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Study to Evaluate the Clinical Outcomes in Adults With Covid-19 Who Have Been Treated With Remdesivir.

A Multi-centre, Multi-country Retrospective Cohort Study to Evaluate the Clinical Outcomes in Adults With Covid-19 Who Have Been Treated With Remdesivir.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04847622
Acronym
909REM
Enrollment
451
Registered
2021-04-19
Start date
2021-02-12
Completion date
2021-04-30
Last updated
2024-11-29

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

Conditions

Covid19

Brief summary

This is a multi-centre, multi-country retrospective cohort study. At least 450COVID-19 cases from up to 20 participating study sites who meet all eligibility criteria will be included in the analysis. Deidentified data will be extracted from electronic medical record (EMR) databases, clinical registries, case series or additional sources from participating sites and countries, and then entered into a structured e-CRF system. addition, each site/country will be surveyed to determine the local standard of care therapy for COVID-19 infection and to determine if standard protocols were/are in place for the use of Remdesivir and if/how the protocols changed over time.

Interventions

DRUGRemdesivir

treated with Remdesivir

Sponsors

Gilead Sciences
CollaboratorINDUSTRY
NEAT ID Foundation
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

All Adult participants with COVID-19 confirmed by PCR who meet the following criteria: * Hospitalised after August 31st,2020 * Receivedat least one dose of Remdesivir(RDV)at anytime during hospitalisation

Exclusion criteria

* Received Remdesivir as part of a clinical trial, compassionate use or expanded access program * Received Remdesivir prior to this admission at any other health facility than the research sites and whose health records are available.

Design outcomes

Primary

MeasureTime frameDescription
All Case Mortality by Day 28Day 28Occurrence of death within 28 days.
Duration of HopitalisationDay 28Number of hospital discharges by day 28.

Secondary

MeasureTime frameDescription
Clinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreDay 7, 14, and 28NEWS2 is a summary score of six physiological parameters (respiratory rate, oxygen saturation, systolic blood pressure, heart rate, consciousness, temperature, and supplemental oxygen dependency). The parameters are assessed to generate a severity score classified as low: aggregate score 0-4, low - medium/medium: score of 3 in any individual parameter/aggregate score 5-6,high: aggregate score 7 or more. A higher score indicates a greater clinical risk. Clinical status assessed by a 7-point ordinal scale.7-point ordinary scale: 1. Death 2. Hospitalised,on invasive mechanical ventilation or ECMO 3. Hospitalised,on non-invasive ventilation or high flow oxygen devices 4. Hospitalised,requiring low flow supplemental oxygen 5. Hospitalised,not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised,not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome.
Clinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Day 28Clinical status assessed by a 7-point ordinal clinical status scale on Day 28 (or at last observation if discharged or died prior to this time point) in those still hospitalised after Day 14 7-point ordinary scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised
SpO2 > 94% on Room AirDay 28Number of participants SpO2 \> 94% on room air by day 28
Duration of Oxygen TherapyDay 28Median (IQR) duration on oxygen therapy by day 28.
ICU AdmissionDay 28Intensive care unit admission over entire study period
Clinical Status Assessed by a 7-point Ordinal Clinical Status ScaleDay 7Clinical status assessed by a 7-point ordinal scale on Day 7 7-point ordinary scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome
Mechanical Ventilation/ECMO UseDay 28Use of mechanical ventilation/ECMO (extracorporeal membrane oxygenation) over study period
Timing of Remdesivir ExposureDay 28Median (IQR) time from first symptoms to use of remdesivir
Timing From Hospitalisation to Remdesivir ExposureDay 28Median (IQR) time from hospitalisation to use of remdesivir
Duration of Remdesivir UseDay 28Median (IQR) duration of use of remdesivir
Readmission With COVID-19 ComplicationsDay 28Re-admission with COVID-19 complications or recurrence within 28 days of discharge and outcome
Duration of ICUthrough study completion, 28 daysNumber of days spent in ICU
Clinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Day 147-point ordinal scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome

Countries

France, Israel, Netherlands, Spain, United Kingdom

Participant flow

Participants by arm

ArmCount
Cases
Adults with COVID-19 diagnosed and treated with Remdesivir after Aug 31st, 2020. 1. Hospitalised after August 31st,2020 2. Received at least one dose of Remdesivir (RDV) at any time during hospitalisation
448
Total448

Baseline characteristics

CharacteristicCases
Age, Continuous65 Years
Body mass index (BMI, Kg/m²)28.4 Kg/m²
Comorbidities
Asthma
33 Participants
Comorbidities
Cardiovascular Disease excluding Hypertension
115 Participants
Comorbidities
Chemo/radiotherapy for cancer
46 Participants
Comorbidities
Comorbidities
355 Participants
Comorbidities
COPD
29 Participants
Comorbidities
Dementia
15 Participants
Comorbidities
Diabetes
138 Participants
Comorbidities
HIV Infection
2 Participants
Comorbidities
Hypertension
202 Participants
Comorbidities
Liver Disease
9 Participants
Comorbidities
Obesity
74 Participants
Comorbidities
Receiving Immuno-Suppressive Agent (Not for Cancer)
19 Participants
Comorbidities
Severe renal disease
16 Participants
NEWS2 score
High
100 Participants
NEWS2 score
Low
145 Participants
NEWS2 score
Low-medium/Medium
146 Participants
Other Treatment for COVID-19, n (%)
Corticosteroids
285 Participants
Other Treatment for COVID-19, n (%)
None
100 Participants
Other Treatment for COVID-19, n (%)
Other COVID Treatment Related Drug
45 Participants
Other Treatment for COVID-19, n (%)
Tocilizimab /Sarilumab
18 Participants
Pregnant women, n (%)0 Participants
Race/Ethnicity, Customized
Asian
23 Participants
Race/Ethnicity, Customized
Black
12 Participants
Race/Ethnicity, Customized
Other
230 Participants
Race/Ethnicity, Customized
White Caucasian
159 Participants
Race/Ethnicity, Customized
White Mixed
24 Participants
Sex: Female, Male
Female
162 Participants
Sex: Female, Male
Male
286 Participants
SpO2 (%)
High disease severity - High flow oxygen
72 Participants
SpO2 (%)
Low disease severity - No supplemental oxygen
81 Participants
SpO2 (%)
Medium disease severity - Low flow oxygen
295 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
52 / 448
other
Total, other adverse events
0 / 0
serious
Total, serious adverse events
52 / 448

Outcome results

Primary

All Case Mortality by Day 28

Occurrence of death within 28 days.

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (NUMBER)
OverallAll Case Mortality by Day 2852 participants
Low Disease Severity at BaselineAll Case Mortality by Day 285 participants
Medium Disease Severity at BaselineAll Case Mortality by Day 2830 participants
High Disease Severity at BaselineAll Case Mortality by Day 2817 participants
Primary

Duration of Hopitalisation

Number of hospital discharges by day 28.

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (NUMBER)
OverallDuration of Hopitalisation369 participants
Low Disease Severity at BaselineDuration of Hopitalisation69 participants
Medium Disease Severity at BaselineDuration of Hopitalisation248 participants
High Disease Severity at BaselineDuration of Hopitalisation52 participants
Secondary

Clinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) Score

NEWS2 is a summary score of six physiological parameters (respiratory rate, oxygen saturation, systolic blood pressure, heart rate, consciousness, temperature, and supplemental oxygen dependency). The parameters are assessed to generate a severity score classified as low: aggregate score 0-4, low - medium/medium: score of 3 in any individual parameter/aggregate score 5-6,high: aggregate score 7 or more. A higher score indicates a greater clinical risk. Clinical status assessed by a 7-point ordinal scale.7-point ordinary scale: 1. Death 2. Hospitalised,on invasive mechanical ventilation or ECMO 3. Hospitalised,on non-invasive ventilation or high flow oxygen devices 4. Hospitalised,requiring low flow supplemental oxygen 5. Hospitalised,not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised,not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome.

Time frame: Day 7, 14, and 28

Population: Of the total of 448 hospitalised adult COVID-19 patients who received at least one dose of remdesivir, these 391 (87%) had sufficient baseline data recorded to enable a NEWS2 score to be calculated and were thus included in this analsis

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 1428 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 745 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 282 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 72 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 1468 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 28112 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 147 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 280 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 2814 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 726 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 725 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 1412 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 1415 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 2811 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 727 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 73 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 283 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 142 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 717 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 1413 Participants
OverallClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 283 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 746 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 726 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 147 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 716 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 720 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 731 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 1432 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 148 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 1471 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 2814 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 148 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 283 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 281 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 146 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 286 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 283 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 289 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 28110 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 1414 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 73 Participants
Low Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 74 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 1410 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 283 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 146 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 712 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 74 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 281 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 1413 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 145 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 724 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 287 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 2819 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 714 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 143 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 728 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 281 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 1442 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 1421 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 74 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 282 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 2867 Participants
Medium Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 714 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 2827 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 1433 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 1413 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 1419 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 1439 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 1425 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 1481 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 14181 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 2847 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 284 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 285 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 2812 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 287 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 762 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 7 at day 28289 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 1 at day 79 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 2 at day 711 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 3 at day 776 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 4 at day 7119 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 5 at day 755 Participants
High Disease Severity at BaselineClinical Severity on Day 7, Day 14 and Day 28 Based on National Early Warning Score 2 (NEWS2) ScoreOrdinal Scale 6 at day 759 Participants
Secondary

Clinical Status Assessed by a 7-point Ordinal Clinical Status Scale

Clinical status assessed by a 7-point ordinal scale on Day 7 7-point ordinary scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome

Time frame: Day 7

Population: Hospitalised adult patients with COVID-19 who received at least one dose of remdesivir during their hospital admission.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 110 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 667 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 570 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 213 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 768 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 380 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 4137 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 615 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 428 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 36 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 516 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 713 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 21 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 12 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 498 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 13 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 28 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 345 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 547 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 644 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 747 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 329 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 78 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 68 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 24 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 15 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 57 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status ScaleOrdinal Scale 411 Participants
Secondary

Clinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14

7-point ordinal scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised A higher score indicates a better outcome

Time frame: Day 14

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 136 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 685 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 538 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 215 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 7206 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 322 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 444 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 611 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 48 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 35 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 511 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 740 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 21 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 15 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 428 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 117 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 213 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 311 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 526 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 656 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 7142 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 36 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 724 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 618 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 21 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 114 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 51 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 14Ordinal Scale 48 Participants
Secondary

Clinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28

Clinical status assessed by a 7-point ordinal clinical status scale on Day 28 (or at last observation if discharged or died prior to this time point) in those still hospitalised after Day 14 7-point ordinary scale: 1. Death 2. Hospitalised, on invasive mechanical ventilation or ECMO 3. Hospitalised, on non-invasive ventilation or high flow oxygen devices 4. Hospitalised, requiring low flow supplemental oxygen 5. Hospitalised, not requiring supplemental oxygen -requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalised, not requiring supplemental oxygen -no longer requires ongoing medical care 7. Not hospitalised

Time frame: Day 28

Population: Hospitalised Adults with COVID-19 who received at least one dose of remdesivir.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 152 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 627 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 58 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 24 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 7333 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 36 Participants
OverallClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 414 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 65 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 41 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 34 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 51 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 764 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 20 Participants
Low Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 15 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 49 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 130 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 24 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 30 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 57 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 615 Participants
Medium Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 7227 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 32 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 742 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 67 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 20 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 117 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 50 Participants
High Disease Severity at BaselineClinical Status Assessed by a 7-point Ordinal Clinical Status Scale on Day 28Ordinal Scale 44 Participants
Secondary

Duration of ICU

Number of days spent in ICU

Time frame: through study completion, 28 days

Population: Hospitalised Adults with COVID-19 who received at least one dose of remdesivir.

ArmMeasureValue (MEDIAN)
OverallDuration of ICU13 days
Low Disease Severity at BaselineDuration of ICU10 days
Medium Disease Severity at BaselineDuration of ICU17 days
High Disease Severity at BaselineDuration of ICU10 days
Secondary

Duration of Oxygen Therapy

Median (IQR) duration on oxygen therapy by day 28.

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (MEDIAN)
OverallDuration of Oxygen Therapy6 days
Low Disease Severity at BaselineDuration of Oxygen Therapy5 days
Medium Disease Severity at BaselineDuration of Oxygen Therapy6 days
High Disease Severity at BaselineDuration of Oxygen Therapy6 days
Secondary

Duration of Remdesivir Use

Median (IQR) duration of use of remdesivir

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (MEDIAN)
OverallDuration of Remdesivir Use5 days
Low Disease Severity at BaselineDuration of Remdesivir Use5 days
Medium Disease Severity at BaselineDuration of Remdesivir Use5 days
High Disease Severity at BaselineDuration of Remdesivir Use5 days
Secondary

ICU Admission

Intensive care unit admission over entire study period

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (NUMBER)
OverallICU Admission55 participants
Low Disease Severity at BaselineICU Admission3 participants
Medium Disease Severity at BaselineICU Admission33 participants
High Disease Severity at BaselineICU Admission19 participants
Secondary

Mechanical Ventilation/ECMO Use

Use of mechanical ventilation/ECMO (extracorporeal membrane oxygenation) over study period

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (NUMBER)
OverallMechanical Ventilation/ECMO Use25 participants
Low Disease Severity at BaselineMechanical Ventilation/ECMO Use3 participants
Medium Disease Severity at BaselineMechanical Ventilation/ECMO Use17 participants
High Disease Severity at BaselineMechanical Ventilation/ECMO Use5 participants
Secondary

Readmission With COVID-19 Complications

Re-admission with COVID-19 complications or recurrence within 28 days of discharge and outcome

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
OverallReadmission With COVID-19 Complications16 Participants
Low Disease Severity at BaselineReadmission With COVID-19 Complications3 Participants
Medium Disease Severity at BaselineReadmission With COVID-19 Complications11 Participants
High Disease Severity at BaselineReadmission With COVID-19 Complications2 Participants
Secondary

SpO2 > 94% on Room Air

Number of participants SpO2 \> 94% on room air by day 28

Time frame: Day 28

Population: Adults with hospitalised COVID-19 who received at least one dose of remdesivir

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
OverallSpO2 > 94% on Room Air154 Participants
Low Disease Severity at BaselineSpO2 > 94% on Room Air22 Participants
Medium Disease Severity at BaselineSpO2 > 94% on Room Air113 Participants
High Disease Severity at BaselineSpO2 > 94% on Room Air19 Participants
Secondary

Timing From Hospitalisation to Remdesivir Exposure

Median (IQR) time from hospitalisation to use of remdesivir

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (MEDIAN)
OverallTiming From Hospitalisation to Remdesivir Exposure1 days
Low Disease Severity at BaselineTiming From Hospitalisation to Remdesivir Exposure2 days
Medium Disease Severity at BaselineTiming From Hospitalisation to Remdesivir Exposure1 days
High Disease Severity at BaselineTiming From Hospitalisation to Remdesivir Exposure1 days
Secondary

Timing of Remdesivir Exposure

Median (IQR) time from first symptoms to use of remdesivir

Time frame: Day 28

Population: Full population analysis - All enrolled participants who met the eligibility criteria and with data available at baseline will be included in the Full Analysis Population. Disease severity was grouped based on oxygen support requirement at baseline: no supple-mental oxygen (NSO), LFO(≤6 litres (l)/minute), and HFO (\>6 l/ minute).

ArmMeasureValue (MEDIAN)
OverallTiming of Remdesivir Exposure7 days
Low Disease Severity at BaselineTiming of Remdesivir Exposure7 days
Medium Disease Severity at BaselineTiming of Remdesivir Exposure7 days
High Disease Severity at BaselineTiming of Remdesivir Exposure7 days

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026