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mavrilimumab

Phase 2

COVID | Small molecule | Infectious Disease |Kiniksa Pharmaceuticals International, plc|Last Updated: Jan 22, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment814
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04447469Study of Mavrilimumab (KPL-301) in Participants Hospitalized With Severe Corona Virus Disease 2019 (COVID-19) Pneumonia and Hyper-inflammationPHASE2 COMPLETED 814Jul 28, 2020Jan 14, 2022Jan 22, 202532 United States, Brazil +3
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Study Endpoints
Primary Endpoints
Cohort 1, Phase 2: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Day 29

Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation. The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or ECMO; 3=hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5=hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID 19 related or otherwise); 6=hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7=not hospitalized, limitation on activities and/or requiring home oxygen; 8=not hospitalized, no limitations on activities.

Cohort 1, Phase 3: Percentage of Participants Alive and Free of Mechanical Ventilation at Day 29
Day 29

Mechanical ventilation is defined as invasive mechanical ventilation (IMV) or extracorporeal membrane oxygenation (ECMO). Mechanical ventilation status was evaluated based on the National Institute of Allergy and Infectious Diseases (NIAID) clinical outcome 8-point ordinal scale. Participants whose clinical outcome met a NIAID score of 2 were considered as using mechanical ventilation. The NIAID score is an 8-point ordinal scale of clinical outcomes: 1=death; 2=hospitalized, on invasive mechanical ventilation or ECMO; 3=hospitalized, on non-invasive ventilation or high flow oxygen devices; 4= hospitalized, requiring supplemental oxygen; 5=hospitalized, not requiring supplemental oxygen - requiring ongoing medical care (COVID 19 related or otherwise); 6=hospitalized, not requiring supplemental oxygen - no longer requires ongoing medical care; 7=not hospitalized, limitation on activities and/or requiring home oxygen; 8=not hospitalized, no limitations on activities.

Cohort 2, Phase 2: Percentage of Participants Who Died by Day 29
Day 29

Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.

Cohort 2, Phase 3: Percentage of Participants Who Died by Day 29
Day 29

Defined as the proportion of subjects with mechanical ventilation who have died by Day 29.

Secondary Endpoints
Cohort 1, Phase 2: Time to 2-point Clinical Improvement by Day 29
Day 29
Phase 2, Cohort 1: Time to Return to Room Air or Discharge by Day 29
Day 29
Phase 2, Cohort 1: Percentage of Participants Who Die by Day 29
Day 29
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
10 mg/kg (Cohort 1)ACTIVE_COMPARATORNon-mechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
6 mg/kg (Cohort 1)ACTIVE_COMPARATORNon-mechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Placebo (Cohort 1)PLACEBO_COMPARATORNon-mechanically ventilated participants administered placebo as a single IV infusion
10 mg/kg (Cohort 2)ACTIVE_COMPARATORMechanically ventilated participants administered mavrilimumab 10 mg/kg as a single IV infusion
6 mg/kg (Cohort 2)ACTIVE_COMPARATORMechanically ventilated participants administered mavrilimumab 6 mg/kg as a single IV infusion
Placebo (Cohort 2)PLACEBO_COMPARATORMechanically ventilated participants administered placebo as a single IV infusion
Interventions
NameTypeDescription
mavrilimumabDRUGanti-granulocyte-macrophage colony-stimulating factor receptor alpha (GM-CSF-Rα) monoclonal antibody (human isoform immunoglobulin G \[IgG4\])
PlaceboOTHERmatching placebo
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites32

Key Inclusion Criteria: * Subject (or legally authorized representative) is able and willing to provide informed consent, which includes compliance with study requirements and restrictions listed in the consent form. Consent must be performed per institutional regulations. * Age of ≥ 18 years * Pos...

Countries:United StatesBrazilChilePeruSouth Africa
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