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Trial · NCT04475588

Efficacy and Safety of Itolizumab in COVID-19 Complications

NCT04475588, Phase 2, Completed, Biocon Limited; results first posted 2021-05-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Itolizumab in COVID-19 Complications. Trials, record NCT04475588. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04475588

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Itolizumab in COVID-19 Complications
NCT number
NCT04475588
Status
Completed
Phases
Phase 2
Enrollment
32 participants, actual
Lead sponsor
Biocon Limited
Conditions
Acute Respiratory Distress Syndrome, Cytokine Release Syndrome, Covid19
Interventions
Itolizumab IV infusion, Best supportive care (BSC)
First posted
2020-07-17
Last updated
2021-06-14
Results first posted
2021-05-20
Limitations and caveats
Due to current pandemic situation few datapoints not available for ptxs who got discharged earlier basis clinical status \& bed shortage. As time to discharge was influenced by load on the hospital it was not an evaluable parameter after the trial.

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOne-month Mortality Rate Between the Two ArmsOne-month1-month mortality is defined as the proportion of patients who met fatal outcome event by Day 30
PrimaryLung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Day 7, Day 14, Day 21 & Day 30Stable SpO2: Defined as number of patients with absence of increase in FiO2 to maintain SpO2 ≥ 92% Improvement of SpO2: Defined as number of patients with decrease in FiO2 to maintain SpO2 \> 92%
PrimaryEndo-tracheal Intubation/Invasive Mechanical Ventilation (IMV)Day 30Number of patients needing Intubation/IMV post treatment
PrimaryReduction in Proportion of Patients on Non-invasive VentilationBaseline (Day 1), Day 7, Day 14 Day 21 & Day 30Reduction in proportion of Patients on Non-invasive Ventilation: defined as number of patient improved and shifted to Face mask, Nasal cannula, non-rebreather mask or off oxygen over time
PrimaryLung Function Assessment - Proportion of Patients With Stable PaO2 Without Increasing FiO2Day 7, Day14, Day 21 & Day30
Stable PaO2: Defined as number of patients with up to 10% change in PaO2/FiO2 ratio from baseline. Improvement of PaO2: Defined as number of patients with \> 10% improvement in PaO2/FiO2 ratio from baseline (including patients weaned off oxygen).
PrimaryReduction in Proportion of Patients- Invasive Mechanical VentilationDay7, Day14, Day21 & Day 30Patient improved from invasive ventilation over time from baseline.
PrimaryReduction in Proportion of Patients-High Flow Nasal OxygenDay7 ,Day 14 ,Day 21, Day 30Patient improved from High Flow Nasal Oxygen over time from baseline.
PrimaryMean Change From Baseline in FerritinDay 7, Day 14, Day 21 & Day 30Mean Change from Baseline in Ferritin
PrimaryMean Change From Baseline in LDHDay 7, Day14, Day 21 and Day 30.Mean Change from Baseline in LDH
PrimaryMean Change From Baseline in CRP (C-reactive Protein)Day 7, Day 14, Day 21 & Day 30Mean Change from Baseline in CRP

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOne-month Mortality Rate Between the Two ArmsOne-monthparticipantsNUMBER
PRIMARYLung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Day 7, Day 14, Day 21 & Day 30Patients improved/ weaned off O2, the observation was carried forwardparticipantsNUMBER
PRIMARYEndo-tracheal Intubation/Invasive Mechanical Ventilation (IMV)Day 30participantsNUMBER
PRIMARYReduction in Proportion of Patients on Non-invasive VentilationBaseline (Day 1), Day 7, Day 14 Day 21 & Day 30participantsNUMBER
PRIMARYLung Function Assessment - Proportion of Patients With Stable PaO2 Without Increasing FiO2Day 7, Day14, Day 21 & Day30Patients improved/ weaned off O2, the observation was carried forward.participantsNUMBER
PRIMARYReduction in Proportion of Patients- Invasive Mechanical VentilationDay7, Day14, Day21 & Day 30There were no patients on invasive mechanical ventilation at baseline
PRIMARYReduction in Proportion of Patients-High Flow Nasal OxygenDay7 ,Day 14 ,Day 21, Day 30There were no patients on High Flow Nasal Oxygen at baseline
PRIMARYMean Change From Baseline in FerritinDay 7, Day 14, Day 21 & Day 30only observed values were used.ng/mLMEAN
PRIMARYMean Change From Baseline in LDHDay 7, Day14, Day 21 and Day 30.Only observed values were used.U/LMEAN
PRIMARYMean Change From Baseline in CRP (C-reactive Protein)Day 7, Day 14, Day 21 & Day 30Only observed values were used.mg/LMEAN

Results by group97

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
One-month Mortality Rate Between the Two ArmsArm A - Itolizumab + BSC0participants
One-month Mortality Rate Between the Two ArmsArm B - Best Supportive Care (BSC)3participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm A - Itolizumab + BSCDay 717participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm B - Best Supportive Care (BSC)Day 75participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm A - Itolizumab + BSCDay 1419participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm B - Best Supportive Care (BSC)Day 147participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm A - Itolizumab + BSCDay 2120participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm B - Best Supportive Care (BSC)Day 217participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm A - Itolizumab + BSCDay 30/EOS20participants
Lung Function Assessment - Proportion of the Patients With Stable or Improved SpO2 Without Increasing FiO2Arm B - Best Supportive Care (BSC)Day 30/EOS7participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm A - Itolizumab + BSC22
Overall StudySTARTEDArm B - Best Supportive Care (BSC)10
Overall StudyCOMPLETEDArm A - Itolizumab + BSC20
Overall StudyCOMPLETEDArm B - Best Supportive Care (BSC)10
Overall StudyNOT COMPLETEDArm A - Itolizumab + BSC2
Overall StudyNOT COMPLETEDArm B - Best Supportive Care (BSC)0

Adverse events40

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSinus tachycardiaCardiac disordersArm A - Itolizumab + BSC1221
otherSinus tachycardiaCardiac disordersArm B - Best Supportive Care (BSC)0100
otherHypothyroidismEndocrine disordersArm A - Itolizumab + BSC1221
otherHypothyroidismEndocrine disordersArm B - Best Supportive Care (BSC)0100
otherConstipationGastrointestinal disordersArm A - Itolizumab + BSC1221
otherConstipationGastrointestinal disordersArm B - Best Supportive Care (BSC)0100
otherChillsGeneral disordersArm A - Itolizumab + BSC5226
otherChillsGeneral disordersArm B - Best Supportive Care (BSC)0100
otherUrinary tract infectionInfections and infestationsArm A - Itolizumab + BSC1221
otherUrinary tract infectionInfections and infestationsArm B - Best Supportive Care (BSC)0100

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm A - Itolizumab + BSC122
Total, all-cause mortalityArm B - Best Supportive Care (BSC)310
Total, other adverse eventsArm A - Itolizumab + BSC1822
Total, other adverse eventsArm B - Best Supportive Care (BSC)410
Total, serious adverse eventsArm A - Itolizumab + BSC322
Total, serious adverse eventsArm B - Best Supportive Care (BSC)310

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons5

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm A - Itolizumab + BSC vs Arm B - Best Supportive Care (BSC): One-month Mortality Rate Between the Two ArmsTrial comparisons
Arm A - Itolizumab + BSC vs Arm B - Best Supportive Care (BSC): Endo-tracheal Intubation/Invasive Mechanical Ventilation (IMV)Trial comparisons
Arm A - Itolizumab + BSC vs Arm B - Best Supportive Care (BSC): Number and Percentage of Patients With Radiological ResponseTrial comparisons
Arm A - Itolizumab + BSC vs Arm B - Best Supportive Care (BSC): deaths from any causeTrial comparisons
Arm A - Itolizumab + BSC vs Arm B - Best Supportive Care (BSC): serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04475588

GET https://conductscience.org/api/trials/v1/NCT04475588/results?page=2