Respiratory failure & ventilation

Antisense therapy to block the Kallikrein-kinin pathway in COVID-19: The ASKCOV randomized controlled trial

J Crit CarePublished Randomised controlled trial

Primary result · DAFOR15 (days alive and free of oxygen support up to 15 days)Result — go to the resultMean difference - 0.65 95% CI −2.95 to 1.36

Authors' conclusion

Antisense therapy designed to block the kallikrein-kinin pathway did not demonstrate clinical benefits in increasing days-alive without respiratory support at 15 days in patients with COVID-19 during the first wave in 2020.

Study context

Population
Hospitalised COVID-19 patients requiring supplementary oxygen, without mechanical ventilation or vasopressors, ≤10 days since symptom onset and ≤48 h of oxygen use; 13 sites in Brazil13 sites in Brazil
Participants
111 patients
Comparison
Single subcutaneous dose of ISIS721744 vs placebo
  • ISIS721744n = 56
  • Placebon = 55reference
Primary endpoint
Days alive and free of oxygen support (DAFOR15)
Follow-up
Up to 15 days
Methodological detailsplacebo-controlled, double-blind, multicentre
  • Placebo-controlled
  • Double-blind
  • Multicentre

Primary result

As reported in the abstract

DAFOR15 (days alive and free of oxygen support up to 15 days)

Mean difference

- 0.65

95% CI −2.95 to 1.36

P = 0.520

By group

Intervention vs Control
mean difference - 0.65 (95% CI −2.95 to 1.36); P = 0.520

Original publication

Antisense therapy to block the Kallikrein-kinin pathway in COVID-19: The ASKCOV randomized controlled trial. J Crit Care. Published 3 August 2024. doi:10.1016/j.jcrc.2024.154892

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