Title

Dose-Finding Study of Favipiravir in the Treatment of Uncomplicated Influenza
A Phase 2, Randomized, Double-Blind, Placebo-Controlled Multicenter Study Evaluating the Efficacy and Safety of Two Doses of Favipiravir in Adult Patients With Uncomplicated Influenza
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    favipiravir ...
  • Study Participants

    530
This is a Phase 2, randomized, double-blind, placebo-controlled multicenter study evaluating the efficacy and safety of two doses of favipiravir in adult patients with uncomplicated influenza.
This is a Phase 2, randomized, double-blind, placebo-controlled, multicenter study designed to evaluate the efficacy and safety of a 5-day regimen of favipiravir in influenza patients aged 20-80 years. Enrolled patients will be randomly assigned to 1 of 3 parallel treatment dose groups:Placebo; Low-dose favipiravir (1000 mg favipiravir BID for 1 day, followed by 400 mg favipiravir BID for 4 days); High-dose favipiravir (1200 mg favipiravir BID for 1 day, followed by 800 mg favipiravir BID for 4 days).
Study Started
Feb 28
2010
Primary Completion
Apr 30
2012
Study Completion
May 31
2012
Results Posted
Mar 27
2014
Estimate
Last Update
Nov 18
2015
Estimate

Drug Favipiravir

1000 mg favipiravir BID x 1 day, and 400 mg favipiravir BID x 4 days

Drug Favipiravir

High-dose favipiravir regimen: 1200 mg favipiravir BID x 1 day, and 800 mg favipiravir BID x 4 days

Drug Placebo comparator

Placebo BID x 1 day, and Placebo BID x 4 days

1: Experimental Experimental

Low-dose favipiravir regimen: 1000 mg favipiravir twice a day (BID) x 1 day, and 400 mg favipiravir BID x 4 days

2: Experimental Experimental

High-dose favipiravir regimen: 1200 mg favipiravir BID x 1 day, and 800 mg favipiravir BID x 4 days

Placebo Placebo Comparator

Placebo

Criteria

Inclusion Criteria:

Patients who test positive for influenza A or B by a commercially available Rapid Antigen Test (RAT) of the nasopharynx. A patient with a negative RAT result may still enroll if the sponsor and investigator agree that there is a known influenza outbreak circulating in the community.
Patients ≥ 20 but < 65 years of age with a temperature (oral) of 100.4°F (38.0°C) or more; patients ≥ 65 years of age with a temperature (oral) of 100.0°F (37.8°C) or more at the first visit, or in the 6 hours prior if antipyretics were taken.

Patients with 2 or more of the following symptoms (moderate to severe in intensity) at the time of enrollment:

Cough
Sore throat
Headache
Nasal congestion
Feeling feverish
Body aches and pains
Fatigue (tiredness)

Exclusion Criteria:

Patients who have had influenza symptoms or fever (i.e., one of the symptoms listed under the inclusion criteria) for 36 hours or more prior to study screening.
Patients who have underlying chronic respiratory disease (e.g., chronic obstructive pulmonary disease [COPD], chronic bronchitis, diffuse panbronchiolitis, bronchiectasis, pulmonary emphysema, pulmonary fibrosis, bronchial asthma, or old tuberculosis).
Patients who at the beginning of the study are suspected of having bacterial respiratory infection (i.e., expectoration of purulent or mucopurulent sputum and/or infiltrate in lung in a chest x-ray, etc.).
Patients who have serious chronic diseases. For example, patients with HIV, cancer (i.e., requiring chemotherapy within the preceding 6 months), cirrhosis (end-stage), and/or unstable renal, cardiac, pulmonary, neurologic, vascular, or endocrinologic disease states requiring medication dose adjustments within the last 30 days.

Summary

Placebo

1: Low Dose Favipiravir

2: High Dose Favipiravir

All Events

Event Type Organ System Event Term 1: Low Dose Favipiravir 2: High Dose Favipiravir Placebo

Clinical Efficacy of 2 Dose Regimens of Favipiravir Compared With Placebo in Treating Patients With Influenza

Overall time required from first study drug administration to alleviation of the 6 primary influenza symptoms and for temperature (oral) measurements to be less than 38.0°C for patients aged 20 to less than 65 years and less than 37.8°C for patients aged 65 years or older. "Alleviated" was defined as all 6 symptom scores had to be decreased to 1 or below and the decrease remain unchanged for 21.5 hours.

1: Low Dose Favipiravir

100.4
hours (Median)
95% Confidence Interval: 82.4 to 119.8

2: High Dose Favipiravir

86.5
hours (Median)
95% Confidence Interval: 79.2 to 102.1

Placebo

91.9
hours (Median)
95% Confidence Interval: 70.3 to 105.4

Total

518
Participants

Age, Continuous

42.5
years (Mean)
Full Range: 20.0 to 80.0

Race/Ethnicity, Customized

Rapid Antigen Test Result

Region of Enrollment

Sex: Female, Male

Virus type identification

Overall Study

1: Low Dose Favipiravir

2: High Dose Favipiravir

Placebo

Drop/Withdrawal Reasons

1: Low Dose Favipiravir

2: High Dose Favipiravir

Placebo