Study to Evaluate the Efficacy and Safety of Remdesivir in Participants With Severely Reduced Kidney Function Who Are Hospitalized for Coronavirus Disease 2019 (COVID-19) (REDPINE)
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ClinicalTrials.gov Identifier: NCT04745351 |
Recruitment Status :
Terminated
(The study was terminated due to study enrollment feasibility. This decision is not based on efficacy or safety concerns.)
First Posted : February 9, 2021
Results First Posted : May 12, 2023
Last Update Posted : May 12, 2023
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Sponsor:
Gilead Sciences
Information provided by (Responsible Party):
Gilead Sciences
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Condition |
COVID-19 |
Interventions |
Drug: Remdesivir Drug: RDV Placebo Drug: Standard of Care |
Enrollment | 249 |
Participant Flow
Recruitment Details | Participants were enrolled at study sites in Brazil, Portugal, Spain, the United Kingdom, and the United States. |
Pre-assignment Details | 258 participants were screened. |
Arm/Group Title | Remdesivir (RDV) | Placebo |
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Arm/Group Description | Participants received continued Standard of Care (SOC) therapy together with RDV 200 mg intravenous (IV) infusion on Day 1 followed by RDV 100 mg IV infusion from Day 2 up to Day 5. | Participants received continued SOC therapy together with RDV matching placebo IV saline on Day 1 followed by RDV matching placebo IV saline from Day 2 up to Day 5. |
Period Title: Overall Study | ||
Started | 166 | 83 |
Completed | 95 | 50 |
Not Completed | 71 | 33 |
Reason Not Completed | ||
Death | 51 | 25 |
Lost to Follow-up | 9 | 3 |
Randomized but Never Treated | 3 | 3 |
Adverse Event | 4 | 0 |
Withdrew Consent | 1 | 2 |
Investigator's Discretion | 2 | 0 |
Protocol Violation | 1 | 0 |
Baseline Characteristics
Arm/Group Title | Remdesivir (RDV) | Placebo | Total | |
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Arm/Group Description | Participants received continued SOC therapy together with RDV 200 mg IV infusion on Day 1 followed by RDV 100 mg IV infusion from Day 2 up to Day 5. | Participants received continued SOC therapy together with RDV matching placebo IV saline on Day 1 followed by RDV matching placebo IV saline from Day 2 up to Day 5. | Total of all reporting groups | |
Overall Number of Baseline Participants | 163 | 80 | 243 | |
Baseline Analysis Population Description |
Safety Analysis Set included all participants who were randomized into the study and had received at least 1 dose of study drug.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 163 participants | 80 participants | 243 participants | |
68 (14.1) | 71 (13.0) | 69 (13.8) | ||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Age Categorical | Number Analyzed | 163 participants | 80 participants | 243 participants |
< 18 Years |
0 0.0%
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0 0.0%
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0 0.0%
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>= 18 to < 65 Years |
70 42.9%
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22 27.5%
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92 37.9%
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>= 65 Years |
93 57.1%
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58 72.5%
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151 62.1%
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 163 participants | 80 participants | 243 participants | |
Female |
71 43.6%
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33 41.3%
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104 42.8%
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Male |
92 56.4%
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47 58.8%
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139 57.2%
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Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 163 participants | 80 participants | 243 participants | |
Hispanic or Latino |
23 14.1%
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8 10.0%
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31 12.8%
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Not Hispanic or Latino |
135 82.8%
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72 90.0%
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207 85.2%
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Unknown or Not Reported |
5 3.1%
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0 0.0%
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5 2.1%
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Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Race | Number Analyzed | 163 participants | 80 participants | 243 participants |
American Indian or Alaska Native |
1 0.6%
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0 0.0%
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1 0.4%
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Asian |
4 2.5%
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2 2.5%
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6 2.5%
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Black |
43 26.4%
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18 22.5%
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61 25.1%
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Native Hawaiian or Pacific Islander |
1 0.6%
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0 0.0%
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1 0.4%
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White |
104 63.8%
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55 68.8%
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159 65.4%
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Other |
8 4.9%
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3 3.8%
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11 4.5%
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Unknown or Not Reported |
2 1.2%
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2 2.5%
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4 1.6%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 163 participants | 80 participants | 243 participants |
United States |
121 74.2%
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59 73.8%
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180 74.1%
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Spain |
26 16.0%
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13 16.3%
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39 16.0%
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Portugal |
13 8.0%
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6 7.5%
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19 7.8%
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United Kingdom |
2 1.2%
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2 2.5%
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4 1.6%
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Brazil |
1 0.6%
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0 0.0%
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1 0.4%
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Clinical Status (8-point Ordinal Scale)
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 163 participants | 80 participants | 243 participants | |
Score: 1 |
0 0.0%
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0 0.0%
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0 0.0%
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Score: 2 |
0 0.0%
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0 0.0%
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0 0.0%
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Score: 3 |
0 0.0%
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0 0.0%
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0 0.0%
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Score: 4 |
36 22.1%
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18 22.5%
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54 22.2%
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Score: 5 |
97 59.5%
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47 58.8%
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144 59.3%
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Score: 6 |
30 18.4%
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15 18.8%
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45 18.5%
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Score: 7 |
0 0.0%
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0 0.0%
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0 0.0%
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Score: 8 |
0 0.0%
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0 0.0%
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0 0.0%
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[1]
Measure Description: The 8-point Ordinal scale assesses the clinical status of participants:1.Not hospitalized, no limitations on activities;2.Not hospitalized, limitation on activities/requiring home oxygen;3.Hospitalized,not requiring supplemental oxygen,no longer require ongoing medical care; 4.Hospitalized,not requiring supplemental oxygen-require ongoing medical care for COVID-19-specific medical care;5.Hospitalized,supplemental oxygen;6.Hospitalized,on noninvasive ventilation or highflow oxygen devices;7.Hospitalized,on invasive mechanical ventilation (IMV)/extracorporeal membrane oxygenation (ECMO);8.Death.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
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) |
EMail: | GileadClinicalTrials@gilead.com |
Responsible Party: | Gilead Sciences |
ClinicalTrials.gov Identifier: | NCT04745351 |
Other Study ID Numbers: |
GS-US-540-5912 2020-005416-22 ( EudraCT Number ) DOH-27-012022-4779 ( Registry Identifier: South African Clinical Trials Register ) |
First Submitted: | February 8, 2021 |
First Posted: | February 9, 2021 |
Results First Submitted: | April 18, 2023 |
Results First Posted: | May 12, 2023 |
Last Update Posted: | May 12, 2023 |