Public use datasets are available for the 10 clinical trials:
- 6 Therapeutics for Inpatients with Covid-19 (TICO), conducted under the ACTIV-3 program.
- Inpatient Treatment with Anti-Coronavirus Immunoglobulin (ITAC) trial.
- Vaccination for Recovered Inpatients with COVID-19 (VATICO) trial.
- Therapeutics for Severely Ill Inpatients with COVID-19 (TESICO, ACTIV3b).
- Strategies and Treatments of Respiratory Infections and Viral Emergencies (STRIVE) Trial 1: Shionogi Ensitrelvir.
Click on Request access and complete the contact information and you will receive a username and password that allows access to data from these 10 studies.
A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of the Safety and Efficacy of Investigtational Therapeutics for Hospitalized Patients with COVID-19 (TICO)
The study will evaluate the safety and efficacy of multiple investigational agents intended to enhance the host immune response to SARS-CoV-2 infection, or directly enhance viral control, in order to limit disease progression. Using a master protocol, successive trials with the protocol will be adaptive, randomized, and initially placebo-controlled. All participants will receive standard of care (SOC) treatment. If an investigational agent shows superiority over placebo + SOC as initially defined, SOC for future investigational treatment evaluations will be modified accordingly. The initial investigational agents will be neutralizing monoclonal antibodies.
Protocol Summary
An International Multicenter, Adaptive, Randomized Double-Blind, Placebo-Controlled Trial of the Safety, Tolerability and Efficacy of Hyperimmune Intravenous Immunoglobulin for the Treatment of Adult Hospitalized Patients at Onset of Clinical Progression of COVID-19 (ITAC)
This treatment study is intended to evaluate the safety and efficacy of hyperimmune intravenous immunoglobulin (hIVIG) administered to patients hospitalized for medical management of COVID-19 without related serious end-organ failure. Treatment with hIVIG, derived from the plasma of individuals who recover and develop neutralizing antibodies, is a potentially useful therapeutic approach to COVID-19. Emerging data suggest that humoral immunity to SARS-CoV-2 may develop relatively late in the course of infection, and is variable between individuals with some showing limited antibody development. Augmenting host antibody response with hIVIG to SARS-CoV-2 at the onset of clinical progression, before end-organ failure has developed, may reduce the subsequent risk of further disease progression and death. The planned study sample size is 500 participants.
Protocol Summary
Vaccination for Recovered Inpatients with COVID-19 (VATICO)
This study was intended to evaluate the differences in antibody response to SARS-CoV-2 vaccines based on vaccination timing and the number of doses given, among participants in the TICO trial who recovered from COVID-19 infection within 28 to 90 days after enrolling in TICO. Study participants were randomized to one of 4 vaccination groups: I1, one dose at VATICO enrollment; I2, one dose immediately and a second dose 4 weeks later; D1, one dose deferred until 12 weeks after VATICO enrollment; D2 one dose 12 weeks after VATICO enrollment followed by a second dose 4 weeks later. The planned sample size was 640 participants.
Protocol Summary
A Multicenter, Adaptive, Randomized, Blinded Controlled Trial of
the Safety and Efficacy of Investigational Therapeutics for Hospitalized
Patients with Acute Respiratory Distress Syndrome Associated with COVID-19
(TESICO)
The study will evaluate the safety and efficacy of investigational agents
aimed at improving outcomes of patients with acute respiratory failure
related to COVID-19. Using a master protocol, successive trials within
this protocol will be adaptive, randomized, and initially
placebo-controlled. All participants will receive standard of care (SOC)
treatment. If an investigational agent shows superiority over placebo +
SOC as initially defined, SOC for future investigational treatment
evaluations will be modified accordingly. The first investigational agents
studied will be aviptadil (generic name for the synthetic version of
Vasoactive Intestinal Peptide [VIP]) and remdesivir in a 2x2 factorial
design for those eligible for both agents. If eligible for only 1 agent,
the randomization is 1:1 for active agent versus placebo.
Protocol Summary
A Multicenter, Adaptive, Randomized, Controlled Trial Platform to Evaluate Safety and Efficacy of Strategies and Treatments of Respiratory Infections and Viral Emergencies (STRIVE) Appendix E-1: Shionogi Protease Inhibitor S-217622 (Ensitrelvir)
This COVID-19 treatment study is designed to evaluate the safety and efficacy of ensitrelvir, an anti-SARS-CoV-2 3C-like protease inhibitor developed by Shionogi & Co. Ltd, when given in addition to standard of care in patients hospitalized for medical management of COVID-19. The primary efficacy outcome will assess clinical recovery over 60 days. Participants will be randomized to receive a 5-day course of oral ensitrelvir or a 5-day course of matching oral placebo in addition to standard of care. The standard of care will be determined by local established guidelines and may include additional direct-acting antivirals (e.g., remdesivir) and immunomodulatory treatments. The planned sample size is 1500 participants.
Protocol Summary
Major Results Publications for TICO, ITAC, VATICO, Shionogi Ensitrelvir Trials
Responses to a neutralizing monoclonal antibody for hospitalized patients with COVID-19 according to baseline antibody and antigen levels. Ann Intern Med 2022. ACTIV-3/TICO Bamlanivimab Study Group
https://doi.org/10.7326/M21-3507
Efficacy and safety of two neutralizing monoclonal antibody therapies, sotrovimab and BRII-196 plus BRII-198, for adults hospitalized with COVID-19 (TICO): a randomized controlled trial. ACTIV-3/TICO Study Group. Lancet Infect Dis 2021.
https://doi.org/10.1016/S1473-3099(21)00751-9
Hyperimmune immunoglobulin for hospitalised patients with COVID-19 (ITAC): a double-blind, placebo-controlled, phase 3, randomised trial. Lancet 2022. The ITAC (INSIGHT 013) Study Group.
https://doi.org/10.1016/S0140-6736(22)00101-5