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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04333732
Registration number
NCT04333732
Ethics application status
Date submitted
31/03/2020
Date registered
3/04/2020
Date last updated
26/03/2024
Titles & IDs
Public title
CROWN CORONATION: COVID-19 Research Outcomes Worldwide Network for CORONAvirus prevenTION
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Scientific title
An International, Multi-site, Bayesian Platform Adaptive, Randomized, Placebo-controlled Trial Assessing the Effectiveness of Candidate Agents in Mitigating COVID-19 Disease in Adults
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Secondary ID [1]
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INV-017499
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Secondary ID [2]
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202004099
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Universal Trial Number (UTN)
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Trial acronym
CROWN CORONA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
COVID 19
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Condition category
Condition code
Infection
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Other infectious diseases
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - MR or M-M-R II ® vaccine
Treatment: Drugs - Placebo
Experimental: M-M-R II ® - Education and surveillance plus M-M-R II ® Single dose, 0.5 mL subcutaneous injection of M-M-R II ®
Placebo comparator: Placebo - Education and surveillance plus placebo Single dose, 0.5 mL subcutaneous injection of 0.9% saline
Treatment: Drugs: MR or M-M-R II ® vaccine
Education and surveillance plus MR or M-M-R II ® vaccine
Treatment: Drugs: Placebo
Placebo injection
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of Participants With Symptomatic COVID-19 at 60 Days
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Assessment method [1]
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Incidence of symptomatic (i.e. any of the following: cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, new loss of taste or smell, nausea, vomiting, or diarrhea), laboratory test-confirmed COVID-19 in the intervention and control groups in adults with repeated exposures to SARS-CoV-2 by day 60 after receiving trial intervention.
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Timepoint [1]
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60 days after receiving trial intervention
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Secondary outcome [1]
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Number of Participants With Symptomatic COVID-19 at 150 Days
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Assessment method [1]
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Incidence of symptomatic (i.e. any of the following: cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, new loss of taste or smell, nausea, vomiting, or diarrhea), laboratory test-confirmed COVID-19 in the intervention and control groups in adults with repeated exposures to SARS-CoV-2 by day 150 after receiving trial intervention.
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Timepoint [1]
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150 days after receiving trial intervention
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Secondary outcome [2]
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Severity of COVID-19 Measured at 60 Days After Intervention
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Assessment method [2]
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Severity of COVID-19 in adults who become infected with SARS-CoV-2 by day 60 after receiving trial intervention. Severity will be graded on a simplified version of the ordinal WHO COVID-19 severity scale ((i) uninfected, (ii) infected but ambulatory \[mild disease\], (iii) infected and hospitalized \[moderate or severe disease\] or dead). Practically, this outcome measure was treated as a binary outcome - participants were classified and counted as having severe COVID-19 if they met the definition for the primary outcome of symptomatic COVID-19 AND were hospitalized during the course of their COVID-19 illness.
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Timepoint [2]
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60 days after receiving trial intervention
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Secondary outcome [3]
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Severity of COVID-19 at 150 Days After Intervention
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Assessment method [3]
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Severity of COVID-19 in adults who become infected with SARS-CoV-2 by day 150 after receiving trial intervention. Severity will be graded on a simplified version of the ordinal WHO COVID-19 severity scale ((i) uninfected, (ii) infected but ambulatory \[mild disease\], (iii) infected and hospitalized \[moderate or severe disease\] or dead). Practically, this outcome measure was treated as a binary outcome - participants were classified and counted as having severe COVID-19 if they met the definition for the primary outcome of symptomatic COVID-19 AND were hospitalized during the course of their COVID-19 illness.
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Timepoint [3]
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150 days
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Secondary outcome [4]
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Risk of SARS-CoV-2 Infection up to 150 Days After Trial Intervention
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Assessment method [4]
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Risk of SARS-CoV-2 infection by serology (anti-nucleocapsid antibody) in the intervention and control groups in adults with repeated exposures to SARS-CoV-2 by day 150 after receiving trial intervention. Infection with SARS CoV-2 during the course of the trial was diagnosed when IgG antibodies to the viral nucleocapsid protein were present from the 150 day specimen, but not the baseline specimen.
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Timepoint [4]
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150 days
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Eligibility
Key inclusion criteria
Inclusion criteria
1. Volunteers without clinical evidence of COVID-19 infection aged 18 years and older.
2. Healthcare workers based in a primary, secondary or tertiary healthcare setting with a high risk of developing COVID-19 due to their potential exposure to patients with SARS-CoV-2 infection.
3. Must have a mobile phone and access to the Internet for data collection purposes.
4. Participants who are willing and able to provide informed consent via an electronic consent process.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria
1. Prior enrollment into other COVID-19 interventional prevention or treatment trials (observational trials not excluded).
2. Self-reported or diagnosed current infection with SARS-CoV-2 or previous COVID-19 diagnosis.
3. Self-reported current acute respiratory infection.
4. Concurrent and/or recent involvement in other research or use of the investigational product, a product considered to be equivalent to the investigational product, or any other product that is likely to interfere with the investigational products in this trial used within three months of study enrolment.
5. Self-reported known allergies to any of the IMPs and excipients of the IMPs and placebo.
6. Self-reported presence or history of the conditions listed in the appendices.
7. Self-reported current use of medication known to interact with any of the medications listed in the appendices.
8. Inability or unwillingness to be followed up for the trial period.
For M-M-R II
* Pregnant women.
* Individuals receiving high dose corticosteroids, other immuno-suppressive drugs, alkylating agents or anti-metabolites.
* Individuals undergoing radiotherapy.
* Any malignant disease either untreated or currently undergoing therapy.
* History of administration of gammaglobulin or blood transfusions within the previous 3 months.
* Participants with an allergy to the MR (MMR) vaccine or its components, including neomycin.
* Idiopathic thrombocytopenic purpura (ITP)
* Untreated tuberculosis
* Prior receipt of any vaccines (licensed or investigational) =30 days before enrollment
* Planned receipt of any vaccine other than the study intervention within 30 days before and after the study vaccination (not including the flu vaccination via injection)
* Prior receipt of an investigational or licensed vaccine likely to impact on interpretation of the trial data (e.g. Adenovirus vectored vaccines, any coronavirus vaccines).
* Any confirmed or suspected immunosuppressive or immunodeficient state, including untreated HIV infection with a CD4T count <200 /mL
* Asplenia
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/09/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
3/12/2021
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Sample size
Target
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Accrual to date
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Final
3411
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
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United States of America
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State/province [1]
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Missouri
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Ghana
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State/province [2]
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Greater Accra Region
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South Africa
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State/province [3]
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Cape Town
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South Africa
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State/province [4]
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Free State
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Country [5]
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South Africa
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Johannesburg,Gauteng
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Country [6]
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South Africa
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State/province [6]
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Johannesburg
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South Africa
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State/province [7]
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Tshwane
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South Africa
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Western Cape
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South Africa
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Chatsworth
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South Africa
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Durban
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South Africa
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State/province [11]
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Tembisa
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United Kingdom
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State/province [12]
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London
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Country [13]
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Zambia
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State/province [13]
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Lusaka
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Funding & Sponsors
Primary sponsor type
Other
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Name
Washington University School of Medicine
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Address
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Other collaborator category [1]
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Other
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Name [1]
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COVID -19 Therapeutics Accelerator
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The objective of CROWN CORONATION is the prevention of symptomatic COVID-19 by using combinations of approved and safe repurposed interventions, with complementary mechanisms of action.
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Trial website
https://clinicaltrials.gov/study/NCT04333732
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Trial related presentations / publications
Hirsch C, Park YS, Piechotta V, Chai KL, Estcourt LJ, Monsef I, Salomon S, Wood EM, So-Osman C, McQuilten Z, Spinner CD, Malin JJ, Stegemann M, Skoetz N, Kreuzberger N. SARS-CoV-2-neutralising monoclonal antibodies to prevent COVID-19. Cochrane Database Syst Rev. 2022 Jun 17;6(6):CD014945. doi: 10.1002/14651858.CD014945.pub2. Kreuzberger N, Hirsch C, Chai KL, Tomlinson E, Khosravi Z, Popp M, Neidhardt M, Piechotta V, Salomon S, Valk SJ, Monsef I, Schmaderer C, Wood EM, So-Osman C, Roberts DJ, McQuilten Z, Estcourt LJ, Skoetz N. SARS-CoV-2-neutralising monoclonal antibodies for treatment of COVID-19. Cochrane Database Syst Rev. 2021 Sep 2;9(9):CD013825. doi: 10.1002/14651858.CD013825.pub2.
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Public notes
This record is viewable in the ANZCTR as it had previously listed Australia and/or New Zealand as a recruitment site, however these sites have since been removed
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Contacts
Principal investigator
Name
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Michael S. Avidan, MBBCh
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Address
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Washington Univeristy School of Medicine
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/32/NCT04333732/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/32/NCT04333732/Prot_SAP_000.pdf
Informed consent form
https://cdn.clinicaltrials.gov/large-docs/32/NCT04333732/ICF_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT04333732
Download to PDF