A Study to Evaluate the Efficacy and Safety of Pimodivir in Combination With the Standard-of-Care Treatment in Adolescent, Adult, and Elderly Non-Hospitalized Participants With Influenza A Infection Who Are at Risk of Developing Complications
Influenza A
About this trial
This is an interventional treatment trial for Influenza A
Eligibility Criteria
Inclusion Criteria:
- Present to the clinic with symptoms suggestive of a diagnosis of acute influenza and have at least 1 respiratory symptom and at least 1 systemic symptom, both scored as at least "moderate" if the symptom did not pre-exist before influenza onset, or scored worse than usual if the symptom pre-existed as determined by subject's ratings on Module 1 of the Flu-iiQ and the Pre-existing Symptom Questionnaire in the ePRO device. Symptoms must include the following by category: a) Respiratory symptoms: cough, sore throat, nasal congestion b) Systemic symptoms: headache, body aches or pain, feverishness, fatigue
- Tested positive for influenza A infection after the onset of symptoms, using a rapid influenza diagnostic test (RIDT) or, if available, a polymerase chain reaction (PCR)-based or other rapid molecular diagnostic assay
- Not be in need of hospitalized medical care at screening. Emergency room or hospital observation status for an anticipated duration of less than (<)24 hours is not considered hospitalization as long as a determination of the need for hospitalization has not been made
- Enrollment and initiation of study drug treatment less than or equal to (<=)72 hours after onset of influenza symptoms
- Participants 13 to 65 years of age, inclusive must also have at least 1 of the following: a) Cardiovascular or cerebrovascular disease (including congenital heart disease, chronic heart failure, coronary artery disease, or stroke; excluding isolated hypertension); b) Chronic lung disease (for example, asthma, chronic obstructive lung disease [COPD] or cystic fibrosis); c) Weakened immune system due to disease or medication (for example, participants with human immunodeficiency virus [HIV], cancer, or chronic liver or kidney disease [presence of kidney damage for >3 months, defined by structural or functional abnormalities of the kidney, with or without decreased GFR manifested by: pathological abnormalities; OR markers of kidney damage, including abnormalities in the composition of the blood or urine or abnormalities in imaging tests], or participants taking chronic systemic steroids)
Exclusion Criteria:
- Received more than (>)1 dose of influenza antiviral medication (for example, oseltamivir [OST] or zanamivir), or any dose of ribavirin within 2 weeks, prior to first study drug intake, or received intravenous (IV) peramivir >1 day prior to screening
- Unstable angina pectoris or myocardial infarction within 30 days prior to screening (inclusive)
- Presence of clinically significant heart arrhythmias, uncontrolled, unstable atrial arrhythmia, or sustained ventricular arrhythmia, or risk factors for Torsade de Pointes syndrome
- Known severe hepatic impairment (Child Pugh C cirrhosis) or chronic hepatitis C infection undergoing hepatitis C antiviral therapy
- Severely immunocompromised in the opinion of the investigator (for example, known cluster of differentiation 4 plus [CD4+] count <200 cells per cubic millimeter [cells/mm^3], absolute neutrophil count <750/mm^3, first course of chemotherapy completed within 2 weeks prior to screening, history of stem cell transplant within 1 year prior to screening, history of a lung transplant)
Sites / Locations
- University of Alabama at Birmingham
- Alabama Clinical Therapeutics, LLC
- Cahaba Research Inc
- Scottsboro Quick Care Clinic
- SC Clinical Research Inc.
- Research Center of Fresno Inc
- Allied Clinical Research
- Innovative Clinical Research, Inc.
- Om Research LLC
- Ark Clinical Research
- Miller Children's Hospital
- Downtown LA Research Center, Inc
- California Allergy & Asthma Medical Group Inc.
- Adam D. Karns, MD
- Lucita M. Cruz Md Inc
- Asclepes Research
- Center for Clinical Trials LLC
- Benchmark Research
- Medical Associates Research Group, Inc.
- San Diego Sports Medicine & Family Health Center
- West Coast Clinical Research, LLC
- Stanford University
- Lynn Institute
- Complete Family Care
- Paradigm Clinical Research Centers, Inc.
- Chase Medical Research, LLC
- Emerson Clinical Research Institute
- Moonshine Research Center, Inc
- Best Quality Research Inc
- Floridian Clinical Research, LLC
- The community Research of South Florida
- Encore Medical Research, LLC
- Homestead Associates in Research, Inc
- Care Partners Clinical Research
- Premier Medical Group
- Crystal Biomedical Research
- Sima Research Clinic
- Universal Clinical Research Associates
- South Florida Research Center Inc.
- A Plus Research
- Nuren Medical & Research Center
- Coral Research Clinic Corp
- New Horizon Research Center
- Vista Health Research, LLC
- Combined Research Orlando
- Clinical NeuroScience Solutions, Inc
- Omega Research Consultants
- Pines Care Research Center Inc
- South Broward Research, LLC
- Destin Pulmonary Critical Care, PLLS.
- Vita Health and Medical center
- Asclepes Research
- Axcess Medical Research, LLC
- Cozy Research, Llc
- Snake River Research, PLLC
- Saltzer Medical Group
- Ann & Robert H. Lurie Children's Hospital of Chicago
- Investigators Research Group, LLC
- Medisphere Medical Research Center, Llc
- Hutchinson Clinic
- The Research Group of Lexington, LLC
- Clinical Trials Management, LLC
- Medpharmics, LLC
- North Star Clinical Research, LLC
- University Of Maryland Medical Center
- Johns Hopkins University School of Medicine
- Centennial Medical Group
- Massachusetts General Hospital
- Wayne State Univ School of Medicine
- Wayne State University
- William Beaumont Hospital
- Tri County Research, Inc.
- William Beaumont Hospital
- Arcturus Healthcare, PLC
- Craig A. Spiegel, MD
- Mercury Street Medical Group, PLLC
- Montana Medical Research
- Barrett Clinic P.C.
- Nebraska Medical Center
- Next Phase Research Alliance
- Saint Michael's Medical Center
- PMG Research
- Onsite Clinical Solutions
- Carolina Institute for Clinical Research
- clinical research of Gastonia
- Hickory Research Center.
- Monroe Biomedical Research
- Burke Primary Care
- PMG Research of Rocky Mount, LLC
- PMG Research of Wilmington, LLC
- Clinical Trials of America
- Southeastern Research Center LLC
- Dayton Clinical Research
- Buckeye Health and Research, LLC
- Lancaster General Hospital
- Detweiler Family Medicine and Associates
- Albert Einstein Healthcare Network
- Preferred Primary Care Physicians Research
- Frontier Clinical Research
- Preferred Primary Care Physicians Research
- AAPRI Clinical Research Institute
- Spectrum Medical Research
- DeGarmo Institute of Medical Research
- PMG Research of Charleston, LLC
- Fusion Clinical Research of Spartanburg
- Invocare Clinical Research Center
- Health Concepts
- PMG Research of Bristol
- PMG Research of Knoxville
- PMG Research of Knoxville
- HIRG, LLC dba Health Innovation Research Group
- ACRC Trials
- Family Medicine Associates of Texas
- University of Texas Southwestern Medical Center
- WR-Global Medical Research, LLC
- University Of Texas Medical Branch At Galveston
- San Gabriel Clinical Research, LLC
- BI Research Center
- West Houston Clinical Research Service
- Northwest Med Care,P.A.
- Southwest Clinical Trials
- Dairy Ashford Family Practice
- JM Research.PLLC
- PCP for Life
- SMS Clinical Research LLC
- Village Health Partners
- Tekton Research Inc.
- DM Clinical Research
- Renovatio Clinical
- ClinPoint Trials
- Val Hansen
- Ericksen Research and Development
- J. Lewis research Inc./ Foothill Family Clinic South
- Advanced Research Institute
- Granger Medical Clinic-Riverton
- J. Lewis research Inc./ Foothill Family Care
- J. Lewis research Inc./ Foothill Family Clinic South
- J. Lewis Research Inc/ FirstMed East
- J. Lewis Research Inc./Jordan River Family Medicine
- Millennium Clinical Trials, LLC
- Hospital Interzonal General de Agudos Dr. Jose Penna
- CEMIC Saavedra
- Hospital Nuestra Señora de la Misericordia
- Sanatorio Allende
- Hospital Cordoba
- Hospital Privado Centro Medico de Cordoba
- Hospital Rawson
- Hospital San Roque
- Sanatorio Juan XXIII
- Sanatorio del Oeste Ituzaingo
- Hospital Italiano de La Plata
- Instituto Medico Platense
- Sanatorio Britanico S.A.
- Instituto Del Buen Aire
- Northside Health
- Mater Hospital Brisbane
- AKH - Medizinische Universität Wien
- SMZ Süd - Kaiser Franz Josef Spital Wien
- Hopital Erasme
- CHU Saint-Pierre
- Institut Jules Bordet
- De Meulemeester, Marc
- Jaak Mortelmans
- Quartier du Furgy 4
- Research Link
- BVBA Dr. Luc Capiau
- Testumed
- Santa Casa de Misericordia de Belo Horizonte
- Infection Control Ltda
- Hrpc Ulbratech - Ulbra
- Centro de Estudos Clínicos do Interior Paulista - CECIP
- CMiP - Centro Mineiro de Pesquisa
- Hospital Sao Vicente de Paulo
- Hospital de Clínicas de Porto Alegre
- Hospital São Lucas da PUCRS
- CCBR Brasil Centro de Pesquisas e Análises Clínicas Ltda.
- Pesquisare Saude
- CEMEC - Centro Multidisciplinar de Estudos Clínicos
- Irmandade Da Santa Casa de Misericordia de Sao Paulo
- Fundacao Jose Luiz Egydio Setubal
- SHATPPD - Ruse Ltd.
- Fifth MHAT - Sofia
- MHAT 'Lyulin' EAD
- Acibadem City Clinic Tokuda Hospital
- DCC II- Sofia EOOD
- Medical Center 'N. I. Pirogov', EOOD
- Medical Center Excelsior OOD
- Military Medical Academy - Sofia
- MHAT Dr Stefan Cherkezov
- MC 'Sv. Ivan Rilski', OOD
- The Bailey Clinic
- Aggarwal and associates Ltd
- SKDS Research Inc.
- Bluewater Clinical Research Group Inc.
- Dr. Anil K Gupta Medicine Professional Corporation
- Commonwealth Medical Clinic
- Recherche Clinique Sigma Inc.
- Hospital El Pino
- Centro de Investigacion del Maule
- Hospital de Niños y Cunas
- Chinese PLA General Hospital
- Fuzhou General Hospital of Nanjing Military Command
- The First Affiliated Hospital of NanChang University
- Wuxi People's Hospital
- Henan province people's hospital
- ADMED s.r.o.
- Sanare, s.r.o.
- Nemocnice Kyjov, p.o.
- Praktik Pb s.r.o
- SARKAMED s.r.o.
- Prakticky lekar
- Private GP Ilme Last
- Vee Family Doctor's Center OY
- OU Innomedica
- Merelahe Family Doctors Center
- Pirita Family Doctors Centre
- Family Doctors Pullerits & Gavronski
- Centre Hospitalier d'Agen
- Centre Hospitalier Intercommunal de Créteil
- Centre Hospitalier Départemental
- CHU de Grenoble - Hôpital Albert Michallon
- CHU Nantes - Hotel Dieu
- CHU de Nice, Hopital de l'Archet
- Hopital Cochin
- Hôpital Bichat - Claude Bernard
- MECS GmbH Cottbus
- Jung, Thomas
- Universitaetsklinik Erlangen
- Universitaetsklinikum Giessen und Marburg GmbH
- Universitaetsklinikum Koeln
- Gemeinschaftspraxis Dr. Klein/ Minnich
- Gemeinschaftspraxis Dr. Taeschner / Dr. Bonigut
- DRC Gyogyszervizsgalo Kozpont Kft
- Clinexpert Kft.
- Obudai Egeszsegugyi Centrum Kft.
- Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő Budai Családközpontú
- Egeszsegkert Medicina Bt.
- Pestszentimrei Gyermekrendelő
- Bugat Pal Korhaz
- Futurenest Klinikai Kutato Kft.
- Mohacsi Korhaz
- Borbanya Praxis Eu. Kft.
- Medifarma-98 Kft.
- DRC Szentendre
- Tudogyogyintezet Torokbalint
- DRC Zamardi
- DRC Zirc
- Rajiv Gandhi Institute of Medical Sciences
- M S Ramaiah Memorial Hospital
- S. R. Kalla Memorial General Hospital
- Midland Healthcare & Research Center
- Kasturba Medical College Hospital
- Suretech Hospital and Research Centre Limited
- Siddhi Hospital
- BLK Super Specialty Hospital
- Sir Ganga Ram Hospital
- Sahyadri Speciality Hospital
- Lifepoint Multispecialty Hospital
- Shree Giriraj Multispeciality Hospital
- Unique Hospital
- BAPS Pramukhswami Hospital
- Barzilai Medical Center
- Bnai Zion Medical Center
- Galilee Medical Center
- Chaim Sheba Medical Center
- Kaplan Medical Center
- Ziv Medical Center
- ASST Grande Ospedale Metropolitano Niguarda
- AOU Policlinico di Modena
- Azienda Socio Sanitaria Territoriale di Monza Presidio San Gerardo
- Azienda Ospedaliera Universitaria Integrata Verona
- Korea University Ansan Hospital
- Chungbuk National University Hospital
- Yonsei University Wonju Severance Christian Hospital
- Hallym University Dongtan Sacred Heart Hospital
- Inha University Hospital
- The Catholic University of Korea, Incheon St. Mary's Hospital
- Dong-A University Hospital
- Korea University Anam Hospital
- Konkuk University Medical Center
- Asan Medical Center
- Hallym University Kangnam Sacred Heart Hospital
- Korea University Guro Hospital
- The Catholic university of Korea, ST Vincent Hospital
- Liga Kozlovska family doctor practice
- OLVI Medical Centre
- Baiba Bake GP practice
- Ruta Eglite's Private Practice
- Inese Cebere GP practice
- S. Boreiko Doctor's Practice
- Children's Clinical University Hospital
- Clinic of GP A.Lasmanis 'ALMA'
- Health Centre 4
- Inese Petrova General Practitioner Practice
- Medical Practice BINI
- Auki Sveikas
- Silainiai Family Health Center, JSC
- Saules Seimos Medicinos Centras, JSC
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics
- Siauliai Republican Hospital, Public Institution
- Inlita, JSC, Lazdynai KTC clinical trial site
- Central Outpatient Clinic
- Inlita, JSC
- Vilnius University Hospital Santaros Klinikos, Public Institution
- Klinik Kesihatan Cheras Baru
- Klinik Kesihatan Kuang
- Hospital Miri
- Hospital Taiping
- Hospital Cardiologica Aguascalientes
- Hospital Infantil de Mexico Federico Gomez
- Centro para el Desarrollo de la Medicina y de Asistencia Médica Especializada S.C.
- Centro de Investigacion Medico Biologica y Terapia Avanzada CIMBYTA
- Hospital Civil de Guadalajara Fray Antonio Alcalde
- Hospital Civil de Guadalajara Dr. Juan I. Menchaca
- Centro Medico Jojutla
- Hospital Universitario de Nuevo Leon 'Dr Jose Eleuterio Gonzalez'
- Clinical Trials Mexico S.A. de C.V.
- Huisartsenpraktijk Mangal
- Huisartsenpraktijk Zijtregtop
- Huisartsenpraktijk Top
- Southern Clinical Trials Ltd
- Culloden Research Ltd
- Lakeland Family Medical Services Ltd
- Wellington Hospital
- Complejo Hospitalario San Pablo
- Clínica Sanna San Borja
- Clínica Internacional
- Hospital Maria Auxiliadora
- Clinica Peruano Americana S.A
- Malopolskie Centrum Alergologii
- Centrum Medyczne w Lancucie Sp.z o.o.
- ETG Lodz
- Powiatowe Centrum Medyczne w Wołowie Sp. z o.o.
- Gabinet Lekarski Pediatryczno-Alergologiczny
- NZOZ Centrum Badań Klinicznych,Piotr Napora,Lekarze Spółka Partnerska
- Institute Of Epidimiology And Microbiology
- Limited Liability company 'MSMC' Euromed
- LLC Outpatient department of Private Security Guards and Detectives
- LLC Institute of Medical Examinations
- FSBI 'Scientific and Research Institute of Flu' of the MoH of the RF
- LLC Kurator
- LLC 'ArsVite'
- Siberian State Medical University
- Clinical Hospital #3
- SBEI HPE 'Yaroslavl State Medical University' of the MoH of the RF
- Alersa, S.R.O.
- Nemocnica s poliklinikou S. Kukuru Michalovce, a.s.
- Plucna ambulancia Hrebenar, s.r.o.
- Nemocnica arm. generala L. Svobodu Svidnik, a.s.,
- Cardiology Clinical Research
- Josha Research
- Moriana Clinical Research
- Dr Dindar & Partner
- Endocare Research
- Uhuru Clinical Trial Centre
- Dr EL Janari Private Practice
- Precise Clinical Solutions
- Global Clinical Research SA
- Abdullah, IA
- Sebastian, Peter
- Pillai, P
- Govind, U
- Jeevren Reddy, MD
- CRISMO Bertha Gxowa Research Centre
- Peermed Clinical Trial Centre
- DJW Research
- Aliwal Shoal Medical Centre
- Dr A Jacovides Clinical Trials Inc.
- Dr AA Mahomed Medical Centre
- Newtown Clinical Research
- Pillay, SR
- Smartmed Research Centre
- Emmed Research
- Botho ke Bontle Health Services
- Into Research
- Jongaie Research
- Queenswood Clinical Trial Centre
- Engelbrecht, I
- Johese Clinical Research
- Wits Clinical Research
- Limpopo Clinical Research Initiative
- Clinteam Vaal Clinical Trial Centre
- Welkom Clinical Trial Centre
- Hosp. Gral. Univ. de Elche
- Hosp. Univ. San Cecilio
- Hosp. Univ. Virgen de Las Nieves
- Hosp. Univ. de La Princesa
- Hosp. Clinico San Carlos
- Hosp. Univ. 12 de Octubre
- Hosp. Univ. La Paz
- Hosp. Univ. Hm Monteprincipe
- Hosp. Clinico Univ. de Santiago
- Hosp. Alvaro Cunqueiro
- Department for Heart Failure and Valvular Disease
- City Diabetes
- Norrlands Universitetssjukhus
- Akademiska Sjukhuset
- Taipei Medical University Shuang-Ho Hospital
- Kuang Tien General Hospital, Shalu
- Taipei Medical University
- National Taiwan University Hospital
- Taipei Medical University-Wan Fang Hospital
- The Hospital for Tropical Diseases
- Siriraj Hospital
- Srinagarind Hospital
- Bamrasnaradura Infectious Disease Institute
- Bumrungrad Hospital
- Hacettepe University Medical Faculty
- Adnan Menderes University
- Uludag University Medical Faculty
- Diyarbakir University Medical Faculty
- Kocaeli University Medical Faculty
- Hacettepe University Medical Faculty
- Karadeniz Teknik University Medical Faculty
- Med San Unit OJSC Kharkiv S.OrdzhonikidzeTractor Plant Dept of Ther KMA PGE
- Kyiv Oleksandrivska Clinical Hospital
- Odesa City Municipal Institution Polyclinic #20
- Poltava Regional Clinical Hospital HSEI of Ukraine Ukrainian Medical Stomatological Academy
- CCH #1 Vinnytsia M.I. Pyrogov NMU Ch of Propaedeutics of IM
- Swan Lane Medical Centre
- Bodey Medical Centre
- Barlow Medical Centre
- West Timperley Medical Centre
- Northenden Group Practice
- Bach Mai Hospital
- National Hospital for Tropical Diseases
- Nguyen Tri Phuong Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Treatment Arm 1 (pimodivir + SOC treatment)
Treatment Arm 2 (placebo + SOC treatment)
Participants will receive pimodivir 600 milligram (mg), orally, twice daily, for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of pimodivir on Day 1 [evening], dosing will continue until the morning of Day 6) along with Standard-of-Care (SOC) treatment. The SOC treatment is determined by the investigator based on local practice, and may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be made before randomization. The influenza antiviral should be started no later than Day 2 morning (up to noon). An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during the treatment period, with the exception that an influenza antiviral may be discontinued in the case of a suspected adverse event (AE).
Participants will receive placebo matching to pimodivir orally, twice daily, for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of placebo on Day 1 [evening], dosing will continue until the morning of Day 6) along with SOC treatment. The SOC treatment is determined by the investigator based on local practice, and may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be made before randomization. The influenza antiviral should be started no later than Day 2 morning (up to noon). An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during the treatment period, with the exception that an influenza antiviral may be discontinued in the case of a suspected AE.