Official Title
A Phase 2/3 Single-Arm, Open-Label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of Remdesivir (GS-5734™) in Participants From Birth to < 18 Years of Age With COVID-19
Brief Summary

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).

Detailed Description

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

Completed
COVID-19

Drug: Remdesivir

Administered as an intravenous infusion
Other Name: Array

Eligibility Criteria

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

Eligibility Gender
All
Eligibility Age
Minimum: N/A ~ Maximum: 18 Years
Countries
Italy
Spain
United Kingdom
United States
Locations

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

Gilead Sciences
NCT Number
MeSH Terms
COVID-19
Remdesivir