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CompletedNCT04357808SARCOVIDUpdated Feb 11, 2021

Efficacy of Subcutaneous Sarilumab in Hospitalised Patients With Moderate-severe COVID-19 Infection (SARCOVID)

A Phase 2 interventional study of Sarilumab and Standar of care in Covid-19, sponsored by Maria del Rosario Garcia de Vicuña Pinedo. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-11.

Sponsored by Maria del Rosario Garcia de Vicuña Pinedo · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The global health emergency created by the rapid spread of the SARS-CoV-2 coronavirus has pushed healthcare services to face unprecedent challenges to properly manage COVID-19 severe and critical manifestations affecting a wide population in a short period of time. Clinicians are committed to do their best with a great uncertainty in this evolving crisis. Off label use of plenty of drugs has arisen the need for clinical trials to demonstrate their true role in the therapy. Based in unpublished experiences in China, Italy and Spain, intravenous IL-6 receptor inhibitors are now being tested in several trials but no data on subcutaneous formulations are available yet. Sarilumab is a human monoclonal antibody that binds membrane-bound and soluble IL-6 receptors to inhibit IL-6 signalling, licensed in a subcutaneous route administration.

Read the detailed description

SARCOVID is an investigator-initiated monocentric randomised proof of concept study that aims to evaluate the efficacy and safety of a single dose of sarilumab, in subcutaneous administration, in hospitalised patients with moderate to early severe COVID-19 infection, compared to the current standard of care.

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Conditions studied

  • Covid-19

Keywords

  • COVID
  • SARS-CoV-2
  • coronavirus infections
  • sarilumab
  • IL-6 receptor inhibitors
03

In context

Infections

6,688 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 30 is below the median of 120 across 4,201 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

This is the only study on the registry with Maria del Rosario Garcia de Vicuña Pinedo as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age> 18 years
  • Laboratory-confirmed SARS-CoV-2 infection as determined by PCR or other validated commercial or public health assay
  • Documented interstitial pneumonia requiring admission and at least two of the following:

    1. Fever ≥ 37.8ºC (tympanic)
    2. IL-6 in serum ≥ 25 ng / mL (in the absence of a previous dose of prednisone or equivalent> 1 mg / kg) or PCR> 5mg / dL
    3. Lymphocytes \<600 mm3
    4. Ferritin> 300 mcg / L that doubles in 24 hours
    5. Ferritin> 600 mcg / L in the first determination and LDH> 250 U / L
    6. D-dimer (> 1 mg / L)
  • Informed verbal or administration consent under urgent conditions, documented in the electronic medical record.

Exclusion criteria

Exclusion Criteria:

  • Patients who require mechanical ventilation at the time of inclusion.
  • AST / ALT values > 5 folds upper normal limit.
  • Neutrophil count below 500 cells / mm3
  • Platelet count below 50,000 cells / mm3
  • Documented sepsis or high suspicion by pathogens other than COVID-19.
  • Presence of comorbidities that according to clinical judgment could lead to an unfavorable result.
  • Complicated diverticulitis or intestinal perforation.
  • Current skin infection (eg, uncontrolled dermopiodermitis).
  • Immunosuppressive anti-rejection therapy.
  • Pregnancy or lactation.
  • Previous treatment with tocilizumab or sarilumab.
  • Patients participating in some other clinical trial for SARS-CoV-2 infection.
  • Patients with known hypersensitivity or contraindication to sarilumab or excipients.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Sarilumab plus standard of care

    Sarilumab 200 mg, 2 sc injections in pre-filled syringe or pen, single dose. Treatment with drugs or procedures in routine clinical practice that the clinician responsible for the patient deems necessary is allowed

    Drug: Sarilumab

  • Active comparator
    Standard of care

    Treatment with drugs or procedures in routine clinical practice

    Other: Standar of care

Interventions

  • DrugSarilumab

    Single dose treatment with sarilumab 2 x 200 mg subcutaneously

    Also known as: Kevzara, SAR153191

  • OtherStandar of care

    Usual clinical care

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What researchers measure

Primary outcomes

  1. Mean change in clinical status assessment using the 7-point ordinal scale at day 7 after randomisation

    Score ranges 1-7 1. Death; 2. Hospitalized, requiring invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 3. Hospitalized, requiring non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring supplemental oxygen; 5. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise) 6. Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care 7. Not hospitalized

    Time frame: 7 days from enrolment

  2. Duration of hospitalisation (days)

    Days from the date of enrolment to the date of discharge

    Time frame: 30 days from enrolment

  3. Death

    Number of deaths

    Time frame: 30 days from enrolment

Secondary outcomes

  1. Time to become afebrile (days)

    Time to become afebrile for a minimum period of 48 hours, without antipyretics

    Time frame: 30 days from enrolment

  2. Time to non-invasive mechanical ventilation (days)

    Days from enrolment to non-invasive mechanical ventilation

    Time frame: 30 days from enrolment

  3. Time to invasive mechanical ventilation (days)

    Days from enrolment to invasive mechanical ventilation

    Time frame: 30 days from enrolment

  4. Time to independence from supplementary oxygen therapy (days)

    Days from enrolment to supplementary oxygen therapy withdrawal

    Time frame: 30 days from enrolment

  5. Mean change in clinical status assessment using the 7-point ordinal scale at day 14 after randomisation

    Scale ranges 1-7: 1. Death 2. Hospitalized, with mechanical ventilation or extracorporeal membrane oxygenation (ECMO). 3. Hospitalized, with non-invasive mechanical ventilation, a mask with a reservoir or oxygen with high flow nasal goggles. 4. Hospitalized with oxygen supplement 5. Hospitalized, without oxygen supplement, but in need of continued medical care (related or not with COVID) 6. Hospitalized, without oxygen supplement and without the need for continued medical care 7. Not hospitalized

    Time frame: 14 days from enrolment

Other outcomes

  1. Incidence of serious and non-serious adverse events.

    Number of adverse events and number of patients with adverse events

    Time frame: 30 days after enrolment

  2. Discontinuation due to adverse reactions

    Number of adverse reactions that requires discontinuation of any drug in the study

    Time frame: 30 days after enrolment

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Study locations

1 site
  • Hospital Universitario de la Princesa
    Madrid, 28006, Spain
08

References and documents

Publications

  • Garcia-Vicuna R, Rodriguez-Garcia SC, Abad-Santos F, Bautista Hernandez A, Garcia-Fraile L, Barrios Blandino A, Gutierrez Liarte A, Alonso-Perez T, Cardenoso L, Alfranca A, Mejia-Abril G, Sanz Sanz J, Gonzalez-Alvaro I. Subcutaneous IL-6 Inhibitor Sarilumab vs. Standard Care in Hospitalized Patients With Moderate-To-Severe COVID-19: An Open Label Randomized Clinical Trial. Front Med (Lausanne). 2022 Feb 23;9:819621. doi: 10.3389/fmed.2022.819621. eCollection 2022. PubMed 35280907 ↗
  • Garcia-Vicuna R, Abad-Santos F, Gonzalez-Alvaro I, Ramos-Lima F, Sanz JS. Subcutaneous Sarilumab in hospitalised patients with moderate-severe COVID-19 infection compared to the standard of care (SARCOVID): a structured summary of a study protocol for a randomised controlled trial. Trials. 2020 Sep 9;21(1):772. doi: 10.1186/s13063-020-04588-5. PubMed 32907638 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04357808
Lead sponsor
Maria del Rosario Garcia de Vicuña Pinedo
Collaborators
Instituto de Investigación Sanitaria Hospital Universitario de la Princesa
Responsible party
Maria del Rosario Garcia de Vicuña Pinedo (MD, PhD, Fundación de Investigación Biomédica - Hospital Universitario de La Princesa) — Sponsor-investigator
First posted
Apr 22, 2020
Start date
Apr 13, 2020
Primary completion
Nov 30, 2020
Completion
Dec 4, 2020
Last update
Feb 11, 2021

Study contacts

Rosario Garcia de Vicuña, MD PhD
principal investigator · Fundación de Investigación Biomédica - Hospital Universitario de La Princesa

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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