Table 2.
Efficacy of levilimab in severely ill COVID-19 patients not requiring mechanical ventilation (main secondary efficacy endpoints)
| Parameter | Groups “as randomized” | Groups “as treated” | |||||
|---|---|---|---|---|---|---|---|
| LVL (n = 103) n (%) |
Placebo (n = 103) n (%) |
P value | LVL (n = 90) |
Placebo + LVL (n = 42) |
LVL + LVL (n = 13) |
Placebo (n = 61) |
|
| Patients with sustained clinical improvement, n (%) | |||||||
| Day 7 | 6 (5.8) | 6 (5.8) | 1.0000a | 6 (6.7) | 1 (2.4) | 0 | 6 (9.9) |
| Day 14 | 65 (63.1) | 44 (42.7) | .0017b | 65 (72.2) | 19 (45.2) | 7 (53.9) | 44 (72.1) |
| Day 21 | 79 (76.7) | 49 (47.6) | < .0001a | 79 (87.8) | 31 (73.8) | 8 (61.5) | 49 (80.3) |
| Day 28 | 87 (84.5) | 57 (55.3) | < .0001a | 87 (96.7) | 38 (90.5) | 10 (76.9) | 57 (93.4) |
| Day 30 | 87 (84.5) | 57 (55.3) | < .0001a | 87 (96.7) | 38 (90.5) | 10 (76.9) | 57 (93.4) |
| Patients transferred to the ICU, n (%) | 3 (2.9) | 10 (9.7) | .0449a | 2 (2.2) | 9 (21.4) | 2 (15.4) | 3 (4.9) |
| Duration of fever, days after IP administration | |||||||
| Median [IQR] | 1 [1–3] | 2 [1–3] | .1065c | 1 [1, 2] | 2 [1–3] | 1[1–3] | 1 [1, 2] |
| Duration of hospital stay, days after IP administration | |||||||
| Median [IQR] | 11 [8–16] | 11 [7–18] | .4852c | 10 [7.5–15.5] | 14 [10–19] | 12.5 [8–21] | 9 [7–13] |
| ESR, mm/h | |||||||
| Day 3 | |||||||
| Median [IQR] | 30 [18–44.5] | 38 [23–56] | .0035c | 29.5 [18–43.5] | 45.5 [32.5–57] | 30.5 [19.5–53.5] | 35.5 [21–54] |
| Day 5 | |||||||
| Median [IQR] | 25 [15–41] | 40 [24–55] | .0002c | 24 [15–42] | 42 [27–57] | 29 [16–38] | 31 [21–53] |
| Day 7 | |||||||
| Median [IQR] | 23.0 [15–36] | 31.0 [21–45] | .0009c | 23 [15–36.5] | 34 [21–43] | 27 [14–36] | 30.5 [20–49] |
| CRP, mg/L | |||||||
| Day 3 | |||||||
| Median [IQR] | 14.6 [5.1–29.8] | 31.7 [12–62.6] | < .0001c | 12.9 [4.9–28.6] | 50.8 [30–108] | 28 [8.9–61] | 22.4 [6–47.4] |
| Day 5 | |||||||
| Median [IQR] | 5.3 [1.5–15] | 17.7 [6.9–44] | < .0001c | 5 [1.5–12.1] | 22.2 [10.5–57] | 8.4 [2.8–23] | 14.5 [5.5–27.9] |
| Day 7 | |||||||
| Median [IQR] | 3.9 [1.3–8.4] | 9.2 [4.1–19] | < .0001c | 3.8 [1.3–8.4] | 9.7 [4.7–19] | 4.6 [2.2–24] | 8.5 [3.8–18.2] |
| IL-6, pg/ml | |||||||
| Day 3 | |||||||
| Median [IQR] | 65.9 [16.5–201] | 16.4 [3.9–80.4] | .0017c | 56.6 [14.8–144] | 51.7 [14–163.8] | 205.8 [92.4–300] | 5.3 [0.7–16.7] |
| Day 4 | |||||||
| Median [IQR] | 64.2 [18.3–247.1] | 20.1 [1.5–119.1] | .0121c | 48.2 [16.2–138] | 78.2 [22.9–297] | 300 [123.4–300] | 1.5 [0.8–16.9] |
| Day 14 | |||||||
| Median [IQR] | 25.4 [12.6–77.8] | 108.7 [22.1–10.5] | 1.0000c | 25.1 [1.5–62.2] | 33.2 [13.5–150.7] | 119.2 [12.6–300] | 4.6 [0.1–9.1] |
IP investigational product, ICU intensive care unit, LVL levilimab, IL-6 interleukin 6, CRP C-reactive protein, ESR Erythrocyte Sedimentation Rate
aTwo-sided Pearson’s chi-squared test
bOne-sided Pearson’s chi-squared test
cMann–Whitney test
P < 0.05 marked in bold