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NCT04401579 · OUTCOME

Percentage of Participants at Each Clinical Status Using Ordinal Scale at Day 15

Adaptive COVID-19 Treatment Trial 2 (ACTT-2) · Source last updated 2022-03-14

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
Day 15

What was measured

The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 8) Death; 7) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 6) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 5) Hospitalized, requiring supplemental oxygen; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 1) Not hospitalized, no limitations on activities. Data was imputed using last observation carried forward or worst possible score based on hospitalization status (2 if not hospitalized, 7 if hospitalized) when there was a change in hospitalization status since last score. Deaths were imputed as an 8.

Analysis population: The intent-to-treat (ITT) population includes all participants who were randomized.

Groups in this outcome

Remdesivir Plus Baricitinib

200 mg of Remdesivir administered intravenously on Day 1, followed by a 100 mg once-daily maintenance dose of Remdesivir while hospitalized for up to a 10-day total course and 4 mg (2 tablets of 2 mg) of Baricitinib administered orally daily for the duration of the hospitalization up to a 14-day total course.

Remdesivir Plus Placebo

200 mg of Remdesivir administered intravenously on Day 1, followed by a 100 mg once-daily maintenance dose of Remdesivir while hospitalized for up to a 10-day total course and 4 mg (2 tablets of 2 mg) of Baricitinib Placebo administered orally daily for the duration of the hospitalization up to a 14-day total course.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Remdesivir Plus Baricitinib515
Remdesivir Plus Placebo518

Reported measurements

Death at or before study visit
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib2Not reported14Not reported
Remdesivir Plus Placebo3Not reported25Not reported
Hospitalized, on invasive mech. vent. or ECMO
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib9Not reported712Not reported
Remdesivir Plus Placebo16Not reported1319Not reported
Hospitalized, on non-invasive vent./high flow O2
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib4Not reported36Not reported
Remdesivir Plus Placebo4Not reported26Not reported
Hospitalized, requiring supplemental oxygen
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib8Not reported611Not reported
Remdesivir Plus Placebo10Not reported713Not reported
Hospitalized, not on O2, requiring ongoing care
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib6Not reported48Not reported
Remdesivir Plus Placebo3Not reported25Not reported
Hospitalized, not requiring O2, no longer req care
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib2Not reported13Not reported
Remdesivir Plus Placebo1Not reported02Not reported
Not hospitalized, limit on activities/req home O2
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib34Not reported3039Not reported
Remdesivir Plus Placebo31Not reported2836Not reported
Not hospitalized, no limitations on activities
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Remdesivir Plus Baricitinib34Not reported3039Not reported
Remdesivir Plus Placebo32Not reported2836Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    1.01
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.57
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.44
    param Type
    Odds Ratio (OR)
    param Value
    1.26
    statistical Method
    Regression, Logistic
Complete source fields
analyses
  1. ci Lower Limit
    1.01
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.57
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.44
    param Type
    Odds Ratio (OR)
    param Value
    1.26
    statistical Method
    Regression, Logistic
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1
        upper Limit
        4
        value
        2
      2. group Id
        OG001
        lower Limit
        2
        upper Limit
        5
        value
        3
    title
    Death at or before study visit
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        7
        upper Limit
        12
        value
        9
      2. group Id
        OG001
        lower Limit
        13
        upper Limit
        19
        value
        16
    title
    Hospitalized, on invasive mech. vent. or ECMO
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        3
        upper Limit
        6
        value
        4
      2. group Id
        OG001
        lower Limit
        2
        upper Limit
        6
        value
        4
    title
    Hospitalized, on non-invasive vent./high flow O2
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        6
        upper Limit
        11
        value
        8
      2. group Id
        OG001
        lower Limit
        7
        upper Limit
        13
        value
        10
    title
    Hospitalized, requiring supplemental oxygen
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        4
        upper Limit
        8
        value
        6
      2. group Id
        OG001
        lower Limit
        2
        upper Limit
        5
        value
        3
    title
    Hospitalized, not on O2, requiring ongoing care
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1
        upper Limit
        3
        value
        2
      2. group Id
        OG001
        lower Limit
        0
        upper Limit
        2
        value
        1
    title
    Hospitalized, not requiring O2, no longer req care
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        30
        upper Limit
        39
        value
        34
      2. group Id
        OG001
        lower Limit
        28
        upper Limit
        36
        value
        31
    title
    Not hospitalized, limit on activities/req home O2
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        30
        upper Limit
        39
        value
        34
      2. group Id
        OG001
        lower Limit
        28
        upper Limit
        36
        value
        32
    title
    Not hospitalized, no limitations on activities
denoms
  1. counts
    1. group Id
      OG000
      value
      515
    2. group Id
      OG001
      value
      518
    units
    Participants
description
The ordinal scale is an assessment of the clinical status at the first assessment of a given study day. The scale is as follows: 8) Death; 7) Hospitalized, on invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO); 6) Hospitalized, on non-invasive ventilation or high flow oxygen devices; 5) Hospitalized, requiring supplemental oxygen; 4) Hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID-19 related or otherwise); 3) Hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 2) Not hospitalized, limitation on activities and/or requiring home oxygen; 1) Not hospitalized, no limitations on activities. Data was imputed using last observation carried forward or worst possible score based on hospitalization status (2 if not hospitalized, 7 if hospitalized) when there was a change in hospitalization status since last score. Deaths were imputed as an 8.
dispersion Type
95% Confidence Interval
groups
  1. description
    200 mg of Remdesivir administered intravenously on Day 1, followed by a 100 mg once-daily maintenance dose of Remdesivir while hospitalized for up to a 10-day total course and 4 mg (2 tablets of 2 mg) of Baricitinib administered orally daily for the duration of the hospitalization up to a 14-day total course.
    id
    OG000
    title
    Remdesivir Plus Baricitinib
  2. description
    200 mg of Remdesivir administered intravenously on Day 1, followed by a 100 mg once-daily maintenance dose of Remdesivir while hospitalized for up to a 10-day total course and 4 mg (2 tablets of 2 mg) of Baricitinib Placebo administered orally daily for the duration of the hospitalization up to a 14-day total course.
    id
    OG001
    title
    Remdesivir Plus Placebo
param Type
NUMBER
population Description
The intent-to-treat (ITT) population includes all participants who were randomized.
reporting Status
POSTED
time Frame
Day 15
title
Percentage of Participants at Each Clinical Status Using Ordinal Scale at Day 15
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice