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NCT04412772: ARCHITECTS

Trial of Tocilizumab for Treatment of Severe COVID-19: ARCHITECTS

Terminated Phase 3 Last updated 10 February 2026
What this trial tests

Phase 3 trial testing Tocilizumab in COVID-19 in 20 participants. Terminated before completion.

Timeline
12 June 2020
Primary endpoint
31 March 2021
31 March 2021

Quick facts

Lead sponsorQueen's Medical Center
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment20
Start date12 June 2020
Primary completion31 March 2021
Estimated completion31 March 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Queen's Medical Center

Who can join

Adults 18 to 95, any sex, with COVID-19. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The overall objective is to evaluate the clinical efficacy and safety of tocilizumab relative to placebo among approximately 300 hospitalized adult patients who have severe COVID-19. The study will be a 2 arm double blinded comparison between tocilizumab 8 mg/kg and matching placebo IV. The dose may be repeated in 8-12 hours if clinical symptoms worsens, (e.g. increase in oxygen requirements). Participants will be followed for 28 days.

Publications & conference data

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

  1. Association Between Administration of IL-6 Antagonists and Mortality Among Patients Hospitalized for COVID-19: A Meta-analysis.
    WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group, Shankar-Hari M, Vale CL, Godolphin PJ, et al · · 2021 · cited 548× · PMID 34228774 · DOI 10.1001/jama.2021.11330
  2. COVID-19 and Cancer: Current Challenges and Perspectives.
    Bakouny Z, Hawley JE, Choueiri TK, Peters S, et al · · 2020 · cited 201× · PMID 33049215 · DOI 10.1016/j.ccell.2020.09.018
  3. COVID-19: Characteristics and Therapeutics.
    Chilamakuri R, Agarwal S. · · 2021 · cited 192× · PMID 33494237 · DOI 10.3390/cells10020206
  4. An update on drugs with therapeutic potential for SARS-CoV-2 (COVID-19) treatment.
    Drożdżal S, Rosik J, Lechowicz K, Machaj F, et al · · 2021 · cited 186× · PMID 34991982 · DOI 10.1016/j.drup.2021.100794
  5. Platelet and Endothelial Activation as Potential Mechanisms Behind the Thrombotic Complications of COVID-19 Patients.
    Canzano P, Brambilla M, Porro B, Cosentino N, et al · · 2021 · cited 170× · PMID 33649738 · DOI 10.1016/j.jacbts.2020.12.009
  6. Interleukin-6 blocking agents for treating COVID-19: a living systematic review.
    Ghosn L, Chaimani A, Evrenoglou T, Davidson M, et al · · 2021 · cited 119× · PMID 33734435 · DOI 10.1002/14651858.cd013881
  7. Cytokines and Chemokines in SARS-CoV-2 Infections-Therapeutic Strategies Targeting Cytokine Storm.
    Pum A, Ennemoser M, Adage T, Kungl AJ. · · 2021 · cited 70× · PMID 33445810 · DOI 10.3390/biom11010091
  8. SARS coronavirus 2: from genome to infectome.
    Rastogi M, Pandey N, Shukla A, Singh SK. · · 2020 · cited 69× · PMID 33261606 · DOI 10.1186/s12931-020-01581-z

Verify or expand the search:

Other trials of Tocilizumab

Trials testing the same drug.

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Other Queen's Medical Center trials

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04412772.

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