Table 2.
Endpoints | SIMPLE-severe [30] | SIMPLE-moderate [35] | |||
---|---|---|---|---|---|
5-day REMa (n = 200) | 10-day REMa (n = 197) | 5-day REMa (n = 191) | 10-day REMa (n = 193) | SOC (n = 200) | |
Clinical status at day 11 [35] or 14 [30]b (% of pts) | |||||
1: Death | 8 | 11 | 0 | 1 | 2 |
2: Hospitalized, requiring IMV or ECMO | 8 | 17 | 0 | 1 | 2 |
3: Hospitalized, requiring NIV or high-flow O2 | 4 | 5 | 3 | 0 | 4 |
4: Hospitalized, requiring low-flow supplemental O2 | 10 | 7 | 4 | 6 | 6 |
5: Hospitalized, not requiring supplemental O2 but requiring ongoing medical care | 6 | 7 | 20 | 23 | 23 |
6: Hospitalized, not requiring supplemental O2 or ongoing medical care | 4 | 2 | 4 | 5 | 4 |
7: Not hospitalized | 60 | 52 | 70 | 65 | 60 |
Clinical improvementc (% of pts) | |||||
Day 5 | 16 | 15 | 32 | 37 | 33 |
Day 7 | 36 | 27 | 56 | 48 | 47 |
Day 11 | 58 | 49 | 70 | 65 | 61 |
Day 14 | 64 | 54 | 76 | 77 | 68 |
Day 28 | NR | NR | 90 | 90 | 83 |
Recoveryd (% of pts) | |||||
Day 5 | 16 | 14 | 35 | 38 | 36 |
Day 7 | 36 | 26 | 60 | 49 | 51 |
Day 11 | 58 | 49 | 74 | 68 | 64 |
Day 14 | 64 | 54 | 80 | 79 | 73 |
Day 28 | NR | NR | 92 | 92 | 85 |
Efficacy was assessed in randomized pts who received ≥ 1 dose of REM (or for the SOC group, had the day-1 visit)
BL baseline, ECMO extracorporeal membrane oxygenation, IMV invasive mechanical ventilation, NIV non-invasive ventilation, NR not reported, O2 oxygen, pts patients, REM remdesivir, SOC standard of care
aIntravenous infusion of 200 mg on day 1 and 100 mg on subsequent days
bPrimary endpoint, measured on a 7-point ordinal scale
cDefined as improvement of ≥ 2 points from BL on a 7-point ordinal scale
dDefined as improvement from a BL score of 2–5 to a score of 6–7 [30, 35] or from a BL score of 6 to a score of 7 [35]