CClinicalTrials.gg
TerminatedNCT04379076ILIAD-7-UKUpdated Apr 7, 2022

InterLeukin-7 (CYT107) to Improve Clinical Outcomes in Lymphopenic pAtients With COVID-19 Infection UK Cohort

A Phase 2 interventional study of Interleukin-7 and Placebos in COVID-19 and Lymphocytopenia, sponsored by Revimmune. Terminated at 13 sites in United Kingdom. Open to participants aged 25 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-04-07.

Sponsored by Revimmune · Phase 2, Interventional, and Treatment

Why this study was terminated
POOR ACCRUAL
Phase
Phase 2
Study type
Interventional
Enrollment
35
Allocation
Randomized
Ages
25 Years to 80 Years
Sex
All
01

Study summary

Comparison of the effects of CYT107 vs Placebo administered IM at 10µg/kg twice a week for two weeks on immune reconstitution of lymphopenic COVID-19 patients.

Read the detailed description

Approximately forty-eight (48) participants will be randomized 1:1 to receive (a) Intramuscular (IM) administration of CYT107 at 3 μg/kg followed, after 48hrs of observation, by 10 μg/kg twice a week for 2 weeks or (b) Intramuscular (IM) placebo (normal saline) at the same frequency. An interim safety review will take place after the first 12 patients. If the CYT107 is well tolerated, the test dose (3 μg/kg) will cease and that initial dose will become the same as the rest of the doses (10 μg/kg). So, the remaining patients will be randomized to receive 5 administrations of (a) CYT107 at 10 μg/kg every 3 to 4 days for 2 weeks or (b) Intramuscular (IM) placebo (normal saline) at the same frequency.

The aim of the study is to test the ability of CYT107 to produce an immune reconstitution of these patients and observe possible association with a clinical improvement

02

Conditions studied

  • COVID-19
  • Lymphocytopenia
03

In context

COVID-19

7,641 studies on the registry are indexed under COVID-19; 487 are open to participants now.

This study's enrollment of 35 is below the median of 100 across 4,100 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Revimmune is the lead sponsor of 8 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

04

Who can participate

Ages eligible
25 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • A written, signed informed consent, or emergency oral consent, by the patient or the patient's legally authorized representative, and the anticipated ability for participant to be re-consented in the future for ongoing Study participation
  • Men and women aged ≥ 25 - 80 (included) years of age
  • Hospitalized patients with one absolute lymphocyte count (ALC) ≤ 1000 cells/mm3, collected at baseline or no more than 72h before baseline
  • Hospitalized patients with moderate to severe hypoxemia requiring oxygen therapy at >2L per minute nasal cannula or greater to keep saturations >90%, non-invasive positive pressure ventilation (e.g., BIPAP), or patients intubated/ventilated for respiratory failure
  • Confirmed infection with COVID-19 by any acceptable test available/utilized at each site
  • Private insurance or government support (through NHS or other)

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or breast feeding;
  • Refusal or inability to practice contraception regardless of the gender of the patient;
  • ALT and/or AST > 5 x ULN
  • Known, active auto-immune disease;
  • Ongoing cancer treatment with chemotherapy / immunotherapy or any cancer therapy within last 3 months and/or ongoing;
  • Patients with past history of Solid Organ transplant.
  • Active tuberculosis, uncontrolled active HBV or HCV infection, HIV with positive viral load.
  • Patients whose respiratory condition is showing significant deterioration as indicated by:
  • requirement for a persistent and sustained increase in inspired oxygen concentrations of 20% or more over the past 24 hours to maintain SpO2 at greater than or equal to 88% (this 20 % limit does not apply to O2 delivered by nasal canula)
  • or need for invasive mechanical ventilation
  • Patients with chronic kidney dialysis
  • Patients showing an increase of the NEWS2 score by more than 6 points during the screening / baseline period (48 to 72 hrs prior to first administration)
  • Patients with a SOFA score ≥ 9 at baseline
  • Patients with a BMI > 40
  • Patients with baseline Rockwood Clinical Frailty Scale ≥ 6.(assessed as patient or proxy 4-week recall of chronic health and frailty status prior to COVID infection)
  • Patients under guardianship
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    CYT107

    Intra-muscular administration of CYT107 twice a week for a total of 5 administrations

    Drug: Interleukin-7

  • Placebo comparator
    Saline

    Intramuscular (IM) administration of saline at the same volume and same time for a total of 5 administrations

    Drug: Placebos

Interventions

  • DrugInterleukin-7

    Intramuscular (IM) administration of CYT107 at 3 μg/kg followed, after 48hrs of observation, by 10 μg/kg twice a week for 2 weeks or

    Also known as: CYT107

  • DrugPlacebos

    Intramuscular (IM) placebo (normal saline) at the same frequency

    Also known as: Saline

06

What researchers measure

Primary outcomes

  1. Improvement of the absolute lymphocyte count (ALC) of lymphopenic (ALC≤1000/mm3) COVID-19 infected participants out to approximately 30 days following initial Study drug administration or Hospital discharge (HD), whicheve

    A statistically significant increase of the absolute lymphocyte count (ALC) from randomization to day 30 or Hospital Discharge

    Time frame: 1 month

Secondary outcomes

  1. To obtain "clinical improvement" as defined by an improvement in a 11-points WHO score for Clinical Assessment, through day 30 or HD.

    to determine if CYT107 will improve the clinical status of hospitalized COVID-19 patients as measured by WHO score

    Time frame: 1 month

  2. determine if CYT107 will lead to a significant decline of SARS-CoV-2 viral load through day 30 or HD

    The decrease of SARS-CoV-2 viral load from measurements at baseline and days of treatment dose 4 and dose 5, Day 21 and Day 30 or HD (whichever occurs first)

    Time frame: one month

  3. To compare the effect of CYT107 versus placebo on the frequency of secondary infections through day 45

    Incidence of secondary infections based on pre-specified criteria as adjudicated by the Secondary Infections Committee (SIC) through Day 45

    Time frame: 45 days

  4. To compare the effect of CYT107 versus placebo on the length of hospitalization

    Number of days of hospitalization during index hospitalization (defined as time from initial Study drug treatment through HD)

    Time frame: 45 days

  5. To compare the effect of CYT107 versus placebo on the length of stay in ICU

    Number of days in ICU during index hospitalization

    Time frame: 45 days

  6. To compare the effect of CYT107 versus placebo on readmissions to ICU

    Readmissions to ICU through Day 45

    Time frame: 45 days

  7. To compare the effect of CYT107 versus placebo on organ support free days

    Organ support free days (OSFDs) during index hospitalization (This includes ventilator assistance free days.)

    Time frame: 45 days

  8. To compare the effect of CYT107 versus placebo on the frequency of re-hospitalization through day 45

    Number of readmissions to the hospital through Day 45

    Time frame: 45 days

  9. To assess the impact of CYT107 on all-cause mortality through day 45

    All-cause mortality through Day 45

    Time frame: 45 days

  10. To determine the effect of CYT107 on CD4+ and CD8+ T cell counts

    Absolute numbers of CD4+ and CD8+ T-cell counts at timepoints indicated on the Schedule of Activities (SoA) through Day 30 or HD

    Time frame: 30 days

  11. To track and evaluate other known biomarkers of inflammation: Ferritin

    Track and evaluate other known biomarkers of inflammation, Ferritin, from baseline to day 30

    Time frame: 30 days

  12. To track and evaluate other known biomarkers of inflammation: CRP

    Track and evaluate other known biomarkers of inflammation, CRP from baseline to day 30

    Time frame: 30 days

  13. To track and evaluate other known biomarkers of inflammation: D-dimer

    Track and evaluate other known biomarkers of inflammation, D-dimer from baseline to day 30

    Time frame: 30 days

  14. Evaluation of physiological status through NEWS2 score

    Evaluate improvement of the NEWS2 score value

    Time frame: 30 days

Other outcomes

  1. Safety assessment

    Incidence and scoring of all grade 3-4 adverse events through Day 45 (using CTCAE Version 5.0 to assess severity)

    Time frame: 45 days

07

Study locations

13 sites
  • Sandwell Birmingham Hospital
    Birmingham, B18 7QH, United Kingdom
  • Sandwell Birmingham Hospital
    Birmingham, United Kingdom
  • Bradford Institute for Health Research
    Bradford, BD9 6RJ, United Kingdom
  • ST JAMES's UNIVERSITY HOSPITAL
    Leeds, LS9 7TF, United Kingdom
  • Medway Maritime Hospital
    London, ME7 5NY, United Kingdom
  • Guy's and St Thomas' NHS Foundation Trust
    London, SE1 9RS, United Kingdom
  • King'S College Hospital
    London, SE5 9RS, United Kingdom
  • Wythenshawe Hospital/ Manchester Royal Infirmary
    Manchester, M23 9LT, United Kingdom
  • North Manchester General Hospital
    Manchester, M8 5RB, United Kingdom
  • Royal Victoria Infirmary and Freeman Hospital
    Newcastle, NE1 4LP, United Kingdom
  • Royal Preston Hospital
    Preston, United Kingdom
  • Sunderland Royal Hospital
    Sunderland, United Kingdom
  • Watford General Hospital
    Watford, WD18 0HB, United Kingdom
08

References and documents

Publications

  • Manzanilla-Sevilla R, Gonzalez-Iniguez R, Casanova-Alvarez N, Martinez-Alcala F. Tubal sterilization and ovarian perfusion: selective arteriography in vivo and in vitro. Int J Gynaecol Obstet. 1978-1979;16(2):137-43. doi: 10.1002/j.1879-3479.1978.tb00414.x. PubMed 32109 ↗
  • Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11. Erratum In: Lancet. 2020 Mar 28;395(10229):1038. doi: 10.1016/S0140-6736(20)30606-1. Lancet. 2020 Mar 28;395(10229):1038. doi: 10.1016/S0140-6736(20)30638-3. PubMed 32171076 ↗
  • Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, Zhao Y, Li Y, Wang X, Peng Z. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 Mar 17;323(11):1061-1069. doi: 10.1001/jama.2020.1585. Erratum In: JAMA. 2021 Mar 16;325(11):1113. doi: 10.1001/jama.2021.2336. PubMed 32031570 ↗
  • Francois B, Jeannet R, Daix T, Walton AH, Shotwell MS, Unsinger J, Monneret G, Rimmele T, Blood T, Morre M, Gregoire A, Mayo GA, Blood J, Durum SK, Sherwood ER, Hotchkiss RS. Interleukin-7 restores lymphocytes in septic shock: the IRIS-7 randomized clinical trial. JCI Insight. 2018 Mar 8;3(5):e98960. doi: 10.1172/jci.insight.98960. PubMed 29515037 ↗
  • Hotchkiss RS, Monneret G, Payen D. Immunosuppression in sepsis: a novel understanding of the disorder and a new therapeutic approach. Lancet Infect Dis. 2013 Mar;13(3):260-8. doi: 10.1016/S1473-3099(13)70001-X. PubMed 23427891 ↗
  • Venet F, Foray AP, Villars-Mechin A, Malcus C, Poitevin-Later F, Lepape A, Monneret G. IL-7 restores lymphocyte functions in septic patients. J Immunol. 2012 Nov 15;189(10):5073-81. doi: 10.4049/jimmunol.1202062. Epub 2012 Oct 10. PubMed 23053510 ↗

Individual participant data

Plan to share: No — publication

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04379076
Lead sponsor
Revimmune
Collaborators
Amarex Clinical Research
Responsible party
Sponsor
First posted
May 7, 2020
Start date
May 14, 2020
Primary completion
Feb 28, 2022
Completion
Mar 30, 2022
Last update
Apr 7, 2022

Study contacts

Manu Shankar-Hari, MD PhD
principal investigator · Guy's and St Thomas' NHS Foundation Trust

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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