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CompletedNCT04577534COVIDSTORMUpdated Jun 21, 2021

COVID-19: Salvage TOcilizumab as a Rescue Measure

A Phase 3 interventional study of iv Tocillizumab (TCZ) in Covid19, sponsored by Jarmo Oksi. Completed at 1 site in Finland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-06-21.

Sponsored by Jarmo Oksi · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
88
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Evaluating the efficacy of Tocilizumab in hospitalized patients in the inflammatory phase of COVID-19. Randomization 2:1 (TCZ:standard of care).

02

Conditions studied

  • Covid19

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Keywords

  • COVID-19
  • new coronavirus disease
  • tocilizumab
03

In context

COVID-19

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

This study's enrollment of 88 is below the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

This is the only study on the registry with Jarmo Oksi as lead sponsor.

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

  • written informed consaent obtained
  • hospitalized with COVID-19 disease
  • Age >/= 18 years
  • SARS CoV-2 NhO posit
  • Sp=2 \</93% on ambient air or respiratory rate >30 /min
  • Any 2 of the 4: P-IL-6 > 2 x ULN / P-ferritin > 2 x ULN / P-FIDD >1.5 mg/l / P- CRP >40 mg/l without obvious presence of bacterial infection (normal values: P -IL-6 \<5.9 ng/l; P-ferritin, men 30-400 mikrog/l, women 13-150 mikrog/l ; P-FIDD (Fibrin degradation products, D-dimer) \<0.5 mg/l; P-CRP \<10 mg/l)

Exclusion criteria

Exclusion Criteria:

  • Known severe allergic reactions to monoclonal antibodies
  • Active confirmed tuberculosis with ongoing treatment or obvious tuberculosis or obvious other bacterial, fungal or viral infection (besides COVID-19)
  • In the opinion of the clinical team, progression to death is imminent and inevitable within the next 24 hours, irrespective of the provision of treatments
  • Long-term oral anti-rejection or immunomodulatory drugs (including corticosteroids equivalent to methylprednison 15mg/day)
  • Pregnant or lactating women. If needed, exclusion of pregnancy should be performed by laboratory test (U-hCG-O).
  • Participating in other drug clinical trials
  • Absolute neutrophil count \< 1 x10E9/l
  • Platelet count \<50 x10E9/l
  • ALAT >10x ULN
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
88 participants (actual)

Study arms

  • Experimental
    Tocilizumab (TCZ)

    Participants will receive one infusion of iv TCZ (according to weight of patient)

    Drug: iv Tocillizumab (TCZ)

  • No intervention
    standard of care (no TCZ)

    Participants will receive standard of care

Interventions

  • Drugiv Tocillizumab (TCZ)

    Participants are randomized (2:1) to receive TCZ or Standard of Care

06

What researchers measure

Primary outcomes

  1. Clinical status at day 28

    (assessed using 7-category ordinal scale) 7 death 6 in ICU with ECMO/ mechanical ventilation 5 in ICU, no ECMO/ mechanical ventilation 4 in hospital, not ICU, needs supplementary oxygen 3 in hospital, not ICU, no supplementary oxygen 2 not in hospital, but not back to normal 1 not in hospital, back to normal

    Time frame: day 28

Secondary outcomes

  1. Time to clinical improvement

    defined as a National Early Warning Score 2 (NEWS2) of\>/=2 maintained for 24 hours

    Time frame: 28 days

  2. Time to decline of at least 2 categories

    relative on a 7-category ordinalscale of clinical status

    Time frame: 28 days

  3. Incidence of mechanical and/or non-invasive ventilation

    (mode and duration of respiratory support) Hospital day when respiratory support needed with non-invasive ventilation - and duration. Hospital day when respiratory support needed by invasive mechanical ventilation -and duration.

    Time frame: 28 days

  4. Number of ventilator-free days to day 28

    days not in ventilator

    Time frame: 28 days

  5. Organ failure free days to day 28

    days without organ failure

    Time frame: 28 days

  6. Incidence of ICU stay

    ICU admission day

    Time frame: 28 days

  7. Duration of ICU stay

    days on ICU

    Time frame: 28 days

  8. Time to clinical failure

    time to death, mechanical ventilation, or ICU admission (whichever occurs first)

    Time frame: 28 days

  9. SAPS II

    during ICU stay SAPS II = simplified acute physiology score II min 0 (best), max 163 (worst)

    Time frame: 28 days

  10. CCI

    during ICU stay CCI = Charlson Comorbidity Index min 0 (best), max 37 (worst)

    Time frame: 28 days

  11. APACHE II

    during ICU stay APACHE II = acute physiology and chronic health evaluation II min 0 (best), max 71 (worst)

    Time frame: 28 days

  12. SOFA 6

    during ICU stay SOFA 6 = sequential organ failure assessment min 0 (best), max 24 (worst)

    Time frame: 28 days

  13. Mortality rate

    during and end of period of 28 days

    Time frame: 28 days

  14. Time to hospital discharge or "ready for discharge"

    as evidenced by normal body temperature and respiratory rate and stable oxygen saturation on ambient air or \</=2 l supplemental oxygen

    Time frame: 28 days

  15. Duration of supplemental oxygen

    days on suppl oxygen

    Time frame: 28 days

07

Study locations

1 site
  • Turku University Hospital
    Turku, 20521, Finland
08

References and documents

Individual participant data

Plan to share: Undecided — plan to investigate if it is possible by law

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 Jun 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04577534
Lead sponsor
Jarmo Oksi
Responsible party
Jarmo Oksi (Head of Infectious Diseases, Turku University Hospital) — Sponsor-investigator
First posted
Oct 8, 2020
Start date
Aug 14, 2020
Primary completion
Jun 16, 2021
Completion
Jun 16, 2021
Last update
Jun 21, 2021

Oversight

Data monitoring committee
No
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 Jun 2021. You cannot join it, but the record below documents what was studied.

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