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. 2021 Mar 18;2021(3):CD013881. doi: 10.1002/14651858.CD013881
NCT04348500
Trial name or title Clazakizumab (anti‐IL‐ 6 monoclonal) compared to placebo for COVID19 disease
Methods RCT, placebo‐controlled, double‐blind study
Date of study: April 2020
Location: USA
Phase 2
Participants Randomised: 17 participants
Inclusion criteria
  • Age > 18 at the time of screening.

  • Participant must be able to understand and provide informed consent.

  • Hospitalised with COVID19+ disease (confirmed by PCR assay from any specimen (e.g. respiratory, blood, urine, stool, other bodily fluid).

  • Not on mechanical ventilation and/or ECMO

  • Evidence of pulmonary involvement with at least 2 of the following:

    • oxygen saturation at rest in ambient air with SpO2 ≤ 94%;

    • tachypnoea with resting respiration rate > 25 breaths/minute;

    • PaO2/FiO2 ≤ 300 mmHg;

    • chest imaging (radiograph, CT scan, or lung ultrasound) with abnormalities consistent COVID‐19 pneumonia

    • CRP > 35 mg/L


Exclusion criteria
  • Previous hypersensitivity or allergic reactions to clazakizumab

  • Lactating or pregnant females.

  • Participants with latent TB and who are not receiving treatment.

  • Participants with active TB

  • A significantly abnormal general serum screening lab result defined as a WBC < 3.0 X 103/ml, a Hgb < 8.0 g/dL, a platelet count < 50 X 103/ml, an SGOT or SGPT > 5X upper limit normal

  • Participation in another clinical trial investigating COVID‐19 aimed agents

Interventions Intervention: clazakizumab (IV, 25 mg in 50 cc NS x 1 dose)
Control interventions: placebo
Outcomes Primary outcome
  • Adverse events (14 days)


Secondary outcomes
  • Mortality (28 days, 60 days)

Starting date Study start date: 24 April 2020
Contact information Cedars‐Sinai Medical Center, Stanley Jordan, MD
Notes Ongoing