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    Summary
    EudraCT Number:2021-000541-41
    Sponsor's Protocol Code Number:EU-SolidAct
    National Competent Authority:Hungary - National Institute of Pharmacy
    Clinical Trial Type:EEA CTA
    Trial Status:Trial now transitioned
    Date on which this record was first entered in the EudraCT database:2021-05-04
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedHungary - National Institute of Pharmacy
    A.2EudraCT number2021-000541-41
    A.3Full title of the trial
    European DisCoVeRy for Solidarity: An Adaptive Pandemic and Emerging Infection Platform Trial
    Európai kutatás a szolidaritásért: adaptív platform kutatás a pandémiáról és a terjedő fertőzésről
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Joint European Research on active and emerging pandemics
    Közös európai kutatás a jelenlegi és kialakuló pandémiáról
    A.3.2Name or abbreviated title of the trial where available
    EU-SolidAct
    A.4.1Sponsor's protocol code numberEU-SolidAct
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorOslo University Hospital
    B.1.3.4CountryNorway
    B.3.1 and B.3.2Status of the sponsorNon-Commercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportEU Research and Innovation programme (Horizon 2020)
    B.4.2CountryBelgium
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationOslo University Hospital
    B.5.2Functional name of contact pointSurgery, Inflam Diseases,Transplant
    B.5.3 Address:
    B.5.3.1Street AddressSognsvannsveien 20
    B.5.3.2Town/ cityOslo
    B.5.3.3Post code0424
    B.5.3.4CountryNorway
    B.5.4Telephone number+4792440240
    B.5.6E-mailmarius.troseid@medisin.uio.no
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Olumiant
    D.2.1.1.2Name of the Marketing Authorisation holderEli Lilly Nederland B. V., Papendorpseweg 83, 3528NJ Utrecht, The Netherlands
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameOlumiant
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNBARICITINIB
    D.3.9.3Other descriptive namebaricitinib
    D.3.9.4EV Substance CodeSUB180983
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number2
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    SARS-CoV infection
    SARS-CoV fertőzés
    E.1.1.1Medical condition in easily understood language
    Coronavirus disease
    Koronavírus betegség
    E.1.1.2Therapeutic area Diseases [C] - Virus Diseases [C02]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 21.1
    E.1.2Level LLT
    E.1.2Classification code 10037373
    E.1.2Term Pulmonary disorder
    E.1.2System Organ Class 100000004855
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    Master Protocol Number: 1.1 dated 07 April 2021
    Phase 3 objectives
    Part A, moderate disease. The primary objective is to determine the effect of therapeutic interventions on occurrence of disease progression in hospitalized patients with moderate COVID-19.
    Part B, severe disease. The primary objective is to determine the effect of therapeutic interventions on occurrence of death in hospitalized patients with severe or critical COVID-19.

    Baricitib-specific protocol v. 1.1, dated 07 April 2021: The primary objective is to determine the effect of baricitinib vs. placebo added to SoC on occurrence of death in hospitalized patients with severe or critical COVID-19.
    A 3. fázisú megerősítő vizsgálatok „A” részében az elsődleges cél annak felmérése, hogy a terápiás beavatkozások befolyásolják-e betegség előrehaladását, a közepes betegségtől a súlyos/kritikus betegségig vagy a halálig 14 napon belül. A „B” részben az elsődleges cél annak felmérése, hogy a terápiás beavatkozások befolyásolják-e a halál incidenciáját 60 napon belül.
    E.2.2Secondary objectives of the trial
    Master Protocol Number: 1.1 dated 07 Apr 2021:
    Secondary objectives are:
    1. to determine the effect of therapeutic interventions on other clinical endpoints
    2. to determine the effect of therapeutic interventions on viral clearance
    3. to determine the effect of therapeutic interventions on biochemical parameters
    4. to assess the safety impact of therapeutic interventions on major serious adverse events
    5. to determine the effect of therapeutic interventions on patient reported outcomes.
    Baricitinib specific protocol v. 1.1, 07 Apr 2021:
    Secondary objectives are
    -to compare the efficacy of baricitinib vs. placebo on disease progression, time to sustained recovery and time to first hospital discharge
    -to compare baricitinib vs. placebo on major SAE
    -to compare baricitinib vs. placebo on patient reported outcomes
    -to compare the efficacy of baricitinib vs. placebo on viral clearance
    -to compare the efficacy of baricitinib vs. placebo on markers of systemic inflammation
    A 2. fázisban mindkét rész alapértelmezett célja a terápiás beavatkozásnak a légzési diszfunkcióra gyakorolt hatásának feltárása az 5. napon. Egyéb célok, például a virológiai eredményekre gyakorolt hatás a kezelés fajtája alapján mérlegelhetők.
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    Master Protocol Number: 1.1 dated 07 April 2021:
    Participants are eligible to be included in the study only if all the following general inclusion (GI) criteria apply:
    GI1. ≥ 18 years of age
    GI2. Laboratory-confirmed SARS-CoV-2 infection (new infection or reinfection) as determined by PCR not more than 9 days old
    GI3. Admitted to hospital
    GI4. Informed consent by the participant or legally authorized representative.
    GI5A: Moderate disease state defined as hospitalised patients without oxygen therapy or oxygen by mask or nasal prongs needed, or
    GI5B: Severe/critical disease state defined as fulfilliing at least one of the following criteria:
    1. SpO2<90% on room air, or
    2. SpO2 90-94% with a downwards trend and/or signs of respiratory distress*, or
    3. Need of oxygen by NIV (CPAP, BIPAP), high flow or non-rebreather mask, or
    4. Need of mechanical ventilation/ECMO
    *persistently increased respiratory rate, use of accessory muscles, inability to complete full sentences. Clinical judgement must be applied to determine whether a low oxygen saturation is indicative of disease progression or severity or is habitual for a given patient (i.e., with underlying chronic lung disease).
    NIV=non-invasive ventilation. CPAP= Continuous Positive Airway Pressure, BPAP= Bi-level Positive Airway Pressure, ECMO = Extracorporeal membrane oxygenation.
    Additional inclusion criteria are given in the intervention-specific sub-protocols.

    Baricitinib specific protocol v. 1.1 dated 07 April 2021:
    All participants must be eligible according to the master protocol inclusion criteria (SolidAct Part B).
    Only the general inclusion criteria (GI) for severe/critical COVID-19 are applicable:
    GI1. ≥18 years of age
    GI2. Laboratory-confirmed SARS-CoV-2 infection (new infection or reinfection) as determined by PCR in any specimen not more than 9 days old
    GI3. Admitted to hospital
    GI4. Informed consent by the participant or legally authorized representative.
    GI5B: Severe/critical disease state defined as fulfilling at least one of the following criteria:
    1. SpO2<90% on room air, or
    2. SpO2 90-94% with a downwards trend and/or signs of respiratory distress*, or
    3. Need of oxygen by NIV (CPAP, BIPAP), high flow or non-rebreather mask, or
    4. Need of mechanical ventilation/ECMO
    *persistently increased respiratory rate, use of accessory muscles, inability to complete full sentences. Clinical judgement must be applied to determine whether a low oxygen saturation is indicative of disease progression or severity or is habitual for a given patient (i.e., with underlying chronic lung disease).
    NIV=non-invasive ventilation. CPAP= Continuous Positive Airway Pressure, BPAP= Bi-level Positive Airway Pressure, ECMO = extracorporeal membrane oxygenation.
    Fő protokollszám: 1.1, 2021. április 7-én:
    GI1. ≥ 18 éves
    GI2. Laboratóriumi igazolt SARS-CoV-2 fertőzés (új fertőzés vagy reinfekció), PCR-rel meghatározva, legfeljebb 9 napos
    GI3. Kórházba került
    GI4. A résztvevő vagy a törvényesen meghatalmazott képviselő tájékozott beleegyezése.
    GI5A: Mérsékelt betegségállapot: kórházi betegek, oxigénterápia vagy oxigén maszkon vagy nazális szondán, vagy
    GI5B: Súlyos / kritikus betegség, amely megfelel az alábbi kritériumok legalább egyikének:
    1. SpO2 <90% szobalevegőn, vagy
    2. SpO2 90-94% csökkenő tendenciával és / vagy a légzési distressz jeleivel *, vagy
    3. A NIV oxigénigénye (CPAP, BIPAP), nagy áramlású vagy nem újra légző maszk, ill
    4. Mechanikus szellőzés / ECMO igénye
    * tartósan megnövekedett légzési arány, kiegészítő izmok használata, képtelen teljes mondatokat kitölteni. Klinikai megítélést kell alkalmazni annak eldöntésére, hogy az alacsony oxigéntelítettség jelzi-e a betegség progresszióját vagy súlyosságát, vagy szokásos-e egy adott beteg esetében (azaz krónikus tüdőbetegségben).

    A baricitinib specifikus protokoll v. 1.1, 2021. április 7-én kelt:
    Csak a súlyos / kritikus COVID-19 általános felvételi kritériumai (GI) alkalmazandók:
    GI1. ≥18 éves
    GI2. Laboratóriumi igazolt SARS-CoV-2 fertőzés (új fertőzés vagy reinfekció), PCR-rel meghatározva, legfeljebb 9 napos mintában
    GI3. Kórházba került
    GI4. A résztvevő vagy törvényesen meghatalmazott képviselő tájékozott beleegyezése.
    GI5B: Súlyos / kritikus betegség állapota, amely megfelel az alábbi kritériumok legalább egyikének:
    1. SpO2 <90% szoba levegőn, vagy
    2. SpO2 90-94% csökkenő tendenciával és / vagy légzési distressz jeleivel *, vagy
    3. A NIV oxigénigénye (CPAP, BIPAP), nagy áramlású vagy nem újra légző maszk, ill
    4. Mechanikus szellőzés / ECMO igénye
    * tartósan megnövekedett légzési arány, kiegészítő izmok használata, képtelen teljes mondatokat kitölteni. Klinikai megítélést kell alkalmazni annak eldöntésére, hogy az alacsony oxigéntelítettség jelzi-e a betegség progresszióját vagy súlyosságát, vagy szokásos-e egy adott beteg esetében (azaz krónikus tüdőbetegségben).
    E.4Principal exclusion criteria
    Master Protocol Number 1.1 dated 07 April 2021:
    Participants are excluded from the study if any of the following general exclusion criteria apply:
    GE1. Anticipated transfer to another non-trial hospital within 72 hours
    Additional exclusion criteria, included prohibited medication, confounding trials and details on contraception and pregnancy are given in the intervention-specific sub-protocols.

    Baricitinib specific protocol v. 1.1 dated 07 April 2021:
    GE1. Anticipated transfer to another non-trial hospital within 72 hours.

    In addition, participants are excluded from being eligible for the intervention cohort if any of the additional specific exclusion (SE) criteria below apply:
    • SE-01. Receiving cytotoxic or biologic treatments (such as tumour necrosis factor [TNF] inhibitors, anti-interleukin-1 [IL-1, e.g. anakinra], anti-IL-6 [e.g. tocilizumab or sarilumab], T-cell or B-cell targeted therapies (e.g. rituximab), interferon, or Janus kinase (JAK) inhibitors (including baricitinib) for any indication at study entry.
    o Note: A washout period is required prior to screening
    • SE-02. Have received high dose corticosteroids at doses >20 mg prednisone (or prednisone equivalent) per day administered for ≥14 consecutive days in the month prior to study entry.
    • SE-03. Have received dexamethasone 6 mg once daily for more than 4 days prior to screening as part of SoC for severe/critical COVID-19
    • SE-04. Had COVID-related symptoms > 14 days or hospitalized > 7 days.
    o Note: If hospitalized early in the disease and then progressing after >7 days of hospitalization, the patient could still be included if COVID-related symptoms had a duration < 14 days.
    • SE-05. Strong inhibitors of organic anion transporter 3 [OAT3], (e.g. probenecid) that cannot be discontinued at study entry.
    • SE-06. Have received neutralizing antibodies for COVID-19, except if receiving such treatment as part of EU SolidAct part A after disease progression.
    • SE-07. Have received any live vaccine within 4 weeks before screening, or intend to receive a live vaccine during the study (until day 90 (+/- 14 days)).
    o Note: Use of non-live (inactivated) vaccinations, including COVID-19 vaccinations, is allowed for all participants.
    • SE-08. Are using or will use extracorporeal blood purification (EBP) device to remove proinflammatory cytokines from the blood such as a cytokine absorption or filtering device, for example, CytoSorb®.
    • SE-09. Have diagnosis of current active tuberculosis (TB) or, if known, latent TB treated for less than 4 weeks with appropriate anti-tuberculosis therapy per local guidelines (by history only, no screening tests required).
    • SE-10. Suspected serious, active bacterial, fungal, viral, or other infection (besides COVID-19) that in the opinion of the investigator could constitute a risk when taking investigational product.
    o Note: Immunocompromised patients, patients with a chronic medical condition, or those taking a medication that cannot be discontinued at enrolment, who, in the judgment of the investigator, are at increased risk for serious infections or other safety concerns should be excluded. However, well treated HIV infection with normal CD4+ T cell count and undetectable HIV-RNA is not an exclusion criterion per se.
    • SE-11. Current diagnosis of active malignancy that, in the opinion of the investigator, could constitute a risk when taking investigational product.
    o Note: although this risk is established from long term use of baricitinib, and probably does not pose the same risk in short term use for COVID-19, particular attention should be paid, as reflected in the list of adverse events of special interest
    • SE-12. Have a history of venous thromboembolism (VTE) (deep vein thrombosis [DVT] and/or pulmonary embolism [PE]) within 12 weeks prior to randomization or have a history of recurrent (>1) VTE (DVT/PE).
    • SE-13. Neutropenia (absolute neutrophil count <1000 cells/microliters).
    • SE-14. Lymphopenia (absolute lymphocyte count <200 cells/microliters).
    • SE-15. Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >5 times ULN.
    • SE-16. Subjects with estimated glomerular filtration rate (eGFR) (Modification of Diet in Renal Disease [MDRD]) <15 millilitre/minute/1.73 meters squared are excluded.
    o Note: Subjects with eGFR 15-30 are excluded unless in the opinion of the PI, the potential benefit of participation outweighs the potential risk of study participation.
    • SE-17. Known hypersensitivity to baricitinib or any of its excipients.
    • SE-18. Are pregnant, or intend to become pregnant or breastfeed during the study.
    o Note: Women of child bearing potential (WOCBP) can only be included based on a negative pregnancy test and WOCBP must comply with requirements regarding highly effective contraception. Refer to section 10.1 for contraception requirements.
    • SE-19 Participation in any therapeutic clinical trials investigating immunomodulators for COVID-19
    2021. április 7-én kelt 1.1-es főprotokoll:
    GE1. Várható áthelyezés egy másik, nem vizsgálati kórházba 72 órán belül
    További kizárási kritériumokat, köztük tiltott gyógyszeres kezelést, zavaró kísérleteket, valamint a fogamzásgátlásról és a terhességről szóló részleteket az intervenció-specifikus alprotokollok tartalmazzák.

    A baricitinib specifikus protokoll v. 1.1, 2021. április 7.:
    GE1. Várható áthelyezés egy másik, nem vizsgálati kórházba 72 órán belül.

    Ezenkívül a résztvevőket kizárják az intervenciós kohorszból, ha az alábbi további speciális kizárási (SE) feltételek bármelyike ​​érvényes:
    • SE-01. Citotoxikus vagy biológiai kezelések (például tumor nekrózis faktor [TNF] inhibitorok, anti-interleukin-1 [IL-1, pl. Anakinra], anti-IL-6 [pl. Tocilizumab vagy sarilumab], célzott T-sejt vagy B-sejt terápiák (pl. rituximab), interferon vagy Janus kináz (JAK) inhibitorok (beleértve a baricitinibet is) bármilyen indikációra a vizsgálatba való belépéskor.
    o Megjegyzés: A szűrés előtt kimosási periódus szükséges.
    • SE-02. Nagy dózisú kortikoszteroidokat kaptak napi 20 mg-nál nagyobb prednizon (vagy prednizon-ekvivalens) dózisban, a vizsgálatba való belépés előtti hónap ≥14 egymást követő napján.
    • SE-03. Naponta egyszer 6 mg dexametazont kaptak több mint 4 napig a szűrés előtt, a SoC részeként a súlyos / kritikus COVID-19 miatt
    • SE-04. COVID-dal kapcsolatos tünetei voltak> 14 napig, vagy kórházban voltak> 7 napig.
    o Megjegyzés: Ha a betegség korai szakaszában kórházba kerül, majd> 7 napos kórházi kezelés után romlik, a beteg továbbra is bevonható, ha a COVID-dal kapcsolatos tünetek időtartama <14 nap.
    • SE-05. A szerves anion transzporter 3 [OAT3] erős gátlói (pl. Probenecid), amelyeket nem lehet abbahagyni a vizsgálatba való belépéskor.
    • SE-06. Kaptak semlegesítő antitesteket a COVID-19 ellen, kivéve, ha a betegség előrehaladása után ilyen kezelést kaptak az EU SolidAct A része részeként.
    • SE-07. A szűrés előtt 4 héten belül bármilyen élő oltást kaptak, vagy a vizsgálat során (a 90. napig (+/- 14 nap)) élő vakcinát kívánnak kapni.
    o Megjegyzés: A nem élő (inaktivált) oltások, beleértve a COVID-19 oltásokat is, minden résztvevő számára engedélyezettek.
    • SE-08. Extrakorporális vértisztító (EBP) eszközt használnak vagy fognak használni a gyulladásos citokinek eltávolítására a vérből, mint például egy citokin felszívó vagy szűrő eszköz, például a CytoSorb®.
    • SE-09. Jelenlegi aktív tuberkulózis (TB) vagy ismert, látens tuberkulózis 4 hétnél rövidebb ideig kezelve megfelelő tuberkulózisellenes terápiával a helyi irányelvek szerint (csak előzmények szerint nincs szükség szűrővizsgálatra).
    • SE-10. Súlyos, aktív bakteriális, gombás, vírusos vagy egyéb fertőzés gyanúja (a COVID-19 mellett), amely a vizsgáló véleménye szerint kockázatot jelenthet a vizsgálati termék szedésekor.
    o Megjegyzés: Ki kell zárni az immunhiányos betegeket, a krónikus betegségben szenvedő betegeket, vagy azokat, akik olyan gyógyszert szednek, amelyet nem lehet abbahagyni a vizsgálat indulásánál, és akiket a vizsgáló megítélése szerint fokozottan fenyeget a súlyos fertőzések vagy más biztonságossági aggályok. A jól kezelt HIV-fertőzés normál CD4 + T-sejtszám mellett és a kimutathatatlan HIV-RNS azonban önmagában nem kizárási kritérium.
    • SE-11. Aktív rosszindulatú daganat jelenlegi diagnózisa, amely a vizsgáló véleménye szerint kockázatot jelenthet a vizsgálati termék szedésekor.
    o Megjegyzés: bár ez a kockázat a baricitinib hosszú távú alkalmazásából származik, és valószínűleg nem jelent ugyanolyan kockázatot rövid távú alkalmazás esetén a COVID-19 esetében, különös figyelmet kell fordítani, amint azt a különös érdeklődésre számot tartó nemkívánatos események listája is tükrözi.
    • SE-12. A randomizációt megelőző 12 héten belül kórtörténetében vénás tromboembólia (VTE) (mélyvénás trombózis [DVT] és / vagy tüdőembólia [PE]) szerepel, vagy kórtörténetében visszatérő (> 1) VTE (DVT / PE) szerepel.
    • SE-13. Neutropenia (abszolút neutrofilszám <1000 sejt / mikroliter).
    • SE-14. Lymphopenia (abszolút limfocita szám <200 sejt / mikroliter).
    • SE-15. Alanin-aminotranszferáz (ALT) vagy aszpartát-aminotranszferáz (AST)> ötszöröse az ULN-nek.
    • SE-16. Azok az alanyok, akiknek becsült glomeruláris filtrációs sebessége (eGFR) ( MDRD szerint) <15 milliliter / perc / 1,73 négyzetméter, kizárásra kerülnek.
    o Megjegyzés: Az eGFR 15-30 alanyok kizárásra kerülnek, kivéve, ha a PI szerint a részvétel potenciális előnye meghaladja a tanulmányban való részvétel potenciális kockázatát.
    • SE-17. Ismert túlérzékenység a baricitinibel vagy bármely segédanyagával szemben.
    • SE-18. Terhes, vagy terhességet tervez vagy szoptat a vizsgálat során.
    o Megjegyzés: A fogamzóképes nők (WOCBP) csak negatív terhességi teszt alapján vehetők fel, és meg kell felelnie a rendkívül hatékony fogamzásgátlásra vonatkozó követelményeknek.
    • SE-19 részvétel a COVID-19 immunmodulátorait vizsgáló terápiás klinikai vizsgálatokban
    E.5 End points
    E.5.1Primary end point(s)
    Master Protocol Number 1.1 dated 07 April 2021:
    Part A, moderate disease: Occurrence of disease progression, defined as a progression of disease state from moderate (WHO score 4-5) to severe/critical (WHO score 6-9) or death (WHO score 10) within 14 days.

    Part B, severe disease: Occurrence of death within 60 days.

    Baricitinib specific protocol v. 1.1 dated 07 April 2021:
    Occurrence of death within 60 days
    E.5.1.1Timepoint(s) of evaluation of this end point
    Master Protocol Number 1.1 dated 07 April 2021:
    Part A: Within 14 days.
    Part B: Within 60 days.

    Baricitinib specific protocol v. 1.1 dated 07 April 2021:
    Within 60 days.
    E.5.2Secondary end point(s)
    Master Protocol Number 1.1 dated 07 April 2021:
    1.1 Occurrence of disease progression, defined as a progression of disease state from moderate (WHO score 4-5) to severe/critical/death (WHO score 6-10) or from severe/critical (WHO score 6-9) to death within 28 days
    1.2 Time from randomization to sustained recovery, defined as being discharged from the index hospitalization, followed by being alive and at home for 14 consecutive days within 90 days
    1.3 Time from randomization to first hospital discharge within 90 days
    1.4 Disease state on a 5-point scale defined as 1. Mild (WHO score 1-3) or better, 2. Moderate (WHO score 4-5), 3. Severe
    (WHO score 6), 4. Critical (WHO score 7-9) or 5. Death at Day 15 and 29
    1.5 Time from randomization to recovery defined as no need for oxygen
    1.6 SpO2/FiO2-ratio at day 3, 5 and 8
    2. Viral clearance as assessed by SARS-CoV-2 PCR in oropharyngeal specimens during hospitalization
    3. Biochemical parameters including inflammatory markers (C-reactive protein, ferritin, lactate dehydrogenase, procalcitonin, D-dimer, leukocyte subsets and cytokine panels) during hospitalisation
    4. Occurence of serious adverse events leading to study treatment discontinuation or death
    5 The Oslo COVID-19 QLQ-PW80 subscale scores at Day 90

    Baricitinib specific protocol v. 1.1 dated 07 April 2021:
    · Occurrence of disease progression, defined as a progression from severe (WHO score 6) to critical/death (WHO score 7-10) or from critical (WHO score 7-9) to death within 28 days
    ·Time from randomization to sustained recovery, with sustained recovery defined as being discharged from the index hospitalization, followed by being alive and home for 14 consecutive days within 90 days
    ·Time from randomization to first hospital discharge within 90 days
    ·Disease state on a 5 point scale defined as 1. Mild (WHO score 1-3) or better, 2. Moderate (WHO score 4-5), 3. Severe (WHO score 6), 4. Critical (WHO score 7-9) or 5. Death at Day 15 and 29
    ·Occurrence of serious adverse events leading to study treatment discontinuation or death
    ·Viral clearance as assessed by SARS-CoV-2 PCR in oropharyngeal specimens during hospitalization
    ·Inflammatory markers (C-reactive protein, ferritin, lactate dehydrogenase, procalcitonin, D-dimer, leukocyte subsets and cytokine panels) during hospitalisation
    E.5.2.1Timepoint(s) of evaluation of this end point
    Please see above
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open No
    E.8.1.3Single blind No
    E.8.1.4Double blind Yes
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo Yes
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial2
    E.8.3 The trial involves single site in the Member State concerned No
    E.8.4 The trial involves multiple sites in the Member State concerned Yes
    E.8.4.1Number of sites anticipated in Member State concerned3
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA130
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Turkey
    Austria
    Belgium
    France
    Germany
    Greece
    Hungary
    Ireland
    Italy
    Luxembourg
    Norway
    Poland
    Portugal
    Slovakia
    Spain
    Czechia
    E.8.7Trial has a data monitoring committee Yes
    E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
    LVLS
    utolsó beteg utolsó vizitje
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years0
    E.8.9.1In the Member State concerned months9
    E.8.9.1In the Member State concerned days0
    E.8.9.2In all countries concerned by the trial years0
    E.8.9.2In all countries concerned by the trial months9
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 1000
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 1000
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation Yes
    F.3.3.6Subjects incapable of giving consent personally Yes
    F.3.3.6.1Details of subjects incapable of giving consent
    Please see Master Protocol Number 1.1 dated 07 April 2021, section 10.1.3.
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state100
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 1800
    F.4.2.2In the whole clinical trial 2000
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    G. Investigator Networks to be involved in the Trial
    G.4 Investigator Network to be involved in the Trial: 1
    G.4.1Name of Organisation European Clinical Research Infrastructure Network (ECRIN)
    G.4.3.4Network Country France
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2021-06-09
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2021-06-03
    P. End of Trial
    P.End of Trial StatusTrial now transitioned
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