Can an arthritis drug tame severe COVID-19? trial results in.
NCT ID NCT04327388
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 3 study tested the drug sarilumab (Kevzara®) in 420 adults hospitalized with severe or critical COVID-19. Participants received either sarilumab or a placebo by IV. The main goal was to see if sarilumab speeds up clinical improvement. The trial also tracked survival, need for oxygen, and safety. Results help clarify whether this anti-inflammatory drug benefits COVID-19 patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sarilumab (Kevzara®)
- What this could lead to
- If successful, sarilumab could become a treatment option to help hospitalized COVID-19 patients recover faster and reduce the need for intensive care.
- What could go wrong
- This trial is completed, but results may not apply to all patients. Sarilumab can increase risk of serious infections and side effects like liver enzyme elevations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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420 people
The number who actually took part.
- Started
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Mar 2020
- Finished
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Sep 2020
- 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
-
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 : Participants must be \>=18 years of age. Participants must be hospitalized for less than or equal to 7 days with evidence of pneumonia and have one of the following disease categories: severe disease or critical disease. Laboratory-confirmed severe acute respiratory syndrome coronavirus 2 infection. Exclusion criteria: Unlikely to survive after 48 hours from screening or unlikely to remain at the investigational site beyond 48 hours. Participants with multi organ dysfunction or requiring extracorporeal life support or renal replacement therapy were excluded. Presence of neutropenia less than 2000/cubic millimeter (mmˆ3), aspartate transaminase or ALT greater than 5X ULN, platelets less than 50,000/mmˆ3. Prior immunosuppressive therapies. Use of systemic chronic corticosteroids for non-COVID-19 related condition. Known or suspected history of tuberculosis. Suspected or known active systemic bacterial or fungal infections. The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
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Get notified about this study
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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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Investigational Site Number 0320001
Caba, 1430, Argentina
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Investigational Site Number 0320003
Caba, C1180AAX, Argentina
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Investigational Site Number 0320004
Caba, C1426AAM, Argentina
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Investigational Site Number 0760001
São Paulo, 01327-001, Brazil
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Investigational Site Number 0760002
São Paulo, 04231-030, Brazil
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Investigational Site Number 0760003
Porto Alegre, 90110-270, Brazil
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Investigational Site Number 0760004
São José do Rio Preto, 15090-000, Brazil
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Investigational Site Number 0760005
São Paulo, 04321-120, Brazil
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Investigational Site Number 1240001
Montreal, H2X3E4, Canada
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Investigational Site Number 1240002
Toronto, M5G 2N2, Canada
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Investigational Site Number 1240003
Vancouver, V5Z 1M9, Canada
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Investigational Site Number 1240004
Toronto, M4N3M5, Canada
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Investigational Site Number 1240005
Montreal, H4A 3J1, Canada
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Investigational Site Number 1520001
Talca, 3460001, Chile
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Investigational Site Number 1520002
Santiago, 80004005, Chile
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Investigational Site Number 1520003
Santiago, 750-0691, Chile
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Investigational Site Number 1520004
Santiago, Chile
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Investigational Site Number 2500001
Bordeaux, 33076, France
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Investigational Site Number 2500002
Nantes, 44093, France
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Investigational Site Number 2500003
Strasbourg, 67098, France
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Investigational Site Number 2500004
Suresnes, 92151, France
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Investigational Site Number 2500005
Paris, 75877, France
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Investigational Site Number 2500006
La Roche-sur-Yon, 85925, France
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Investigational Site Number 2500007
Clamart, 92140, France
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Investigational Site Number 2760001
Münster, 48149, Germany
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Investigational Site Number 2760002
Essen, 45147, Germany
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Investigational Site Number 2760004
Cologne, 50937, Germany
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Investigational Site Number 3760001
Ramat Gan, 52662, Israel
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Investigational Site Number 3760002
Jerusalem, 91120, Israel
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Investigational Site Number 3800001
Milan, 20132, Italy
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Investigational Site Number 3800002
Milan, 20157, Italy
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Investigational Site Number 3800003
Modena, 41100, Italy
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Investigational Site Number 3800004
Parma, 43100, Italy
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Investigational Site Number 3800005
Milan, 20122, Italy
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Investigational Site Number 3800006
Rozzano, 20089, Italy
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Investigational Site Number 3920001
Kamakura-Shi, Japan
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Investigational Site Number 3920002
Fuchu-Shi, Japan
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Investigational Site Number 3920003
Iruma-Gun, Japan
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Investigational Site Number 6430001
Moscow, 129301, Russia
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Investigational Site Number 6430002
Moscow, 123182, Russia
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Investigational Site Number 6430003
Moscow, 111539, Russia
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Investigational Site Number 7240001
Madrid, 28046, Spain
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Investigational Site Number 7240002
Madrid, 28007, Spain
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Investigational Site Number 7240003
Barcelona, 08035, Spain
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Investigational Site Number 7240004
Barcelona, 08036, Spain
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Investigational Site Number 7240005
Madrid, 28034, Spain
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Investigational site number 3760003
Ashdod, 7747629, Israel
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Other studies related to the condition(s) this trial covers.
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- Blood samples and health records could reveal why some COVID-19 cases turn severe
- Home antibody tests put to the test: can you read your own COVID-19 result?
- Can lung ultrasound reveal COVID-19's signature in the lungs?
- Can a mild case of COVID-19 harm your kidneys? urine tests may hold the answer
- When the immune system Can't fight back: tracking three respiratory viruses