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Study of ZSP1273 in Patients With Acute Uncomplicated Influenza A

Primary Purpose

Influenza A

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
ZSP1273 200 mg
Placebo
ZSP1273-400 mg
Placebo
ZSP1273-600 mg
Placebo
Placebo
Sponsored by
Guangdong Raynovent Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza A

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males and female subjects between 18-65 years (Both inclusive).
  2. Patients with a diagnosis of influenza virus A infection confirmed by all of the following:

    • Positive Rapid Antigen Test (RAT) with throat swabs;and
    • Fever≥38.0ºC (axillary) in the predose examinations;and
    • At least one of the following general systemic symptoms and respiratory symptoms respectively associated with influenza are present with a severity of moderate or greater:

      • General systemic symptoms:Headache,Feverishness or chills,Muscle or joint pain,Fatigue;
      • Respiratory symptoms:Cough,Sore throat,Nasal congestion.
  3. The time interval between the onset of symptoms and the enrollment is≤48 hours. The onset of symptoms is defined as:

    • Time of the first increase in body temperature(axillary temperature≥38.0ºC),or
    • Time when the patient experiences at least one general or respiratory symptom.
  4. Subjects who agree to use an appropriate method of contraception during the study and up to 6 months after drug withdrawal.
  5. Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment.

Exclusion Criteria:

  1. Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to ZSP1273;
  2. Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs.
  3. Use of the following medications within 7 days prior to screening:

    • Influenza antiviral medication:oseltamivir,peramivir,famivir,abidol,amantadine or rimantadine.
    • Chinese patent medicine or herbal medicine with antiviral effect.
  4. Patients who have received influenza vaccine within 6 months prior to enrollment.
  5. Presence of clinically significant abnormalities in ECG .
  6. Chest X - ray examination confirmed bronchitis,pneumonia,pleural effusion or pulmonary interstitial lesions.
  7. Patients who have experienced respiratory tract infection,Otitis media,nasosinusitis.
  8. White blood cells(WBC)>10.0×109/L at screening.
  9. Subject who produces purulent sputum or has suppurative tonsillitis.
  10. Patients with severe or uncontrollable underlying diseases:blood disorders,severe chronic obstructive pulmonary disease(COPD),liver disorders(ALT or AST≥3 ULN,total bilirubin≥1.5 ULN),kidney disorders(serum creatinine>177μmol/L or 2mg/dL),chronic congestive heart failure(NYHA III-IV),mental disorders.
  11. Immunodeficiency,including malignant tumor,organ or marrow transplant,human immunodeficiency virus [HIV] infection,or patients receiving immunosuppressant therapy 3 months prior to enrollment.
  12. Concomitant therapy with aspirin or salicylic acid.
  13. Morbid obesity(Body mass index [BMI]≥30kg/m2).
  14. Known history of alcohol abuse or drug abuse.
  15. Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial.
  16. Have received any other investigational products within 3 months prior to dosing.
  17. Subjects who should not be included in the study in the opinion of the Investigator.

Sites / Locations

  • The Second Hospital Of Anhui Medical University
  • Beijing Ditan Hospital Capital Medical University
  • Beijing Luhe Hospital,Capital Medical University
  • Peking University Third Hospital
  • Zhongshan Hospital Xiamen University
  • Dongguan people's Hospital
  • Nanfang Hospital,South Medical Hospital
  • The First Affiliated Hospital Of Guangzhou Medical University
  • Traditional Chinese Medicine Hospital of Guangdong Province
  • Huizhou Municipal Central Hospital
  • Jieyang People's Hospital
  • Shenzhen People's Hospital
  • Affiliated Hospital Of Guangdong Medical University
  • Henan Provincial People's Hospital
  • The Sixth People's Hospital Of Zhengzhou
  • Sir Run Run Hospital Nanjing Medical University
  • Jiujiang University Hospital
  • The First Affiliated Hospital Of Nanchang University
  • Shengjing Hospital of China Medical University
  • Linyi People's Hospital
  • Qingdao Municipal Hospital
  • First Hospital of Shanxi Medical University
  • Chengdu Fifth People's Hospital
  • General Hospital, Tianjin Medical University
  • The First Affiliated Hospital,Zhejiang University
  • Zhejiang Provincial People's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

ZSP1273-200 mg BID

ZSP1273-400 mg BID

ZSP1273-600 mg QD

Placebo

Arm Description

Subjects will receive 10 doses of ZSP1273 200mg along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.

Subjects will receive 10 doses of ZSP1273 400mg(200mg*2) along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.

Subjects will receive 5 doses of ZSP1273 600mg (200mg *3) and 5 doses of placebo respectively for 5 days.The interval between ZSP1273 and placebo is approximately 12 hour (+/- 2) .

Subjects will receive 10 doses of matching placebo of ZSP1273 twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.

Outcomes

Primary Outcome Measures

Time to alleviation of influenza symptoms in participants
Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all 7 influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours

Secondary Outcome Measures

AUC of the log10 pharyngeal viral load
Area under the curve (AUC) of the log10 pharyngeal viral load is measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Change in the total score of 7 influenza symptoms
Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). The composite symptom score is the total score of the 7 influenza symptoms(Sum of symptom scores) as assessed by the participant, and ranges from 0 to 21.
Time to alleviation of each influenza symptom.
Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of each symptom was defined as the time from the start of treatment to the start of the time period when the individual symptom was assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours.
Time to Resolution of Fever
Time to resolution of fever was defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever was defined as the time when the participant's self-measured axillary temperature became less than 37ºC and was maintained at less than 37ºC for a duration of at least 12 hours.
Proportion of patients reporting normal temperature
Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment.
Percentage of subjects with virus titer detected
Influenza virus RNA was quantified from throat swabs.Proportion of patients positive for influenza virus titer is defined as the percentage of patients whose virus titer is not less than the lower limit of quantification among those assessed for virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2,4, 6.
Duration of detectable virus
Defined as the time from the start of treatment to the time when the titer is less than the lower limit of quantification measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Change in virus titer
Defined as the change from baseline in virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Change in viral RNA load
Defined as the change from baseline in viral RNA load measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2, 4, 6.
Incidence of influenza-related complications
Defined as the percentage of subjects in the analysis population who experience each influenza-related complication (sinusitis, otitis media, bronchitis, and pneumonia) as an adverse event after the initiation of the study treatment.
Time to return to normal activities of daily life
Participants were asked to record their activities of daily life on a scale from 0 (worst possible health) to 10 (normal activities of daily life). Time to return to normal activities of daily life defined as the time between the initiation of the study treatment and the return to normal activities of daily life. The return to normal activities of daily life is defined as the time when the subject assesses his/her activities as 10.Subjects with a baseline self-rated daily activity score of 10 are not included in this analysis.
Proportion of patients with the Serological conversion of neutralizing antibody titer relative to that in Visit 1 ≥4
Defined as the protprtion of patients with a ratio of 4 or more at Visit 5 antibody titer relative to Visit 1 titer
Proportion of patients and frequency in combination use of acetaminophen.
The proportion of patients who use acetaminophen in the duration of the study
Change in EQ-5D-5L
Defined as the change from baseline in the index value and that in EQ VAS score as calculated from the EQ-5D-5L questionnaire.

Full Information

First Posted
July 10, 2019
Last Updated
June 2, 2020
Sponsor
Guangdong Raynovent Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04024137
Brief Title
Study of ZSP1273 in Patients With Acute Uncomplicated Influenza A
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase 2 Study of ZSP1273 in Adults With Acute Uncomplicated Influenza A
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
December 7, 2019 (Actual)
Primary Completion Date
May 18, 2020 (Actual)
Study Completion Date
May 18, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangdong Raynovent Biotech Co., Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the antiviral effect, as measured by the time to alleviation of influenza symptoms and viral titer in nasopharyngeal secretions in adults with acute uncomplicated influenza A following administration of ZSP1273.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza A

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
172 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ZSP1273-200 mg BID
Arm Type
Experimental
Arm Description
Subjects will receive 10 doses of ZSP1273 200mg along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Arm Title
ZSP1273-400 mg BID
Arm Type
Experimental
Arm Description
Subjects will receive 10 doses of ZSP1273 400mg(200mg*2) along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Arm Title
ZSP1273-600 mg QD
Arm Type
Experimental
Arm Description
Subjects will receive 5 doses of ZSP1273 600mg (200mg *3) and 5 doses of placebo respectively for 5 days.The interval between ZSP1273 and placebo is approximately 12 hour (+/- 2) .
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects will receive 10 doses of matching placebo of ZSP1273 twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Intervention Type
Drug
Intervention Name(s)
ZSP1273 200 mg
Intervention Description
1 X 200-mg tablet taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
2 tablets taken orally
Intervention Type
Drug
Intervention Name(s)
ZSP1273-400 mg
Intervention Description
2 X 200-mg tablet taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
1 tablet taken orally
Intervention Type
Drug
Intervention Name(s)
ZSP1273-600 mg
Intervention Description
3 X 200-mg tablet taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
3 tablets taken orally
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subjects will receive matching placebo of ZSP1273
Primary Outcome Measure Information:
Title
Time to alleviation of influenza symptoms in participants
Description
Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all 7 influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours
Time Frame
Initiation of study treatment (Day 1) up to Day 15
Secondary Outcome Measure Information:
Title
AUC of the log10 pharyngeal viral load
Description
Area under the curve (AUC) of the log10 pharyngeal viral load is measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Time Frame
Days 6
Title
Change in the total score of 7 influenza symptoms
Description
Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). The composite symptom score is the total score of the 7 influenza symptoms(Sum of symptom scores) as assessed by the participant, and ranges from 0 to 21.
Time Frame
Up to Day15
Title
Time to alleviation of each influenza symptom.
Description
Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of each symptom was defined as the time from the start of treatment to the start of the time period when the individual symptom was assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours.
Time Frame
Up to Day15
Title
Time to Resolution of Fever
Description
Time to resolution of fever was defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever was defined as the time when the participant's self-measured axillary temperature became less than 37ºC and was maintained at less than 37ºC for a duration of at least 12 hours.
Time Frame
Up to Day15
Title
Proportion of patients reporting normal temperature
Description
Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment.
Time Frame
Up to Day15
Title
Percentage of subjects with virus titer detected
Description
Influenza virus RNA was quantified from throat swabs.Proportion of patients positive for influenza virus titer is defined as the percentage of patients whose virus titer is not less than the lower limit of quantification among those assessed for virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2,4, 6.
Time Frame
Days 2,4, 6
Title
Duration of detectable virus
Description
Defined as the time from the start of treatment to the time when the titer is less than the lower limit of quantification measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Time Frame
Days 2,4, 6
Title
Change in virus titer
Description
Defined as the change from baseline in virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).
Time Frame
Days 2,4, 6
Title
Change in viral RNA load
Description
Defined as the change from baseline in viral RNA load measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2, 4, 6.
Time Frame
Days 2,4, 6
Title
Incidence of influenza-related complications
Description
Defined as the percentage of subjects in the analysis population who experience each influenza-related complication (sinusitis, otitis media, bronchitis, and pneumonia) as an adverse event after the initiation of the study treatment.
Time Frame
Up to Day21
Title
Time to return to normal activities of daily life
Description
Participants were asked to record their activities of daily life on a scale from 0 (worst possible health) to 10 (normal activities of daily life). Time to return to normal activities of daily life defined as the time between the initiation of the study treatment and the return to normal activities of daily life. The return to normal activities of daily life is defined as the time when the subject assesses his/her activities as 10.Subjects with a baseline self-rated daily activity score of 10 are not included in this analysis.
Time Frame
Up to Day15
Title
Proportion of patients with the Serological conversion of neutralizing antibody titer relative to that in Visit 1 ≥4
Description
Defined as the protprtion of patients with a ratio of 4 or more at Visit 5 antibody titer relative to Visit 1 titer
Time Frame
Baseline and Day 21
Title
Proportion of patients and frequency in combination use of acetaminophen.
Description
The proportion of patients who use acetaminophen in the duration of the study
Time Frame
Up to 21 days post-dose
Title
Change in EQ-5D-5L
Description
Defined as the change from baseline in the index value and that in EQ VAS score as calculated from the EQ-5D-5L questionnaire.
Time Frame
Baseline up to Day 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and female subjects between 18-65 years (Both inclusive). Patients with a diagnosis of influenza virus A infection confirmed by all of the following: Positive Rapid Antigen Test (RAT) with throat swabs;and Fever≥38.0ºC (axillary) in the predose examinations;and At least one of the following general systemic symptoms and respiratory symptoms respectively associated with influenza are present with a severity of moderate or greater: General systemic symptoms:Headache,Feverishness or chills,Muscle or joint pain,Fatigue; Respiratory symptoms:Cough,Sore throat,Nasal congestion. The time interval between the onset of symptoms and the enrollment is≤48 hours. The onset of symptoms is defined as: Time of the first increase in body temperature(axillary temperature≥38.0ºC),or Time when the patient experiences at least one general or respiratory symptom. Subjects who agree to use an appropriate method of contraception during the study and up to 6 months after drug withdrawal. Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment. Exclusion Criteria: Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to ZSP1273; Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs. Use of the following medications within 7 days prior to screening: Influenza antiviral medication:oseltamivir,peramivir,famivir,abidol,amantadine or rimantadine. Chinese patent medicine or herbal medicine with antiviral effect. Patients who have received influenza vaccine within 6 months prior to enrollment. Presence of clinically significant abnormalities in ECG . Chest X - ray examination confirmed bronchitis,pneumonia,pleural effusion or pulmonary interstitial lesions. Patients who have experienced respiratory tract infection,Otitis media,nasosinusitis. White blood cells(WBC)>10.0×109/L at screening. Subject who produces purulent sputum or has suppurative tonsillitis. Patients with severe or uncontrollable underlying diseases:blood disorders,severe chronic obstructive pulmonary disease(COPD),liver disorders(ALT or AST≥3 ULN,total bilirubin≥1.5 ULN),kidney disorders(serum creatinine>177μmol/L or 2mg/dL),chronic congestive heart failure(NYHA III-IV),mental disorders. Immunodeficiency,including malignant tumor,organ or marrow transplant,human immunodeficiency virus [HIV] infection,or patients receiving immunosuppressant therapy 3 months prior to enrollment. Concomitant therapy with aspirin or salicylic acid. Morbid obesity(Body mass index [BMI]≥30kg/m2). Known history of alcohol abuse or drug abuse. Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial. Have received any other investigational products within 3 months prior to dosing. Subjects who should not be included in the study in the opinion of the Investigator.
Facility Information:
Facility Name
The Second Hospital Of Anhui Medical University
City
Hefei
State/Province
Anhui
Country
China
Facility Name
Beijing Ditan Hospital Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Luhe Hospital,Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Zhongshan Hospital Xiamen University
City
Xiamen
State/Province
Fujian
Country
China
Facility Name
Dongguan people's Hospital
City
Dongguan
State/Province
Guangdong
Country
China
Facility Name
Nanfang Hospital,South Medical Hospital
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The First Affiliated Hospital Of Guangzhou Medical University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Traditional Chinese Medicine Hospital of Guangdong Province
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Huizhou Municipal Central Hospital
City
Huizhou
State/Province
Guangdong
Country
China
Facility Name
Jieyang People's Hospital
City
Jieyang
State/Province
Guangdong
Country
China
Facility Name
Shenzhen People's Hospital
City
Shenzhen
State/Province
Guangdong
Country
China
Facility Name
Affiliated Hospital Of Guangdong Medical University
City
Zhanjiang
State/Province
Guangdong
Country
China
Facility Name
Henan Provincial People's Hospital
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
The Sixth People's Hospital Of Zhengzhou
City
Zhengzhou
State/Province
Henan
Country
China
Facility Name
Sir Run Run Hospital Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
Jiujiang University Hospital
City
Jiujiang
State/Province
Jiangxi
Country
China
Facility Name
The First Affiliated Hospital Of Nanchang University
City
Nanchang
State/Province
Jiangxi
Country
China
Facility Name
Shengjing Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Linyi People's Hospital
City
Linyi
State/Province
Shandong
Country
China
Facility Name
Qingdao Municipal Hospital
City
Qingdao
State/Province
Shandong
Country
China
Facility Name
First Hospital of Shanxi Medical University
City
Taiyuan
State/Province
Shanxi
Country
China
Facility Name
Chengdu Fifth People's Hospital
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
General Hospital, Tianjin Medical University
City
Tianjin
State/Province
Tianjin
Country
China
Facility Name
The First Affiliated Hospital,Zhejiang University
City
Hangzhou
State/Province
Zhejiang
Country
China
Facility Name
Zhejiang Provincial People's Hospital
City
Hangzhou
State/Province
Zhejiang
Country
China

12. IPD Sharing Statement

Learn more about this trial

Study of ZSP1273 in Patients With Acute Uncomplicated Influenza A

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