Study to Evaluate the Safety Tolerability Pharmacokinetics and Efficacy of Remdesivir (GS-5734 ) in Participants From Birth to < 18 Years of Age With Coronavirus Disease 2019 (COVID-19)

  • STATUS
    Recruiting
  • participants needed
    52
  • sponsor
    Gilead Sciences
Updated on 19 February 2024
PCR test
covid-19
SARS
coronavirus infection
remdesivir
acute respiratory syndrome (sars)

Summary

The primary objectives of this study are to evaluate the safety, tolerability, and pharmacokinetics (PK) of remdesivir (RDV) in participants with laboratory-confirmed coronavirus disease 2019 (COVID-19) aged 0 days to < 18 years.

Description

Pediatric participants will be enrolled as follows:

Pediatric participants 28 days to < 18 years old:

  • Cohort 1: 12 years to < 18 years and weight 40 kg
  • Cohort 2: 28 days to < 18 years and weight 20 kg to < 40 kg
  • Cohort 3: 28 days to < 18 years and weight 12 kg to < 20 kg
  • Cohort 4: 28 days to < 18 years and weight 3 kg to < 12 kg

Term neonatal participants 0 days to < 28 days old:

  • Cohort 5: 14 days to < 28 days of age, gestational age > 37 weeks and weight at screening 2.5 kg
  • Cohort 6: 0 days to < 14 days of age, gestational age > 37 weeks and birth weight 2.5 kg

Preterm neonates and infants 0 days to < 56 days old:

  • Cohort 7: 0 days to < 56 days of age, gestational age 37 weeks and birth weight 1.5 kg

Details
Condition Covid 19
Age 18 years and younger
Treatment Remdesivir
Clinical Study IdentifierNCT04431453
SponsorGilead Sciences
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

Aged < 18 years of age who meet one of the following weight criteria (where permitted according to local law and approved nationally and by relevant institutional review board (IRB) or independent ethics committee (IEC))
a) Cohort 1: 12 years to < 18 years of age and weight at screening 40 kg
b) Cohorts 2-4: 28 days to < 18 years of age and weight at screening 3 kg and < 40 kg
c) Cohort 5: 14 days to < 28 days of age, gestational age > 37 weeks and weight at screening 2.5 kg
d) Cohort 6: 0 days to < 14 days of age, gestational age > 37 weeks and birth weight of 2.5 kg
e) Cohort 7: 0 days to < 56 days of age, gestational age 37 weeks and birth weight of 1.5 kg
Severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection confirmed by polymerase chain reaction (PCR)
Hospitalized and requiring medical care for coronavirus disease 2019 (COVID-19)

Exclusion Criteria

Concurrent treatment with other agents with actual or possible direct antiviral activity against SARS-CoV-2 < 24 hours prior to study drug dosing
Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit of normal (ULN)
Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73m^2 using Schwartz formula for individuals 1 year of age
Creatinine above protocol specified thresholds for < 1 year of age
Positive pregnancy test at Screening only for female of child bearing potential. Note: If female participants who become pregnant during the study or are discovered to be pregnant after receiving at least one dose may continue study drug, after discussion with the investigator
Note: Other protocol defined Inclusion/Exclusion criteria may apply
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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