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Comparative Clinical Trial of Efficacy and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza

Primary Purpose

Influenza

Status
Completed
Phase
Phase 4
Locations
Russian Federation
Study Type
Interventional
Intervention
Ergoferon
Oseltamivir
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 - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients aged 18 to 70 years.
  2. Patients who were admitted to hospital within 48 hours from the onset of influenza signs.
  3. Patients with body temperature ≥37,8°C when visiting a doctor + severity of influenza symptoms ≥4 scores (presence of at least 1 non-specific flu symptom ≥2 scores and 1 nasal/ throat/ chest symptom ≥ 2 scores or greater number of symptoms with the severity ≥1 score).
  4. Diagnosed influenza confirmed by rapid diagnostic test (OSOM Influenza A&B Test).
  5. The possibility to start therapy within 48 hours after the onset of the first symptoms of influenza.
  6. Usage of contraceptive methods by both gender patients of reproductive age during the trial and within 30 days after ending the participation in the trial.
  7. Availability of signed patient information sheet (Informed Consent form) for participation in the clinical trial.

Exclusion Criteria:

  1. Suspected pneumonia, bacterial infection or the presence of a severe disease requiring usage of antibacterial drugs (including sulphanilamides) starting from Day 1 of the disease.
  2. Severe influenza with indications for hospitalization.
  3. Suspected early manifestations of diseases that have symptoms similar to influenza symptoms (other acute respiratory and infectious diseases, influenza-like syndrome at the onset of systemic connective tissue disorders, hematologic neoplasms and other pathology).
  4. Patients requiring concurrent antiviral products forbidden by the study.
  5. Medical history of primary and secondary immunodeficiencies. а) lymphoid immunodeficiencies (Т-cell and/or В-cell, immunodeficiencies with predominant antibody deficit); b) phagocytic deficits; c) complement factor deficit; d) combined immunodeficiencies including AIDS secondary to HIV infection; toxic, autoimmune, infectious, radiation panleukopenic syndrome; total lymphocytopenic syndrome; polyclonal lymphocyte activation syndrome; postsplenectomic syndrome; congenital asplenia; abnormal immune complex syndrome associated with infectious, autoimmune and allergic diseases.
  6. Medical history of sarcoidosis
  7. An oncological disease/suspected oncological disease.
  8. Exacerbated or decompensated chronic diseases affecting a patient's ability to participate in the clinical trial.
  9. Medical history of polyvalent allergy.
  10. Allergy/intolerance to any of the components of the product used for influenza therapy.
  11. Impaired glucose tolerance, type 1 and type 2 diabetes mellitus.
  12. Malabsorption syndrome, including congenital or acquired lactose deficiency or another disaccharide deficiency.
  13. Pregnancy, breast-feeding.
  14. Consumption of narcotics, alcohol > 2 alcohol units per day, mental diseases.
  15. Use of any medicine listed in the section "Prohibited concomitant treatment" within 30 days preceding the inclusion in this study.
  16. Patients who, from the investigator's point of view, will fail to comply with the observation requirements of the trial or with the regimen of the study drugs.
  17. Participation in other clinical studies within 1 month prior to enrollment in the current trial.
  18. Patients related to the research staff of the clinical trial site who are directly involved in the trial or are the immediate family member of the researcher. The immediate family members include husband/wife, parents, children or brothers (or sisters), regardless of whether they are natural or adopted.
  19. Patients employed with OOO "NPF "MATERIA MEDICA HOLDING" (i.e., the company's employee, part-time employee under contract, or appointed official in charge of the trial, or their immediate family).

Sites / Locations

  • The Non-State Health Care Institution "Road Hospital of the Open Joint Stock Company" Russian Railways"
  • The State Budgetary Educational Institution of Higher Professional Education " Kazan State University of Medicine" Ministry of Health of the Russian Federation
  • Pirogov Russian National Research Medical University
  • Limited Liability Company "Scientific Research Centre Eco-safety"
  • Regional State Budgetary Healthcare Institution "Clinical Hospital №1"
  • Federal State Budgetary Military Educational Institution of Higher Professional Education "Military-Medicine Academy named after S. M. Kirov" of Ministry of Defence of Russian Federation
  • St. Petersburg State Budgetary Health Care Institution " City policlinic No. 117"

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Ergoferon

Oseltamivir (Tamiflu)

Arm Description

The treatment period is 5 days. Oral Dose per administration: 1 tablet. The tablet should be kept in the mouth until completely dissolution, the drug is taken without regard to food intake.

The treatment period is 5 days. 1 capsule (75 mg) twice a day during the meal or regardless of meal.

Outcomes

Primary Outcome Measures

Percentage of Patients With Recovery/Improvement in Health Status.
Based on days 2-7 days of observation according to the patient's diary, and on days 3 and 7 according to the physician's examination.

Secondary Outcome Measures

Changes in Fever.
Fever changes over time (body temperature change on days 2-7 compared to baseline, based on patient diary data).
Average Duration of Fever.
Criteria of no fever - body temperature lower than 37.0° C for 24 hours
Percentage of Patients With Normal Body Temperature.
Based on patient's diary. Normal body temperature is no more than 37.0ºС.
Severity of Influenza Symptoms (Fever, Flu Non-specific and Nasal/Throat/Chest Symptoms) in Scores According to the Symptoms Severity Scale.
The symptoms severity scale includes 14 symptoms: body temperature, non-specific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness), nasal/throat/chest symptoms (runny nose, stuffy nose, sneezing, sore throat, hoarseness, cough, chest pain). The severity of each non-specific and nasal/throat/chest symptom is scored on a 4-point scale (0=no symptom; 1=mild symptom; 2=moderate symptom; 3=severe symptom). The minimum value of each symptom is 0 points, and the maximum value is 4 points. The absolute body temperature (in degrees Celsius) is converted to relative units (or scores) using the following scale: ≤37.2С=0 points; 37.3-38.0С=1 point; 38.1-39.0С=2 points; ≥39.1С=3 points. The severity of symptoms is based on the physical examination of the patient by the physician on days 1, 3, and 7 and on the patient diary data on days 1-7. The minimum symptoms severity score is 0 points, the maximum score is 42 points.
Duration of Clinical Symptoms of Influenza (Fever, Non-specific Symptoms and Nasal/ Throat/ Chest Symptoms) in Days.
Duration of clinical symptoms of influenza (fever, non-specific symptoms and nasal/ throat/ chest symptoms) in days based on the result of the patient's diary data
The Severity of Influenza.
Based on the patient diary. The severity of influenza based on the data on the "Area Under Curve" for total index of influenza severity.
Percentage of Patients Who Used Antipyretics on Days 1, 2, 3, 4 and 5 of the Treatment.
Antipyretics, which are allowed for use during clinical trial, are: Paracetamol; Metamizole sodium (if hyperthermia was not stopped by usage of paracetamol).
Percentage of Patients Requiring Antibiotics Administration.
Based on patient's diary, objective examination (according to physician's objective examination). The patients with the development of disease complications and exacerbation of the disease course (the development of severe influenza).
Proportion of Patients With Negative Results of Virological Analysis.
Based on medical records of patients whose nasopharyngeal swabs submitted for Reverse Transcription Polymerase Chain Reaction (RT-PCR) were negative for influenza A/B virus.
Dynamics of Parameters of Immune Status (T-cell and B-cell Immune Response).
The concentration of regulators of the T-cell immune response (IL2, IFN -γ, IL-18), and regulators of В-cell immune response (IL-4, IL-16).
Dynamics of Parameters of Immune Status ( IFN-α and IFN-γ Production).
Level of spontaneous and induced production of IFN-α and IFN-γ (in vitro).
Dynamics of Parameters of Immune Status (Absolute Number of Each Type of White Blood Cells and Different Lymphocyte Phenotypes).
The absolute number of each type of white blood cells (WBC): Absolut Count (AC) of leukocytes, neutrophils, lymphocytes, monocytes, eosinophils, basophils, and CD3, CD4, CD8, CD4/CD8, CD16, CD119 leukocytes.
Dynamics of Parameters of Immune Status (Relative Percentage of Each Type of White Blood Cells and Different Lymphocyte Phenotypes).
The relative percentage of each type of white blood cells (WBC): Relative Count (AC) of leukocytes, neutrophils, lymphocytes, monocytes, eosinophils, basophils, and CD3, CD4, CD8, CD4/CD8, CD16, CD119 leukocytes.

Full Information

First Posted
April 30, 2013
Last Updated
April 15, 2020
Sponsor
Materia Medica Holding
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1. Study Identification

Unique Protocol Identification Number
NCT01850446
Brief Title
Comparative Clinical Trial of Efficacy and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza
Official Title
Comparative Parallel-group Randomized Clinical Trial of Efficacy and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
February 20, 2015 (Actual)
Primary Completion Date
April 16, 2018 (Actual)
Study Completion Date
April 16, 2018 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is: to assess the efficacy of Ergoferon in treatment of influenza; to assess the safety of Ergoferon in treatment of influenza; to compare the efficacy of Ergoferon and Oseltamivir for treatment of influenza.
Detailed Description
The overall duration of a patient participation in the trial is 6 days (screening/randomization/therapy onset - day 1; study therapy period - day 1-5; follow-up period - day 6).

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 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
184 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Ergoferon
Arm Type
Experimental
Arm Description
The treatment period is 5 days. Oral Dose per administration: 1 tablet. The tablet should be kept in the mouth until completely dissolution, the drug is taken without regard to food intake.
Arm Title
Oseltamivir (Tamiflu)
Arm Type
Active Comparator
Arm Description
The treatment period is 5 days. 1 capsule (75 mg) twice a day during the meal or regardless of meal.
Intervention Type
Drug
Intervention Name(s)
Ergoferon
Intervention Description
Safety and Efficacy
Intervention Type
Drug
Intervention Name(s)
Oseltamivir
Other Intervention Name(s)
Tamiflu
Intervention Description
Safety and Efficacy
Primary Outcome Measure Information:
Title
Percentage of Patients With Recovery/Improvement in Health Status.
Description
Based on days 2-7 days of observation according to the patient's diary, and on days 3 and 7 according to the physician's examination.
Time Frame
On 2-7 days of observation
Secondary Outcome Measure Information:
Title
Changes in Fever.
Description
Fever changes over time (body temperature change on days 2-7 compared to baseline, based on patient diary data).
Time Frame
Baseline and days 2-7 of the observation
Title
Average Duration of Fever.
Description
Criteria of no fever - body temperature lower than 37.0° C for 24 hours
Time Frame
From the time of randomization until the time of recovery/improvement (days 1-7)
Title
Percentage of Patients With Normal Body Temperature.
Description
Based on patient's diary. Normal body temperature is no more than 37.0ºС.
Time Frame
Days 2-7 of the observation
Title
Severity of Influenza Symptoms (Fever, Flu Non-specific and Nasal/Throat/Chest Symptoms) in Scores According to the Symptoms Severity Scale.
Description
The symptoms severity scale includes 14 symptoms: body temperature, non-specific symptoms (headache, chills, sweating, weakness, muscle pain, drowsiness), nasal/throat/chest symptoms (runny nose, stuffy nose, sneezing, sore throat, hoarseness, cough, chest pain). The severity of each non-specific and nasal/throat/chest symptom is scored on a 4-point scale (0=no symptom; 1=mild symptom; 2=moderate symptom; 3=severe symptom). The minimum value of each symptom is 0 points, and the maximum value is 4 points. The absolute body temperature (in degrees Celsius) is converted to relative units (or scores) using the following scale: ≤37.2С=0 points; 37.3-38.0С=1 point; 38.1-39.0С=2 points; ≥39.1С=3 points. The severity of symptoms is based on the physical examination of the patient by the physician on days 1, 3, and 7 and on the patient diary data on days 1-7. The minimum symptoms severity score is 0 points, the maximum score is 42 points.
Time Frame
On 1-7 days of observation
Title
Duration of Clinical Symptoms of Influenza (Fever, Non-specific Symptoms and Nasal/ Throat/ Chest Symptoms) in Days.
Description
Duration of clinical symptoms of influenza (fever, non-specific symptoms and nasal/ throat/ chest symptoms) in days based on the result of the patient's diary data
Time Frame
On 1-7 days of observation
Title
The Severity of Influenza.
Description
Based on the patient diary. The severity of influenza based on the data on the "Area Under Curve" for total index of influenza severity.
Time Frame
On days 1-7 of the observation.
Title
Percentage of Patients Who Used Antipyretics on Days 1, 2, 3, 4 and 5 of the Treatment.
Description
Antipyretics, which are allowed for use during clinical trial, are: Paracetamol; Metamizole sodium (if hyperthermia was not stopped by usage of paracetamol).
Time Frame
Days 1, 2, 3, 4 and 5 of the treatment
Title
Percentage of Patients Requiring Antibiotics Administration.
Description
Based on patient's diary, objective examination (according to physician's objective examination). The patients with the development of disease complications and exacerbation of the disease course (the development of severe influenza).
Time Frame
On 1-7 days of observation.
Title
Proportion of Patients With Negative Results of Virological Analysis.
Description
Based on medical records of patients whose nasopharyngeal swabs submitted for Reverse Transcription Polymerase Chain Reaction (RT-PCR) were negative for influenza A/B virus.
Time Frame
On days 3, 5, 7 of observation.
Title
Dynamics of Parameters of Immune Status (T-cell and B-cell Immune Response).
Description
The concentration of regulators of the T-cell immune response (IL2, IFN -γ, IL-18), and regulators of В-cell immune response (IL-4, IL-16).
Time Frame
On days1, 3 and 7 of observation.
Title
Dynamics of Parameters of Immune Status ( IFN-α and IFN-γ Production).
Description
Level of spontaneous and induced production of IFN-α and IFN-γ (in vitro).
Time Frame
On day 1, 3 and 7 of observation.
Title
Dynamics of Parameters of Immune Status (Absolute Number of Each Type of White Blood Cells and Different Lymphocyte Phenotypes).
Description
The absolute number of each type of white blood cells (WBC): Absolut Count (AC) of leukocytes, neutrophils, lymphocytes, monocytes, eosinophils, basophils, and CD3, CD4, CD8, CD4/CD8, CD16, CD119 leukocytes.
Time Frame
On days 1, 3 and 7 of observation.
Title
Dynamics of Parameters of Immune Status (Relative Percentage of Each Type of White Blood Cells and Different Lymphocyte Phenotypes).
Description
The relative percentage of each type of white blood cells (WBC): Relative Count (AC) of leukocytes, neutrophils, lymphocytes, monocytes, eosinophils, basophils, and CD3, CD4, CD8, CD4/CD8, CD16, CD119 leukocytes.
Time Frame
On days 1, 3 and 7 of observation.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients aged 18 to 70 years. Patients who were admitted to hospital within 48 hours from the onset of influenza signs. Patients with body temperature ≥37,8°C when visiting a doctor + severity of influenza symptoms ≥4 scores (presence of at least 1 non-specific flu symptom ≥2 scores and 1 nasal/ throat/ chest symptom ≥ 2 scores or greater number of symptoms with the severity ≥1 score). Diagnosed influenza confirmed by rapid diagnostic test (OSOM Influenza A&B Test). The possibility to start therapy within 48 hours after the onset of the first symptoms of influenza. Usage of contraceptive methods by both gender patients of reproductive age during the trial and within 30 days after ending the participation in the trial. Availability of signed patient information sheet (Informed Consent form) for participation in the clinical trial. Exclusion Criteria: Suspected pneumonia, bacterial infection or the presence of a severe disease requiring usage of antibacterial drugs (including sulphanilamides) starting from Day 1 of the disease. Severe influenza with indications for hospitalization. Suspected early manifestations of diseases that have symptoms similar to influenza symptoms (other acute respiratory and infectious diseases, influenza-like syndrome at the onset of systemic connective tissue disorders, hematologic neoplasms and other pathology). Patients requiring concurrent antiviral products forbidden by the study. Medical history of primary and secondary immunodeficiencies. а) lymphoid immunodeficiencies (Т-cell and/or В-cell, immunodeficiencies with predominant antibody deficit); b) phagocytic deficits; c) complement factor deficit; d) combined immunodeficiencies including AIDS secondary to HIV infection; toxic, autoimmune, infectious, radiation panleukopenic syndrome; total lymphocytopenic syndrome; polyclonal lymphocyte activation syndrome; postsplenectomic syndrome; congenital asplenia; abnormal immune complex syndrome associated with infectious, autoimmune and allergic diseases. Medical history of sarcoidosis An oncological disease/suspected oncological disease. Exacerbated or decompensated chronic diseases affecting a patient's ability to participate in the clinical trial. Medical history of polyvalent allergy. Allergy/intolerance to any of the components of the product used for influenza therapy. Impaired glucose tolerance, type 1 and type 2 diabetes mellitus. Malabsorption syndrome, including congenital or acquired lactose deficiency or another disaccharide deficiency. Pregnancy, breast-feeding. Consumption of narcotics, alcohol > 2 alcohol units per day, mental diseases. Use of any medicine listed in the section "Prohibited concomitant treatment" within 30 days preceding the inclusion in this study. Patients who, from the investigator's point of view, will fail to comply with the observation requirements of the trial or with the regimen of the study drugs. Participation in other clinical studies within 1 month prior to enrollment in the current trial. Patients related to the research staff of the clinical trial site who are directly involved in the trial or are the immediate family member of the researcher. The immediate family members include husband/wife, parents, children or brothers (or sisters), regardless of whether they are natural or adopted. Patients employed with OOO "NPF "MATERIA MEDICA HOLDING" (i.e., the company's employee, part-time employee under contract, or appointed official in charge of the trial, or their immediate family).
Facility Information:
Facility Name
The Non-State Health Care Institution "Road Hospital of the Open Joint Stock Company" Russian Railways"
City
Chelyabinsk
ZIP/Postal Code
454091
Country
Russian Federation
Facility Name
The State Budgetary Educational Institution of Higher Professional Education " Kazan State University of Medicine" Ministry of Health of the Russian Federation
City
Kazan
ZIP/Postal Code
420012
Country
Russian Federation
Facility Name
Pirogov Russian National Research Medical University
City
Moscow
ZIP/Postal Code
117997
Country
Russian Federation
Facility Name
Limited Liability Company "Scientific Research Centre Eco-safety"
City
Saint Petersburg
ZIP/Postal Code
196143
Country
Russian Federation
Facility Name
Regional State Budgetary Healthcare Institution "Clinical Hospital №1"
City
Smolensk
ZIP/Postal Code
214006
Country
Russian Federation
Facility Name
Federal State Budgetary Military Educational Institution of Higher Professional Education "Military-Medicine Academy named after S. M. Kirov" of Ministry of Defence of Russian Federation
City
St. Petersburg
ZIP/Postal Code
194044
Country
Russian Federation
Facility Name
St. Petersburg State Budgetary Health Care Institution " City policlinic No. 117"
City
St. Petersburg
ZIP/Postal Code
194358
Country
Russian Federation

12. IPD Sharing Statement

Learn more about this trial

Comparative Clinical Trial of Efficacy and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza

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