Randomised controlled trial

Effect of the P-Selectin Inhibitor Crizanlizumab on Survival Free of Organ Support in Patients Hospitalized for COVID-19: A Randomized Controlled Trial

CirculationPublished

  • Randomised controlled trial
  • international
  • adaptive
  • platform trial
  • open-label
  • 1:1

Authors' conclusion

Crizanlizumab, a P-selectin inhibitor, did not result in improvement in organ support-free days in patients hospitalized with COVID-19.

Study context

Population
Patients hospitalized with COVID-19 with moderate or severe illness421 with known 21-day outcomes
Participants
422 patients
Comparison
Crizanlizumab plus standard of care vs standard of care alone
Primary endpoint
Organ support-free days (ordinal scale of days alive free of organ support)
Follow-up
First 21 days after trial entry

Primary result

Organ support-free days · 21 days

Adjusted odds ratio

0.70

95% CI 0.43–1.16

Events by treatment group

Crizanlizumab vs Standard of care
adjusted OR 0.70 (95% CI 0.43–1.16)

As reported in the abstract

Further findings

OutcomeCrizanlizumabStandard of careHR (95% CrI)
Death · CrI; probability of HR>1 = 0.879 · CrI17.5%12.8%1.33 (0.85–2.21)

Original publication

Effect of the P-Selectin Inhibitor Crizanlizumab on Survival Free of Organ Support in Patients Hospitalized for COVID-19: A Randomized Controlled Trial. Circulation. Published 25 June 2023. doi:10.1161/circulationaha.123.065190

Summarised from the published abstract; every number is checked against it