Study to Evaluate the Safety and Antiviral Activity of Remdesivir (GS-5734™) in Participants With Severe Coronavirus Disease (COVID-19)
Study Details
Study Description
Brief Summary
The primary objective of this study is to evaluate the efficacy of 2 remdesivir (RDV) regimens with respect to clinical status assessed by a 7-point ordinal scale on Day 14.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Part A: Remdesivir (RDV), 5 Days Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, and 5. |
Drug: Remdesivir
Administered as an intravenous infusion
Other Names:
Drug: Standard of Care
Standard of Care Treatment for COVID-19 Infection
|
Experimental: Part A: Remdesivir, 10 Days Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2, 3, 4, 5, 6, 7, 8, 9, and 10. |
Drug: Remdesivir
Administered as an intravenous infusion
Other Names:
Drug: Standard of Care
Standard of Care Treatment for COVID-19 Infection
|
Experimental: Part B: Remdesivir, 10 Days (Extension) Part B (Extension) will enroll participants after enrollment to Part A is complete. Participants will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2-10. |
Drug: Remdesivir
Administered as an intravenous infusion
Other Names:
Drug: Standard of Care
Standard of Care Treatment for COVID-19 Infection
|
Experimental: Part B: Remdesivir 10 days (Mechanically Ventilated) Participants on mechanical ventilation will receive continued standard of care therapy together with RDV 200 mg on Day 1 followed by RDV 100 mg on Days 2-10 |
Drug: Remdesivir
Administered as an intravenous infusion
Other Names:
Drug: Standard of Care
Standard of Care Treatment for COVID-19 Infection
|
Outcome Measures
Primary Outcome Measures
- Part A: Percentage of Participants in Each Clinical Status Category as Assessed by a 7-Point Ordinal Scale on Day 14 [Day 14]
Clinical status was derived from death, hospital discharge, and the ordinal scale as follows: score of "1" was used for all days on or after the date of death; score of "7" was used for all days on or after discharged alive date; last assessment carried forward for any missing values.The scale is as follows: 1. Death; 2. Hospitalized, on invasive mechanical ventilation or ECMO; 3. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 5. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6. Hospitalized, not requiring supplemental oxygen - no longer required ongoing medical care (other than per protocol remdesivir administration); 7. Not hospitalized. The odds ratio represents the odds of improvement in the ordinal scale for the Remdesivir for 10 days group vs the Remdesivir for 5 days group.
Secondary Outcome Measures
- Part A: Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) [First dose date up to last dose date (maximum: 10 days) plus 30 days]
Treatment-emergent Adverse Events (TEAE) were defined as AEs with onset dates on or after the study treatment start date and no later than 30 days after the permanent discontinuation of the study treatment and/or the AEs that led to premature discontinuation of study treatment.
Eligibility Criteria
Criteria
Key Inclusion Criteria:
-
Willing and able to provide written informed consent, or with a legal representative who can provide informed consent, or enrolled under International Conference on Harmonization (ICH) E6(R2) 4.8.15 emergency use provisions as deemed necessary by the investigator (age ≥ 18), or willing and able to provide assent (age ≥ 12 to < 18, where locally and nationally approved) prior to performing study procedures
-
Aged ≥ 18 years (at all sites), or aged ≥ 12 and < 18 years of age weighing ≥ 40 kg (where permitted according to local law and approved nationally and by the relevant institutional review board (IRB) or independent ethics committee (IEC))
-
Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection confirmed by polymerase chain reaction (PCR) test ≤ 4 days before randomization
-
Currently hospitalized
-
Peripheral capillary oxygen saturation (SpO2) ≤ 94% or requiring supplemental oxygen at screening
Key Exclusion Criteria:
-
Participation in any other clinical trial of an experimental treatment for COVID-19
-
Concurrent treatment with other agents with actual or possible direct acting antiviral activity against SARS-CoV-2 is prohibited < 24 hours prior to study drug dosing
-
Evidence of multiorgan failure
-
Mechanically ventilated [including veno-venous (V-V) extracorporeal membrane oxygenation (ECMO)] ≥ 5 days, or any duration of veno-arterial (V-A) ECMO.
-
Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit of normal (ULN)
-
Creatinine clearance < 50 mL/min using the Cockcroft-Gault formula for participants ≥ 18 years of age {Cockcroft 1976} and Schwartz Formula for participants < 18 years of age
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kaiser Permanente Los Angeles Medical Center, 3340 E. La Palma Avenue | Anaheim | California | United States | 92806 |
2 | Alta Bates Summit Medical Center | Berkeley | California | United States | 94609 |
3 | Mills-Peninsula Medical Center | Burlingame | California | United States | 94010 |
4 | Eden Medical Center | Castro Valley | California | United States | 94546 |
5 | Kaiser Permanente Los Angeles Medical Center, 9333 Imperial Highway | Downey | California | United States | 90241 |
6 | Kaiser Permanente Los Angeles Medical Center, 9961 Sierra Ave | Fontana | California | United States | 92335 |
7 | St Joseph Hospital Eureka | Fortuna | California | United States | 95540 |
8 | Kaiser Permanente Los Angeles Medical Center, 25825 S. Vermont Ave. | Harbor City | California | United States | 90710 |
9 | Kaiser Permanente Los Angeles Medical Center | Los Angeles | California | United States | 90027 |
10 | Kaiser Permanente Los Angeles Medical Center, 6041 Cadillac Ave. | Los Angeles | California | United States | 90034 |
11 | Kaiser Permanente Los Angeles Medical Center, 5601 De Soto Avenue | Los Angeles | California | United States | 91365 |
12 | Mission Hospital Regional Medical Center | Mission Viejo | California | United States | 92691 |
13 | Kaiser Permanente Los Angeles Medical Center, 27300 Iris Avenue | Moreno Valley | California | United States | 92555 |
14 | El Camino Hospital | Mountain View | California | United States | 94040 |
15 | Hoag Memorial Hospital Presbyterian | Newport Beach | California | United States | 92658 |
16 | Kaiser Permanente Oakland Medical Center | Oakland | California | United States | 94611 |
17 | Kaiser Permanente Los Angeles Medical Center, 2295 S. Vineyard Avenue | Ontario | California | United States | 91761 |
18 | The Center for Cancer Prevention and Treatment at St. Joseph Hospital of Orange | Orange | California | United States | 92868 |
19 | Kaiser Permanente Los Angeles Medical Center, 13651 Willard Street | Panorama City | California | United States | 91402 |
20 | Kaiser Permanente Los Angeles Medical Center, 10800 Magnolia Avenue | Riverside | California | United States | 92505 |
21 | Sutter Medical Center Sacramento, One Medical Plaza | Roseville | California | United States | 95661 |
22 | Sutter Medical Center Sacramento | Sacramento | California | United States | 95815 |
23 | Kaiser Permanente Los Angeles Medical Center, 4647 Zion Avenue | San Diego | California | United States | 92120-2507 |
24 | Kaiser Permanente Los Angeles Medical Center, 9455 Clairemont Mesa Blvd | San Diego | California | United States | 92123 |
25 | Kaiser Permanente Oakland Medical Center, 1200 El Camino Real | San Francisco | California | United States | 94080 |
26 | California Pacific Medical Center-Infectious Disease Associates Medical Group | San Francisco | California | United States | 94109 |
27 | Kaiser Permanente Oakland Medical Center, 2425 Geary Blvd | San Francisco | California | United States | 94115 |
28 | Kaiser Permanente Oakland Medical Center, 250 Hospital Parkway, Suite 850 | San Jose | California | United States | 95119 |
29 | Kaiser Permanente Oakland Medical Center, 2500 Merced St | San Leandro | California | United States | 94577 |
30 | Kaiser Permanente Oakland Medical Center, 700 Lawrence Expressway | Santa Clara | California | United States | 95051 |
31 | Providence St. Johns Medical Center | Santa Monica | California | United States | 90404 |
32 | Sutter Santa Rosa Regional Hospital | Santa Rosa | California | United States | 95403 |
33 | Stanford Hospital | Stanford | California | United States | 94305 |
34 | University of Colorado Denver, University of Colorado Hospital | Aurora | Colorado | United States | 80045 |
35 | SCL Health St. Joseph Hospital, 1375 East 19th Ave | Denver | Colorado | United States | 80208 |
36 | SCL Health St. Joseph Hospital | Denver | Colorado | United States | 80218 |
37 | Rose Medical Center | Denver | Colorado | United States | 80220 |
38 | SCL Health St. Joseph Hospital, 200 Exempla Circle. | Lafayette | Colorado | United States | 80026 |
39 | Yale-New Haven Hospital | New Haven | Connecticut | United States | 06510 |
40 | Kaiser Permanente Hawaii Moanalua Medical Center | Honolulu | Hawaii | United States | 96819 |
41 | John H. Stroger Jr. Hospital of Cook County | Chicago | Illinois | United States | 60612 |
42 | Rush University Medical Center | Chicago | Illinois | United States | 60612 |
43 | University of Chicago | Chicago | Illinois | United States | 60637 |
44 | IU Health Methodist Hospital | Indianapolis | Indiana | United States | 46077 |
45 | University of Iowa Hospitals & Clinics | Iowa City | Iowa | United States | 52242 |
46 | Tulane University | New Orleans | Louisiana | United States | 70112 |
47 | Maine Medical Center | Portland | Maine | United States | 04102 |
48 | Holy Cross Hospital | Silver Spring | Maryland | United States | 20910 |
49 | Tufts Medical Center | Boston | Massachusetts | United States | 02111 |
50 | Brigham & Women's Hospital and Harvard Medical School | Boston | Massachusetts | United States | 02115 |
51 | Beth Israel Deaconess Medical Center | Boston | Massachusetts | United States | 02215 |
52 | The University of Michigan Hospitals and Health Systems | Ann Arbor | Michigan | United States | 48109-5378 |
53 | Henry Ford Health System | Detroit | Michigan | United States | 48202 |
54 | Hennepin Healthcare | Minneapolis | Minnesota | United States | 55415 |
55 | Mayo Clinic | Rochester | Minnesota | United States | 55905 |
56 | Providence St Patrick Hospital and International Heart Institute of MT Foundation | Missoula | Montana | United States | 59802 |
57 | Darmouth-Hitchhock Medical Center | Lebanon | New Hampshire | United States | 03756 |
58 | Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
59 | Robert Wood Johnson University Hospital Somerset | Hillsborough | New Jersey | United States | 08844 |
60 | Robert Wood Johnson University Hospital Somerset, 1 RWJ Place | New Brunswick | New Jersey | United States | 08901 |
61 | Robert Wood Johnson University Hospital Somerset, 201 Lyons Avenue | Newark | New Jersey | United States | 07112 |
62 | St. Joseph's University Medical Center | Paterson | New Jersey | United States | 07503 |
63 | Jacobi Medical Center | Bronx | New York | United States | 10461 |
64 | James J. Peters Veterans Administration Medical Center | Bronx | New York | United States | 10468 |
65 | Jamaica Hospital Medical Center | Jamaica | New York | United States | 11418 |
66 | Danbury Hospital | Lagrangeville | New York | United States | 12540 |
67 | North Shore University Hospital | Manhasset | New York | United States | 11030 |
68 | North Shore University Hospital, 270-05 76th Ave | New Hyde Park | New York | United States | 11040 |
69 | Icahn School of Medicine at Mount Sinai, 350 East 17th Street | New York | New York | United States | 10003 |
70 | Icahn School of Medicine at Mount Sinai, 1000 10th Avenue | New York | New York | United States | 10019 |
71 | Icahn School of Medicine at Mount Sinai, 440 West 114th St. | New York | New York | United States | 10025 |
72 | Icahn School of Medicine at Mount Sinai | New York | New York | United States | 10029 |
73 | Columbia University Medical Center-New York Presbyterian Hospital | New York | New York | United States | 10032 |
74 | New York Presbyterian Hospital/Weill Cornell Medical Center | New York | New York | United States | 10065 |
75 | Duke University Medical Center | Durham | North Carolina | United States | 27710 |
76 | University Hospitals Cleveland Medical Center | Cleveland | Ohio | United States | 44106 |
77 | Kaiser Sunnyside Medical Center, 2875 NW Stucki Ave | Hillsboro | Oregon | United States | 97124 |
78 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
79 | Providence St. Vincent Medical Center | Portland | Oregon | United States | 97225 |
80 | Kaiser Sunnyside Medical Center | Portland | Oregon | United States | 97227 |
81 | Hospital of the University of Pennsylvania, 51 N. 31st Street | Philadelphia | Pennsylvania | United States | 19104 |
82 | Hospital of the University of Pennsylvania | Philadelphia | Pennsylvania | United States | 19104 |
83 | Temple University Hospital | Philadelphia | Pennsylvania | United States | 19140 |
84 | The Miriam Hospital | Providence | Rhode Island | United States | 02906 |
85 | Prisma Health Richland Hospital | Columbia | South Carolina | United States | 29203 |
86 | Prisma Health Richland Hospital, 701 Grove Road | Greenville | South Carolina | United States | 29605 |
87 | The Liver Institute of Methodist Dallas Medical Center | Dallas | Texas | United States | 75203 |
88 | UT Southwestern Medical Center Amelia Court, HIV Research Clinic | Dallas | Texas | United States | 75235 |
89 | Baylor University Medical Center | Dallas | Texas | United States | 75246 |
90 | UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 5201 Harry Hines Blvd. | Dallas | Texas | United States | 75390 |
91 | UT Southwestern Medical Center Amelia Court, HIV Research Clinic, 6201 Harry Hines Blvd | Dallas | Texas | United States | 75390 |
92 | Baylor University Medical Center, 1400 8th Ave | Fort Worth | Texas | United States | 76104 |
93 | Houston Methodist Hospital | Houston | Texas | United States | 77030 |
94 | Baylor University Medical Center, 2401 S. 31st St. | Temple | Texas | United States | 76508 |
95 | University of Utah Health | Salt Lake City | Utah | United States | 84132 |
96 | Virginia Hospital Center | Arlington | Virginia | United States | 22205 |
97 | Inova Fairfax Medical Campus | Falls Church | Virginia | United States | 22042 |
98 | VCU Health Medical Center | Richmond | Virginia | United States | 23298 |
99 | Providence Regional Medical Center Everett | Everett | Washington | United States | 98201 |
100 | Kadlec Regional Medical Center | Kennewick | Washington | United States | 99336 |
101 | Providence St. Peter Hospital | Olympia | Washington | United States | 98506 |
102 | Virginia Mason Medical Center | Seattle | Washington | United States | 98101 |
103 | Swedish Center for Comprehensive Care | Seattle | Washington | United States | 98104 |
104 | MultiCare Deaconess Hospital | Spokane | Washington | United States | 99204 |
105 | MultiCare Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
106 | St Joseph Medical Center | Tacoma | Washington | United States | 98405 |
107 | The First Affiliated Hospital of Guangzhou Medical University | Guangzhou | China | ||
108 | CHU Pellegrin | Bordeaux | France | 33076 | |
109 | CHU de Montpellier-Hopital Gui de Chauliac | Montpelier Cedex 5 | France | 34295 | |
110 | CHU de Nantes-Hotel Dieu | Nantes | France | 44035 | |
111 | Hopital Saint-Louis | Paris | France | 75010 | |
112 | Hopital Saint Antoine | Paris | France | 75012 | |
113 | Charite Universitatsmedizin Berlin, Campus Virchow-Klinikum, Medizinische Klinik Infektiologie Pneumologie | Berlin | Germany | 13353 | |
114 | Universitatsklinikum Dusseldorf, Klinik fur Gastroenterologie, Hepatologie und Infektiologie | Düsseldorf | Germany | 40225 | |
115 | Universitatsklinikum Hamburg-Eppendorf | Hamburg | Germany | 20246 | |
116 | Universitätsklinikum Schleswig-Holstein Campus Kiel | Kiel | Germany | 24105 | |
117 | Klinikum St. Georg gGmbH Klinik fur Infektiologie, Tropenmedizin, Nephrologie und Rheumatologie | Leipzig | Germany | 4129 | |
118 | Klinikum rechts der Isar der TU Munchen, Klinik und Poliklinik Innere Medizin 2 | Munich | Germany | 81675 | |
119 | Klinik für Hämatologie, Onkologie, Immunologie | München | Germany | 80804 | |
120 | Robert-Bosch-Krankenhaus (RBK), Klinik Schillerhohe (KSH) und Dr. Margarete Fischer-Bosch-Institut fur klinische Pharmakologie (IKP) | Stuttgart | Germany | 70376 | |
121 | Prince of Wales Hospital | Hong Kong | Hong Kong | ||
122 | Princess Margaret Hospital | Hong Kong | Hong Kong | ||
123 | Queen Mary Hospital | Hong Kong | Hong Kong | ||
124 | UOC Malattie Infettive, ASST Papa Giovanni XXIII | Bergamo | Italy | 24127 | |
125 | ASST degli Spedali Civili di Brescia | Brescia | Italy | 25123 | |
126 | ASST di Cremona - Azienda Socio Sanitaria Territor | Cremona | Italy | 26100 | |
127 | UOC Malattie Infettive, IRCCS Ospedale San Raffaele | Milano | Italy | 20127 | |
128 | Dipartimento di Malattie Infettive, Malattie Infettive I- Malattie Infettive III, AssT Fatebenefratelli Sacco Ospedale Luigi Sacco | Milano | Italy | 20157 | |
129 | UO Malattie Infettive, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico | Milan | Italy | 20122 | |
130 | UOC Medicina Di Laboratorio, Azienda Ospedaliera di Padova | Padova PD | Italy | 35121 | |
131 | Azienda Ospedaliero Universitaria di Parma | Parma | Italy | 43126 | |
132 | UOC Malattie Infettive I, Fondazione IRCCS Policlinio San Matteo | Pavia | Italy | 27100 | |
133 | Ospedale Guglielmo da Saliceto AUSL di Piacenza | Piacenza | Italy | ||
134 | UOC Malattie Infettive ad Alta Intensita di Cure, Istituto Nazionale Malattie Infettive Lazzaro Spallanzani I.R.C.C.S. | Roma | Italy | 00149 | |
135 | Clinica Universitaria Malattie Infettive, Ospedale Amedeo di Savoia | Torino | Italy | 10149 | |
136 | Yokohama Municipal Citizen's Hospital | Kanagawa | Japan | 240-8555 | |
137 | Nagoya City East Medical Center | Nagoya | Japan | 464-8547 | |
138 | Tokyo Metropolitan Bokutoh Hospital | Tokyo | Japan | 130-8575 | |
139 | Kyungpook National University Hospital | Daegu | Korea, Republic of | 41944 | |
140 | Seoul Medical Center | Seoul | Korea, Republic of | 02053 | |
141 | National Medical Center | Seoul | Korea, Republic of | 04564 | |
142 | Amsterdam University Medical Centre - Location AMC | Amsterdam | Netherlands | 1105 AZ | |
143 | Leiden University Medical Center | Leiden | Netherlands | 2300 RC | |
144 | Erasmus Medical Centre | Rotterdam | Netherlands | 3015 GD | |
145 | National University Hospital | Singapore | Singapore | 119228 | |
146 | Singapore General Hospital | Singapore | Singapore | 169856 | |
147 | National Centre for Infectious Diseases, Tan Tock Seng Hospital | Singapore | Singapore | 308442 | |
148 | Hospital Principe de Asturias | Alcalá De Henares | Madrid | Spain | 28805 |
149 | Complejo Hospitalario Universitario A Coruña | A Coruña | Spain | 15006 | |
150 | Hospital Universitari Vall d'Hebron | Barcelona | Spain | 08035 | |
151 | Hospital Universitari de Bellvitge | Barcelona | Spain | 08907 | |
152 | Hospital Clinic de Barcelona | Barcelona | Spain | 8036 | |
153 | Hospital Universitario Cruces | Bizkaia | Spain | 48903 | |
154 | Hospital Universitario Ramón y Cajal | Madrid | Spain | 28034 | |
155 | Hospital Universitario Fundación Jiménez Díaz | Madrid | Spain | 28040 | |
156 | Hospital Universitario 12 de Octubre | Madrid | Spain | 28041 | |
157 | Hospital Universitario La Paz | Madrid | Spain | 28046 | |
158 | Hospital Regional Universitario de Málaga | Málaga | Spain | 29010 | |
159 | Hospital Universitario Virgen del Rocio | Sevilla | Spain | 41013 | |
160 | Sahlgrenska University Hospital, Ostra | Gothenburg | Sweden | 41685 | |
161 | SUS (Skanes University Hospital) | Malmo | Sweden | 20502 | |
162 | Karolinska University Hospital | Stockholm | Sweden | SE-141 86 | |
163 | Hopitaux Universitaires de Genève | Genève 14 | Switzerland | 1211 | |
164 | Ospedale Regionale di Locarno La Carità | Lugano | Switzerland | CH- 6900 | |
165 | Universitätsspital Zürich | Zürich | Switzerland | 8091 | |
166 | Kaohsiung Veterans General Hospital | Kaohsiung | Taiwan | 81362 | |
167 | China Medical University Hospital | Taichung | Taiwan | 40447 | |
168 | National Taiwan University Hospital | Taipei City | Taiwan | 10002 | |
169 | Imperial College Healthcare NHS Trust | London | Greater London | United Kingdom | W2 1NY |
170 | Royal Infirmary of Edinburgh | Edinburgh | United Kingdom | EH4 2XU | |
171 | Queen Elizabeth University Hospital | Glasgow | United Kingdom | G51 4TF | |
172 | Hull University Teaching Hospitals NHS Trust | Hull | United Kingdom | HU16 5JQ | |
173 | Royal Lancaster Hospital | Lancaster | United Kingdom | LA1 4RP | |
174 | Liverpool University Hospital | Liverpool | United Kingdom | L7 8XP | |
175 | Northwick Park Hospital | London | United Kingdom | HA1 3UJ | |
176 | Royal Free London NHS Foundation Trust | London | United Kingdom | NW3 2QG | |
177 | King's College Hospital NHS Trust | London | United Kingdom | SE5 9RS | |
178 | University College London | London | United Kingdom | WC1E 6JF | |
179 | Manchester University NHS Foundation Trust | Manchester | United Kingdom | M13 9WL | |
180 | Manchester University NHS Foundation Trust | Manchester | United Kingdom | M23 9LT | |
181 | Pennine Acute Hospitals NHS Trust | Manchester | United Kingdom | M8 5RB | |
182 | Derriford Hospital | Plymouth | United Kingdom | PL6 8BG | |
183 | Sheffield Teaching Hospitals | Sheffield | United Kingdom | S10 2JF |
Sponsors and Collaborators
- Gilead Sciences
Investigators
- Study Director: Gilead Study Director, Gilead Sciences
Study Documents (Full-Text)
More Information
Publications
- GS-US-540-5773
- 2020-000841-15
- ISRCTN15874265
Study Results
Participant Flow
Recruitment Details | Participants were enrolled at study sites in the United States, Europe, and Asia. The first participant was screened on 06 March 2020. The last study visit occurred on 30 June 2020. |
---|---|
Pre-assignment Detail | 4958 participants were screened. 4891 participants were enrolled. 4 participants in Part A and 49 participants in Part B did not receive treatment and are not included in the analyses. |
Arm/Group Title | Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) |
---|---|---|---|---|
Arm/Group Description | Participants received continued standard of care (SOC) therapy together with intravenous (IV) RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-5. | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants on mechanical ventilation received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants who were not mechanically ventilated received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. |
Period Title: Overall Study | ||||
STARTED | 200 | 197 | 844 | 3597 |
COMPLETED | 168 | 164 | 621 | 2952 |
NOT COMPLETED | 32 | 33 | 223 | 645 |
Baseline Characteristics
Arm/Group Title | Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) | Total |
---|---|---|---|---|---|
Arm/Group Description | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-5. | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants on mechanical ventilation received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants who were not mechanically ventilated received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Total of all reporting groups |
Overall Participants | 200 | 197 | 844 | 3597 | 4838 |
Age, Customized (Count of Participants) | |||||
< 65 |
116
58%
|
113
57.4%
|
581
68.8%
|
2399
66.7%
|
3209
66.3%
|
≥ 65 |
84
42%
|
84
42.6%
|
263
31.2%
|
1198
33.3%
|
1629
33.7%
|
Sex: Female, Male (Count of Participants) | |||||
Female |
80
40%
|
64
32.5%
|
312
37%
|
1351
37.6%
|
1807
37.4%
|
Male |
120
60%
|
133
67.5%
|
532
63%
|
2246
62.4%
|
3031
62.6%
|
Race/Ethnicity, Customized (Count of Participants) | |||||
American Indian or Alaska Native |
2
1%
|
0
0%
|
5
0.6%
|
40
1.1%
|
47
1%
|
Asian |
20
10%
|
25
12.7%
|
88
10.4%
|
313
8.7%
|
446
9.2%
|
Black |
21
10.5%
|
23
11.7%
|
149
17.7%
|
611
17%
|
804
16.6%
|
Native Hawaiian or Pacific Islander |
1
0.5%
|
0
0%
|
11
1.3%
|
29
0.8%
|
41
0.8%
|
White |
142
71%
|
134
68%
|
376
44.5%
|
1915
53.2%
|
2567
53.1%
|
Not Permitted |
0
0%
|
5
2.5%
|
56
6.6%
|
179
5%
|
240
5%
|
Other |
14
7%
|
10
5.1%
|
159
18.8%
|
510
14.2%
|
693
14.3%
|
Race/Ethnicity, Customized (Count of Participants) | |||||
Hispanic or Latino |
47
23.5%
|
38
19.3%
|
328
38.9%
|
1341
37.3%
|
1754
36.3%
|
Not Hispanic or Latino |
152
76%
|
150
76.1%
|
478
56.6%
|
2123
59%
|
2903
60%
|
Not Permitted |
1
0.5%
|
9
4.6%
|
37
4.4%
|
129
3.6%
|
176
3.6%
|
Missing |
0
0%
|
0
0%
|
1
0.1%
|
4
0.1%
|
5
0.1%
|
Region of Enrollment (Count of Participants) | |||||
United States |
118
59%
|
111
56.3%
|
722
85.5%
|
2927
81.4%
|
3878
80.2%
|
Spain |
31
15.5%
|
30
15.2%
|
27
3.2%
|
134
3.7%
|
222
4.6%
|
Italy |
39
19.5%
|
38
19.3%
|
16
1.9%
|
108
3%
|
201
4.2%
|
United Kingdom |
0
0%
|
0
0%
|
33
3.9%
|
144
4%
|
177
3.7%
|
Sweden |
0
0%
|
0
0%
|
5
0.6%
|
83
2.3%
|
88
1.8%
|
Singapore |
1
0.5%
|
8
4.1%
|
7
0.8%
|
44
1.2%
|
60
1.2%
|
Switzerland |
0
0%
|
0
0%
|
13
1.5%
|
44
1.2%
|
57
1.2%
|
Netherlands |
0
0%
|
0
0%
|
2
0.2%
|
45
1.3%
|
47
1%
|
Germany |
3
1.5%
|
1
0.5%
|
12
1.4%
|
27
0.8%
|
43
0.9%
|
France |
0
0%
|
0
0%
|
2
0.2%
|
25
0.7%
|
27
0.6%
|
South Korea |
6
3%
|
6
3%
|
0
0%
|
10
0.3%
|
22
0.5%
|
Hong Kong |
2
1%
|
2
1%
|
2
0.2%
|
0
0%
|
6
0.1%
|
Japan |
0
0%
|
0
0%
|
1
0.1%
|
4
0.1%
|
5
0.1%
|
Taiwan |
0
0%
|
1
0.5%
|
2
0.2%
|
2
0.1%
|
5
0.1%
|
Clinical Status (7-point ordinal scale) (Count of Participants) | |||||
Score: 1 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Score: 2 |
4
2%
|
9
4.6%
|
844
100%
|
0
0%
|
857
17.7%
|
Score: 3 |
49
24.5%
|
59
29.9%
|
0
0%
|
1069
29.7%
|
1177
24.3%
|
Score: 4 |
113
56.5%
|
108
54.8%
|
0
0%
|
2214
61.6%
|
2435
50.3%
|
Score: 5 |
34
17%
|
21
10.7%
|
0
0%
|
314
8.7%
|
369
7.6%
|
Score: 6 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Score: 7 |
0
0%
|
0
0%
|
0
0%
|
0
0%
|
0
0%
|
Outcome Measures
Title | Part A: Percentage of Participants in Each Clinical Status Category as Assessed by a 7-Point Ordinal Scale on Day 14 |
---|---|
Description | Clinical status was derived from death, hospital discharge, and the ordinal scale as follows: score of "1" was used for all days on or after the date of death; score of "7" was used for all days on or after discharged alive date; last assessment carried forward for any missing values.The scale is as follows: 1. Death; 2. Hospitalized, on invasive mechanical ventilation or ECMO; 3. Hospitalized, on non-invasive ventilation or high flow oxygen devices; 4. Hospitalized, requiring low flow supplemental oxygen; 5. Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 6. Hospitalized, not requiring supplemental oxygen - no longer required ongoing medical care (other than per protocol remdesivir administration); 7. Not hospitalized. The odds ratio represents the odds of improvement in the ordinal scale for the Remdesivir for 10 days group vs the Remdesivir for 5 days group. |
Time Frame | Day 14 |
Outcome Measure Data
Analysis Population Description |
---|
Full Analysis Set included participants who were randomized into part A of the study and received at least 1 dose of study treatment. |
Arm/Group Title | Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days |
---|---|---|
Arm/Group Description | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-5. | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. |
Measure Participants | 200 | 197 |
Score: 1 |
8.0
4%
|
10.7
5.4%
|
Score: 2 |
8.5
4.3%
|
16.8
8.5%
|
Score: 3 |
4.0
2%
|
5.1
2.6%
|
Score: 4 |
9.5
4.8%
|
7.6
3.9%
|
Score: 5 |
6.0
3%
|
6.1
3.1%
|
Score: 6 |
4.0
2%
|
1.5
0.8%
|
Score: 7 |
60.0
30%
|
52.3
26.5%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Part A: Remdesivir (RDV) for 5 Days, Part A: Remdesivir for 10 Days |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.1563 |
Comments | P-value was calculated using a proportional odds model with treatment as the independent variable and baseline clinical status as a continuous covariate. | |
Method | Proportional odds model | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 0.75 | |
Confidence Interval |
(2-Sided) 95% 0.507 to 1.115 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | Part A: Remdesivir (RDV) for 5 Days, Part A: Remdesivir for 10 Days |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.0368 |
Comments | P-value was calculated using a proportional odds model with treatment as the independent variable. | |
Method | Proportional odds model | |
Comments | ||
Method of Estimation | Estimation Parameter | Odds Ratio (OR) |
Estimated Value | 0.67 | |
Confidence Interval |
(2-Sided) 95% 0.458 to 0.976 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Title | Part A: Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs) |
---|---|
Description | Treatment-emergent Adverse Events (TEAE) were defined as AEs with onset dates on or after the study treatment start date and no later than 30 days after the permanent discontinuation of the study treatment and/or the AEs that led to premature discontinuation of study treatment. |
Time Frame | First dose date up to last dose date (maximum: 10 days) plus 30 days |
Outcome Measure Data
Analysis Population Description |
---|
Part A: Safety Analysis Set included participants who were randomized into part A of the study and received at least 1 dose of study drug |
Arm/Group Title | Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days |
---|---|---|
Arm/Group Description | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-5. | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. |
Measure Participants | 200 | 197 |
Number (95% Confidence Interval) [percentage of participants] |
71.5
35.8%
|
75.1
38.1%
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | Part A: Remdesivir (RDV) for 5 Days, Part A: Remdesivir for 10 Days |
---|---|---|
Comments | ||
Type of Statistical Test | Superiority | |
Comments | ||
Statistical Test of Hypothesis | p-Value | 0.7678 |
Comments | P-value for comparison of the percentages between the two groups was calculated using the Cochran-Mantel-Haenszel test stratified on baseline clinical status. | |
Method | Cochran-Mantel-Haenszel | |
Comments | ||
Method of Estimation | Estimation Parameter | Difference in Percentages |
Estimated Value | 1.3 | |
Confidence Interval |
(2-Sided) 95% -7.4 to 10.0 |
|
Parameter Dispersion |
Type: Value: |
|
Estimation Comments |
Adverse Events
Time Frame | Part A: First dose date up to the last dose date (maximum: 10 days) plus 30 days; Part B: First dose date up to the last dose date (maximum: 11 days) plus 30 days | |||||||
---|---|---|---|---|---|---|---|---|
Adverse Event Reporting Description | Part A: Safety Analysis Set included participants who were randomized into part A of the study and received at least 1 dose of study treatment;Part B: Expanded RDV-Treated Analysis Set included participants who were enrolled into part B of the study and received at least 1 dose of study treatment. | |||||||
Arm/Group Title | Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) | ||||
Arm/Group Description | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-5. | Participants received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants on mechanical ventilation received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | Participants who were not mechanically ventilated received continued SOC therapy together with IV RDV 200 mg on Day 1 followed by IV RDV 100 mg on Days 2-10. | ||||
All Cause Mortality |
||||||||
Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 25/200 (12.5%) | 28/197 (14.2%) | 213/844 (25.2%) | 422/3597 (11.7%) | ||||
Serious Adverse Events |
||||||||
Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 43/200 (21.5%) | 68/197 (34.5%) | 362/844 (42.9%) | 851/3597 (23.7%) | ||||
Blood and lymphatic system disorders | ||||||||
Anaemia | 0/200 (0%) | 1/197 (0.5%) | 4/844 (0.5%) | 9/3597 (0.3%) | ||||
Bicytopenia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Blood loss anaemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Bone marrow failure | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Coagulopathy | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Disseminated intravascular coagulation | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 3/3597 (0.1%) | ||||
Leukocytosis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Neutropenia | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Splenic infarction | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Thrombocytopenia | 1/200 (0.5%) | 0/197 (0%) | 0/844 (0%) | 0/3597 (0%) | ||||
Cardiac disorders | ||||||||
Acute myocardial infarction | 0/200 (0%) | 1/197 (0.5%) | 4/844 (0.5%) | 2/3597 (0.1%) | ||||
Angina pectoris | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Arrhythmia | 1/200 (0.5%) | 0/197 (0%) | 3/844 (0.4%) | 3/3597 (0.1%) | ||||
Atrial fibrillation | 0/200 (0%) | 0/197 (0%) | 10/844 (1.2%) | 12/3597 (0.3%) | ||||
Atrial flutter | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Atrioventricular block complete | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 3/3597 (0.1%) | ||||
Atrioventricular block second degree | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Bradycardia | 1/200 (0.5%) | 0/197 (0%) | 2/844 (0.2%) | 3/3597 (0.1%) | ||||
Cardiac arrest | 0/200 (0%) | 2/197 (1%) | 15/844 (1.8%) | 34/3597 (0.9%) | ||||
Cardiac failure | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 2/3597 (0.1%) | ||||
Cardiac failure acute | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 1/3597 (0%) | ||||
Cardiac failure congestive | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Cardio-respiratory arrest | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 11/3597 (0.3%) | ||||
Cardiogenic shock | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 5/3597 (0.1%) | ||||
Cardiomyopathy | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Cyanosis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Myocardial infarction | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 4/3597 (0.1%) | ||||
Myocardial ischaemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Pericarditis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pulseless electrical activity | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 5/3597 (0.1%) | ||||
Right ventricular dysfunction | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Right ventricular failure | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Stress cardiomyopathy | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Supraventricular tachycardia | 1/200 (0.5%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Tachycardia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Ventricular arrhythmia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Ventricular fibrillation | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Ventricular tachycardia | 1/200 (0.5%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Gastrointestinal disorders | ||||||||
Abdominal pain | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Abdominal wall haematoma | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Colitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Diverticular perforation | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Duodenal ulcer | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Dysphagia | 1/200 (0.5%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Gastric perforation | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Gastrointestinal haemorrhage | 0/200 (0%) | 1/197 (0.5%) | 1/844 (0.1%) | 3/3597 (0.1%) | ||||
Haematemesis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 3/3597 (0.1%) | ||||
Ileus | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Ileus paralytic | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Intestinal ischaemia | 0/200 (0%) | 0/197 (0%) | 3/844 (0.4%) | 2/3597 (0.1%) | ||||
Intestinal pseudo-obstruction | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Intra-abdominal haematoma | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Lower gastrointestinal haemorrhage | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Pancreatitis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Pancreatitis acute | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pancreatitis necrotising | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pneumatosis intestinalis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Rectal haemorrhage | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Retroperitoneal haematoma | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Retroperitoneal haemorrhage | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 2/3597 (0.1%) | ||||
Stomatitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Upper gastrointestinal haemorrhage | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Vomiting | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
General disorders | ||||||||
Asthenia | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Brain death | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Chest pain | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Death | 1/200 (0.5%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Fatigue | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hyperthermia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Hyperthermia malignant | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Multi-organ disorder | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Multiple organ dysfunction syndrome | 2/200 (1%) | 4/197 (2%) | 27/844 (3.2%) | 32/3597 (0.9%) | ||||
Oedema | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Oedema peripheral | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pelvic mass | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Procedural failure | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Pyrexia | 0/200 (0%) | 1/197 (0.5%) | 4/844 (0.5%) | 5/3597 (0.1%) | ||||
Hepatobiliary disorders | ||||||||
Acute hepatic failure | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Biliary colic | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hepatic failure | 1/200 (0.5%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Hyperbilirubinaemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hypertransaminasaemia | 0/200 (0%) | 1/197 (0.5%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Ischaemic hepatitis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Immune system disorders | ||||||||
Cytokine release syndrome | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 5/3597 (0.1%) | ||||
Cytokine storm | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 2/3597 (0.1%) | ||||
Drug hypersensitivity | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hypersensitivity | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Infections and infestations | ||||||||
Abdominal abscess | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Abdominal sepsis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Bacteraemia | 0/200 (0%) | 0/197 (0%) | 7/844 (0.8%) | 3/3597 (0.1%) | ||||
Bronchopulmonary aspergillosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Cellulitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Citrobacter bacteraemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Corona virus infection | 8/200 (4%) | 10/197 (5.1%) | 5/844 (0.6%) | 22/3597 (0.6%) | ||||
Device related infection | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Diverticulitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Endocarditis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Enterococcal bacteraemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Escherichia bacteraemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Fungaemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Fungal infection | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Gangrene | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pneumonia | 2/200 (1%) | 0/197 (0%) | 6/844 (0.7%) | 24/3597 (0.7%) | ||||
Pneumonia bacterial | 0/200 (0%) | 0/197 (0%) | 7/844 (0.8%) | 4/3597 (0.1%) | ||||
Pneumonia haemophilus | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pneumonia pseudomonal | 0/200 (0%) | 0/197 (0%) | 3/844 (0.4%) | 0/3597 (0%) | ||||
Pneumonia staphylococcal | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pneumonia viral | 3/200 (1.5%) | 2/197 (1%) | 18/844 (2.1%) | 22/3597 (0.6%) | ||||
Pseudomonal bacteraemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pulmonary sepsis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Sepsis | 2/200 (1%) | 1/197 (0.5%) | 11/844 (1.3%) | 34/3597 (0.9%) | ||||
Septic shock | 2/200 (1%) | 5/197 (2.5%) | 27/844 (3.2%) | 52/3597 (1.4%) | ||||
Staphylococcal bacteraemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Staphylococcal sepsis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Subcutaneous abscess | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Superinfection | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Superinfection bacterial | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Thrombophlebitis septic | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Urinary tract infection | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Urinary tract infection bacterial | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Urosepsis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Viral myocarditis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Viral sepsis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Injury, poisoning and procedural complications | ||||||||
Barotrauma | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 3/3597 (0.1%) | ||||
Endotracheal intubation complication | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Fall | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hip fracture | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Rib fracture | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Subdural haematoma | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Subdural haemorrhage | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Investigations | ||||||||
Alanine aminotransferase increased | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 3/3597 (0.1%) | ||||
Aspartate aminotransferase increased | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 4/3597 (0.1%) | ||||
Bacterial test positive | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Blood alkaline phosphatase increased | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Blood bilirubin increased | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Blood creatinine increased | 0/200 (0%) | 0/197 (0%) | 5/844 (0.6%) | 2/3597 (0.1%) | ||||
Blood pressure abnormal | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Coma scale abnormal | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Creatinine renal clearance abnormal | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Creatinine renal clearance decreased | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 4/3597 (0.1%) | ||||
General physical condition abnormal | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Glomerular filtration rate decreased | 0/200 (0%) | 1/197 (0.5%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Haemoglobin decreased | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hepatic enzyme increased | 0/200 (0%) | 1/197 (0.5%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Liver function test increased | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Myocardial necrosis marker increased | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Oxygen consumption increased | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Oxygen saturation abnormal | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Oxygen saturation decreased | 1/200 (0.5%) | 0/197 (0%) | 0/844 (0%) | 5/3597 (0.1%) | ||||
Platelet count decreased | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Transaminases increased | 3/200 (1.5%) | 2/197 (1%) | 6/844 (0.7%) | 3/3597 (0.1%) | ||||
Troponin increased | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Urine output decreased | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Metabolism and nutrition disorders | ||||||||
Acidosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Decreased appetite | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Diabetes mellitus | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Diabetic ketoacidosis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Fluid overload | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hyperglycaemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hyperkalaemia | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 2/3597 (0.1%) | ||||
Hypernatraemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hypocalcaemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Hypoglycaemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hyponatraemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Hypovolaemia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Malnutrition | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Metabolic acidosis | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 1/3597 (0%) | ||||
Type 2 diabetes mellitus | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Musculoskeletal and connective tissue disorders | ||||||||
Arthritis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Chest wall haematoma | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Compartment syndrome | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Haematoma muscle | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Muscle haemorrhage | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Musculoskeletal chest pain | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pain in extremity | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Rhabdomyolysis | 0/200 (0%) | 0/197 (0%) | 4/844 (0.5%) | 0/3597 (0%) | ||||
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||||||
Bone cancer | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Nervous system disorders | ||||||||
Autonomic nervous system imbalance | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Brain injury | 0/200 (0%) | 0/197 (0%) | 3/844 (0.4%) | 1/3597 (0%) | ||||
Brain oedema | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Cerebellar infarction | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Cerebral haemorrhage | 0/200 (0%) | 0/197 (0%) | 3/844 (0.4%) | 4/3597 (0.1%) | ||||
Cerebral infarction | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 3/3597 (0.1%) | ||||
Cerebral microhaemorrhage | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Cerebrovascular accident | 0/200 (0%) | 0/197 (0%) | 4/844 (0.5%) | 7/3597 (0.2%) | ||||
Coma | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Dizziness | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Embolic stroke | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Encephalopathy | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 2/3597 (0.1%) | ||||
Facial paralysis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Guillain-Barre syndrome | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Haemorrhage intracranial | 0/200 (0%) | 0/197 (0%) | 4/844 (0.5%) | 2/3597 (0.1%) | ||||
Headache | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hypoxic-ischaemic encephalopathy | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Iiird nerve disorder | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Ischaemic stroke | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 4/3597 (0.1%) | ||||
Lethargy | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Nervous system disorder | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Posterior reversible encephalopathy syndrome | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Seizure | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 3/3597 (0.1%) | ||||
Seizure like phenomena | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Syncope | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Thrombotic stroke | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Toxic encephalopathy | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Transient ischaemic attack | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Product Issues | ||||||||
Device dislocation | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Psychiatric disorders | ||||||||
Confusional state | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Delirium | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Mental status changes | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 10/3597 (0.3%) | ||||
Paranoia | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Renal and urinary disorders | ||||||||
Acute kidney injury | 2/200 (1%) | 3/197 (1.5%) | 50/844 (5.9%) | 69/3597 (1.9%) | ||||
Anuria | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Azotaemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Renal failure | 1/200 (0.5%) | 1/197 (0.5%) | 13/844 (1.5%) | 17/3597 (0.5%) | ||||
Renal impairment | 0/200 (0%) | 0/197 (0%) | 4/844 (0.5%) | 1/3597 (0%) | ||||
Renal tubular necrosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Urinary retention | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Reproductive system and breast disorders | ||||||||
Priapism | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Respiratory, thoracic and mediastinal disorders | ||||||||
Acute respiratory distress syndrome | 1/200 (0.5%) | 4/197 (2%) | 23/844 (2.7%) | 42/3597 (1.2%) | ||||
Acute respiratory failure | 10/200 (5%) | 18/197 (9.1%) | 36/844 (4.3%) | 121/3597 (3.4%) | ||||
Aspiration | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Bronchiectasis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Chronic obstructive pulmonary disease | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Dyspnoea | 4/200 (2%) | 1/197 (0.5%) | 3/844 (0.4%) | 26/3597 (0.7%) | ||||
Emphysema | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Haemoptysis | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 1/3597 (0%) | ||||
Haemothorax | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Hypercapnia | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Hyperoxia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Hypoxia | 2/200 (1%) | 4/197 (2%) | 14/844 (1.7%) | 78/3597 (2.2%) | ||||
Interstitial lung disease | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Lung opacity | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Pharyngeal haemorrhage | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Pickwickian syndrome | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pleural effusion | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Pneumomediastinum | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 3/3597 (0.1%) | ||||
Pneumonia aspiration | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 3/3597 (0.1%) | ||||
Pneumonitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pneumothorax | 2/200 (1%) | 4/197 (2%) | 6/844 (0.7%) | 25/3597 (0.7%) | ||||
Pneumothorax spontaneous | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Pulmonary embolism | 1/200 (0.5%) | 4/197 (2%) | 9/844 (1.1%) | 32/3597 (0.9%) | ||||
Pulmonary oedema | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Pulmonary thrombosis | 1/200 (0.5%) | 0/197 (0%) | 0/844 (0%) | 0/3597 (0%) | ||||
Respiratory acidosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 2/3597 (0.1%) | ||||
Respiratory arrest | 1/200 (0.5%) | 0/197 (0%) | 2/844 (0.2%) | 2/3597 (0.1%) | ||||
Respiratory disorder | 1/200 (0.5%) | 1/197 (0.5%) | 2/844 (0.2%) | 22/3597 (0.6%) | ||||
Respiratory distress | 3/200 (1.5%) | 5/197 (2.5%) | 14/844 (1.7%) | 71/3597 (2%) | ||||
Respiratory failure | 6/200 (3%) | 10/197 (5.1%) | 59/844 (7%) | 254/3597 (7.1%) | ||||
Respiratory gas exchange disorder | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Respiratory tract haemorrhage | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Respiratory tract oedema | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Stridor | 0/200 (0%) | 0/197 (0%) | 3/844 (0.4%) | 0/3597 (0%) | ||||
Tachypnoea | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Thoracic haemorrhage | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Skin and subcutaneous tissue disorders | ||||||||
Decubitus ulcer | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Drug eruption | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 0/3597 (0%) | ||||
Subcutaneous emphysema | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 4/3597 (0.1%) | ||||
Social circumstances | ||||||||
Social stay hospitalisation | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Vascular disorders | ||||||||
Arterial thrombosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Circulatory collapse | 0/200 (0%) | 0/197 (0%) | 2/844 (0.2%) | 0/3597 (0%) | ||||
Deep vein thrombosis | 0/200 (0%) | 0/197 (0%) | 6/844 (0.7%) | 3/3597 (0.1%) | ||||
Distributive shock | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 3/3597 (0.1%) | ||||
Dry gangrene | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Embolism | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Haemodynamic instability | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Hypertension | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Hypotension | 1/200 (0.5%) | 3/197 (1.5%) | 23/844 (2.7%) | 53/3597 (1.5%) | ||||
Hypovolaemic shock | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 3/3597 (0.1%) | ||||
Jugular vein thrombosis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 2/3597 (0.1%) | ||||
Peripheral artery thrombosis | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Peripheral ischaemia | 0/200 (0%) | 0/197 (0%) | 1/844 (0.1%) | 1/3597 (0%) | ||||
Shock | 0/200 (0%) | 0/197 (0%) | 7/844 (0.8%) | 11/3597 (0.3%) | ||||
Shock haemorrhagic | 0/200 (0%) | 1/197 (0.5%) | 2/844 (0.2%) | 4/3597 (0.1%) | ||||
Thrombophlebitis | 0/200 (0%) | 0/197 (0%) | 0/844 (0%) | 1/3597 (0%) | ||||
Thrombosis | 0/200 (0%) | 1/197 (0.5%) | 0/844 (0%) | 0/3597 (0%) | ||||
Other (Not Including Serious) Adverse Events |
||||||||
Part A: Remdesivir (RDV) for 5 Days | Part A: Remdesivir for 10 Days | Part B: Remdesivir for 10 Days (Mechanically Ventilated Group) | Part B: Remdesivir for 10 Days (Extension Group) | |||||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 79/200 (39.5%) | 92/197 (46.7%) | 508/844 (60.2%) | 1258/3597 (35%) | ||||
Blood and lymphatic system disorders | ||||||||
Anaemia | 7/200 (3.5%) | 7/197 (3.6%) | 88/844 (10.4%) | 104/3597 (2.9%) | ||||
Leukocytosis | 1/200 (0.5%) | 1/197 (0.5%) | 47/844 (5.6%) | 42/3597 (1.2%) | ||||
Gastrointestinal disorders | ||||||||
Constipation | 13/200 (6.5%) | 13/197 (6.6%) | 78/844 (9.2%) | 237/3597 (6.6%) | ||||
Diarrhoea | 10/200 (5%) | 9/197 (4.6%) | 54/844 (6.4%) | 128/3597 (3.6%) | ||||
Nausea | 20/200 (10%) | 17/197 (8.6%) | 28/844 (3.3%) | 220/3597 (6.1%) | ||||
General disorders | ||||||||
Pyrexia | 9/200 (4.5%) | 3/197 (1.5%) | 65/844 (7.7%) | 101/3597 (2.8%) | ||||
Infections and infestations | ||||||||
Pneumonia | 1/200 (0.5%) | 3/197 (1.5%) | 48/844 (5.7%) | 48/3597 (1.3%) | ||||
Investigations | ||||||||
Alanine aminotransferase increased | 10/200 (5%) | 15/197 (7.6%) | 53/844 (6.3%) | 164/3597 (4.6%) | ||||
Aspartate aminotransferase increased | 8/200 (4%) | 13/197 (6.6%) | 66/844 (7.8%) | 126/3597 (3.5%) | ||||
Transaminases increased | 3/200 (1.5%) | 4/197 (2%) | 43/844 (5.1%) | 93/3597 (2.6%) | ||||
Metabolism and nutrition disorders | ||||||||
Hyperglycaemia | 8/200 (4%) | 7/197 (3.6%) | 62/844 (7.3%) | 92/3597 (2.6%) | ||||
Hypernatraemia | 1/200 (0.5%) | 2/197 (1%) | 92/844 (10.9%) | 59/3597 (1.6%) | ||||
Hypokalaemia | 10/200 (5%) | 12/197 (6.1%) | 78/844 (9.2%) | 190/3597 (5.3%) | ||||
Psychiatric disorders | ||||||||
Agitation | 2/200 (1%) | 4/197 (2%) | 74/844 (8.8%) | 47/3597 (1.3%) | ||||
Delirium | 2/200 (1%) | 2/197 (1%) | 60/844 (7.1%) | 40/3597 (1.1%) | ||||
Insomnia | 10/200 (5%) | 11/197 (5.6%) | 17/844 (2%) | 116/3597 (3.2%) | ||||
Renal and urinary disorders | ||||||||
Acute kidney injury | 2/200 (1%) | 13/197 (6.6%) | 113/844 (13.4%) | 117/3597 (3.3%) | ||||
Vascular disorders | ||||||||
Deep vein thrombosis | 4/200 (2%) | 5/197 (2.5%) | 50/844 (5.9%) | 55/3597 (1.5%) | ||||
Hypertension | 5/200 (2.5%) | 6/197 (3%) | 92/844 (10.9%) | 67/3597 (1.9%) | ||||
Hypotension | 8/200 (4%) | 9/197 (4.6%) | 99/844 (11.7%) | 166/3597 (4.6%) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or The study has been completed at all study sites for at least 2 years
Results Point of Contact
Name/Title | Gilead Clinical Study Information Center |
---|---|
Organization | Gilead Sciences |
Phone | 1-833-445-3230 (GILEAD-0) |
GileadClinicalTrials@gilead.com |
- GS-US-540-5773
- 2020-000841-15
- ISRCTN15874265