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Clinical Trial of Efficacy and Safety of ММН-407 in the Treatment of Influenza in Outpatient Adults

Primary Purpose

Influenza

Status
Suspended
Phase
Phase 3
Locations
Russian Federation
Study Type
Interventional
Intervention
MMH-407
Placebo
Sponsored by
Materia Medica Holding
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Influenza

Eligibility Criteria

18 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients of male and female gender aged 18 to 64 years.
  2. Uncomplicated, moderate influenza supported by all the symptoms:

    • axillary temperature ≥38.1°С on physician examination;
    • at least one moderate general symptom of influenza infection (headache, fever/chill, aches in the muscles/joints, weakness/drowsiness);
    • at least one moderate respiratory symptom of influenza infection (cough, sore throat, or nasal congestion).
  3. Positive influenza rapid test (detection of virus antigens in the nasal epithelium).
  4. First 24 hours of the onset of illness.
  5. Patients who agree to use a reliable method of birth control during the study.
  6. Patients who have provided signed Participant Information Sheet and Informed Consent form to participate in a clinical trial.

Exclusion Criteria:

  1. Severe influenza infection that requires hospitalization.
  2. Suspected pneumonia or bacterial infection (including otitis media, sinusitis, urinary tract infection, meningitis, sepsis, etc.) that requires the use of antibiotics, starting from the first day of illness.
  3. Suspected early manifestations of a condition that, on its first onset, produces symptoms similar to those of influenza (other infectious diseases and/or influenza-like syndrome associated with the first onset of a systemic connective tissue disorder or another condition).
  4. Patients who require the use of antivirals that are not permitted during the study.
  5. Current season influenza vaccination.
  6. Prior history or diagnosis of primary or secondary immunodeficiency
  7. Patients with any known or suspected malignant neoplasm.
  8. An exacerbated or decompensated chronic disease interfering with the subject's participation in the clinical trial.
  9. Malabsorption syndrome, including congenital or acquired lactase deficiency (or any other disaccharidase deficiency), and/or galactosemia.
  10. Current allergy to or intolerance of the active substances or any of the excipients in the medications used in the treatment.
  11. Pregnancy, breast-feeding, childbirth within less than 3 months prior to the inclusion in the trial, or unwillingness to use contraceptive methods during the study
  12. Prior history of non-adherence to medication; mental disorder; or alcohol or substance abuse, which, in the investigator's opinion, will compromise compliance with study procedures.
  13. Use of any of the "Prohibited Concomitant Medications" within 2 weeks prior to study entry.
  14. Patients who, as judged by the investigator, will fail or be unwilling to comply with the observation requirements or adhere to the dosing regimen during the study.
  15. Participation in other clinical studies within 3 months prior to the inclusion in this study.
  16. Patients who are related to any of the on-site research personnel directly involved in the conduct of the study or are an immediate relative of the investigator. 'Immediate relative' means husband, wife, parent, son, daughter, brother, or sister (regardless of whether they are natural or adopted).
  17. Patients who work for OOO "NPF "Materia Medica Holding" (i.e. company employees, temporary contract workers, designated officials responsible for carrying out the research or any immediate relatives of the aforementioned).

Sites / Locations

  • City Hospital # 5
  • Belgorod State National Research University, Hospital Therapy Department
  • Road Clinical Hospital at Chelyabinsk station of JSC Russian Railways
  • City Clinical Hospital # 9 of the Ministry of Health of the Udmurt Republic
  • Kazan State Medical University, Internal Medicine Department
  • Kuban State Medical University, Infectious Diseases and Phthisiopulmonology Department
  • Central Clinical Hospital of the Russian Academy of Sciences
  • City Clinical Hospital # 10 of the Kanavinsky District of Nizhny Novgorod
  • Road Clinical Hospital at the station Nizhny Novgorod of JSC Russian Railways
  • Vvedensky City Clinical Hospital
  • City Polyclinic # 25 of the Nevsky District
  • Medical Center "Reavita Med SPb"
  • Llc "Medical Clinic"
  • City Polyclinic # 43
  • Samara City Hospital # 4
  • Scientific Medical Center for General Therapy and Pharmacology
  • Tver State Medical University, Department of Hospital Therapy
  • Bashkir State Medical University, Internal Medicine Department
  • Volgograd State Medical University
  • Altai State Medical University, Department of Faculty Therapy with a course of immunology and allergology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

MMH-407

Placebo

Arm Description

Oral administration. Single dose: 1 tablet. First 24 hours of therapy: 1 tablet every 30 minutes for the first 2 hours, followed by 3 more tablets taken at regular intervals during the rest of the day. Days 2 to 5: 1 tablet 3 times daily.

Oral administration. Single dose: 1 tablet. First 24 hours of therapy: 1 tablet every 30 minutes for the first 2 hours, followed by 3 more tablets taken at regular intervals during the rest of the day. Days 2 to 5: 1 tablet 3 times daily.

Outcomes

Primary Outcome Measures

Time to improvement of influenza symptoms.
Based on patient diaries. In the morning and in the evening, the patients rate the severity of their symptoms on a 4-point scale (7 symptoms of influenza): headache, fever/chill, aches in the muscles/joints, weakness/drowsiness, cough, sore throat, and nasal congestion, where the absence of symptoms is 0, mild symptoms - 1, moderate symptoms - 2, and severe symptoms is 4. "Improvement of influenza symptoms" means no or mild symptoms.

Secondary Outcome Measures

Proportion of patients reporting improvement of influenza symptoms.
Based on patient diaries.
Severity of illness.
Total symptom score AUC (to be estimated from each of the seven symptom subscores).
Proportion of patients with negative virus shedding.
Negative influenza RT-PCR on nasopharyngeal swabs.
Dosing frequency of antipyretics according to indications.
A decrease dosing frequency of antipyretics while taking MMN-407 is one of the criteria for effectiveness. Based on patient diaries.
Proportion of subjects reporting worsening of illness.
Worsening of illness is bacterial complication of influenza that require the use of antibiotics or hospitalization.
Occurrence and nature of adverse events (AE).
AE severity, causal relationship to the study drug and outcome.
Number of patients with treatment-related changes in vital signs: body temperature, pulse rate (heart rate), respiration rate (breathing rate), and blood pressure.
Based on medical records. Vital signs will be measured in a medical setting.
Proportion of subjects with clinically significant abnormal laboratory data.
Вased on medical records.

Full Information

First Posted
January 29, 2020
Last Updated
August 15, 2023
Sponsor
Materia Medica Holding
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1. Study Identification

Unique Protocol Identification Number
NCT04250311
Brief Title
Clinical Trial of Efficacy and Safety of ММН-407 in the Treatment of Influenza in Outpatient Adults
Official Title
A Multicenter, Placebo-controlled, Double-blind, Randomized Clinical Trial in Parallel Groups to Evaluate the Efficacy and Safety of ММН-407 in the Treatment of Influenza in Outpatient Adults
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Suspended
Why Stopped
Due to the end of the ARVI and influenza season, it was suspended until approximately October 01, 2023
Study Start Date
December 12, 2019 (Actual)
Primary Completion Date
December 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Materia Medica Holding

4. Oversight

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

5. Study Description

Brief Summary
The main purpose of this study is: • to evaluate the efficacy and safety of MMH-407 in the treatment of influenza in outpatient adults.
Detailed Description
Design: a multicenter, placebo-controlled, double-blind, randomized clinical trial in parallel groups. The study will include both male and female patients aged 18-64 years with clinical signs of influenza within the first 24 hours of the onset of illness. The influenza diagnosis must be supported by a positive rapid test (detection of influenza virus antigens in nasal epithelial cells). After the patients provide signed Participant Information Sheet and Informed Consent form, their medical history and body temperature will be recorded and physical examination and rapid diagnostic test performed. Patients who test positive will be assessed for 7 influenza-associated symptoms: cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, fatigue. 4-point Flu Symptom Severity scale will be used: 0 = no symptom; 1 = mild symptom; 2 = moderate symptom; 3 = severe symptom. Nasopharyngeal swabs will be obtained from these patients for subsequent real-time reverse transcription polymerase chain reaction (RT-PCR) influenza A/B testing and laboratory tests performed. If a patient meets all inclusion criteria and does not meet any of the exclusion criteria at Visit 1 (Day 1), he/she will be randomized into one of the treatment groups: Group 1: ММН-407 for 5 days, or Group 2: Placebo on the ММН-407 regimen for 5 days. The patients will use electronic patient diaries to daily record their morning and evening axillary temperature (taken using a Geratherm mercury-free thermometer) and severity of 7 influenza-associated symptoms (using the Flu Symptom Severity scale). In addition to this, the patients will record doses of antipyretic drugs taken (when applicable) and any worsening of their health status (when applicable, to assess treatment safety and collect adverse events data). In total, patients will be observed for 14 days (screening and randomization - up to 24 hours, treatment - 5 days, subsequent observation - up to 2 days; and a follow-up 'telephone' visit - Day 14). During the study, 3 visits from patient to the physician's office and a follow-up telephone visit will be accomplished: 1) patient visits - Days 1, 3 and 7 (Visits 1, 2, and 3) at the medical centre; 2) telephone visit from the physician (Visit 4) - Day 14. During Visits 2 and 3, the physician will perform a physical examination, record the changes in patients' symptoms and the use of concomitant medications and check the completion of patient diaries. At Visit 2, nasopharyngeal swabs for RT-PCR will be collected. Visit 3 will involve an assessment of treatment compliance and laboratory tests. The telephone visit is intended to provide information on a patient's health status, presence/absence of secondary bacterial complications and the use of antibiotics. During the study, subjects will be allowed to use symptomatic therapy and medications for their co-morbidities, except for the medicines listed in the "Prohibited Concomitant Medications" section.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
314 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MMH-407
Arm Type
Experimental
Arm Description
Oral administration. Single dose: 1 tablet. First 24 hours of therapy: 1 tablet every 30 minutes for the first 2 hours, followed by 3 more tablets taken at regular intervals during the rest of the day. Days 2 to 5: 1 tablet 3 times daily.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Oral administration. Single dose: 1 tablet. First 24 hours of therapy: 1 tablet every 30 minutes for the first 2 hours, followed by 3 more tablets taken at regular intervals during the rest of the day. Days 2 to 5: 1 tablet 3 times daily.
Intervention Type
Drug
Intervention Name(s)
MMH-407
Other Intervention Name(s)
Raphamin
Intervention Description
MMH-407: For oral use.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo: For oral use.
Primary Outcome Measure Information:
Title
Time to improvement of influenza symptoms.
Description
Based on patient diaries. In the morning and in the evening, the patients rate the severity of their symptoms on a 4-point scale (7 symptoms of influenza): headache, fever/chill, aches in the muscles/joints, weakness/drowsiness, cough, sore throat, and nasal congestion, where the absence of symptoms is 0, mild symptoms - 1, moderate symptoms - 2, and severe symptoms is 4. "Improvement of influenza symptoms" means no or mild symptoms.
Time Frame
On days 1-14 of observation.
Secondary Outcome Measure Information:
Title
Proportion of patients reporting improvement of influenza symptoms.
Description
Based on patient diaries.
Time Frame
On days 1-14 of observation period.
Title
Severity of illness.
Description
Total symptom score AUC (to be estimated from each of the seven symptom subscores).
Time Frame
On days 1- 6 of the observation period.
Title
Proportion of patients with negative virus shedding.
Description
Negative influenza RT-PCR on nasopharyngeal swabs.
Time Frame
On day 3 of the observation period.
Title
Dosing frequency of antipyretics according to indications.
Description
A decrease dosing frequency of antipyretics while taking MMN-407 is one of the criteria for effectiveness. Based on patient diaries.
Time Frame
On days 1-3 of the treatment period.
Title
Proportion of subjects reporting worsening of illness.
Description
Worsening of illness is bacterial complication of influenza that require the use of antibiotics or hospitalization.
Time Frame
On days 4 -14 of the observation period.
Title
Occurrence and nature of adverse events (AE).
Description
AE severity, causal relationship to the study drug and outcome.
Time Frame
On days 1-5 of the treatment period.
Title
Number of patients with treatment-related changes in vital signs: body temperature, pulse rate (heart rate), respiration rate (breathing rate), and blood pressure.
Description
Based on medical records. Vital signs will be measured in a medical setting.
Time Frame
On days 1- 5 of the treatment period.
Title
Proportion of subjects with clinically significant abnormal laboratory data.
Description
Вased on medical records.
Time Frame
On days 1- 5 of the treatment period.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients of male and female gender aged 18 to 64 years. Uncomplicated, moderate influenza supported by all the symptoms: axillary temperature ≥38.1°С on physician examination; at least one moderate general symptom of influenza infection (headache, fever/chill, aches in the muscles/joints, weakness/drowsiness); at least one moderate respiratory symptom of influenza infection (cough, sore throat, or nasal congestion). Positive influenza rapid test (detection of virus antigens in the nasal epithelium). First 24 hours of the onset of illness. Patients who agree to use a reliable method of birth control during the study. Patients who have provided signed Participant Information Sheet and Informed Consent form to participate in a clinical trial. Exclusion Criteria: Severe influenza infection that requires hospitalization. Suspected pneumonia or bacterial infection (including otitis media, sinusitis, urinary tract infection, meningitis, sepsis, etc.) that requires the use of antibiotics, starting from the first day of illness. Suspected early manifestations of a condition that, on its first onset, produces symptoms similar to those of influenza (other infectious diseases and/or influenza-like syndrome associated with the first onset of a systemic connective tissue disorder or another condition). Patients who require the use of antivirals that are not permitted during the study. Current season influenza vaccination. Prior history or diagnosis of primary or secondary immunodeficiency Patients with any known or suspected malignant neoplasm. An exacerbated or decompensated chronic disease interfering with the subject's participation in the clinical trial. Malabsorption syndrome, including congenital or acquired lactase deficiency (or any other disaccharidase deficiency), and/or galactosemia. Current allergy to or intolerance of the active substances or any of the excipients in the medications used in the treatment. Pregnancy, breast-feeding, childbirth within less than 3 months prior to the inclusion in the trial, or unwillingness to use contraceptive methods during the study Prior history of non-adherence to medication; mental disorder; or alcohol or substance abuse, which, in the investigator's opinion, will compromise compliance with study procedures. Use of any of the "Prohibited Concomitant Medications" within 2 weeks prior to study entry. Patients who, as judged by the investigator, will fail or be unwilling to comply with the observation requirements or adhere to the dosing regimen during the study. Participation in other clinical studies within 3 months prior to the inclusion in this study. Patients who are related to any of the on-site research personnel directly involved in the conduct of the study or are an immediate relative of the investigator. 'Immediate relative' means husband, wife, parent, son, daughter, brother, or sister (regardless of whether they are natural or adopted). Patients who work for OOO "NPF "Materia Medica Holding" (i.e. company employees, temporary contract workers, designated officials responsible for carrying out the research or any immediate relatives of the aforementioned).
Facility Information:
Facility Name
City Hospital # 5
City
Barnaul
ZIP/Postal Code
656045
Country
Russian Federation
Facility Name
Belgorod State National Research University, Hospital Therapy Department
City
Belgorod
ZIP/Postal Code
308015
Country
Russian Federation
Facility Name
Road Clinical Hospital at Chelyabinsk station of JSC Russian Railways
City
Chelyabinsk
ZIP/Postal Code
454000
Country
Russian Federation
Facility Name
City Clinical Hospital # 9 of the Ministry of Health of the Udmurt Republic
City
Izhevsk
ZIP/Postal Code
426063
Country
Russian Federation
Facility Name
Kazan State Medical University, Internal Medicine Department
City
Kazan
ZIP/Postal Code
420012
Country
Russian Federation
Facility Name
Kuban State Medical University, Infectious Diseases and Phthisiopulmonology Department
City
Krasnodar
ZIP/Postal Code
350063
Country
Russian Federation
Facility Name
Central Clinical Hospital of the Russian Academy of Sciences
City
Moscow
ZIP/Postal Code
117593
Country
Russian Federation
Facility Name
City Clinical Hospital # 10 of the Kanavinsky District of Nizhny Novgorod
City
Nizhny Novgorod
ZIP/Postal Code
603011
Country
Russian Federation
Facility Name
Road Clinical Hospital at the station Nizhny Novgorod of JSC Russian Railways
City
Nizhny Novgorod
ZIP/Postal Code
603140
Country
Russian Federation
Facility Name
Vvedensky City Clinical Hospital
City
Saint Petersburg
ZIP/Postal Code
191180
Country
Russian Federation
Facility Name
City Polyclinic # 25 of the Nevsky District
City
Saint Petersburg
ZIP/Postal Code
193312
Country
Russian Federation
Facility Name
Medical Center "Reavita Med SPb"
City
Saint Petersburg
ZIP/Postal Code
194354
Country
Russian Federation
Facility Name
Llc "Medical Clinic"
City
Saint Petersburg
ZIP/Postal Code
194356
Country
Russian Federation
Facility Name
City Polyclinic # 43
City
Saint Petersburg
ZIP/Postal Code
198207
Country
Russian Federation
Facility Name
Samara City Hospital # 4
City
Samara
ZIP/Postal Code
443056
Country
Russian Federation
Facility Name
Scientific Medical Center for General Therapy and Pharmacology
City
Stavropol
ZIP/Postal Code
355000
Country
Russian Federation
Facility Name
Tver State Medical University, Department of Hospital Therapy
City
Tver
ZIP/Postal Code
170100
Country
Russian Federation
Facility Name
Bashkir State Medical University, Internal Medicine Department
City
Ufa
ZIP/Postal Code
450008
Country
Russian Federation
Facility Name
Volgograd State Medical University
City
Volgograd
ZIP/Postal Code
400131
Country
Russian Federation
Facility Name
Altai State Medical University, Department of Faculty Therapy with a course of immunology and allergology
City
Barnaul
State/Province
Москва
ZIP/Postal Code
656038
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Clinical Trial of Efficacy and Safety of ММН-407 in the Treatment of Influenza in Outpatient Adults

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