I-SPY COVID-19 TRIAL: An Adaptive Platform Trial for Critically Ill Patients

PHASE2RecruitingINTERVENTIONAL
Enrollment

1,500

Participants

Timeline

Start Date

July 31, 2020

Primary Completion Date

July 31, 2028

Study Completion Date

July 31, 2030

Conditions
COVID-19
Interventions
DRUG

Remdesivir

Participants who receive remdesivir as part of their standard of care will be administered remdesivir by IV for up to ten days. Remdesivir 200mg loading dose on day 1, followed by 100mg IV once daily maintenance doses for 4 or 9 days.

DRUG

Imatinib Mesylate

Subjects will be administered 800 mg on Day 1 orally, in divided doses of 400 mg administered twice per day. 400 mg daily will be administered orally for the following 9 days or until discharge, whichever is sooner.

DRUG

Dexamethasone

6 mg intravenous of oral dexamethasone once daily up to 10 days or equivalent for alternate corticosteroid if dexamethasone unavailable.

DRUG

Cenicriviroc

Oral, loading 300 mg qAM followed by 150 mg qPM, 12 hours apart on day 1, then 150 mg BID for total of 14 to 28 days depending on date of hospital discharge.

DRUG

Icatibant

Subcutaneous, a safety run-in for the first 10 subjects was conducted using a regimen of 30 mg q8h × 3 days. All subsequent subjects received drug at 30 mg q8h x 6 days.

DRUG

Apremilast

oral, 30 mg bid × 14 days.

BIOLOGICAL

dornase alfa

"For Non-intubated subjects: 2.5 mg BID until hospital discharge, improvement to room air (or baseline oxygen use prior to illness) for 24 hours, or total of 14 days of study drug, whichever comes first.~For intubated subjects: 5.0 mg BID in 10 mL normal saline until extubation or 14 days, whichever comes first. If intubated for less than 14 days, extubated subjects received 2.5 mg BID for a total Dornase treatment of 14 days, or until hospital discharge, whichever comes first."

DRUG

Celecoxib

Oral: 400 mg BID for 7 days.

DRUG

Famotidine

Oral: High dose 80 mg QID for 7 days followed by 40 mg BID for a course of 14 days.

BIOLOGICAL

IC14

intravenous, 4 mg/kg on day 1, followed by 2 mg/kg on days 2, 3, 4

DRUG

Aviptadil

Inhalation via nebulizer, 100 µg three times (TID) daily for a maximum of 14 days

BIOLOGICAL

narsoplimab

Dosed at 4 mg/kg, given as a 30-minute intravenous infusion (up to a maximum of 370 mg per infusion) twice weekly for a total of four weeks (i.e. 9 doses) or until hospital discharge whichever comes first.

DRUG

Cyproheptadine

4 mg tablet, with dosing regimen of 8 mg every 8 hours daily for ten (10) days. If the patient weighs less than 48 kg, the regimen is 6 mg every 8 hours daily for ten (10) days. If the participant was discharged before completion of this dosing regimen the drug was not continued.

DRUG

Cyclosporine

Modified CsA at an oral dose of 5mg/kg per day administered in two divided doses daily for 5-days.

Trial Locations (36)

10032

COMPLETED

Columbia University Medical Center, New York

10461

COMPLETED

Montefiore Medical Center, The Bronx

14642

COMPLETED

University of Rochester Medical Center, Rochester

19096

RECRUITING

Lankenau Medical Center (Mainline Health), Wynnewood

RECRUITING

Main Line Health - Lankenau Medical Center, Wynnewood

19104

RECRUITING

University of Pennsylvania (U Penn), Philadelphia

20007

RECRUITING

Georgetown University, Washington D.C.

26506

ACTIVE_NOT_RECRUITING

WVU Medicine, Morgantown

27157

RECRUITING

Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem

30322

RECRUITING

Emory University, Atlanta

32608

ACTIVE_NOT_RECRUITING

University of Florida, Gainesville

33124

RECRUITING

University of Miami, Coral Gables

35294

RECRUITING

University of Alabama at Birmingham, Birmingham

44106

RECRUITING

University Hospital Cleveland Medical Center, Cleveland

48109

ACTIVE_NOT_RECRUITING

University of Michigan, Ann Arbor

49503

RECRUITING

Corewell Health, Grand Rapids

52242

COMPLETED

University of Iowa, Iowa City

57109

RECRUITING

Sanford Health, Sioux Falls

59901

COMPLETED

Kalispell Regional Medical Center, Kalispell

COMPLETED

Logan Health Medical Center, Kalispell

60611

COMPLETED

Northwestern University, Chicago

65804

COMPLETED

Mercy Hospital Springfield, Springfield

77030

ACTIVE_NOT_RECRUITING

University of Texas MD Anderson Cancer Center, Houston

78539

RECRUITING

DHR Health, Edinburg

80045

RECRUITING

University of Colorado, Aurora

90027

RECRUITING

Kaiser LAMC, Los Angeles

90033

RECRUITING

University of Southern California, Los Angeles

90806

RECRUITING

Long Beach Memorial Medical Center, Long Beach

92663

ACTIVE_NOT_RECRUITING

Hoag Memorial Hospital Presbyterian, Newport Beach

92868

RECRUITING

UC Irvine Medical Center, Irvine

94115

RECRUITING

University of California San Francisco (UCSF), San Francisco

95817

RECRUITING

UC Davis Medical Center, Davis

06510

RECRUITING

Yale Cancer Center, New Haven

06904

ACTIVE_NOT_RECRUITING

Stamford Health, Stamford

08060

RECRUITING

Virtua Mount Holly Hospital, Mount Holly

08043

RECRUITING

Virtua Voorhees Hospital, Voorhees Township

All Listed Sponsors
collaborator

University of California, San Francisco

OTHER

collaborator

University of Pennsylvania

OTHER

collaborator

Emory University

OTHER

collaborator

University of Alabama at Birmingham

OTHER

collaborator

University of Colorado, Denver

OTHER

collaborator

University of Southern California

OTHER

collaborator

Yale University

OTHER

collaborator

Wake Forest University Health Sciences

OTHER

collaborator

Sanford Health

OTHER

collaborator

Long Beach Memorial Medical Center

OTHER

collaborator

Georgetown University

OTHER

collaborator

University of California, Davis

OTHER

collaborator

Hoag Memorial Hospital Presbyterian

OTHER

collaborator

Main Line Health

OTHER

collaborator

DHR Health Institute for Research and Development

OTHER

collaborator

University of California, Irvine

OTHER

collaborator

Corewell Health

UNKNOWN

collaborator

Kaiser Permanente

OTHER

collaborator

University of Michigan

OTHER

collaborator

West Virginia University

OTHER

collaborator

University of Miami

OTHER

collaborator

University Hospitals Cleveland Medical Center

OTHER

collaborator

Virtua Health

OTHER

collaborator

M.D. Anderson Cancer Center

OTHER

lead

QuantumLeap Healthcare Collaborative

OTHER