICU stays were to be summed.

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboDuration of Intensive Care Unit (ICU) Stay by Day 283.10 Days
MSTT1041ADuration of Intensive Care Unit (ICU) Stay by Day 282.62 Days
UTTR1147ADuration of Intensive Care Unit (ICU) Stay by Day 280.00 Days
p-value: 0.4845Van Elteren
p-value: 0.057Van Elteren
Secondary

Duration of Supplemental Oxygen by Day 28

Duration of supplemental oxygen was defined as the number of days during the 28-day treatment period when the participant is alive and receives Supplemental Oxygen or other forms of ventilation, as recorded in the Vital Signs and Oxygen Saturation form. For each participant, the duration of multiple non-consecutive periods during which the participant received supplemental oxygen was summed. For any days prior to Day 28 where status of supplemental oxygen use was missing, the last known status was to be carried forward.

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboDuration of Supplemental Oxygen by Day 2818.00 Days
MSTT1041ADuration of Supplemental Oxygen by Day 2817.00 Days
UTTR1147ADuration of Supplemental Oxygen by Day 2813.50 Days
p-value: 0.5304Van Elteren
p-value: 0.5058Van Elteren
Secondary

Number of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified Timepoints

Electrocardiogram (ECG) recordings were to be performed after the participant had been resting in a supine position for at least 10 minutes if possible. The investigator's interpretation of the ECG (e.g., normal or abnormal) was recorded.

Time frame: Baseline, Days 14 and 28, Discharge Day (up to Day 28), and Study Completion Visit (up to Day 60)

Population: Safety Population: participants who received at least one dose of study drug, with participants grouped according to the treatment received. Only participants with nonmissing assessments at a given timepoint were included in the analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Normal ECG37 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Abnormal ECG12 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Normal ECG56 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Abnormal ECG27 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Normal ECG3 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Abnormal ECG56 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Abnormal ECG20 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Normal ECG76 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Abnormal ECG13 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Normal ECG14 Participants
All PlaceboNumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Unable to Evaluate ECG0 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Normal ECG2 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Abnormal ECG60 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Normal ECG66 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Abnormal ECG13 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Normal ECG16 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Abnormal ECG3 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Abnormal ECG28 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Normal ECG47 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Abnormal ECG18 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Normal ECG46 Participants
MSTT1041ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Unable to Evaluate ECG1 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Normal ECG40 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Normal ECG39 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Abnormal ECG14 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Abnormal ECG55 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Abnormal ECG21 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsBaseline - Normal ECG75 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Normal ECG3 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 28 - Abnormal ECG4 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsStudy Completion Visit - Unable to Evaluate ECG1 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDischarge Day - Abnormal ECG37 Participants
UTTR1147ANumber of Participants by the Investigator's Interpretations of Electrocardiogram Recordings at Specified TimepointsDay 14 - Normal ECG10 Participants
Secondary

Number of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-Baseline

Clinical laboratory tests were performed over the course of the study and the grading of any abnormal values outside of the normal range (High or Low) was based on the National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0); the higher the grade, the greater the lab parameter deviated from the normal range. Not every abnormal laboratory value qualified as an adverse event, only if it met any of the following criteria: clinically significant (per investigator); accompanied by clinical symptoms; resulted in a change in study treatment; or required a change in concomitant therapy. SGPT/ALT = alanine aminotransferase; SGOT/AST = aspartate aminotransferase; INR = international normalized ratio; aPTT = activated partial thromboplastin time

Time frame: From Baseline up to 60 days

Population: Safety Population: participants who received at least one dose of study drug, with participants grouped according to the treatment received. Only participants with both a baseline assessment and at least one post-baseline assessment per parameter were included in the analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 16 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 41 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 40 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 211 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 35 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 40 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 148 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Any Grade17 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 31 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 25 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Any Grade24 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 42 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 22 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 22 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Any Grade47 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 40 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 114 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 140 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 31 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Any Grade17 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 24 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 37 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 21 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 30 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 110 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 14 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 43 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 26 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Any Grade5 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Any Grade73 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Grade 24 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 143 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 11 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Any Grade4 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 217 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 23 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 160 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 317 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 32 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 323 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Any Grade9 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Any Grade12 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 223 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 19 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Any Grade67 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 114 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 30 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 33 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Absolute Count (Abs), Low - Any Grade61 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 26 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Any Grade8 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 112 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 138 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 16 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 22 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Any Grade77 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 21 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 43 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Any Grade47 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 31 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Any Grade33 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 32 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 40 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Grade 333 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 29 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Any Grade16 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Any Grade103 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 41 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 160 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 132 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Any Grade5 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Any Grade71 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 256 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 30 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 41 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 315 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 32 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 32 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Any Grade20 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 25 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 25 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 114 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Any Grade60 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 35 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 17 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 25 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Grade 15 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Any Grade15 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 31 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 111 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 34 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 225 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 134 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Any Grade7 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Any Grade29 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 231 Participants
All PlaceboNumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Any Grade6 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 40 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 31 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 37 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 226 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 16 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 20 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 42 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Any Grade2 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 224 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Any Grade39 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 33 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 30 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Any Grade11 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 16 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 30 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 40 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Any Grade72 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Any Grade105 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 136 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 258 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 311 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Any Grade23 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 122 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 21 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 30 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 147 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Any Grade48 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 137 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 27 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Any Grade38 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 130 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 32 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 147 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 217 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Any Grade82 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 38 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Any Grade7 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 16 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 31 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Absolute Count (Abs), Low - Any Grade45 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 19 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 217 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 318 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Any Grade4 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Grade 24 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Any Grade3 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 13 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 20 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Any Grade17 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 115 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 20 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 31 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Any Grade19 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 218 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Any Grade25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 119 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 23 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 33 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 40 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Any Grade69 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 161 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 28 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 30 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Any Grade42 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 135 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 32 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Any Grade58 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 150 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 26 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 31 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 41 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Any Grade16 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 110 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 31 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 40 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Any Grade14 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 19 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 25 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 30 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Any Grade24 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Grade 324 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 11 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 111 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 33 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Any Grade3 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 22 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Grade 12 Participants
MSTT1041ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 18 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 35 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Any Grade1 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 27 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Any Grade84 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Any Grade10 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 223 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 31 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 21 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 121 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Any Grade16 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Grade 122 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Any Grade4 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 112 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlkaline Phosphatase, High - Any Grade24 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 10 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 23 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 312 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 21 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 31 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 266 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 229 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, High - Grade 40 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Grade 140 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 31 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Any Grade75 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineAlbumin, Low - Any Grade118 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 30 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 167 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 20 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 26 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 32 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Grade 32 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineINR, High - Grade 32 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 20 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Any Grade42 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Any Grade12 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 43 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 136 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Grade 322 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 23 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 30 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Any Grade11 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineaPTT, High - Grade 33 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineGlucose, Low - Grade 19 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineTotal Leukocyte Count, Low - Grade 110 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Any Grade58 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 30 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineFibrinogen, Low - Grade 20 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Absolute Count (Abs), Low - Any Grade48 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Grade 15 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineUric Acid, High - Any Grade22 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 111 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, High - Any Grade5 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 151 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 223 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 311 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 35 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 311 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 18 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, Low - Grade 43 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 146 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 27 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Any Grade1 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Any Grade78 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 215 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineLymphocytes, Abs, High - Grade 21 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 42 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 34 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Any Grade1 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 32 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 30 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 10 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 24 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Any Grade29 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineNeutrophils, Total (Abs), Low - Grade 21 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Grade 136 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineHemoglobin, Low - Grade 221 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Any Grade12 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGOT/AST, High - Any Grade44 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, Low - Grade 40 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 19 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, High - Grade 14 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 22 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Grade 147 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineBilirubin, High - Grade 22 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 30 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSGPT/ALT, High - Any Grade60 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineSodium, High - Any Grade23 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePlatelets, Low - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCalcium, Low - Grade 148 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselineCreatinine, High - Grade 41 Participants
UTTR1147ANumber of Participants With Clinical Laboratory Test Abnormalities by Highest NCI-CTCAE Grade Post-BaselinePotassium, Low - Any Grade25 Participants
Secondary

Number of Participants With Vital Sign Abnormalities at Anytime Post-Baseline

The number of participants with vital sign abnormalities outside of the normal upper (i.e., High) and lower limits (i.e., Low) were summarized for each parameter. The normal reference range used for each vital sign parameter was as follows: Diastolic Blood Pressure, 50-90 millimetres of mercury (mmHg); Oxygen Saturation, ≥94%; Pulse Rate, 60-100 beats per minute; Respiratory Rate, 8-20 breaths per minute; Systolic Blood Pressure, 90-140 mmHg; Temperature, 36.5-38 degrees Celsius (C). Not every vital sign abnormality qualified as an adverse event. A vital sign result was to be reported as an adverse event if it met any of the following criteria: was accompanied by clinical symptoms; resulted in a change in study treatment; resulted in a medical intervention or a change in concomitant therapy; or was clinically significant in the investigator's judgement.

Time frame: From Baseline up to 60 days

Population: Safety Population: participants who received at least one dose of study drug, with participants grouped according to the treatment received. Only participants with both a baseline assessment and at least one post-baseline assessment were included in the analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - Low20 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - High75 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - Low116 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - High108 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - Low1 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - Low23 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineOxygen Saturation - Low112 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - High39 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - High77 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - Low66 Participants
All PlaceboNumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - High13 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - Low0 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - Low23 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - High43 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineOxygen Saturation - Low107 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - Low66 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - High62 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - High104 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - Low11 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - High81 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - Low113 Participants
MSTT1041ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - High10 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - Low113 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - Low17 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineOxygen Saturation - Low105 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - Low21 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineSystolic Blood Pressure - High70 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineDiastolic Blood Pressure - High39 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - Low2 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - High57 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineTemperature - High14 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselineRespiratory Rate - High103 Participants
UTTR1147ANumber of Participants With Vital Sign Abnormalities at Anytime Post-BaselinePulse Rate - Low61 Participants
Secondary

Number of Ventilator-Free Days by Day 28

The number of ventilator-free days was defined as the number of days during the 28-day treatment period when the participant is alive and without need for invasive mechanical ventilation. For any day during Day 1 and Day 28, if invasive mechanical ventilation or ECMO was recorded for any part of the day ( \>= 12 hours during mechanical invasive ventilation for patients with tracheostomy), the day was not to be counted as a ventilator-free day; otherwise, the day was to be counted. For any days prior to Day 28 where status of mechanical ventilator was missing, the last known status was to be carried forward. The total number of days was the sum of all ventilator-free days, regardless of whether the days occurred consecutively or in nonconsecutive intervals.

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboNumber of Ventilator-Free Days by Day 2828.0 Days
MSTT1041ANumber of Ventilator-Free Days by Day 2828.0 Days
UTTR1147ANumber of Ventilator-Free Days by Day 2828.0 Days
p-value: 0.8007Van Elteren
p-value: 0.8633Van Elteren
Secondary

Percentage of Participants Alive and Free of Respiratory Failure by Day 28

Respiratory failure was defined as requiring non-invasive ventilation, high-flow oxygen, mechanical ventilation, or extracorporeal membrane oxygenation \[ECMO\]).

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (NUMBER)
All PlaceboPercentage of Participants Alive and Free of Respiratory Failure by Day 2838.1 Percentage of participants
MSTT1041APercentage of Participants Alive and Free of Respiratory Failure by Day 2839.2 Percentage of participants
UTTR1147APercentage of Participants Alive and Free of Respiratory Failure by Day 2840.2 Percentage of participants
p-value: 0.845195% CI: [0.64, 1.72]Chi-squared
p-value: 0.726795% CI: [0.67, 1.79]Chi-squared
p-value: 0.845895% CI: [0.63, 1.79]Cochran-Mantel-Haenszel
p-value: 0.790795% CI: [0.64, 1.81]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Needing Invasive Mechanical Ventilation or Extracorporeal Membrane Oxygenation (ECMO) by Day 28

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (NUMBER)
All PlaceboPercentage of Participants Needing Invasive Mechanical Ventilation or Extracorporeal Membrane Oxygenation (ECMO) by Day 2824.6 Percentage of participants
MSTT1041APercentage of Participants Needing Invasive Mechanical Ventilation or Extracorporeal Membrane Oxygenation (ECMO) by Day 2828.5 Percentage of participants
UTTR1147APercentage of Participants Needing Invasive Mechanical Ventilation or Extracorporeal Membrane Oxygenation (ECMO) by Day 2824.2 Percentage of participants
95% CI: [-7.57, 15.24]
95% CI: [-11.46, 10.7]
p-value: 0.480495% CI: [0.7, 2.1]Chi-squared
p-value: 0.941895% CI: [0.56, 1.71]Chi-squared
p-value: 0.498895% CI: [0.68, 2.44]Cochran-Mantel-Haenszel
p-value: 0.904395% CI: [0.54, 1.96]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Died by Day 14

Time frame: Up to Day 14

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (NUMBER)
All PlaceboPercentage of Participants Who Died by Day 146.0 Percentage of participants
MSTT1041APercentage of Participants Who Died by Day 148.5 Percentage of participants
UTTR1147APercentage of Participants Who Died by Day 148.3 Percentage of participants
95% CI: [-4.51, 9.49]
95% CI: [-4.58, 9.31]
p-value: 0.433695% CI: [0.57, 3.74]Chi-squared
p-value: 0.454395% CI: [0.56, 3.68]Chi-squared
p-value: 0.4995% CI: [0.54, 3.97]Cochran-Mantel-Haenszel
p-value: 0.359595% CI: [0.58, 4.28]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Died by Day 28

Time frame: Up to Day 28

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (NUMBER)
All PlaceboPercentage of Participants Who Died by Day 2811.2 Percentage of participants
MSTT1041APercentage of Participants Who Died by Day 2814.6 Percentage of participants
UTTR1147APercentage of Participants Who Died by Day 2812.9 Percentage of participants
95% CI: [-5.42, 12.26]
95% CI: [-6.89, 10.26]
p-value: 0.406795% CI: [0.66, 2.8]Chi-squared
p-value: 0.672895% CI: [0.56, 2.46]Chi-squared
p-value: 0.549595% CI: [0.62, 2.87]Cochran-Mantel-Haenszel
p-value: 0.555195% CI: [0.57, 2.71]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-Baseline

Serum samples were collected, and participants who received treatment with MSTT1041A or MSTT1041A-matched placebo were assessed for antidrug antibodies (ADAs) to MSTT1041A, while those who received UTTR1147A or UTTR1147A-matched placebo were assessed for ADAs to UTTR1147A. Participants who received placebo treatment were only assessed for the presence of ADAs at baseline. The percentage of ADA-positive participants at baseline (baseline prevalence) and after drug administration (postbaseline incidence) are summarized. When determining postbaseline incidence, participants were considered to be ADA positive if they were ADA negative or had missing data at baseline but developed an ADA response following study drug exposure (treatment-induced ADA response), or if they were ADA positive at baseline and the titer of one or more postbaseline samples was at least 0.60 titer unit greater than the titer of the baseline sample (treatment-enhanced ADA response).

Time frame: At Baseline (pre-dose on Day 1) and post-baseline (Days 15 and 28; and discharge day and study completion [up to 60 days])

Population: The immunogenicity analysis population consisted of all participants with an evaluable baseline ADA sample and/or at least one evaluable post-baseline ADA sample. Participants who received placebo treatment were only assessed for the presence of ADAs at baseline.

ArmMeasureGroupValue (NUMBER)
All PlaceboPercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive at Baseline3.4 Percentage of participants
MSTT1041APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineTreatment-Induced ADA Positive Post-Baseline1.9 Percentage of participants
MSTT1041APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive at Baseline2.6 Percentage of participants
MSTT1041APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineTreatment-Enhanced ADA Positive Post-Baseline1.0 Percentage of participants
MSTT1041APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive Post-Baseline (Total)2.9 Percentage of participants
UTTR1147APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive at Baseline1.7 Percentage of participants
UTTR1147APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineTreatment-Enhanced ADA Positive Post-Baseline0.0 Percentage of participants
UTTR1147APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive at Baseline1.6 Percentage of participants
UTTR1147APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineADA Positive Post-Baseline (Total)0.9 Percentage of participants
UTTR1147APercentage of Participants Who Tested Positive for Anti-Drug Antibodies (ADAs) to MSTT1041A and UTTR1147A at Baseline and at Anytime Post-BaselineTreatment-Induced ADA Positive Post-Baseline0.9 Percentage of participants
Secondary

Percentage of Participants With an Intensive Care Unit (ICU) Stay by Day 28

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (NUMBER)
All PlaceboPercentage of Participants With an Intensive Care Unit (ICU) Stay by Day 2858.2 Percentage of participants
MSTT1041APercentage of Participants With an Intensive Care Unit (ICU) Stay by Day 2854.6 Percentage of participants
UTTR1147APercentage of Participants With an Intensive Care Unit (ICU) Stay by Day 2846.2 Percentage of participants
95% CI: [-16.31, 9.12]
95% CI: [-24.67, 0.67]
p-value: 0.55695% CI: [0.53, 1.41]Chi-squared
p-value: 0.050295% CI: [0.38, 1]Chi-squared
p-value: 0.700295% CI: [0.51, 1.6]Cochran-Mantel-Haenszel
p-value: 0.044895% CI: [0.32, 0.99]Cochran-Mantel-Haenszel
Secondary

Safety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)

The terms severe and serious are not synonymous with respect to an adverse event (AE). Severity refers to the intensity of an AE (rated according to NCI-CTCAE v5.0 criteria or, if not listed, the following scale: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to AE), whereas a serious AE (SAE) is a significant medical event (per standard SAE criteria), such as a life-threatening or fatal AE or an AE that prolongs inpatient hospitalization. Severity and seriousness were independently assessed by the investigator for each AE that was recorded. The investigator also assessed each AE for whether the event was considered to be related to the study drug.

Time frame: From Baseline until study completion/discontinuation (up to 60 days)

Population: Safety Population: participants who received at least one dose of study drug, with participants grouped according to the treatment received.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Dose Modification/Interruption0 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE15 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Withdrawal from Treatment0 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Dose Modification/Interruption0 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Grade 3-5 AE43 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Any Adverse Event (AE)87 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Withdrawal from Treatment2 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related SAE0 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Dose Modification/Interruption0 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE with Fatal Outcome23 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Withdrawal from Treatment4 Participants
All PlaceboSafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Serious AE (SAE)38 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Any Adverse Event (AE)85 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Withdrawal from Treatment3 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE12 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Dose Modification/Interruption0 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Withdrawal from Treatment2 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Withdrawal from Treatment0 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related SAE2 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Dose Modification/Interruption0 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Serious AE (SAE)38 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE with Fatal Outcome23 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Grade 3-5 AE46 Participants
MSTT1041ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Dose Modification/Interruption0 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Grade 3-5 AE41 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Dose Modification/Interruption0 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Any Adverse Event (AE)95 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE with Fatal Outcome21 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Serious AE (SAE)34 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)SAE Leading to Withdrawal from Treatment1 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Withdrawal from Treatment1 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related SAE3 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Withdrawal from Treatment3 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)AE Leading to Dose Modification/Interruption0 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE25 Participants
UTTR1147ASafety Summary of the Number of Participants With at Least One Adverse Event, With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0)Related AE Leading to Dose Modification/Interruption0 Participants
Secondary

Serum Concentration of MSTT1041A at Specified Timepoints

Time frame: For the first dose: at 0.5 hours post-dose on Day 1, on Days 2, 3, 7, and 15; and for the second dose: Days 15 (0.5 hours post-dose), 21, and 28

Population: The Pharmacokinetics (PK) analysis population for MSTT1041A consisted of participants who received at least one dose of MSTT1041A and had at least one evaluable PK concentration data point. The PK analysis population is further divided into three groups: participants who only received the first dose, participants who received both doses, and all participants who received the first dose only or both doses (from Days 1 to 15).

ArmMeasureGroupValue (MEAN)Dispersion
All PlaceboSerum Concentration of MSTT1041A at Specified TimepointsDay 1, 0.5 hours post-dose206 micrograms per millilitre (μg/mL)Standard Deviation 71.1
All PlaceboSerum Concentration of MSTT1041A at Specified TimepointsDay 788.6 micrograms per millilitre (μg/mL)Standard Deviation 32.3
All PlaceboSerum Concentration of MSTT1041A at Specified TimepointsDay 3147 micrograms per millilitre (μg/mL)Standard Deviation 40.1
All PlaceboSerum Concentration of MSTT1041A at Specified TimepointsDay 15, pre-dose32.2 micrograms per millilitre (μg/mL)Standard Deviation 15.2
All PlaceboSerum Concentration of MSTT1041A at Specified TimepointsDay 2175 micrograms per millilitre (μg/mL)Standard Deviation 49.1
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 2145.4 micrograms per millilitre (μg/mL)Standard Deviation 20.8
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 1, 0.5 hours post-dose227 micrograms per millilitre (μg/mL)Standard Deviation 66.7
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 2178 micrograms per millilitre (μg/mL)Standard Deviation 54.3
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 3135 micrograms per millilitre (μg/mL)Standard Deviation 41
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 783.9 micrograms per millilitre (μg/mL)Standard Deviation 28.1
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 15, pre-dose33.8 micrograms per millilitre (μg/mL)Standard Deviation 17.2
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 15, 0.5 hours post-dose144 micrograms per millilitre (μg/mL)Standard Deviation 48
MSTT1041ASerum Concentration of MSTT1041A at Specified TimepointsDay 2822.5 micrograms per millilitre (μg/mL)Standard Deviation 9.17
UTTR1147ASerum Concentration of MSTT1041A at Specified TimepointsDay 1, 0.5 hours post-dose210 micrograms per millilitre (μg/mL)Standard Deviation 70.4
UTTR1147ASerum Concentration of MSTT1041A at Specified TimepointsDay 3144 micrograms per millilitre (μg/mL)Standard Deviation 40.4
UTTR1147ASerum Concentration of MSTT1041A at Specified TimepointsDay 2176 micrograms per millilitre (μg/mL)Standard Deviation 50
UTTR1147ASerum Concentration of MSTT1041A at Specified TimepointsDay 15, pre-dose33.5 micrograms per millilitre (μg/mL)Standard Deviation 16.6
UTTR1147ASerum Concentration of MSTT1041A at Specified TimepointsDay 787.1 micrograms per millilitre (μg/mL)Standard Deviation 30.9
Secondary

Serum Concentration of UTTR1147A at Specified Timepoints

Time frame: For the first dose: at 0.5 hours post-dose on Day 1, on Days 2, 3, 7, and 15; and for the second dose: Days 15 (0.5 hours post-dose), 21, and 28

Population: The Pharmacokinetics (PK) analysis population for UTTR1147A consisted of participants who received at least one dose of UTTR1147A and had at least one evaluable PK concentration data point. The PK analysis population is further divided into three groups: participants who only received the first dose, participants who received both doses, and all participants who received the first dose only or both doses (from Days 1 to 15).

ArmMeasureGroupValue (MEAN)Dispersion
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 2707 nanograms per millilitre (ng/mL)Standard Deviation 268
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 212.69 nanograms per millilitre (ng/mL)
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 7258 nanograms per millilitre (ng/mL)Standard Deviation 110
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 1, 0.5 hours post-dose1260 nanograms per millilitre (ng/mL)Standard Deviation 568
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 15, pre-dose42.3 nanograms per millilitre (ng/mL)Standard Deviation 27.8
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 2811.3 nanograms per millilitre (ng/mL)Standard Deviation 8.89
All PlaceboSerum Concentration of UTTR1147A at Specified TimepointsDay 3518 nanograms per millilitre (ng/mL)Standard Deviation 221
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 28173 nanograms per millilitre (ng/mL)Standard Deviation 78.4
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 1, 0.5 hours post-dose1600 nanograms per millilitre (ng/mL)Standard Deviation 1820
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 2674 nanograms per millilitre (ng/mL)Standard Deviation 372
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 3604 nanograms per millilitre (ng/mL)Standard Deviation 222
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 7259 nanograms per millilitre (ng/mL)Standard Deviation 109
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 15, pre-dose88.1 nanograms per millilitre (ng/mL)Standard Deviation 40.6
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 15, 0.5 hours post-dose1410 nanograms per millilitre (ng/mL)Standard Deviation 802
MSTT1041ASerum Concentration of UTTR1147A at Specified TimepointsDay 21297 nanograms per millilitre (ng/mL)Standard Deviation 147
UTTR1147ASerum Concentration of UTTR1147A at Specified TimepointsDay 2700 nanograms per millilitre (ng/mL)Standard Deviation 290
UTTR1147ASerum Concentration of UTTR1147A at Specified TimepointsDay 3537 nanograms per millilitre (ng/mL)Standard Deviation 223
UTTR1147ASerum Concentration of UTTR1147A at Specified TimepointsDay 7258 nanograms per millilitre (ng/mL)Standard Deviation 109
UTTR1147ASerum Concentration of UTTR1147A at Specified TimepointsDay 1, 0.5 hours post-dose1320 nanograms per millilitre (ng/mL)Standard Deviation 952
UTTR1147ASerum Concentration of UTTR1147A at Specified TimepointsDay 15, pre-dose81.8 nanograms per millilitre (ng/mL)Standard Deviation 41.9
Secondary

Time to Clinical Failure by Day 28, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal of Care (Whichever Occurs First)

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboTime to Clinical Failure by Day 28, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal of Care (Whichever Occurs First)NA Days
MSTT1041ATime to Clinical Failure by Day 28, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal of Care (Whichever Occurs First)NA Days
UTTR1147ATime to Clinical Failure by Day 28, Defined as the Time to Death, Mechanical Ventilation, ICU Admission, or Withdrawal of Care (Whichever Occurs First)NA Days
p-value: 0.445695% CI: [0.76, 1.88]Unstratified Log Rank
p-value: 0.721395% CI: [0.57, 1.48]Unstratified Log Rank
p-value: 0.396395% CI: [0.77, 1.96]Stratified Log Rank
p-value: 0.917495% CI: [0.6, 1.58]Stratified Log Rank
Secondary

Time to Clinical Improvement, Defined as a National Early Warning Score 2 (NEWS2) Aggregate Score of ≤2 Maintained for 24 Hours

The National Early Warning Score 2 (NEWS2) is a system for scoring the physiological measurements that are routinely recorded at the patient's bedside. Its purpose is to identify acutely ill patients. The NEWS2 scoring system measures 7 physiological parameters: respiration rate, peripheral capillary oxygen saturation, breathing air or supplementary oxygen, systolic blood pressure, pulse rate, level of consciousness or new-onset confusion, and body temperature. A score of 0, 1, 2, or 3 is allocated to each parameter (except for air or oxygen, with respective scores of 0 and 2); a higher score means the parameter is further from the normal range. The scores for each parameter are then summed (with an aggregate score ranging from 0 to 20), and a higher aggregate score indicates a worse clinical condition of the patient, thus indicating the need for a more urgent clinical response.

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboTime to Clinical Improvement, Defined as a National Early Warning Score 2 (NEWS2) Aggregate Score of ≤2 Maintained for 24 Hours5.5 Days
MSTT1041ATime to Clinical Improvement, Defined as a National Early Warning Score 2 (NEWS2) Aggregate Score of ≤2 Maintained for 24 Hours6.0 Days
UTTR1147ATime to Clinical Improvement, Defined as a National Early Warning Score 2 (NEWS2) Aggregate Score of ≤2 Maintained for 24 Hours6.0 Days
p-value: 0.383195% CI: [0.71, 2.4]Unstratified Log Rank
p-value: 0.592595% CI: [0.65, 2.15]Unstratified Log Rank
p-value: 0.748795% CI: [0.6, 2.05]Stratified Log Rank
p-value: 0.609295% CI: [0.63, 2.21]Stratified Log Rank
Secondary

Time to Hospital Discharge or Ready for Discharge by Day 28

Hospital discharge is category number 1 out of the 7 categories of the clinical status ordinal scale, and it is defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen).

Time frame: Up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboTime to Hospital Discharge or Ready for Discharge by Day 2810.0 Days
MSTT1041ATime to Hospital Discharge or Ready for Discharge by Day 2811.0 Days
UTTR1147ATime to Hospital Discharge or Ready for Discharge by Day 2810.0 Days
p-value: 0.471195% CI: [0.83, 1.49]Unstratified Log Rank
p-value: 0.313595% CI: [0.87, 1.56]Unstratified Log Rank
p-value: 0.573595% CI: [0.81, 1.48]Stratified Log Rank
p-value: 0.597395% CI: [0.8, 1.46]Stratified Log Rank
Secondary

Time to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status by Day 28

The 7 categories of the clinical status ordinal scale are defined as follows: 1. Discharged (or ready for discharge as evidenced by normal body temperature and respiratory rate, and stable oxygen saturation on ambient air or ≤2 Litres supplemental oxygen); 2. Non-Intensive Care Unit (ICU) hospital ward (or ready for hospital ward) not requiring supplemental oxygen; 3. Non-ICU hospital ward (or ready for hospital ward) requiring supplemental oxygen; 4. ICU or non-ICU hospital ward, requiring non-invasive ventilation or high-flow oxygen; 5. ICU, requiring intubation and mechanical ventilation; 6. ICU, requiring ECMO or mechanical ventilation and additional organ support (e.g., vasopressors, renal replacement therapy); 7. Death

Time frame: From Baseline up to 28 days

Population: Modified Intent-to-Treat (mITT) Population: all participants randomized in the study who received at least one dose of study drug, with participants grouped according to the treatment assigned at randomization.

ArmMeasureValue (MEDIAN)
All PlaceboTime to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status by Day 2810.0 Days
MSTT1041ATime to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status by Day 2811.0 Days
UTTR1147ATime to Improvement of at Least 2 Categories Relative to Baseline on a 7-Category Ordinal Scale of Clinical Status by Day 2810.0 Days
p-value: 0.837395% CI: [0.77, 1.39]Unstratified Log Rank
p-value: 0.339695% CI: [0.86, 1.55]Unstratified Log Rank
p-value: 0.861995% CI: [0.76, 1.39]Stratified Log Rank
p-value: 0.491395% CI: [0.82, 1.5]Stratified Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026