Experimental drug leronlimab tested in 484 severe COVID-19 patients
NCT ID NCT04347239
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called leronlimab in 484 hospitalized adults with severe or critical COVID-19. Participants received weekly injections of the drug or a placebo to see if it could lower the risk of death and improve recovery. The trial is now complete, and results help understand whether this treatment can control severe disease.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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484 people
The number who actually took part.
- Started
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Apr 2020
- Finished
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Jun 2022
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or female adult ≥ 18 years of age at time of screening. 2. Subjects hospitalized with severe or critical illness caused by coronavirus 2019 infection as defined below: A. Severe Illness: \- Diagnosed with COVID-19 by standard reverse transcriptase polymerase chain reaction (RT-PCR) assay or equivalent testing within 5 days of screening AND Symptoms of severe systemic illness/infection with COVID-19: \- At least 1 of the following: fever, cough, sore throat, malaise, headache, muscle pain, shortness of breath at rest or with exertion, confusion, or symptoms of severe lower respiratory symptoms including dyspnea at rest or respiratory distress AND Clinical signs indicative of severe systemic illness/infection with COVID-19, with at least 1 of the following: \- respiration rate (RR) ≥ 30, heart rate (HR) ≥ 125, saturated oxygen (SaO2) \<93% on room air or requires \> 2L oxygen by nasal canula (NC) in order maintain SaO2 ≥93%, PaO2/FiO2 \<300 (ratio of partial pressure of oxygen in arterial blood to fraction of inspired oxygen) AND \- None of the following: Respiratory failure (defined by endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula, noninvasive positive pressure ventilation, or clinical diagnosis of respiratory failure in setting of resource limitations), Septic shock (defined by systolic blood pressure (SBP) \< 90 mm Hg, or Diastolic BP \< 60 mm Hg), Multiple organ dysfunction/failure B. Critical Illness: \- Diagnosed with COVID-19 by standard RT-PCR assay or equivalent testing within 5 days of screening AND Evidence of critical illness, defined by at least 1 of the following: \- Respiratory failure defined based on resource utilization requiring at least 1 of the following: Endotracheal intubation and mechanical ventilation, oxygen delivered by high-flow nasal cannula, noninvasive positive pressure ventilation, extracorporeal membrane oxygenation (ECMO), or clinical diagnosis of respiratory failure (in setting of resource limitation) OR \- Shock (defined by SBP \< 90 mm Hg, or Diastolic BP \< 60 mm Hg or requiring vasopressors) OR -Multiple organ dysfunction/failure 3. Subject, if intubated, positive end expiratory pressure (PEEP) \<15 cmH2O with PaO2/FiO2 \>150 mmHg. 4. Electrocardiogram (ECG) with no clinically significant findings as assessed by the Investigator 5. Subject (or legally authorized representative) provides written informed consent prior to initiation of any study procedures. 6. Understands and agrees to comply with planned study procedures. 7. Women of childbearing potential and their partner must agree to use at least one highly effective method of contraception (e.g., hormonal contraceptives \[implants, injectables, combination oral contraceptives, transdermal patches, or contraceptive rings\], intrauterine devices, bilateral tubal occlusion, or sexual abstinence) for the duration of the study. Exclusion Criteria: 1. Subjects with do-not-resuscitate (DNR) and/or do-not-intubate (DNI) orders or expected to be made DNR/DNI in setting of resource limitations or family wishes. 2. Not a candidate for dialysis or continuation of care (or full medical support) in setting of resource limitations. 3. Subject on continuous vasopressors (at the dose of norepinephrine \>20μg/min and/or vasopressin \>0.04 units/kg/min) for \>48 hours at time of screening. 4. Subjects who have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to leronlimab (PRO 140) are not eligible. 5. Inability to provide informed consent or to comply with test requirements 6. Consideration by the investigator, for safety reasons, that the subject is an unsuitable candidate to receive study treatment 7. Pregnancy or breast feeding 8. Subject participating in another study with for an investigational treatment for COVID-19. Note: Subject who were prescribed (1) hydroxychloroquine or chloroquine with or without azithromycin, (2) Remdesivir, (3) convalescent plasma therapy, or (4) immunomodulatory treatments (including but not limited to sarilumab, clazakizumab, tocilizumab, and anakinra) for the off-label treatment of COVID-19 prior to study enrollment may be included and may continue to receive these agents as part of standard-of-care.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advanced Cardiovascular, LLC
Alexander City, Alabama, 35010, United States
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Atlantic Health System Hospital
Morristown, New Jersey, 07962-1905, United States
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Baylor College of Medicine
Houston, Texas, 77030, United States
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Baylor Scott & White Research Institute
Dallas, Texas, 75204, United States
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Center for Advanced Research & Education (CARE)
Gainesville, Georgia, 30501, United States
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Good Samaritan Hospital Corvallis
Corvallis, Oregon, 97330, United States
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Holy Name Medical Center
Teaneck, New Jersey, 07666, United States
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James A. Haley Veterans' Hospital
Tampa, Florida, 33612, United States
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Montefiore Medical Center
The Bronx, New York, 10467, United States
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New York Community Hospital of Brooklyn
Brooklyn, New York, 11229, United States
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Novant Health
Winston-Salem, North Carolina, 27103, United States
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Ohio Health
Columbus, Ohio, 43215, United States
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Oregon Health and Sciences University
Portland, Oregon, 97239, United States
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St. Barnabas
Livingston, New Jersey, 07052, United States
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St. Jude Medical Center
Fullerton, California, 92835, United States
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UCLA
Los Angeles, California, 90095, United States
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University of Texas
Houston, Texas, 77030, United States
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Other studies related to the condition(s) this trial covers.