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Study Evaluating the Efficacy and Safety of AV5080 in Patients With Uncomplicated Influenza

Primary Purpose

Influenza

Status
Unknown status
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
AV5080
Placebo
Sponsored by
Viriom
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza focused on measuring Treatment for influenza in adults

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed informed consent.
  2. Men and women between the ages of 18 and 65 (inclusive).
  3. Outpatients (including those admitted at home) and inpatients hospitalized for epidemiological reasons, diagnosed with influenza (ICD 10: J10 Influenza caused by an identified influenza virus) of mild to moderate severity.
  4. Positive result of the rapid enzyme immunoassay test for influenza virus at screening.
  5. Increase in body temperature in the armpit up to ≥ 38.0 оС at screening (or within 24 hours before screening according to the patient's words).
  6. Presence of at least one of the following symptoms of moderate severity on screening:

    headache, weakness/malaise, muscle pain/aches, fever/chills.

  7. The duration of the disease is no more than 48 hours at the time of screening according to the patient.
  8. Consent of patients to use adequate methods of contraception throughout the study.

Adequate methods of contraception include the use of:

  • oral or transdermal contraceptives;
  • a condom or diaphragm (barrier method) with spermicide or
  • an intrauterine device.

Exclusion Criteria:

  1. Pregnant or lactating women or women planning pregnancy during a clinical study; women capable of childbearing (including menopausal women less than 2 years old) who do not use adequate methods of contraception.
  2. Individual intolerance to the drug AV5080 or its components. Lactase deficiency, lactose intolerance, glucose-galactose malabsorption.
  3. Presence of complications of influenza, signs of bacterial infection or severe flu at the time of screening.
  4. Infectious diseases transferred during the last week before screening
  5. The need for hospital treatment for influenza, with the exception of hospitalization for epidemiological indications.
  6. Reception of neuraminidase inhibitors (zanamivir and oseltamivir), immunotropic drugs, systemic glucocorticosteroids, antibacterial drugs of systemic action within 1 month before screening. Taking drugs that prolong the QT interval on an ECG (quinidine, amiodarone, procainamide, phenothiazine derivatives) for 5 half-lives or less before screening.
  7. A history of influenza vaccination within 3 months prior to screening.
  8. Chronic diseases of the respiratory system (bronchial asthma, COPD,) in history.
  9. Persons with metabolic disorders (diabetes mellitus, obesity of 2-3 degrees).
  10. Hypokalemia at screening (potassium level less than 3.5 mmol/L)
  11. Persons with chronic kidney disease, chronic liver disease, with certain neurological conditions (including neuromuscular, neurocognitive disorders, epilepsy), hemoglobinopathies or suppressed immune conditions, or due to primary immunosuppressive conditions such as HIV infection, or in connection with secondary immunodeficiency states due to the intake of immunosuppressive medications or malignant neoplasms.
  12. Significant cardiovascular diseases at present or during 12 months before screening, including: prolongation of the QT interval on ECG more than 450 ms, atrioventricular block, sinus bradycardia, chronic cerebrovascular insufficiency, chronic heart failure class III or IV (according to the classification of the New York Heart Association), severe arrhythmia, requiring treatment with class Ia, Ib, Ic, or III antiarrhythmic drugs, unstable angina pectoris, myocardial infarction, heart and coronary artery surgery, significant heart valve disease, transient ischemic attack or stroke, uncontrolled hypertension with systolic blood pressure> 180 mm Hg ... and diastolic blood pressure> 110 mm Hg, pulmonary embolism or deep vein thrombosis.
  13. A history of chronic alcoholism, drug addiction or dependence on other chemical compounds.
  14. Participation in other clinical trials within 3 months prior to screening.
  15. Inability to read or write; unwillingness to understand and follow research protocol procedures; non-compliance with the regimen of taking medications or performing procedures that, in the opinion of the Investigator, may affect the results of the study or the safety of the patient and prevent the patient from further participation in the study any other comorbid medical or serious mental condition that renders a patient ineligible for participation in a clinical research study, limits the ability to obtain informed consent, or may affect a patient's ability to participate in a study.

Sites / Locations

  • Specialized Clinical Infectious Diseases Hospital
  • Murmansk Regional Clinic named after P.A. Bayandin
  • Federal Research Center Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
  • Center for the Prevention and Control of AIDS and Infectious Diseases
  • First Saint Petersburg State Medical University named after I.I. Academician Pavlov
  • Research Center Eco-safety

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Group 1.

Group 2.

Arm Description

AV5080 at a daily dose of 160 mg

Placebo

Outcomes

Primary Outcome Measures

Time to symptom resolution
The resolution of influenza symptoms is confirmed by the absence of symptoms or their reduction to mild severity (0-1 points) and a decrease in body temperature in the armpit to ≤ 37.2 °C for at least 24 hours. The time to resolve the flu symptoms is the start time of the 24-hour (or longer) interval.

Secondary Outcome Measures

Profile of changes in influenza virus titer versus time (AUC) for 192 hours (in inpatients)
Frequency of symptom resolution within 96 hours of initiation of study therapy
Frequency of elimination of influenza virus before Day 6
The incidence of complications from influenza

Full Information

First Posted
October 22, 2021
Last Updated
October 22, 2021
Sponsor
Viriom
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1. Study Identification

Unique Protocol Identification Number
NCT05093998
Brief Title
Study Evaluating the Efficacy and Safety of AV5080 in Patients With Uncomplicated Influenza
Official Title
Multicenter, Randomized, Double-blind, Placebo-controlled Study Evaluating the Efficacy and Safety of AV5080 in Patients With Uncomplicated Influenza
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Unknown status
Study Start Date
January 15, 2022 (Anticipated)
Primary Completion Date
July 15, 2023 (Anticipated)
Study Completion Date
July 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Viriom

4. Oversight

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

5. Study Description

Brief Summary
To evaluate the efficacy of AV5080 versus Placebo based on time to symptom resolution in patients with uncomplicated influenza.
Detailed Description
This study is an international, multicenter, double-blind, randomized, placebo-controlled, phase III clinical trial in parallel groups evaluating the efficacy and safety of AV5080 in patients with uncomplicated influenza. Only patients with mild to moderate influenza, without complications, will be included in the study. Taking into account the seasonality of the pathology and the low percentage of influenza in the general structure of ARVI incidence, for the successful inclusion of all patients in the study during two epidemiological seasons. The study will enroll 700 patients aged 18 to 65 years with a confirmed clinical diagnosis of influenza to treatment (AV5080) and placebo cohorts (1:1).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Treatment for influenza in adults

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
This study is double-blind. Clinical center staff and patients will not know what therapy and in what doses are prescribed for each individual patient. Blinding will be achieved by masking the AV5080/placebo drug (each patient will take a pill corresponding to 80 mg or placebo) and dispensing the drug using IWRS. Each patient will be given the study drug in banks. Banks will have a unique identification number, otherwise they will be identical in marking.
Allocation
Randomized
Enrollment
700 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1.
Arm Type
Experimental
Arm Description
AV5080 at a daily dose of 160 mg
Arm Title
Group 2.
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
AV5080
Other Intervention Name(s)
AV5080 at a daily dose of 160 mg
Intervention Description
oral hard gelatin capsules
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Hard gelatin capsules with a white body
Primary Outcome Measure Information:
Title
Time to symptom resolution
Description
The resolution of influenza symptoms is confirmed by the absence of symptoms or their reduction to mild severity (0-1 points) and a decrease in body temperature in the armpit to ≤ 37.2 °C for at least 24 hours. The time to resolve the flu symptoms is the start time of the 24-hour (or longer) interval.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Profile of changes in influenza virus titer versus time (AUC) for 192 hours (in inpatients)
Time Frame
192 hours
Title
Frequency of symptom resolution within 96 hours of initiation of study therapy
Time Frame
96 hours
Title
Frequency of elimination of influenza virus before Day 6
Time Frame
6 Days
Title
The incidence of complications from influenza
Time Frame
30 days

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: Signed informed consent. Men and women between the ages of 18 and 65 (inclusive). Outpatients (including those admitted at home) and inpatients hospitalized for epidemiological reasons, diagnosed with influenza (ICD 10: J10 Influenza caused by an identified influenza virus) of mild to moderate severity. Positive result of the rapid enzyme immunoassay test for influenza virus at screening. Increase in body temperature in the armpit up to ≥ 38.0 оС at screening (or within 24 hours before screening according to the patient's words). Presence of at least one of the following symptoms of moderate severity on screening: headache, weakness/malaise, muscle pain/aches, fever/chills. The duration of the disease is no more than 48 hours at the time of screening according to the patient. Consent of patients to use adequate methods of contraception throughout the study. Adequate methods of contraception include the use of: oral or transdermal contraceptives; a condom or diaphragm (barrier method) with spermicide or an intrauterine device. Exclusion Criteria: Pregnant or lactating women or women planning pregnancy during a clinical study; women capable of childbearing (including menopausal women less than 2 years old) who do not use adequate methods of contraception. Individual intolerance to the drug AV5080 or its components. Lactase deficiency, lactose intolerance, glucose-galactose malabsorption. Presence of complications of influenza, signs of bacterial infection or severe flu at the time of screening. Infectious diseases transferred during the last week before screening The need for hospital treatment for influenza, with the exception of hospitalization for epidemiological indications. Reception of neuraminidase inhibitors (zanamivir and oseltamivir), immunotropic drugs, systemic glucocorticosteroids, antibacterial drugs of systemic action within 1 month before screening. Taking drugs that prolong the QT interval on an ECG (quinidine, amiodarone, procainamide, phenothiazine derivatives) for 5 half-lives or less before screening. A history of influenza vaccination within 3 months prior to screening. Chronic diseases of the respiratory system (bronchial asthma, COPD,) in history. Persons with metabolic disorders (diabetes mellitus, obesity of 2-3 degrees). Hypokalemia at screening (potassium level less than 3.5 mmol/L) Persons with chronic kidney disease, chronic liver disease, with certain neurological conditions (including neuromuscular, neurocognitive disorders, epilepsy), hemoglobinopathies or suppressed immune conditions, or due to primary immunosuppressive conditions such as HIV infection, or in connection with secondary immunodeficiency states due to the intake of immunosuppressive medications or malignant neoplasms. Significant cardiovascular diseases at present or during 12 months before screening, including: prolongation of the QT interval on ECG more than 450 ms, atrioventricular block, sinus bradycardia, chronic cerebrovascular insufficiency, chronic heart failure class III or IV (according to the classification of the New York Heart Association), severe arrhythmia, requiring treatment with class Ia, Ib, Ic, or III antiarrhythmic drugs, unstable angina pectoris, myocardial infarction, heart and coronary artery surgery, significant heart valve disease, transient ischemic attack or stroke, uncontrolled hypertension with systolic blood pressure> 180 mm Hg ... and diastolic blood pressure> 110 mm Hg, pulmonary embolism or deep vein thrombosis. A history of chronic alcoholism, drug addiction or dependence on other chemical compounds. Participation in other clinical trials within 3 months prior to screening. Inability to read or write; unwillingness to understand and follow research protocol procedures; non-compliance with the regimen of taking medications or performing procedures that, in the opinion of the Investigator, may affect the results of the study or the safety of the patient and prevent the patient from further participation in the study any other comorbid medical or serious mental condition that renders a patient ineligible for participation in a clinical research study, limits the ability to obtain informed consent, or may affect a patient's ability to participate in a study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yulia Trakhtenberg, PhD
Phone
+7 (495) 276-11-43
Email
jat@ipharma.ru
First Name & Middle Initial & Last Name or Official Title & Degree
Xenia Kopylova
Phone
+7 (495) 276-11-43
Email
kka@ipharma.ru
Facility Information:
Facility Name
Specialized Clinical Infectious Diseases Hospital
City
Krasnodar
Country
Russian Federation
Facility Name
Murmansk Regional Clinic named after P.A. Bayandin
City
Murmansk
Country
Russian Federation
Facility Name
Federal Research Center Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
City
Novosibirsk
Country
Russian Federation
Facility Name
Center for the Prevention and Control of AIDS and Infectious Diseases
City
Saint Petersburg
Country
Russian Federation
Facility Name
First Saint Petersburg State Medical University named after I.I. Academician Pavlov
City
Saint Petersburg
Country
Russian Federation
Facility Name
Research Center Eco-safety
City
Saint Petersburg
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

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Study Evaluating the Efficacy and Safety of AV5080 in Patients With Uncomplicated Influenza

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