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Last Updated: April 10, 2025

CLINICAL TRIALS PROFILE FOR REMDESIVIR


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505(b)(2) Clinical Trials for remdesivir

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Dosage NCT05187793 ↗ Randomized Study of Efficacy of Different Treatment Regimens of Olokizumab Recruiting Federal Budget Institution of Science "Central Research Institute of Epidemiology" of the Rospotrebnadzor Phase 3 2021-07-08 The primary objective of the study is to evaluate the efficacy and safety of Artlegia (INN: olokizumab) new dosing regimen in patients with moderate coronavirus infection (COVID-19) with signs of hyperinflammation. This study is a multicentre, open-label, randomized, comparative, parallel group, active-controlled clinical trial.
New Dosage NCT05187793 ↗ Randomized Study of Efficacy of Different Treatment Regimens of Olokizumab Recruiting Group of companies Medsi, JSС Phase 3 2021-07-08 The primary objective of the study is to evaluate the efficacy and safety of Artlegia (INN: olokizumab) new dosing regimen in patients with moderate coronavirus infection (COVID-19) with signs of hyperinflammation. This study is a multicentre, open-label, randomized, comparative, parallel group, active-controlled clinical trial.
New Dosage NCT05187793 ↗ Randomized Study of Efficacy of Different Treatment Regimens of Olokizumab Recruiting R-Pharm Phase 3 2021-07-08 The primary objective of the study is to evaluate the efficacy and safety of Artlegia (INN: olokizumab) new dosing regimen in patients with moderate coronavirus infection (COVID-19) with signs of hyperinflammation. This study is a multicentre, open-label, randomized, comparative, parallel group, active-controlled clinical trial.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

All Clinical Trials for remdesivir

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT04280705 ↗ Adaptive COVID-19 Treatment Trial (ACTT) Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 2020-02-21 This study is an adaptive, randomized, double-blind, placebo-controlled trial to evaluate the safety and efficacy of novel therapeutic agents in hospitalized adults diagnosed with COVID-19. The study is a multicenter trial that will be conducted in up to approximately 100 sites globally. The study will compare different investigational therapeutic agents to a control arm. There will be interim monitoring to introduce new arms and allow early stopping for futility, efficacy, or safety. If one therapy proves to be efficacious, then this treatment may become the control arm for comparison(s) with new experimental treatment(s). Any such change would be accompanied by an updated sample size. Because background standards of supportive care may evolve/improve over time as more is learned about successful management of COVID-19, comparisons of safety and efficacy will be based on data from concurrently randomized subjects. An independent Data and Safety Monitoring Board (DSMB) will actively monitor interim data to make recommendations about early study closure or changes to study arms. To evaluate the clinical efficacy, as assessed by time to recovery, of different investigational therapeutics as compared to the control arm.
NCT04252664 ↗ A Trial of Remdesivir in Adults With Mild and Moderate COVID-19 Suspended Chinese Academy of Medical Sciences Phase 3 2020-02-12 In December 2019, Wuhan, in Hubei province, China, became the center of an outbreak of pneumonia of unknown cause. In a short time, Chinese scientists had shared the genome information of a novel coronavirus (SARS-CoV-2) from these pneumonia patients and developed a real-time reverse transcription PCR (real-time RT-PCR) diagnostic assay. Given no specific antiviral therapy for COVID-19 and the availability of remdesvir as a potential antiviral agent based on pre-clinical studies in SARS-CoV and MERS-CoV infections, this randomized, controlled, double blind trial will evaluate the efficacy and safety of remdesivir in patients hospitalized with mild or moderate COVID-19.
NCT04252664 ↗ A Trial of Remdesivir in Adults With Mild and Moderate COVID-19 Suspended Capital Medical University Phase 3 2020-02-12 In December 2019, Wuhan, in Hubei province, China, became the center of an outbreak of pneumonia of unknown cause. In a short time, Chinese scientists had shared the genome information of a novel coronavirus (SARS-CoV-2) from these pneumonia patients and developed a real-time reverse transcription PCR (real-time RT-PCR) diagnostic assay. Given no specific antiviral therapy for COVID-19 and the availability of remdesvir as a potential antiviral agent based on pre-clinical studies in SARS-CoV and MERS-CoV infections, this randomized, controlled, double blind trial will evaluate the efficacy and safety of remdesivir in patients hospitalized with mild or moderate COVID-19.
NCT04257656 ↗ A Trial of Remdesivir in Adults With Severe COVID-19 Terminated Capital Medical University Phase 3 2020-02-06 In December 2019, Wuhan, in Hubei province, China, became the center of an outbreak of pneumonia of unknown cause. In a short time, Chinese scientists had shared the genome information of a novel coronavirus (SARS-CoV-2) from these pneumonia patients and developed a real-time reverse transcription PCR (real-time RT-PCR) diagnostic assay. Given no specific antiviral therapy for COVID-19 and the ready availability of remdesvir as a potential antiviral agent, based on pre-clinical studies in SARS-CoV and MERS-CoV infections, this randomized, controlled, double blind trial will evaluate the efficacy and safety of remdesivir in patients hospitalized with severe COVID-19.
NCT04282902 ↗ A Study to Evaluate the Efficacy and Safety of Pirfenidone With Novel Coronavirus Infection Recruiting Huilan Zhang Phase 3 2020-02-04 The acute lung injury caused by SARS and 2003 were both related to the inflammatory cytokine storm in patients. The biochemical test showed abnormal increase in related indicators such as interleukin-8, and CT images showed a medical "white" lung". According to the experience of SARS treatment in 2003, the use of hormones will indeed help the patients to alleviate their illness, but patients who survived SARS either had too much hormone at that time and took too long. Although the lungs could recover, but the femoral head was necrotic Either the amount of hormones was very conservative at the time, which kept the lungs in the storm of inflammatory factors, leading to the emergence of irreversible pulmonary fibrosis. So is there a medicine that can anti-inflammatory, reduce the load of hormone use, and have the effect of treating and preventing pulmonary fibrosis complicated by severe viral lung? At present, pirfenidone has achieved encouraging results in the treatment of idiopathic Pulmonary Fibrosis (CTD-ILD) diseases. It is particularly encouraging that the values announced at the 2019 ATS Annual Conference suggest that pirfenidone has more anti-inflammatory and anti-oxidant effects than its own outstanding anti-fibrotic ability. The data shows early use, Its strong anti-SOD activity can effectively inhibit IL-1beta and IL-4, and can open the prevention mode of pulmonary interstitial fibrosis. Based on the above, this project intends to make the following scientific assumptions: based on the homology of the pathogens of the new coronavirus-infected pneumonia and the coronavirus infection of pneumonia in 2003, the similarities in the occurrence and development of the disease, that is, the pulmonary inflammatory storm occurs first, and thereafter The progress of fibrosis and the progressive decline of lung function and mortality are higher than those of ordinary pneumonia. We hope that by adding pirfenidone as a treatment program in addition to standard treatment, it will be a new and severe type of coronavirus infection. Patient clinical treatment provides an effective and practical method.
NCT03719586 ↗ Investigational Therapeutics for the Treatment of People With Ebola Virus Disease Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2/Phase 3 2018-11-21 Background: Ebola virus can cause serious illness or death. No medicines are approved to treat it. Researchers need to test new medicines to see if they help people recover from Ebola and are safe to give. They need to test the drugs and compare them in a controlled way. Researchers want to test 4 drugs with people who have Ebola and are in treatment centers. Objective: To study the safety and effectiveness of 4 drugs for people with Ebola virus. Eligibility: People of any age with Ebola infection who are in treatment centers Design: Participants will be screened with questions, medical history, and blood tests. Participants will be randomly assigned to get 1 of 3 study drugs: - ZMapp by IV over about 4 hours. It will be given 3 times, 3 days apart. - Remdesivir by IV over about 1 hour. It will be given once a day for 10 days. - Mab114 by IV for 30-60 minutes. It will be given 1 time. - REGN-EB3 by IV for about 2 hours. It will be given 1 time. For at least a week, participants will stay in isolation in a clinic. They will: - Get supportive care and be monitored - Have a small plastic tube (IV) put in an arm vein for several days to give fluids and collect blood. - Get their study drug. - Be monitored for disease signs and drug side effects. They may get medicines for side effects. - Have blood and urine tests. Participants will stay in the clinic until they finish the study drug and are well enough to leave. Participants will have 2 follow-up visits over 2 months. They will answer questions and give blood and semen samples. ...
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 6 of 6 entries

Clinical Trial Conditions for remdesivir

Condition Name

56427600102030405060COVID-19Covid19Corona Virus InfectionCOVID-19 Pneumonia[disabled in preview]
Condition Name for remdesivir
Intervention Trials
COVID-19 56
Covid19 42
Corona Virus Infection 7
COVID-19 Pneumonia 6
[disabled in preview] 0
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Condition MeSH

1242516140020406080100120COVID-19Coronavirus InfectionsSevere Acute Respiratory SyndromePneumonia[disabled in preview]
Condition MeSH for remdesivir
Intervention Trials
COVID-19 124
Coronavirus Infections 25
Severe Acute Respiratory Syndrome 16
Pneumonia 14
[disabled in preview] 0
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Clinical Trial Locations for remdesivir

Trials by Country

+
Trials by Country for remdesivir
Location Trials
United States 524
Spain 38
Brazil 22
United Kingdom 21
Mexico 13
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Trials by US State

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Trials by US State for remdesivir
Location Trials
California 27
Texas 25
New York 24
Massachusetts 22
North Carolina 20
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Clinical Trial Progress for remdesivir

Clinical Trial Phase

8.3%40.0%12.5%39.2%0101520253035404550Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for remdesivir
Clinical Trial Phase Trials
Phase 4 10
Phase 3 48
Phase 2/Phase 3 15
[disabled in preview] 47
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Clinical Trial Status

35.9%27.5%19.1%17.6%02530354045RecruitingCompletedNot yet recruiting[disabled in preview]
Clinical Trial Status for remdesivir
Clinical Trial Phase Trials
Recruiting 47
Completed 36
Not yet recruiting 25
[disabled in preview] 23
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Clinical Trial Sponsors for remdesivir

Sponsor Name

trials0246810121416National Institute of Allergy and Infectious Diseases (NIAID)Gilead SciencesUniversity of Minnesota[disabled in preview]
Sponsor Name for remdesivir
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 15
Gilead Sciences 8
University of Minnesota 6
[disabled in preview] 14
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Sponsor Type

77.0%13.6%6.5%0050100150200250300OtherIndustryNIH[disabled in preview]
Sponsor Type for remdesivir
Sponsor Trials
Other 284
Industry 50
NIH 24
[disabled in preview] 11
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Remdesivir: A Comprehensive Overview of Clinical Trials, Market Trends, and Future Projections

Introduction to Remdesivir

Remdesivir, developed by Gilead Sciences Inc., is a broad-spectrum antiviral medication that has garnered significant attention for its efficacy in treating COVID-19 and other viral infections. Initially developed to treat hepatitis C, Ebola, and Marburg virus infections, remdesivir has proven to be a crucial tool in the fight against the COVID-19 pandemic.

Clinical Trials and Efficacy

Adaptive COVID-19 Treatment Trial (ACTT-1)

One of the most pivotal clinical trials for remdesivir was the Adaptive COVID-19 Treatment Trial (ACTT-1), sponsored by the National Institute of Allergy and Infectious Diseases (NIAID). This randomized, controlled trial involved 1,063 patients and demonstrated that remdesivir significantly accelerated recovery from advanced COVID-19. Patients who received remdesivir had a 31% faster time to recovery compared to those who received a placebo, with a median recovery time of 11 days versus 15 days for the placebo group. The trial also suggested a survival benefit, with an 8.0% mortality rate for the remdesivir group versus 11.6% for the placebo group[1].

SIMPLE Moderate and SOLIDARITY Trials

Other notable trials include the SIMPLE Moderate clinical trial, which showed remdesivir's efficacy in improving clinical status among patients hospitalized for moderate COVID-19. The SOLIDARITY trial further reinforced remdesivir's safety and effectiveness in reducing mortality rates in hospitalized patients requiring supplemental oxygen[4].

PINETREE Trial

The PINETREE trial highlighted remdesivir's potential in reducing the risk of hospitalization and death in non-hospitalized patients, particularly when viral replication is at its peak and the risk of progression to severe disease is high[4].

Market Trends and Forecast

Global Market Growth

The global remdesivir market is projected to experience substantial growth in the coming years. According to forecasts, the market is expected to grow with a Compound Annual Growth Rate (CAGR) of 21.4%, reaching $14.12 billion by 2028. This growth is driven by ongoing COVID-19 response efforts, emerging variants, global vaccination campaigns, and pandemic preparedness initiatives[3].

Key Drivers

Several factors are driving the growth of the remdesivir market:

  • Rising Cases of Viral Infections: The increase in viral infections, including COVID-19, has heightened the demand for effective antiviral treatments.
  • Unhygienic Practices: Unhygienic practices in rural areas contribute to the spread of viral infections, further increasing the need for remdesivir.
  • Healthcare Investments: Increased investment in the healthcare sector and government initiatives to promote the manufacturing of remdesivir are significant drivers.
  • Research and Development: Ongoing R&D activities aimed at improving the quality and efficacy of remdesivir also play a crucial role[5].

Market Segmentation

The remdesivir market is segmented by dosage, form, application, and distribution channel. The 100MG dosage is expected to remain the largest segment due to its efficacy in inhibiting the replication of the SARS-CoV-2 virus. Hospital pharmacies are anticipated to be the largest distribution channel, given that remdesivir is a prescription-only medication[2].

Regional Analysis

North America is forecasted to remain the largest region for the remdesivir market due to the high prevalence of COVID-19 and other viral infections. Other regions, including Europe and Asia Pacific, are also expected to contribute significantly to the market growth[2].

Challenges and Opportunities

Supply Shortages and Substitutes

Despite the positive outlook, the remdesivir market faces challenges such as supply shortages and the availability of substitutes. These factors can hinder market growth and necessitate strategic measures to ensure consistent supply and differentiate remdesivir from other antiviral treatments[5].

Favourable Reimbursement Policies

On the other hand, favourable reimbursement policies by governments and fast-track regulatory approvals offer lucrative opportunities for market expansion. These policies can accelerate the adoption of remdesivir and support its widespread use in treating viral infections[5].

Competitive Landscape

The remdesivir market is highly competitive, with major players focusing on expanding their manufacturing facilities, investing in R&D, and leveraging integration opportunities across the value chain. Companies such as Gilead Sciences are at the forefront, ensuring competitive effectiveness through innovative products, reduced production costs, and an expanded customer base[2].

Future Projections and Trends

Personalized Medicine and Combination Therapies

Future trends in the remdesivir market include the integration of personalized medicine and combination therapies. These approaches are expected to enhance the efficacy and safety of remdesivir, making it a more versatile treatment option for various viral infections[3].

Telemedicine and Remote Monitoring

The adoption of telemedicine and remote monitoring is also anticipated to play a significant role, especially in the context of pandemic preparedness and global health initiatives. These technologies can facilitate the administration and monitoring of remdesivir, improving patient outcomes and reducing the burden on healthcare systems[3].

New Indications and Alternative Therapies

Research on new indications for remdesivir and the development of alternative antiviral therapies will continue to shape the market. For instance, remdesivir is being explored for its potential in treating respiratory infections, feline infections, and arenaviruses, further expanding its therapeutic scope[5].

"Remdesivir has been shown to be safe and effective at reducing mortality rates in hospitalized patients who require supplemental oxygen in the Adaptive COVID-19 Treatment Trial (ACTT-1) and SOLIDARITY trial, respectively"[4].

Key Takeaways

  • Clinical Efficacy: Remdesivir has demonstrated significant efficacy in clinical trials, particularly in reducing recovery time and mortality rates for COVID-19 patients.
  • Market Growth: The global remdesivir market is expected to grow substantially, driven by rising cases of viral infections and healthcare investments.
  • Segmentation: The market is segmented by dosage, form, application, and distribution channel, with hospital pharmacies being a major segment.
  • Challenges and Opportunities: Supply shortages and substitutes are challenges, while favourable reimbursement policies and fast-track approvals offer opportunities.
  • Future Trends: Personalized medicine, combination therapies, telemedicine, and research on new indications will shape the future of the remdesivir market.

FAQs

Q1: What is the primary use of remdesivir?

Remdesivir is primarily used as an antiviral medication to treat COVID-19 and other viral infections such as hepatitis C, Ebola, and Marburg virus infections.

Q2: What were the key findings of the ACTT-1 trial for remdesivir?

The ACTT-1 trial showed that remdesivir accelerated recovery from advanced COVID-19, with a 31% faster time to recovery compared to placebo, and suggested a survival benefit with lower mortality rates.

Q3: What is the forecasted growth rate of the global remdesivir market?

The global remdesivir market is expected to grow with a CAGR of 21.4%, reaching $14.12 billion by 2028.

Q4: What are the major drivers influencing the growth of the remdesivir market?

The major drivers include growing cases of viral infections, unhygienic practices in rural areas, increased demand for prevention of viral infections, and investments in the healthcare sector.

Q5: Which region is expected to be the largest for the remdesivir market in the next few years?

North America is expected to remain the largest region for the remdesivir market due to the high prevalence of COVID-19 and other viral infections.

Sources

  1. NIH Clinical Trial Shows Remdesivir Accelerates Recovery from Advanced COVID-19. National Institute of Allergy and Infectious Diseases. April 29, 2020.
  2. Remdesivir Market Report: Trends, Forecast and Competitive Analysis. Lucintel.
  3. Global Remdesivir Market Report 2024. The Business Research Company.
  4. Remdesivir is Associated with Reduced Mortality in Patients with COVID-19. Oxford Academic.
  5. Remdesivir Market Growth | Size, Trends, Forecast (2021-2030). Allied Market Research.

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