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NCT04382651: MAS-COVID

Study of Efficacy and Safety of MAS825 in Patients With COVID-19

Completed Phase 2 Results posted Last updated 10 August 2022
What this trial tests

Phase 2 trial testing MAS825 in COVID-19 Pneumonia, Impaired Respiratory Function in 140 participants. Completed in 21 April 2021.

Timeline
11 June 2020
Primary endpoint
6 January 2021
21 April 2021

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment140
Start date11 June 2020
Primary completion6 January 2021
Estimated completion21 April 2021
Sites21 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

18 and older, any sex, with COVID-19 Pneumonia, Impaired Respiratory Function. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

APACHE II Severity of Disease Score on Day 15 or on the Day of Discharge (Whichever is Earlier) Primary · up to Day 15

The APACHE II ("Acute Physiology And Chronic Health Evaluation II") is a severity-of-disease classification system. An integer score from 0 to 71 is computed based on several measurements; higher scores correspond to more severe disease and a higher risk of death. In practice, it is rare for any participant to accumulate more than 55 points. APACHE II score was measured on Day 15 or on the day of discharge (whichever was earlier). Participants who died on Day 15 or earlier were assigned the highest observed APACHE II score of any of the participants at any time during the trial (worst case im

GroupValue95% CI
MAS825 + SoC14.5± 1.87
Placebo + SoC13.5± 1.8
Serum C-reactive Protein (CRP) Levels Secondary · Baseline, days 2, 4, 6, 8, 10, 12, 14 and 15

C-reactive protein (CRP) is a blood test marker for inflammation in the body. It was analyzed on a log-scale fitting a repeated measures mixed model: treatment, visit, stratification factors, visit \* treatment and visit \* stratification factors as fixed effects and log-transformed baseline score and visit \* log-transformed baseline score as continuous covariate. Values reported were back-transformed to original scale.

Day 2
GroupValue95% CI
MAS825 + SoC55.50± 1.11
Placebo + SoC57.70± 1.10
Day 4
GroupValue95% CI
MAS825 + SoC28.30± 1.19
Placebo + SoC37.10± 1.19
Day 6
GroupValue95% CI
MAS825 + SoC19.80± 1.24
Placebo + SoC22.30± 1.24
Day 8
GroupValue95% CI
MAS825 + SoC15.00± 1.31
Placebo + SoC16.6± 1.30
Day 10
GroupValue95% CI
MAS825 + SoC10.10± 1.38
Placebo + SoC19.80± 1.35
Day 12
GroupValue95% CI
MAS825 + SoC11.00± 1.42
Placebo + SoC15.80± 1.39
Day 14
GroupValue95% CI
MAS825 + SoC7.30± 1.43
Placebo + SoC13.20± 1.39
Day 15
GroupValue95% CI
MAS825 + SoC5.70± 1.40
Placebo + SoC11.60± 1.36
Ferritin Levels Secondary · Baseline, days 2, 4, 6, 8, 10, 12, 14 and 15

Ferritin is a blood test marker for inflammation in the body. For a standard ferritin test, a normal reading is less than 300 micrograms per liter (μg/L). It was analyzed on a log-scale fitting a repeated measures mixed model: treatment, visit, stratification factors, visit \* treatment and visit \* stratification factors as fixed effects and log-transformed baseline score and visit \* log-transformed baseline score as continuous covariate. Values reported were back-transformed to original scale.

Day 2
GroupValue95% CI
MAS825 + SoC773.20± 1.05
Placebo + SoC800.20± 1.05
Day 4
GroupValue95% CI
MAS825 + SoC692.70± 1.05
Placebo + SoC701.40± 1.05
Day 6
GroupValue95% CI
MAS825 + SoC687.50± 1.10
Placebo + SoC622.10± 1.10
Day 8
GroupValue95% CI
MAS825 + SoC674.00± 1.12
Placebo + SoC667.80± 1.11
Day 10
GroupValue95% CI
MAS825 + SoC670.00± 1.16
Placebo + SoC776.00± 1.15
Day 12
GroupValue95% CI
MAS825 + SoC680.00± 1.18
Placebo + SoC754.50± 1.17
Day 14
GroupValue95% CI
MAS825 + SoC541.70± 1.22
Placebo + SoC595.70± 1.22
Day 15
GroupValue95% CI
MAS825 + SoC502.90± 1.21
Placebo + SoC504.20± 1.21
Number of Participants Not Requiring Mechanical Ventilation for Survival Secondary · Until Day 15 (Assessments on Days 2, 4, 6, 8, 10, 12, 14 and 15) and until Day 29 (Additional assessments on Days 17, 19, 21, 23, 25, 27 and 29)

Number of participants not requiring mechanical ventilation for survival until Day 15 and Day 29: defined by WHO 9-point ordinal scale score of \< 6 points at all time points assessments. The scoring is - Uninfected patients have a score 0. - Ambulatory patients can have a score 1 (no limitation of activities) or 2 (limitation of activities). - Hospitalized patients with mild disease can have score 3 (no oxygen therapy) or 4 (oxygen by mask or nasal prongs). - Hospitalized patients with severe disease can have score 5 (non-invasive ventilation or high-flow oxygen), 6 (intubation and mechanica

Until Day 15
GroupValue95% CI
MAS825 + SoC41
Placebo + SoC47
Until Day 29
GroupValue95% CI
MAS825 + SoC39
Placebo + SoC45
Number of Participants With at Least One-point Improvement From Baseline in Clinical Status Secondary · Baseline, Day 15 and Day 29

Number of participants with at least one-point improvement from baseline in clinical status, which was measured with WHO 9-point ordinal scale. The scoring is - Uninfected patients have a score 0. - Ambulatory patients can have a score 1 (no limitation of activities) or 2 (limitation of activities). - Hospitalized patients with mild disease can have score 3 (no oxygen therapy) or 4 (oxygen by mask or nasal prongs). - Hospitalized patients with severe disease can have score 5 (non-invasive ventilation or high-flow oxygen), 6 (intubation and mechanical ventilation) or 7 (ventilation + additiona

Day 15
GroupValue95% CI
MAS825 + SoC39
Placebo + SoC39
Day 29
GroupValue95% CI
MAS825 + SoC43
Placebo + SoC46
Clinical Status Over Time Secondary · Baseline, days 2, 4, 6, 8, 10, 12, 14, 15, 17, 19, 21, 23, 25, 27, 29, 45 and 127

Clinical status was measured with World Health Organization (WHO) 9-point ordinal scale. The scoring is - Uninfected patients have a score 0. - Ambulatory patients can have a score 1 (no limitation of activities) or 2 (limitation of activities). - Hospitalized patients with mild disease can have score 3 (no oxygen therapy) or 4 (oxygen by mask or nasal prongs). - Hospitalized patients with severe disease can have score 5 (non-invasive ventilation or high-flow oxygen), 6 (intubation and mechanical ventilation) or 7 (ventilation + additional organ support - pressors, renal replacement therapy,

Baseline
GroupValue95% CI
MAS825 + SoC4.8± 0.38
Placebo + SoC4.7± 0.49
Day 2
GroupValue95% CI
MAS825 + SoC4.8± 0.71
Placebo + SoC4.7± 0.57
Day 4
GroupValue95% CI
MAS825 + SoC4.8± 0.90
Placebo + SoC4.7± 1.13
Day 6
GroupValue95% CI
MAS825 + SoC4.8± 1.27
Placebo + SoC4.7± 1.40
Day 8
GroupValue95% CI
MAS825 + SoC4.9± 1.63
Placebo + SoC4.5± 1.64
Day 10
GroupValue95% CI
MAS825 + SoC4.9± 1.76
Placebo + SoC4.6± 1.80
Day 12
GroupValue95% CI
MAS825 + SoC5.0± 1.97
Placebo + SoC4.7± 2.04
Day 14
GroupValue95% CI
MAS825 + SoC5.0± 2.04
Placebo + SoC4.8± 2.09

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were reported from the date of administration of study treatment to day 127.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

MAS825 + SoC
Serious: 31/68 (46%)
Deaths: 26/68
Placebo + SoC
Serious: 28/70 (40%)
Deaths: 23/70
Total
Serious: 59/138 (43%)
Deaths: 49/138

Serious adverse events (46 terms)

ReactionSystemMAS825 + SoCPlacebo + SoCTotal
Acute respiratory failureRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Acute kidney injuryRenal and urinary disorders
COVID-19 pneumoniaInfections and infestations
Acute respiratory distress syndromeRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Cardiac arrestCardiac disorders
Multiple organ dysfunction syndromeGeneral disorders
SepsisInfections and infestations
Septic shockInfections and infestations
Cerebrovascular accidentNervous system disorders
PancytopeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Cardio-respiratory arrestCardiac disorders
Cardiogenic shockCardiac disorders
COVID-19Infections and infestations
HypotensionVascular disorders
Shock haemorrhagicVascular disorders
Disseminated intravascular coagulationBlood and lymphatic system disorders
Acute coronary syndromeCardiac disorders
BradycardiaCardiac disorders
Cardiac failure acuteCardiac disorders
MyocarditisCardiac disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
HypothermiaGeneral disorders
Other adverse events (7 terms — click to expand)

ReactionSystemMAS825 + SoCPlacebo + SoCTotal
Acute kidney injuryRenal and urinary disorders
AnxietyPsychiatric disorders
Atrial fibrillationCardiac disorders
Pneumonia bacterialInfections and infestations
HypotensionVascular disorders
Urinary tract infectionInfections and infestations
Transaminases increasedInvestigations

Most-reported serious reactions: Acute respiratory failure, Respiratory failure, Acute kidney injury, COVID-19 pneumonia, Acute respiratory distress syndrome, Hypoxia, Cardiac arrest, Multiple organ dysfunction syndrome.

Data from ClinicalTrials.gov NCT04382651 adverse events section.

Sponsor's own description

This clinical study was designed to assess the efficacy and safety of MAS825 for the treatment of severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) infected patients with coronavirus disease 2019 (COVID-19) pneumonia and impaired respiratory function.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. IL-18 and IL-18BP: A Unique Dyad in Health and Disease.
    Novick D. · · 2024 · cited 17× · PMID 39769266 · DOI 10.3390/ijms252413505
  2. Outcomes Evaluated in Controlled Clinical Trials on the Management of COVID-19: A Methodological Systematic Review.
    Mathioudakis AG, Fally M, Hashad R, Kouta A, et al · · 2020 · cited 14× · PMID 33333777 · DOI 10.3390/life10120350
  3. Immunomodulatory Therapeutic Proteins in COVID-19: Current Clinical Development and Clinical Pharmacology Considerations.
    Ji P, Chen J, Golding A, Nikolov NP, et al · · 2020 · cited 6× · PMID 32779201 · DOI 10.1002/jcph.1729
  4. Inflammasomes in lymphocytes as therapeutic targets.
    Albakova Z. · · 2025 · PMID 40054124 · DOI 10.1016/j.tranon.2025.102342

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