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CompletedNCT04629703Updated Aug 18, 2023

Double-Blind, Randomized, Placebo-Controlled, Multi-Center Phase 3 Study to Evaluate the Efficacy and Safety of Fostamatinib in COVID-19 Subjects

A Phase 3 interventional study of Fostamatinib and Placebo in Covid19, SARS (Severe Acute Respiratory Syndrome) and SARS Pneumonia, sponsored by Rigel Pharmaceuticals. Completed at 47 sites in 4 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2023-08-18.

Sponsored by Rigel Pharmaceuticals · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2022, 4 years 1 month ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Aug 2023.
Phase
Phase 3
Study type
Interventional
Enrollment
280
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

The study is a double-blind, randomized, placebo-controlled, multi-center, Phase 3 study to evaluate the efficacy and safety of fostamatinib in COVID-19 subjects.

Read the detailed description

The primary objective of this study is:

To evaluate the efficacy of fostamatinib when used in combination with standard of care (SOC) in subjects hospitalized with COVID- 19 and requiring oxygen supplementation, as measured by days on oxygen.

02

Conditions studied

  • Covid19
  • SARS (Severe Acute Respiratory Syndrome)
  • SARS Pneumonia
  • SARS-Associated Coronavirus as Cause of Disease Classified Elsewhere
  • Pneumonia
  • Pneumonia, Viral

Keywords

  • COVID19
  • SARS-Associated Coronavirus Pneumonia
  • Pneumonia, Viral
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 280 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Rigel Pharmaceuticals is the lead sponsor of 27 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • ≥18 years of age at screening.
  • The subject or a legally authorized representative has provided written informed consent.
  • Hospitalized COVID-19 subjects without respiratory failure who are either not receiving any oxygen therapy or are receiving supplemental oxygen via mask or nasal prongs.
  • Male or non-pregnant, non-lactating female subjects with SARS-CoV-2 infection documented by a hospital approved diagnostic test (eg, a Food and Drug Administration authorized test in the US) within 7 days prior to randomization.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating female of childbearing potential.
  • Use of extracorporeal membrane oxygenation (ECMO).
  • Uncontrolled hypertension (systolic blood pressure [BP] ≥160 mmHg and/or diastolic BP ≥100 mmHg), unstable angina, congestive heart failure of New York Heart Association classification III or IV, serious cardiac arrhythmia requiring treatment at screening.
  • History of myocardial infarction within 1 month prior to screening.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
280 participants (actual)

Study arms

  • Active comparator
    Fostamatinib (150 mg twice daily for 14 days) + Standard of Care

    Fostamatinib (150 mg twice daily for 14 days) + Standard of Care

    Drug: Fostamatinib

  • Placebo comparator
    Placebo (twice daily for 14 days) + Standard of Care

    Placebo (twice daily for 14 days) + Standard of Care

    Drug: Placebo

Interventions

  • DrugFostamatinib

    Fostamatinib (150 mg twice daily) for 14 days and Standard of Care

    Also known as: Fostamatinib disodium

  • DrugPlacebo

    Placebo (twice daily) for 14 days and Standard of Care

06

What researchers measure

Primary outcomes

  1. Number of days on oxygen from randomization on Day 1 to Day 29

    Number of days on oxygen from randomization on Day 1 to Day 29

    Time frame: 29 days

Secondary outcomes

  1. Mean change from baseline over time in clinical status score using the 8-point ordinal scale, to the average from Day 5 through Day 15.

    Mean change from baseline over time in clinical status score using the 8-point ordinal

    Time frame: 10 days

  2. Number of days in the ICU from randomization on Day 1 to Day 29

    Number of days in the ICU from randomization on Day 1 to Day 29

    Time frame: 29 days

  3. Time to first sustained hospital discharge by Day 29. (A discharge is defined as sustained when no readmission occurs by Day 29 after the discharge).

    Time to first sustained hospital discharge by Day 29. (A discharge is defined as sustained when no readmission occurs by Day 29 after the discharge).

    Time frame: 29 days

  4. All-cause mortality by Day 29.

    All-cause mortality by Day 29.

    Time frame: 29 days

  5. All-cause mortality by Day 60

    All-cause mortality by Day 60

    Time frame: 60 days

  6. Proportion of subjects alive by Day 29 and oxygen free on Day 29.

    Proportion of subjects alive by Day 29 and oxygen free on Day 29.

    Time frame: 29 days

  7. Proportion of subjects alive by Day 60 and oxygen free on Day 29

    Proportion of subjects alive by Day 60 and oxygen free on Day 29

    Time frame: 60 days

07

Study locations

47 sites
  • University of California Irvine
    Orange, California 92868, United States
  • George Washington University Hospital
    Washington, District of Columbia 20037, United States
  • Alternative Research Associates, LLC
    Hialeah, Florida 33012, United States
  • Alternative Research Associates, LLC
    Miami, Florida 33143, United States
  • Loyola University Medical School
    Maywood, Illinois 60600, United States
  • Harvard Medical School- Bringham and Women's Hospital
    Boston, Massachusetts 02115, United States
  • Henry Ford
    Detroit, Michigan 48202, United States
  • Ascension Medical Group- St. John Clinic Infectious Disease
    Tulsa, Oklahoma 74101, United States
  • Houston Methodist Research Institute
    Houston, Texas 77030, United States
  • Clinica Chutro
    Cordoba, CP EPU5000, Argentina
  • Hospital Lencinas
    Godoy Cruz, Mendoza PC: 5547, Argentina
  • Corporacion Medica de General San Martin
    San Martin, Provincia De Buenos Aires CP 1650, Argentina
  • Hospital de Alta Complejidad Cuenta Alta
    Buenos Aires, B1814, Argentina
  • Hospital Del Bicentenario - Dr. Luis Federico Leloir
    Buenos Aires, B1842, Argentina
  • Clinica Zabala
    Buenos Aires, C1426, Argentina
  • Clinica Adventista Belgrano
    Buenos Aires, Argentina
  • Clinica Monte Grande
    Buenos Aires, Argentina
  • Hospital de Infecciosas Dr.Francisco Javier Muñiz
    Buenos Aires, Argentina
  • Sanatorio Guemes
    Buenos Aires, Argentina
  • Sanatorio Sagrado Corazon
    Buenos Aires, Argentina
  • Hospital San Roque
    Córdoba, Argentina
  • Sanatorio Mayo Privado
    Córdoba, Argentina
  • Hospital das Clínicas da Universidade Federal de Goiás (HC/UFG)
    Goiânia, Goiás 74605, Brazil
  • Hospital Luxenburgo-Associação Mário Penna
    Belo Horizonte, Minas Gerais 30380, Brazil
  • Hospital Universitario de Maringa
    Maringá, Parana 87083, Brazil
  • Hosp. Angelina Caron
    Campina Grande do Sul, Paraná 83430-000, Brazil
  • Irmandade da Santa Casa de Misericórdia de Porto Alegre - ISCMPA
    Porto Alegre, Rio Grande Do Sul 90020, Brazil
  • Hospital des clinicas de porto alegre - Centro de pequisas clinicas
    Porto Alegre,, RS 90035 - 903, Brazil
  • Complexo de Prevenção, Diagnóstico, Terapia e Reabilitação Respiratória LTDA
    Blumenau, Santa Catarina 89030, Brazil
  • Hospital Alemão Oswaldo Cruz (HAOC)
    Bela Vista, Sao Paolo 01323, Brazil
  • Pontificia Universidade Catolica de Campinas (PUC-CAMP) - Hospital e Maternidade Celso Pierro (HMCP)
    Campinas, Sao Paolo 13060, Brazil
  • Hospital Bandeirantes (LeForte)
    Liberdade, Sao Paolo 01506, Brazil
  • Hospital Universitário São Francisco na Providência de Deus
    Braganca Paulista, Sao Paulo 12916-542, Brazil
  • Clinica de Alergia Martti Antila S/S Ltda
    Sorocaba, Sao Paulo 18040, Brazil
  • Fundação Faculdade Reg. de Med de SJRP
    São José Do Rio Preto, Sao Paulo 15090, Brazil
  • Star Medica Vivo Bicentenario
    Nezahualcóyotl, Mex 57205, Mexico
  • Unidad Medica para la Salud Integral (UMSI)
    Monterrey, Nuevo Leon, Mexico
  • Köhler & Milstein Research
    Mérida, Yucatán 97070, Mexico
  • Hospital Cardiologica Aguascalientes
    Aguascalientes, Mexico
  • Icaro Investigaciones en Medicina
    Chihuahua, CP:3100, Mexico
  • Nuevo Hospital Civil de Guadalajara
    Guadalajara, Mexico
  • Centro Medico Issemym Toluca
    Metepec, Mexico
  • The American British Cowdray Medical Center I.A.P.
    Mexico City, Mexico
  • Hospital Ángeles Roma
    Mexico, Mexico
  • CEPREP Centro de Prevención y Rehabilitación de Enfermedades Pulmonares Crónicas
    Nuevo León, Mexico
  • Hospital Civil de Culiacan
    Sinaloa, 80230, Mexico
  • Hospital Civil de Culiacan
    Sinaloa, Mexico
08

References and documents

Publications

  • Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2. PubMed 34473343 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04629703
Lead sponsor
Rigel Pharmaceuticals
Responsible party
Sponsor
First posted
Nov 16, 2020
Start date
Mar 25, 2021
Primary completion
Sep 5, 2022
Completion
Sep 5, 2022
Last update
Aug 18, 2023

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 completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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