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Dose Range Study to Evaluate the Efficacy and Safety of AV5080 in Patients With Influenza

Primary Purpose

Influenza

Status
Completed
Phase
Phase 2
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 Influenza treatment in adults

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed informed consent;
  2. Males and females between 18 and 65 years old (inclusive);
  3. Outpatients and those hospitalized for epidemiological reasons with mild and moderate severity diagnosed influenza (ICD 10: J10 Influenza caused by an identified influenza virus) without complications; The severity of influenza is defined under the Influenza in the Influenza in Adults Clinical Guidelines of the National Scientific Society of the Infectious Diseases Specialists;
  4. Positive enzyme-linked immunosorbent assay for influenza virus at screening;
  5. At least one episode of an increased body temperature up to 38°C and above within 48 hours before screening;
  6. The presence of at least one of the following symptoms of moderate severity on screening: Headache, weakness/malaise, myalgia/muscle ache, hot flash/chills;
  7. Duration of the disease not exceeding 48 hours (according to the patient) on screening;
  8. Consent of patients to use adequate contraception methods throughout the study. Adequate contraception methods include:

    • Oral contraceptives or contraceptive patches;
    • Condoms or diaphragms (barrier method) with spermicide; or
    • An intrauterine device.

Exclusion Criteria:

  1. Pregnant or breastfeeding women or women planning to become pregnant during the clinical study; women of child-bearing potential (including women in their post-menopausal period for less than two years) who do not use adequate contraception measures;
  2. Individual intolerance of the AV5080 drug or its components;
  3. Lactase deficiency, lactose intolerance, glucose-galactose malabsorption;
  4. Influenza complications, signs of a bacterial infection or severe disease course at the screening (based on the criteria specified in the Influenza in Adults Clinical Guidelines of the National Scientific Society of Infectious Diseases Specialists, 2014);
  5. The history of anti-influenza immunization within 12 months before the screening;
  6. Participation in other clinical studies within three months before screening;
  7. Chronic respiratory system diseases (asthma, COPD);
  8. Administration of neuraminidase inhibitors (zanamivir, oseltamivir), immunomodulators, systemic glucocorticoids, and antibiotics within one month before screening;
  9. HIV infection, chronic hepatitis С or hepatitis B infection (according to the patient's history);
  10. Significant cardiovascular diseases at present or within 12 months prior to screening including: class III or IV chronic heart failure (as defined by NYHA), severe arrhythmia requiring administration of class Ia, Ib, Ic or III anti-arrhythmic drugs, non-stable angina, myocardial infarction, previous surgery on the heart and coronary vessels, significant heart valves diseases, transient ischemic attack or stroke, uncontrollable hypertension with systolic BP > 180 mmHg and diastolic BP > 110 mmHg, pulmonary embolism or deep vein thrombosis;
  11. Chronic alcohol abuse, drug abuse or addiction to the other chemicals in history;
  12. Inability to read or write; unwillingness to understand and comply with the Protocol procedures; non-compliance with the drug dosing regimen or procedures which, in the Investigator's opinion, may affect the study results or the patient's safety and prevent the patient to participate in the study; any other concomitant diseases or severe mental disorders, which make the patient ineligible to participate in the study, limit the legal basis for Informed Consent procedure, or may affect the patient's ability to participate in the study.

Sites / Locations

  • City polyclinic №10
  • Infectious Clinical Hospital No. 1 of the Moscow City Health Department
  • GBUZ NO Infections Clinical Hospital No.2
  • Podolsk City Clinical Hospital №3
  • City Hospital No. 1 n.a. ON. Semashko
  • City Clinical Hospital of Infectious Diseases No. 17
  • City hospital №40
  • Federal Research Center Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
  • Voronezh Regional Clinical Infectious Diseases Hospital
  • Medical Center for Diagnostics and Prevention Plus, LLC

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1

Group 2

Group 3

Arm Description

AV5080 80 mg"/day (80 mg in the morning + placebo in the evening)

AV5080 160 mg"/day (80 mg in the morning + 80 mg in the evening)

"Placebo" (placebo in the morning + placebo in the evening)

Outcomes

Primary Outcome Measures

Percentage of patients who reported resolution of influenza symptoms within 96 hours from the start of therapy
The absence of influenza symptoms or their reduction to mild severity for at least 24 hours indicates the resolution of influenza.

Secondary Outcome Measures

Time to symptoms resolution
The time before the resolution of influenza symptoms
Incidence rate of influenza virus elimination until Day 6
The incidence rate of influenza virus elimination from mucous membranes of the nasopharynx and oropharynx until Day 6
Change in titer of antibodies on Day 15 compared to baseline;
Change in titer of IgG and IgM antibodies to influenza A and B virus on Day 15 compared to baseline;
The incidence rate of influenza complications

Full Information

First Posted
October 22, 2021
Last Updated
October 26, 2021
Sponsor
Viriom
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1. Study Identification

Unique Protocol Identification Number
NCT05095545
Brief Title
Dose Range Study to Evaluate the Efficacy and Safety of AV5080 in Patients With Influenza
Official Title
Multi-center, Randomized, Double-blind, Placebo-controlled, Dose-ranging Study to Assess the Efficacy and Safety of the AV5080 Drug in Patients With Influenza
Study Type
Interventional

2. Study Status

Record Verification Date
October 2021
Overall Recruitment Status
Completed
Study Start Date
November 13, 2017 (Actual)
Primary Completion Date
August 7, 2019 (Actual)
Study Completion Date
August 30, 2019 (Actual)

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
Assessment of the effect reached with the different doses of AV5080 on the duration and severity of influenza symptoms based on the incidence of their resolution within 96 hours from study treatment initiation compared to Placebo. The absence of influenza symptoms or their reduction to mild severity for at least 24 hours indicates the resolution of influenza.
Detailed Description
The study was a multi-center, double-blind, randomized, parallel- group clinical study to assess the efficacy and safety of different AV5080 doses as compared to placebo in patients with influenza during the 5-day treatment period. The study included only patients with influenza of mild and moderate severity, without complications, both outpatients and those hospitalized for epidemiological reasons. The study included three periods for each patient: Screening, randomization, and study treatment, follow up period.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
This study was double-blinded. The staff of the clinical sites and the patients were unaware of the treatment and its doses assigned to each specific patient. Blinding was provided by a placebo mask (each patient received capsules containing either 80 mg of AV5080 or placebo), and drug distribution was controlled by the IWRS. Each patient was given two bottles containing the capsules, a bottle A and a bottle B. The two bottles had the same number and differed in lettering and label color: the bottle A had a white label and the bottle B had a yellow label. Patients were to take one capsule in the morning - from bottle A, and one capsule in the evening - from the bottle B.
Allocation
Randomized
Enrollment
135 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
AV5080 80 mg"/day (80 mg in the morning + placebo in the evening)
Arm Title
Group 2
Arm Type
Experimental
Arm Description
AV5080 160 mg"/day (80 mg in the morning + 80 mg in the evening)
Arm Title
Group 3
Arm Type
Placebo Comparator
Arm Description
"Placebo" (placebo in the morning + placebo in the evening)
Intervention Type
Drug
Intervention Name(s)
AV5080
Intervention Description
Hard gelatin capsules with a white body
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Hard gelatin capsules with a white body
Primary Outcome Measure Information:
Title
Percentage of patients who reported resolution of influenza symptoms within 96 hours from the start of therapy
Description
The absence of influenza symptoms or their reduction to mild severity for at least 24 hours indicates the resolution of influenza.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
Time to symptoms resolution
Description
The time before the resolution of influenza symptoms
Time Frame
30 days
Title
Incidence rate of influenza virus elimination until Day 6
Description
The incidence rate of influenza virus elimination from mucous membranes of the nasopharynx and oropharynx until Day 6
Time Frame
6 days
Title
Change in titer of antibodies on Day 15 compared to baseline;
Description
Change in titer of IgG and IgM antibodies to influenza A and B virus on Day 15 compared to baseline;
Time Frame
15 Days
Title
The incidence rate of influenza complications
Time Frame
29 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; Males and females between 18 and 65 years old (inclusive); Outpatients and those hospitalized for epidemiological reasons with mild and moderate severity diagnosed influenza (ICD 10: J10 Influenza caused by an identified influenza virus) without complications; The severity of influenza is defined under the Influenza in the Influenza in Adults Clinical Guidelines of the National Scientific Society of the Infectious Diseases Specialists; Positive enzyme-linked immunosorbent assay for influenza virus at screening; At least one episode of an increased body temperature up to 38°C and above within 48 hours before screening; The presence of at least one of the following symptoms of moderate severity on screening: Headache, weakness/malaise, myalgia/muscle ache, hot flash/chills; Duration of the disease not exceeding 48 hours (according to the patient) on screening; Consent of patients to use adequate contraception methods throughout the study. Adequate contraception methods include: Oral contraceptives or contraceptive patches; Condoms or diaphragms (barrier method) with spermicide; or An intrauterine device. Exclusion Criteria: Pregnant or breastfeeding women or women planning to become pregnant during the clinical study; women of child-bearing potential (including women in their post-menopausal period for less than two years) who do not use adequate contraception measures; Individual intolerance of the AV5080 drug or its components; Lactase deficiency, lactose intolerance, glucose-galactose malabsorption; Influenza complications, signs of a bacterial infection or severe disease course at the screening (based on the criteria specified in the Influenza in Adults Clinical Guidelines of the National Scientific Society of Infectious Diseases Specialists, 2014); The history of anti-influenza immunization within 12 months before the screening; Participation in other clinical studies within three months before screening; Chronic respiratory system diseases (asthma, COPD); Administration of neuraminidase inhibitors (zanamivir, oseltamivir), immunomodulators, systemic glucocorticoids, and antibiotics within one month before screening; HIV infection, chronic hepatitis С or hepatitis B infection (according to the patient's history); Significant cardiovascular diseases at present or within 12 months prior to screening including: class III or IV chronic heart failure (as defined by NYHA), severe arrhythmia requiring administration of class Ia, Ib, Ic or III anti-arrhythmic drugs, non-stable angina, myocardial infarction, previous surgery on the heart and coronary vessels, significant heart valves diseases, transient ischemic attack or stroke, uncontrollable hypertension with systolic BP > 180 mmHg and diastolic BP > 110 mmHg, pulmonary embolism or deep vein thrombosis; Chronic alcohol abuse, drug abuse or addiction to the other chemicals in history; Inability to read or write; unwillingness to understand and comply with the Protocol procedures; non-compliance with the drug dosing regimen or procedures which, in the Investigator's opinion, may affect the study results or the patient's safety and prevent the patient to participate in the study; any other concomitant diseases or severe mental disorders, which make the patient ineligible to participate in the study, limit the legal basis for Informed Consent procedure, or may affect the patient's ability to participate in the study.
Facility Information:
Facility Name
City polyclinic №10
City
Kazan
Country
Russian Federation
Facility Name
Infectious Clinical Hospital No. 1 of the Moscow City Health Department
City
Moscow
Country
Russian Federation
Facility Name
GBUZ NO Infections Clinical Hospital No.2
City
Nizhny Novgorod
Country
Russian Federation
Facility Name
Podolsk City Clinical Hospital №3
City
Podolsk
Country
Russian Federation
Facility Name
City Hospital No. 1 n.a. ON. Semashko
City
Rostov-on-Don
Country
Russian Federation
Facility Name
City Clinical Hospital of Infectious Diseases No. 17
City
Saint Petersburg
Country
Russian Federation
Facility Name
City hospital №40
City
Saint Petersburg
Country
Russian Federation
Facility Name
Federal Research Center Institute of Cytology and Genetics, Siberian Branch of the Russian Academy of Sciences
City
Stavropol'
Country
Russian Federation
Facility Name
Voronezh Regional Clinical Infectious Diseases Hospital
City
Voronezh
Country
Russian Federation
Facility Name
Medical Center for Diagnostics and Prevention Plus, LLC
City
Yaroslavl
Country
Russian Federation

12. IPD Sharing Statement

Plan to Share IPD
No

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Dose Range Study to Evaluate the Efficacy and Safety of AV5080 in Patients With Influenza

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