ClinicalTrials.gg
CompletedNCT05196477ROCOVIUpdated Jan 20, 2023

Study of the Outcomes of Olokizumab Therapy in Hospitalized Patients With SARS-CoV-2 (COVID-19) Infection

An observational study in COVID-19, sponsored by R-Pharm. Completed at 6 sites in Russia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-01-20.

Sponsored by R-Pharm · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
3,087
Ages
18 Years and older
Sex
All
01

Study summary

The study purpose was to assess the outcomes of therapy with olokizumab within complex therapy of Coronavirus disease 2019 (COVID-19) in hospitalised patients in real clinical practice setting. The study investigated patients' characteristics, disease progression, and efficacy and safety of olokizumab therapy.

Read the detailed description

This was a multicentre retrospective cohort study of patients admitted to hospitals in various Russian Federation cities with positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleic acid (RNA) laboratory test for the treatment of severe acute respiratory syndrome. The study used information from primary medical documentation of COVID-19 patients who had underwent diagnostic and therapeutic procedures in accordance with the hospital clinical practice. Clinical and laboratory data was collected and analysed to assess olokizumab safety, investigate other treatments, course and outcomes of the disease.

No additional tests or medical procedures were made as part of this study. If any data collected under the protocol was not available or not collected, they deemed lacking.

Based on the results of preliminary assessment of the number of records from the patients meeting inclusion / exclusion criteria in the clinical sites planning to participate in the project it was planned to include no more than 3000 patients in the study, of which about 1500 would be in the main group (received olokizumab therapy), and 1500 would be in the comparison group. It was planned to conduct an analysis in the general population (including taking into account its balancing using statistical methods, in case of significant differences in the initial characteristics of patients in groups), as well as in a subpopulation selected from pairs formed taking into account the comparability of patients by individual characteristics. In total, it was planned to form at least 200 pairs (or more, if the included population is highly comparable). Participation of several clinics in Russian Federation cities (not more than 10 cites) was expected to assure sufficient population for the study.

Data collection period for each hospitalised patient was equivalent to in-hospital period for the treatment of SARS-CoV-2 infection. Data collection by patients was made during hospital stay, including the day of discharge (treatment outcome or lethal outcome). The primary study variables were defined during 21-day observation period.

02

Conditions studied

  • COVID-19

Keywords

  • SARS-CoV-2
  • 2019-nCoV
  • Severe acute respiratory syndrome coronavirus 2
  • coronavirus
03

In context

COVID-19

7,774 studies on the registry are indexed under COVID-19; 482 are open to participants now.

This study's enrollment of 3,087 is above the median of 260 across 3,188 observational studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

R-Pharm is the lead sponsor of 58 studies on the registry; 2 are open to participants now.

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
Sampling method
Probability sample

Study population

The study enrolls males and females aged ≥ 18 years with infection caused by SARS-CoV-2 who received in-hospital therapy. The study population includes all the patients admitted to hospital since June 2020, meeting inclusion / exclusion criteria with their data collected and analysed.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Confirmed diagnosis of SARS-CoV-2 (using virus ribonucleic acid polymerase chain reaction (RNA PCR) test).
  • Hospital admission for COVID-19 therapy.
  • Infiltrative lung changes based on imaging findings (chest X-ray, chest computed tomography (CT)).
  • Indications for Preemptive anti-inflammatory therapy (PAT), including two or more signs below:

    • reduced oxygen saturation of the blood SpO2 ≤ 97 %
    • C-reactive protein (CRP) > 15 mg/L
    • body temperature > 37.5 °C for at least 3 days
    • white blood cell count \< 4.0 x 10\^9/L
    • absolute lymphocyte count \< 2.0 x 10\^9/L.
  • Olokizumab therapy - for the test group.
  • Source medical documents contain the information required for the study (lacking or incomplete data on some serum chemistry values are allowed: D-dimer, ferritin, IL-6, procalcitonin).

Exclusion criteria

Exclusion Criteria:

  • Inadequate information on patient's characteristics and therapy.
  • Lack of documented confirmation of SARS-CoV-2 infection.
  • Initiation of mechanical ventilation (MV) from the first day of admission in the control group or before olokizumab administration in the test group.
  • Administration of systemic corticosteroids, IL-6, other immunosuppressants or immunoglobulins before hospital admission.
  • Lack of indications to PAT
  • Administration of olokizumab, other interleukin (IL) (interleukin-1 and interleukin-17) inhibitors and Janus-kinase inhibitors - for comparator group.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
3,087 participants (actual)
Patient registry
No

Groups and cohorts

  • Olokizumab treatment group

    Subjects with the infection caused by SARS-CoV-2 who received olokizumab injection in addition to the standard therapy.

    Drug: Olokizumab · Drug: Standard therapy

  • Standard treatment group

    Subjects with the infection caused by SARS-CoV-2 who received the standard therapy without monoclonal antibodies (mAbs).

    Drug: Standard therapy

Interventions

  • The details of taking olokizumab, including its route of administration, dose and frequency of taking the drug as part of routine clinical practice, will be registered in the electronic case report forms (eCRFs).

  • DrugStandard therapy

    Standard treatment (excluding administration of olokizumab, other interleukin (IL) (interleukin-1 and interleukin-17) inhibitors and Janus-kinase inhibitors.

06

What researchers measure

Primary outcomes

  1. The percentage of patients who died during hospital admission due to any reason

    The percentage of patients who died during hospital admission due to any reason in each therapy group

    Time frame: up to 21 days

Secondary outcomes

  1. The percentage of patients who required mechanical ventilation or transfer to intensive care unit (ICU), or who died during hospital admission due to COVID-19

    The percentage of patients who required mechanical ventilation or transfer to ICU, or who died after olokizumab therapy during hospital admission due to COVID-19.

    Time frame: up to day 21

  2. The percentage of patients who required transfer to ICU

    The percentage of patients who required transfer to ICU in each therapy group

    Time frame: up to day 21

  3. The percentage of patients who required transfer to a new type of oxygen support and to an invasive mechanical ventilation (MV)

    The transfer to a new type of oxygen support means the transfer to a more severe type of oxygen support (the appointment of low-current oxygen to patients who were initially without oxygen support; transfer from low-flow oxygen therapy to high-flow, non-invasive or invasive ventilation; from high-flow oxygen therapy to non-invasive or invasive ventilation; from non-invasive to invasive ventilation).

    Time frame: up to day 21

  4. Overall hospitalisation period

    Overall hospitalisation period duration in each therapy group (in days)

    Time frame: from admission to discharge from hospital, up to 21 days

07

Study locations

6 sites
  • Federal State Budgetary Educational Institution of Higher Education "Kazan State Medical University" under the Ministry of Health of the Russian Federation
    Kazan', Tatarstan Republic 420012, Russia
  • Federal State Budgetary Educational Institution of Higher Education Bashkir State Medical University of the Ministry for Healthcare of the Russian Federation
    Ufa, The Republic of Bashkortostan 450008, Russia
  • State Budgetary Healthcare Institution "Regional Hospital № 3"
    Chelyabinsk, 454021, Russia
  • State Budgetary Healthcare Institution "City Clinical Hospital named after F.I. Inozemtsev of Moscow Healthcare Department"
    Moscow, 105187, Russia
  • St. Petersburg State Budgetary Healthcare Institution "City Hospital No. 40 of the Kurortny District"
    Saint Petersburg, 197706, Russia
  • State Budgetary Institution of Healthcare of Tver region "Regional clinical hospital"
    Tver', 170036, Russia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 20, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05196477
Lead sponsor
R-Pharm
Collaborators
Almedis LLC, Data Management 365, ScienceFiles LLC
Responsible party
Sponsor
First posted
Jan 19, 2022
Start date
Jul 14, 2021
Primary completion
Aug 29, 2022
Completion
Aug 29, 2022
Last update
Jan 20, 2023

Study contacts

Mikhail Samsonov
study director · R-Pharm

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion