CClinicalTrials.gg
CompletedNCT00988325Updated Mar 20, 2017Results posted

A Pharmacokinetic/Pharmacodynamic (PK/PD) and Safety Evaluation of Oseltamivir [Tamiflu] in the Treatment of Infants 0 to <12 Months of Age With Confirmed Flu Infection

A Phase 1 interventional study of Tamiflu in Influenza, sponsored by Hoffmann-La Roche. Completed at 12 sites in 6 countries. Open to participants aged Up to 12 Months. Per ClinicalTrials.gov, last updated 2017-03-20.

Sponsored by Hoffmann-La Roche · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
65
Allocation
Non-randomized
Ages
Up to 12 Months
Sex
All
01

Study summary

This study will assess the pharmacokinetics/pharmacodynamics and safety of oseltamivir [Tamiflu] therapy in infants less than 1 year of age with influenza diagnosed in the 96 hours prior to the first dose. Patients age 3-12 months will receive 3 mg/kg, 1-3 months will receive 2.5 mg/kg, and birth to 1 month will receive 2 mg/kg twice a day for a total of 10 doses. Patients positive for influenza virus on Day 6 will be eligible to receive continued study treatment for an additional 10 doses (5 days). The anticipated time on study treatment is 4 weeks, and the target sample size is 65-85 male and female infants.

02

Conditions studied

  • Influenza

Browse trials for

03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 164 are open to participants now.

This study's enrollment of 65 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 12 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • infants \</=12 months of age
  • laboratory confirmed diagnosis of influenza within 96 hours prior to first dose
  • influenza symptoms for \</=96 hours prior to first dose

Exclusion criteria

Exclusion Criteria:

  • preterm infants less than 40 weeks (corrected for gestational age)
  • weight less than 5th percentile for age (corrected for gestational age)
  • concurrent gastrointestinal conditions that preclude enteric absorption of the drug
  • bronchopulmonary dysplasia/chronic lung disease on assisted ventilation at time of enrollment
  • active or uncontrolled respiratory, cardiac, hepatic, CNS or renal disease at baseline
  • symptomatic inborn errors of metabolism
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
65 participants (actual)

Study arms

  • Experimental
    Oseltamivir 3 mg

    infants 3 to \<12 months

    Drug: Tamiflu

  • Experimental
    Oseltamivir 2.5 mg

    infants 1 to \<3 months of age

    Drug: Tamiflu

  • Experimental
    Oseltamivir 2 mg

    infants 0 to 30 days (post natal) of age

    Drug: Tamiflu

Interventions

  • DrugTamiflu

    oral repeating dose

06

What researchers measure

Primary outcomes

  1. Steady-state Area Under the Plasma Concentration Versus Time Curve From Time Zero to 12 Hours of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is active metabolite of oseltamivir. AUC0-12 was estimated for oseltamivir and oseltamivir carboxylate by linear trapezoidal rule

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  2. Steady-state Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is an active metabolite of oseltamivir. Cmax was estimated for both oseltamivir and Oseltamivir carboxylate by non-compartmental analysis.

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  3. Steady-state Minimum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is active metabolite of oseltamivir. Cmin was estimated for both oseltamivir and oseltamivir carboxylate by non-compartmental analysis

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

Secondary outcomes

  1. Time to the Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is an active metabolite of oseltamivir.Tmax was estimated using non-compartmental methods

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  2. Apparent Elimination Half Life of Oseltamivir and Oseltamivir Carboxylate

    Elimination half-life is defined as the time required for elimination of a drug to half its plasma concentration and was computed using non-compartmental method

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/-15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  3. Apparent First-order Elimination Rate Constant of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is active metabolite of oseltamivir.The apparent first-order elimination rate constant (Lambda Z) was determined by linear regression analysis of terminal data points. A minimum of 3 data points were used for lambda Z estimation. By reporting tool convention, if n\<3, no summary statistics were calculated

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  4. Total Plasma Clearance as a Function of Bioavailability and Apparent Plasma Clearance of the Metabolite as a Function of Bioavailability (CLm/F) of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is active metabolite of oseltamivir. CL/F was calculated as dose/AUCinf, where AUCinf represents the area under the concentration-time curve of the analyte in plasma over the time interval from zero extrapolated to infinity

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  5. The Volume of Distribution as a Function of Bioavailability of Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is active metabolite of oseltamivir. V/F is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug.

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  6. Clast of Oseltamivir and Oseltamivir Carboxylate

    The last measurable plasma concentration of oseltamivir and oseltamivir carboxylate was the last quantifiable concentration of oseltamivir or oseltamivir carboxylate, respectively.

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  7. Time of the Last Measurable Plasma Concentration for Oseltamivir and Oseltamivir Carboxylate

    Oseltamivir carboxylate is an active metabolite of oseltamivir.

    Time frame: 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1

  8. Number of Participants With Change From Baseline in Neurological Assessment Scores

    Neurological assessment was performed to assess the mental state of the participants through two scales: Infant face scale and Glasgow coma scale. Each scale consists of 3 subscales: eye opening (ranging 1 to 4), verbal response (ranging 1 to 5), and motor responses (ranging 1 to 6). The final score is the sum of these ranges and is scored between 3 and 15. 3 being the worst, and 15 the best. Change from baseline is change of final score post-baseline minus the final score at baseline.

    Time frame: Baseline (Day 1); Day 3 for who received two does on Day 1 or Day 4 for who received one dose on Day 1; Day 6, Day 11, Day 18, Day 30

  9. Median Time to Cessation of Viral Shedding in Participants With Positive Culture at Baseline

    Median time to cessation of viral shedding was calculated for all patients with positive by culture / by polymerase chain reaction (PCR) at baseline using all data points between the start of the treatment and the 1st time point of negative culture without subsequent positive culture results. These time-to event analyses were only performed for the viral titre.

    Time frame: Days 1, 3 or 4, 6, 11, 18, and 30

  10. Number of Participants With Virus Shedding by Virus Type

    The viral titer was measured by culture and reported in log10 (50% tissue culture infective dose \[TCID50\]). The viral load was analyzed by PCR and reported as log10 particles/mL. The number of patients positive for viral shedding by virus sub-type was measured on specified days from baseline to last visit on Day 30.

    Time frame: Baseline (Day 1), Day3/4, Day 6, Day 11, Day 18+/-2 days, Day 30+/-2 days

  11. Time to Resolution of Fever in Participants With Fever at the Baseline

    This was performed for all participants who had fever at baseline. Fever is defined as body temperature \>37.0 degree Celsius. Rectal temperature is converted by subtracting 1 degree Celsius. Time to Resolution of Fever was defined as the time from the initiation of treatment to first time the afebrile state was reached and maintained for at least 21.5 hours, where afebrile state was defined as axillary temperature ≤ 37 degree Celsius.

    Time frame: Days 1 to 11; Day 18; Day 30

  12. Percentage of Participants With Decline of Body Temperature to the Afebrile State

    This was performed for all participants who had fever at baseline Fever is defined as body temperature \>37.0ºC. Rectal temperature is converted by subtracting 1 ºC. The rate of decline of body temperature was calculated as the slope of body temperature between the baseline temperature and the 1st temperature below 37°C. Participants with decline in body temperature were considered to have no fever; however, participants who did not show any decline in body temperature were considered to have persisting fever.

    Time frame: Baseline (Day 1), Day3/4, Day 6, Day 11, Day 18+/-2 days, Day 30+/-2 days

  13. Number of Participants With Adverse Events, Serious Adverse Events and Secondary Illness

    An Adverse Event (AEs) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Event (SAE) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. Secondary illnesses were influenza disease-related events, namely bronchitis, pneumonia, otitis media, and sinusitis that resolved without sequelae. Adverse events, serious adverse events, and secondary illness are reported for on-treatment period (from the first dose of oseltamivir upto 3 days after the last dose of oseltamivir \[Approximately 14 days\].

    Time frame: Up to 3 days after the last dose of oseltamivir (Approximately 14 days)

  14. Number of Participants Showing Within-patient Variability in Vital Signs

    Systolic blood pressure, diastolic blood pressure, pulse rate, respiratory rate, and heart rate were examined for any consistent within-patient post-baseline changes.

    Time frame: Post baseline, Day 3, 4, 6, 11, 18+/- 2 days, 30+/-2 days

07

Results

Posted Mar 20, 2017

Participant flow

The study was conducted across 11 centers in Spain, Italy, France, Germany, Belgium, and Poland from 10 January 2011 to 04 April 2012. A total of 65 participants were screened.

Participant flow — Overall Study
MilestoneOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Started40205
Completed40205
Not completed000

Outcome measures

PrimarySteady-state Area Under the Plasma Concentration Versus Time Curve From Time Zero to 12 Hours of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is active metabolite of oseltamivir. AUC0-12 was estimated for oseltamivir and oseltamivir carboxylate by linear trapezoidal rule

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · hour (h)*nanogram(ng)/milliliter (mL)
Steady-state Area Under the Plasma Concentration Versus Time Curve From Time Zero to 12 Hours of Oseltamivir and Oseltamivir Carboxylate
hour (h)*nanogram(ng)/milliliter (mL)Oseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir, n=37, 17, 4277 ± 36.2194 ± 47.8142 ± 48.8
Oseltamivir carboxylate, n=18,11, 24990 ± 27.44920 ± 35.3NA ± NA
SecondaryTime to the Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is an active metabolite of oseltamivir.Tmax was estimated using non-compartmental methods

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Median · hours
Time to the Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate
hoursOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir1.08 (0.88 to 3.08)1.08 (0.00 to 2.92)1.08 (1.00 to 3.00)
Oseltamivir carboxylate5.04 (2.08 to 7.00)2.88 (0.00 to 6.67)5.83 (2.58 to 6.67)
SecondaryApparent Elimination Half Life of Oseltamivir and Oseltamivir Carboxylate

Elimination half-life is defined as the time required for elimination of a drug to half its plasma concentration and was computed using non-compartmental method

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/-15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · hours
Apparent Elimination Half Life of Oseltamivir and Oseltamivir Carboxylate
hoursOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir, n= 37, 17, 42.02 ± 38.52.01 ± 49.31.66 ± 41.5
Oseltamivir carboxylate, n=18, 11, 29.45 ± 53.311.3 ± 92.7NA ± NA
SecondaryApparent First-order Elimination Rate Constant of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is active metabolite of oseltamivir.The apparent first-order elimination rate constant (Lambda Z) was determined by linear regression analysis of terminal data points. A minimum of 3 data points were used for lambda Z estimation. By reporting tool convention, if n\<3, no summary statistics were calculated

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · 1/hour
Apparent First-order Elimination Rate Constant of Oseltamivir and Oseltamivir Carboxylate
1/hourOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir, n= 33, 11, 40.349 ± 39.90.338 ± 52.90.418 ± 41.5
Oseltamivir carboxylate, n=17, 7, 20.0735 ± 55.20.0475 ± 110.6NA ± NA
PrimarySteady-state Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is an active metabolite of oseltamivir. Cmax was estimated for both oseltamivir and Oseltamivir carboxylate by non-compartmental analysis.

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · ng/mL
Steady-state Maximum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate
ng/mLOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir80.8 ± 4762.5 ± 69.125.2 ± 211.6
Oseltamivir carboxylate464 ± 37.7530 ± 33.1501 ± 22.2
PrimarySteady-state Minimum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is active metabolite of oseltamivir. Cmin was estimated for both oseltamivir and oseltamivir carboxylate by non-compartmental analysis

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · ng/mL
Steady-state Minimum Observed Plasma Concentration of Oseltamivir and Oseltamivir Carboxylate
ng/mLOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir2.88 ± 65.42.09 ± 52.62.56 ± 90.0
Oseltamivir carboxylate238 ± 43.8248 ± 51.5169 ± 96.4
SecondaryTotal Plasma Clearance as a Function of Bioavailability and Apparent Plasma Clearance of the Metabolite as a Function of Bioavailability (CLm/F) of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is active metabolite of oseltamivir. CL/F was calculated as dose/AUCinf, where AUCinf represents the area under the concentration-time curve of the analyte in plasma over the time interval from zero extrapolated to infinity

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Mean · mL/hour
Total Plasma Clearance as a Function of Bioavailability and Apparent Plasma Clearance of the Metabolite as a Function of Bioavailability (CLm/F) of Oseltamivir and Oseltamivir Carboxylate
mL/hourOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir, n= 37, 17, 480500 ± 42.863000 ± 63.750600 ± 39.9
Oseltamivir carboxylate, n=18,11, 23940 ± 38.82180 ± 54.86NA ± NA
SecondaryThe Volume of Distribution as a Function of Bioavailability of Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is active metabolite of oseltamivir. V/F is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug.

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · mL
The Volume of Distribution as a Function of Bioavailability of Oseltamivir and Oseltamivir Carboxylate
mLOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir, n= 37, 17, 4234000 ± 66.2183000 ± 87.9121000 ± 69.8
Oseltamivir carboxylate, n=18,11, 253700 ± 78.135400 ± 96.5NA ± NA
SecondaryClast of Oseltamivir and Oseltamivir Carboxylate

The last measurable plasma concentration of oseltamivir and oseltamivir carboxylate was the last quantifiable concentration of oseltamivir or oseltamivir carboxylate, respectively.

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · ng/mL
Clast of Oseltamivir and Oseltamivir Carboxylate
ng/mLOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir262 ± 39.2176 ± 58.384.3 ± 154.4
Oseltamivir carboxylate3800 ± 50.14410 ± 34.03940 ± 28.2
SecondaryTime of the Last Measurable Plasma Concentration for Oseltamivir and Oseltamivir Carboxylate

Oseltamivir carboxylate is an active metabolite of oseltamivir.

Time frame:
15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 3 if two doses taken on Day 1 or 15 minutes pre-dose; 1 hour +/- 15 minutes, 2-3, 5-7, 10-12 hours post-dose on Day 4 if one dose taken on Day 1
Reported as:
Geometric mean · hours
Time of the Last Measurable Plasma Concentration for Oseltamivir and Oseltamivir Carboxylate
hoursOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Oseltamivir9.23 ± 30.18.53 ± 32.96.94 ± 24.2
Oseltamivir carboxylate10.11 ± 21.210.64 ± 5.410.45 ± 5.3
SecondaryNumber of Participants With Change From Baseline in Neurological Assessment Scores

Neurological assessment was performed to assess the mental state of the participants through two scales: Infant face scale and Glasgow coma scale. Each scale consists of 3 subscales: eye opening (ranging 1 to 4), verbal response (ranging 1 to 5), and motor responses (ranging 1 to 6). The final score is the sum of these ranges and is scored between 3 and 15. 3 being the worst, and 15 the best. Change from baseline is change of final score post-baseline minus the final score at baseline.

Time frame:
Baseline (Day 1); Day 3 for who received two does on Day 1 or Day 4 for who received one dose on Day 1; Day 6, Day 11, Day 18, Day 30
Reported as:
Number · participants
Number of Participants With Change From Baseline in Neurological Assessment Scores
participantsOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
With change in infant face scale measurement score020
With change in Glasgow coma scale assessment score010
SecondaryMedian Time to Cessation of Viral Shedding in Participants With Positive Culture at Baseline

Median time to cessation of viral shedding was calculated for all patients with positive by culture / by polymerase chain reaction (PCR) at baseline using all data points between the start of the treatment and the 1st time point of negative culture without subsequent positive culture results. These time-to event analyses were only performed for the viral titre.

Time frame:
Days 1, 3 or 4, 6, 11, 18, and 30
Reported as:
Median · hours
Median Time to Cessation of Viral Shedding in Participants With Positive Culture at Baseline
hoursOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Median Time to Cessation of Viral Shedding in Participants With Positive Culture at Baseline228.5 (118.0 to 231.0)113.0 (63.0 to 230.0)113.0 (110.0 to 116.0)
Statistical analysis
  • Oseltamivir 3 mg/kg vs Oseltamivir 2.5 mg/kg vs Oseltamivir 2 mg/kg · Wilcoxon (Mann-Whitney) · p = =0.166 (p-value is for the comparison of the age cohorts (treatment groups)) · Median time to cessation of viral sheddi: 119 · 95% CI 113 to 230Median time was estimated from the Kaplan-Meier curve (unstratified)
SecondaryNumber of Participants With Virus Shedding by Virus Type

The viral titer was measured by culture and reported in log10 (50% tissue culture infective dose \[TCID50\]). The viral load was analyzed by PCR and reported as log10 particles/mL. The number of patients positive for viral shedding by virus sub-type was measured on specified days from baseline to last visit on Day 30.

Time frame:
Baseline (Day 1), Day3/4, Day 6, Day 11, Day 18+/-2 days, Day 30+/-2 days
Reported as:
Number · Participants
Number of Participants With Virus Shedding by Virus Type
ParticipantsType A (H1N1)pdm09Type A H3Type B
Baseline321014
Day 3 or 420514
Day 61247
Day 1132916
Day 18 +-2010
Day 30 +-2000
SecondaryTime to Resolution of Fever in Participants With Fever at the Baseline

This was performed for all participants who had fever at baseline. Fever is defined as body temperature \>37.0 degree Celsius. Rectal temperature is converted by subtracting 1 degree Celsius. Time to Resolution of Fever was defined as the time from the initiation of treatment to first time the afebrile state was reached and maintained for at least 21.5 hours, where afebrile state was defined as axillary temperature ≤ 37 degree Celsius.

Time frame:
Days 1 to 11; Day 18; Day 30
Reported as:
Median · hours
Time to Resolution of Fever in Participants With Fever at the Baseline
hoursOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Time to Resolution of Fever in Participants With Fever at the Baseline12.0 (9.0 to 17.0)20.5 (12.0 to 36.0)24.0 (14.0 to 43.0)
Statistical analysis
  • Oseltamivir 3 mg/kg vs Oseltamivir 2.5 mg/kg vs Oseltamivir 2 mg/kg · Wilcoxon (Mann-Whitney) · p = =0.059 (The p-value is for the comparison of the age cohorts (not including Total)) · Time to resolution of fever in patients: 14.5 · 95% CI 12 to 20Median time was estimated from the Kaplan-Meier curve (unstratified)
SecondaryPercentage of Participants With Decline of Body Temperature to the Afebrile State

This was performed for all participants who had fever at baseline Fever is defined as body temperature \>37.0ºC. Rectal temperature is converted by subtracting 1 ºC. The rate of decline of body temperature was calculated as the slope of body temperature between the baseline temperature and the 1st temperature below 37°C. Participants with decline in body temperature were considered to have no fever; however, participants who did not show any decline in body temperature were considered to have persisting fever.

Time frame:
Baseline (Day 1), Day3/4, Day 6, Day 11, Day 18+/-2 days, Day 30+/-2 days
Reported as:
Number · percentage of participants
Percentage of Participants With Decline of Body Temperature to the Afebrile State
percentage of participantsOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Baseline, n=33, 11, 4, decline365525
Baseline, n=33, 11, 4, no decline644575
Day 4, n=33, 11, 4, decline9491100
Day 4, n=33, 11, 4, no decline690
Day 11, n=33, 11, 4, decline97100100
Day 11, n=33, 11, 4, no decline300
Day 18, n=16, 5, 1, decline94100100
Day 18, n=16, 5, 1, no decline600
Day 30, n=31, 9, 4, decline9789100
Day 30, n=31, 9, 4, no decline3110
SecondaryNumber of Participants With Adverse Events, Serious Adverse Events and Secondary Illness

An Adverse Event (AEs) is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An Serious Adverse Event (SAE) is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. Secondary illnesses were influenza disease-related events, namely bronchitis, pneumonia, otitis media, and sinusitis that resolved without sequelae. Adverse events, serious adverse events, and secondary illness are reported for on-treatment period (from the first dose of oseltamivir upto 3 days after the last dose of oseltamivir \[Approximately 14 days\].

Time frame:
Up to 3 days after the last dose of oseltamivir (Approximately 14 days)
Reported as:
Number · Participants
Number of Participants With Adverse Events, Serious Adverse Events and Secondary Illness
ParticipantsOseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kg
Participants with any AE13122
Participants with any SAE310
Participants with secondary illness010
SecondaryNumber of Participants Showing Within-patient Variability in Vital Signs

Systolic blood pressure, diastolic blood pressure, pulse rate, respiratory rate, and heart rate were examined for any consistent within-patient post-baseline changes.

Time frame:
Post baseline, Day 3, 4, 6, 11, 18+/- 2 days, 30+/-2 days

No measurements were reported for this outcome.

Adverse events

Collected over Up to 3 days after the last dose of oseltamivir (Approximately 14 days). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Oseltamivir 3 mg—3/40 (7.5%)13/40 (32.5%)
Oseltamivir 2.5 mg—1/20 (5%)12/20 (60%)
Oseltamivir 2 mg—0/5 (0%)2/5 (40%)
Most frequent serious events
Most frequent serious events
EventOseltamivir 3 mgOseltamivir 2.5 mgOseltamivir 2 mg
Respiratory syncytial virus bronchiolitisInfections and infestations1/401/200/5
Cellulitis orbitalInfections and infestations1/400/200/5
DiarrhoeaGastrointestinal disorders1/400/200/5
Most frequent other events
Showing 10 of 15
Most frequent other events
EventOseltamivir 3 mgOseltamivir 2.5 mgOseltamivir 2 mg
VomitingGastrointestinal disorders10/4011/200/5
RegurgitationGastrointestinal disorders1/406/202/5
Oral candidiasisInfections and infestations0/401/201/5
ConjunctivitisEye disorders2/400/201/5
Dermatitis diaperSkin and subcutaneous tissue disorders0/400/201/5
DiarrhoeaGastrointestinal disorders4/401/200/5
IrritabilityGeneral disorders0/402/200/5
PyrexiaGeneral disorders3/400/200/5
CrepitationsGeneral disorders0/401/200/5
Rotavirus infectionInfections and infestations1/401/200/5

Baseline characteristics

Safety population included all treated participants with at least one post-baseline safety assessment (vital sings like temperature, respiratory rate, blood pressure, pulse rate).

Age, Continuous
Age, Continuous(Days)Oseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kgTotal
Mean223.2 ± 79.4157.0 ± 17.2425.2 ± 5.36156.8 ± 105.62
Sex: Female, Male
Sex: Female, Male(Participants)Oseltamivir 3 mg/kgOseltamivir 2.5 mg/kgOseltamivir 2 mg/kgTotal
Female198229
Male2112336
08

Study locations

12 sites
  • Cliniques Universitaires St-Luc
    Bruxelles, 1200, Belgium
  • Hôpital Femme Mère Enfant; Service de rhumatologie pédiatrique
    Bron, 69677, France
  • CAMPUS VIRCHOW-KLINIKUM CharitéCentrum 17 Klinik f.Pädiatrie Abt.Pneumologie u.Immunologie
    Berlin, 13353, Germany
  • LWL-Klinik-Bochum
    Bochum, 44792, Germany
  • Onkologische Schwerpunktpraxis Dr. Med. O. Burkhard & B. Reimann
    Worms, 67547, Germany
  • Fondazione Ospedale Maggiore Policlinico
    Milan, Lombardia 20122, Italy
  • Vitamed
    Bydgoszcz, 85-021, Poland
  • Samodzielny Publiczny Zakład Opieki; Wcześniaków I Intensywnej Terapii
    Bydgoszcz, 85-168, Poland
  • Zespol Opieki Zdrowotnej Debica; Oddzial Dzieciecy
    Debica, 39-200, Poland
  • St Hedwig Hospital In Trzebnica
    Trzebnica, 55-100, Poland
  • Complejo Hospitalario Universitario de Santiago (CHUS) ; Intermedios y Urgencias Pediatricas
    Santiago de Compostela, La Coruña 15706, Spain
  • Hospital Universitario de Getafe; Servicio de Pediatria
    Madrid, 28905, Spain
09

References and documents

Publications

  • Rath BA, Brzostek J, Guillen S, Niranjan V, Chappey C, Rayner CR, Clinch B. Safety, virology and pharmacokinetics of oseltamivir in infants with laboratory-confirmed influenza: a Phase I/II, prospective, open-label, multicentre clinical trial. Antivir Ther. 2015;20(8):815-25. doi: 10.3851/IMP2967. Epub 2015 May 27. PubMed 26015411 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00988325
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Oct 2, 2009
Start date
Jan 2011
Primary completion
Apr 2012
Completion
Apr 2012
Results posted
Mar 20, 2017
Last update
Mar 20, 2017

Study contacts

Clinical Trials
study director · Hoffmann-La Roche
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion