The goals of this clinical study are to learn more about the study drug, remdesivir, and how safe it is in participants 18 years old and younger with coronavirus disease 2019 (COVID-19).
Pediatric participants will be enrolled as follows:
Pediatric participants ≥ 28 days to < 18 years old:
- Cohort 1: ≥ 12 years to < 18 years and weight ≥ 40 kg
- Cohort 2: ≥ 28 days to < 18 years and weight ≥ 20 kg to < 40 kg
- Cohort 3: ≥ 28 days to < 18 years and weight ≥ 12 kg to < 20 kg
- Cohort 4: ≥ 28 days to < 18 years and weight ≥ 3 kg to < 12 kg
- Cohort 8: < 12 years and weight ≥ 40 kg
Term neonatal participants 0 days to < 28 days old:
- Cohort 5: ≥ 14 days to < 28 days of age, gestational age > 37 weeks and weight at
screening ≥ 2.5 kg
- Cohort 6: 0 days to < 14 days of age, gestational age > 37 weeks and birth weight ≥ 2.5
kg
Preterm neonates and infants 0 days to < 56 days old:
- Cohort 7: 0 days to < 56 days of age, gestational age ≤ 37 weeks and birth weight ≥ 1.5
kg
Drug: Remdesivir
Administered as an intravenous infusion
Other Name: Array
Key Inclusion Criteria:
- Aged < 18 years of age who meet one of the following weight criteria (where permitted
according to local law and approved nationally and by relevant institutional review
board (IRB) or independent ethics committee (IEC)).
- a) Cohort 1: ≥ 12 years to < 18 years of age and weight at screening ≥ 40 kg
- b) Cohorts 2-4: ≥ 28 days to < 18 years of age and weight at screening ≥ 3 kg and
< 40 kg
- c) Cohort 5: ≥ 14 days to < 28 days of age, gestational age > 37 weeks and weight
at screening ≥ 2.5 kg
- d) Cohort 6: 0 days to < 14 days of age, gestational age > 37 weeks and birth
weight of ≥ 2.5 kg
- e) Cohort 7: 0 days to < 56 days of age, gestational age ≤ 37 weeks and birth
weight of ≥ 1.5 kg
- f) Cohort 8: < 12 years of age and weight at screening ≥ 40 kg
- Severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection confirmed by
polymerase chain reaction (PCR)
- Hospitalized and requiring medical care for coronavirus disease 2019 (COVID-19)
Key Exclusion Criteria:
- Concurrent treatment with other agents with actual or possible direct antiviral
activity against SARS-CoV-2 < 24 hours prior to study drug dosing
- Alanine Aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 X upper limit
of normal (ULN)
- Estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73m^2 using Schwartz formula
for individuals ≥ 1 year of age
- Creatinine above protocol specified thresholds for < 1 year of age
- Positive pregnancy test at Screening only for female of child bearing potential. Note:
If female participants who become pregnant during the study or are discovered to be
pregnant after receiving at least one dose may continue study drug, after discussion
with the investigator
- On renal replacement therapies (intermittent hemodialysis (iHD), peritoneal dialysis
(PD), continuous renal replacement therapy (CRRT))
Note: Other protocol defined Inclusion/Exclusion criteria may apply
Children's Hospital of Alabama
Birmingham, Alabama, United States
Children's Hospital Los Angeles
Los Angeles, California, United States
Ronald Reagan University of California, Los Angeles Medical Center
Los Angeles, California, United States
Valley Children's Hospital
Madera, California, United States
UC Davis Medical center
Sacramento, California, United States
Rady Children's Hospital San Diego
San Diego, California, United States
Tampa General Hospital (Inpatient Visits)
Tampa, Florida, United States
Ann & Robert H. Lurie Children's Hospital
Chicago, Illinois, United States
Norton Children's Hospital
Louisville, Kentucky, United States
Tulane University School of Medicine
New Orleans, Louisiana, United States
Johns Hopkins Children's Center
Baltimore, Maryland, United States
Boston Children's Hospital
Boston, Massachusetts, United States
Spectrum Health/Helen De Vos Children's Hospital
Grand Rapids, Michigan, United States
Children's Minnesota
Minneapolis, Minnesota, United States
NYC Health + Hospitals/Jacobi Medical Center
Bronx, New York, United States
Montefiore Medical Center
Bronx, New York, United States
Northwell Health-Cohen Children's Medical Center
New Hyde Park, New York, United States
Carolinas Medical Center-Levine Children's Hospital
Charlotte, North Carolina, United States
Lehigh Valley Hospital/Lehigh Valley Health Network (LVH/LVHN)
Allentown, Pennsylvania, United States
St. Christopher's Hospital for Children
Philadelphia, Pennsylvania, United States
Children's Medical Center
Dallas, Texas, United States
Texas Children's Hospital
Houston, Texas, United States
Azienda Ospedaliero Universitaria Meyer
Florence, Italy
Azienda Ospedaliera di Padova - Dipartimento Salute della Donna e del Bambino
Padova, Italy
UO Clinica Pediatrica, Ospedale Pietro Barilla - AOU di Parma
Parma, Italy
Hospital Universitari Vall D'Hebron
Barcelona, Spain
Hospital Sant Joan de Déu
Esplugues de llobregat, Spain
Hospital General Universitario Gregorio Maranon
Madrid, Spain
Hospital Universitario 12 de Octubre
Madrid, Spain
Hospital Universitario La Paz
Madrid, Spain
Hospital Clínico Universitario de Santiago
Santiago de Compostela, Spain
Alder Hey Children's NHS Foundation Trust
Liverpool, United Kingdom
Gilead Study Director, Study Director
Gilead Sciences