Overview

CORIMUNO-ANA: Trial Evaluating Efficacy Of Anakinra In Patients With Covid-19 Infection

Status:
Completed
Trial end date:
2020-07-25
Target enrollment:
0
Participant gender:
All
Summary
The overall objective of the study is to determine the therapeutic effect and tolerance of Anakinra in patients with moderate, severe pneumonia or critical pneumonia associated with Coronavirus disease 2019 (COVID-19). Anakinra (ANA) is a recombinant human decoy IL-1Ra and therefore blocks IL-1α and IL-1β. The study has a cohort multiple Randomized Controlled Trials (cmRCT) design. Randomization will occur prior to offering Anakinra administration to patients enrolled in the COVIMUNO-19 cohort. Anakinra will be administered to consenting adult patients hospitalized with CORVID-19 either diagnosed with moderate or severe pneumonia requiring no mechanical ventilation or critical pneumonia requiring mechanical ventilation. Patients who will chose not to receive Anakinra will receive standard of cares. Outcomes of Anakinra -treated patients will be compared with outcomes of standard of care treated patients as well as outcomes of patients treated with other immune modulators.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Assistance Publique - Hôpitaux de Paris
Treatments:
Interleukin 1 Receptor Antagonist Protein
Criteria
Inclusion Criteria:

1. Patients included in the CORIMUNO-19 cohort

2. Patients with C-reactive protein level (CRP) > 25 mg / L the day or the day before the
infusion)

3. Patients belonging to one of the 2 following groups:

- Group 1: patients meeting all of the following criteria: 1) Requiring more than
3L/min of oxygen; 2) WHO progression scale = 5; 3) No NIV or High flow

- Group 2: patients with respiratory failure AND (requiring mechanical ventilation
OR NIV OR High flow), with a WHO progression scale ≥ 6, and no do-not-resuscitate
(DNR) order

Exclusion Criteria:

- Patients with exclusion criteria to the CORIMUNO-19 cohort.

- Known hypersensitivity to Anakinra or to any of their excipients.

- Pregnancy

- Current documented bacterial infection.

- Patient with any of following laboratory results out of the ranges detailed below at
screening:

- Absolute neutrophil count (ANC) ≤ 1.0 x 109/L

- Haemoglobin level: no limitation

- Platelets (PLT) < 50 G /L

- SGOT or SGPT > 5N

- Severe renal insufficiency with Glomerular filtration rate < 30 ml / mn