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WithdrawnNCT04519424Updated Oct 14, 2020

CSL324 in COVID-19

A Phase 2 interventional study of CSL324 and Placebo in Coronavirus Disease 2019 (COVID-19), sponsored by CSL Behring. Withdrawn. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-10-14.

Sponsored by CSL Behring · Phase 2, Interventional, and Treatment

Why this study was withdrawn
Due to business reasons, not safety issues.
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase 2, prospective, multicenter, randomized, double blind, placebo controlled, parallel group study to evaluate the safety and efficacy of intravenous (IV) administration of CSL324, administered in combination with SOC treatment, in subjects with COVID 19.

For the purposes of this study, standard of care (SOC) may include any written or established treatment protocol followed at the study site for the treatment of severe COVID-19 or its complications, including off-label use of marketed pharmaceutical products and / or products with emergency use authorization granted for the treatment of COVID-19 (ie, not yet marketed) (eg, remdesivir).

02

Conditions studied

  • Coronavirus Disease 2019 (COVID-19)
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

Browse COVID-19 studies →

Lead sponsor

CSL Behring is the lead sponsor of 142 studies on the registry; 18 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 17 (71%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Age ≥ 18 years at the time informed consent is obtained
  • Positive for SARS-CoV-2 infection determined by a diagnostic test approved by the Food and Drug Administration (FDA) or allowed under an emergency use authorization
  • Chest computed tomography (CT) scan or X ray results confirming interstitial pneumonia
  • Meets ≥ 1 of the following criteria (subjects improving while on respiratory support still qualify):

    • Respiratory rate > 30 breaths per minute
    • Peripheral (capillary) oxygen saturation (SpO2) ≤ 93% on room air
    • Partial pressure of oxygen in arterial blood (PaO2) to fraction of inspired oxygen (FiO2) ratio (PaO2 / FiO2) \< 300
    • SpO2 / FiO2 ratio \< 218 (if PaO2 / FiO2 ratio is not available)
    • Radiographic lung infiltrates > 50%

Exclusion criteria

Exclusion Criteria:

  • Currently enrolled, planning to enroll, or participated, within the last 30 days, in a clinical study requiring administration of an investigational product (ie, not yet marketed), including expanded access or compassionate use

    • Exceptions:

      • Administration of investigational product with emergency use authorization granted for treatment of COVID 19 (eg, remdesivir) is permitted
      • Convalescent plasma as part of approved special access programs such as expanded access, emergency IND, or compassionate use is permitted
  • Pregnant or breastfeeding (female subjects)
  • Intubated and requires mechanical ventilation (including ECMO) at time of randomization

    • Exception: use of HFNC oxygen and noninvasive ventilation are permitted
  • Endotracheal intubation is imminent, in the opinion of the investigator
  • Not expected to survive for more than 48 hours after hospital admission, in the opinion of the investigator
  • Presence of any of the following comorbid conditions before randomization and prior to SARS-CoV-2 infection:

    • New York Heart Association class IV heart failure
    • Stage 4 or 5 chronic kidney disease or requires renal replacement therapy
    • Biopsy proven cirrhosis, portal hypertension or hepatic encephalopathy
    • Stage IV malignancy
    • Chronic lung disease requiring home oxygen
    • Active tuberculosis
  • History or evidence of pulmonary alveolar proteinosis
  • Confirmed diagnosis or clinical suspicion of bacterial pneumonia or active uncontrolled bacterial, fungal, or non SARS-CoV-2 viral infection at Screening
  • Absolute neutrophil count (ANC) value \< 5 × 109 cells/L at Screening (can be lowered up to \< 1.5 × 109 cells/L after Independent Data Monitoring Committee review of safety data, if CSL324 induced neutropenia is not assessed as a safety concern)
  • Currently receiving a prohibited therapy including G-CSF, granulocyte-macrophage colony-stimulating factor (GM-CSF), or antibody against interleukin 6 (IL-6) / IL 6 receptor (anti IL-6 / 6R)
05

Study design

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

Study arms

  • Experimental
    CSL324

    CSL324 administered intravenously

    Biological: CSL324

  • Placebo comparator
    Placebo

    Normal saline administered intravenously

    Drug: Placebo

Interventions

  • BiologicalCSL324

    Recombinant anti-granulocyte colony-stimulating factor (G-CSF) receptor monoclonal antibody

  • DrugPlacebo

    Normal saline (0.9% sodium chloride)

06

What researchers measure

Primary outcomes

  1. Proportion of subjects progressing to endotracheal intubation or death prior to endotracheal intubation

    Time frame: Randomization to Day 28

Secondary outcomes

  1. Proportion of deaths from all causes

    Time frame: Randomization to Day 28

  2. Proportion of subjects intubated

    Time frame: Randomization to Day 28

  3. Median length of stay in hospital

    Time frame: Randomization to Day 28

  4. Number and proportion of subjects with at least a 2-point improvement in the National Institute of Allergy and Infectious Diseases (NIAID) ordinal scale

    Time frame: Randomization to Day 28

  5. Number and proportion of subjects within each of the categories of the NIAID ordinal scale

    Time frame: Daily up to Day 28

  6. Proportion of subjects using continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP)

    Time frame: Randomization to Day 28

  7. Proportion of subjects using high-flow nasal cannula (HFNC)

    Time frame: Randomization to Day 28

  8. Proportion of subjects using extracorporeal membrane oxygenation (ECMO)

    Time frame: Randomization to Day 28

  9. Maximum Change in Sequential Organ Failure Assessment (SOFA) score

    Time frame: Randomization to Day 28

  10. Change in SOFA score and in individual components of the SOFA score

    Time frame: Baseline to Day 28

  11. Number and proportion of subjects experiencing adverse events (AEs)

    Time frame: Up to 60 days

  12. Number and proportion of subjects experiencing serious adverse events (SAEs)

    Time frame: Up to 60 days

  13. Number and proportion of subjects experiencing adverse events of special interest (AESIs)

    Time frame: Up to 60 days

  14. Presence of anti-CSL324 antibodies

    Time frame: Up to 28 days

  15. Maximum concentration (Cmax) of CSL324

    Time frame: Up to 28 days

  16. Time to reach maximum concentration (Tmax) of CSL324

    Time frame: Up to 28 days

  17. Area under the concentration-time curve (AUC0-last) of CSL324

    Time frame: Up to 28 days

  18. Trough concentration (Ctrough) of CSL324

    Time frame: Before dose on Day 4 and Day 8

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — CSL will consider requests to share Individual Patient Data (IPD) from systematic review groups or bona-fide researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com. Applicable country specific privacy and other laws and regulations will be considered and may prevent sharing of IPD. If the request is approved and the researcher has executed an appropriate data sharing agreement, IPD that has been appropriately anonymized will be available.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04519424
Lead sponsor
CSL Behring
Responsible party
Sponsor
First posted
Aug 19, 2020
Start date
Sep 2020 (estimated)
Primary completion
Apr 2021 (estimated)
Completion
May 2021 (estimated)
Last update
Oct 14, 2020

Oversight

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

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This study is withdrawn, as verified in Oct 2020. You cannot join it, but the record below documents what was studied.

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