ClinicalTrials.gg
TerminatedNCT02739477FORCEUpdated Feb 24, 2025

Tolerance and Activity Evaluation of High Doses of Favipiravir Against Ebola Virus in the Semen

A Phase 2 interventional study of Favipiravir in Ebola Virus Survivor, sponsored by Institut National de la Santé Et de la Recherche Médicale, France. Terminated at 2 sites in Guinea. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-02-24.

Sponsored by Institut National de la Santé Et de la Recherche Médicale, France · Phase 2, Interventional, and Treatment

Why this study was terminated
End date of epidemic
Phase
Phase 2
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

This study aims to evaluate favipiravir high dose tolerance in male survivor of Ebola Virus Disease (EVD) with Ebola Virus (EBOV) RNA in semen. This is a dose escalation study with 3 cohorts of 6 patients, each dose level including 2 sentinel patients.

Read the detailed description

Rational:

  • Data suggesting persistence of EBOV in semen a few months after the end of EVD and sexual transmission of EBOV
  • Encouraging results on favipiravir efficacy to reduce mortality of EVD in JIKI trial (NCT02329054 )
  • Favipiravir trough plasma concentration in JIKI trial lower than predicted by population pharmacokinetic model, suggesting an increase of dose might be necessary to achieve a therapeutically relevant exposure.

Objectives:

  • Primary objective: to assess clinical and biological tolerance of high-dosed favipiravir bid for 14 days
  • Secondary objectives: to assess the activity of favipiravir on evolution of EBOV RNA and infectious loads in semen under treatment; the trough plasma and semen concentrations of favipiravir; and genetic factors associated with favipiravir pharmacokinetic.

Dose escalation scheme:

Each patient of each cohort will receive favipiravir loading doses of 4800 mg at Day 1 (2400 mg bid), following by 3600 mg (1800 mg bid) from Day 2 to 14 (cohort 1), then 3600, 4200 or 4800 mg from Day 2 to 14 (cohort 2 and 3), depending on previous cohort results.

Escalation rules are based on the number of patient undergoing treatment-related adverse events (TRAE) of grade 3 or 4 according to the Common Terminology Criteria for Adverse Events v4.03 (CTCAE), as defined by the investigator and sponsor.

Participants will attend medical visits at Day 1, Day 3, Day 7, Day 10, Day 14, Day 21 and clinical tolerance will be assessed daily by phone call from Day 1 to Day 14.

At the end of the first cohort:

  • if no TRAE, cohort 2 will be given 2400 mg bid from Day 2 to 14;
  • if 1 or 2 TRAE is observed, cohort 2 will be given 2100 mg bid from Day 2 to Day 14;
  • if 3 or more TRAE is observed, cohort 2 will be given the same dose as cohort 1.

At the end of cohort 2, same rules will be apply to cohort 3, without exceed 4800 mg of favipiravir per day.

Each cohort will include 6 patients. Each dose level will comprise 2 sentinel patients.

In their own interest, patients included in a cohort with detection of EBOV RNA in semen by RT-PCR (CT\<38) at Day 21, could be included in the next cohort.

Recruitment will start among PostEbogui cohort from coast Guinea.

02

Conditions studied

  • Ebola Virus Survivor

Keywords

  • Favipiravir
  • Tolerance
  • Survivor
  • Ebola Virus
  • Genital reservoir
  • Guinea
03

In context

Lead sponsor

Institut National de la Santé Et de la Recherche Médicale, France is the lead sponsor of 378 studies on the registry; 81 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • male survivor of biologically confirmed EVD
  • age >= 18 years
  • EBOV RT-PCR on semen with cycle threshold [Ct]\<38 at Day -7 and semen aliquot available for later quantification of EBOV
  • signed

Non-Inclusion Criteria:

  • EBOV RT-PCR on blood with cycle threshold [Ct]\<38 at Day -7
  • Biological abnormality higher than grade 2 according to (v4.03) on following parameters: creatinine, ASAT, ALAT, alkaline phosphatase, total
  • Fridericia interval (QTc) > 450 ms
  • Concomitant use of QT/QTc interval-prolonging drugs or drugs that could cause electrolyte imbalance, such as: loop diuretics, thiazide diuretics or related
  • Previous gout attack or ongoing treatment for gout or hyperuricemia
  • Ongoing pyrazinamide treatment or other drug known to induce hyperuricemia
  • Previous reaction due to nucleoside analogue
  • Symptom or biological value suggesting systemic disorder (renal, hepatic, cardio-vascular, pulmonary) or any medical condition that could interfere with results interpretation or compromise participants' health
  • Explicit refusal to comply with proper use of drug (condom use)
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Favipiravir

    Favipiravir (oral administration, 200 mg light yellow, round-shaped, coated divisible tablets that can be crushed and mixed with liquid)

    Drug: Favipiravir

Interventions

  • Cohort 1: Day 1 (inclusion) 4800 mg (2400 mg bid). Day 2 to Day 14: 3600 mg (1800 mg bid). Cohort 2: Day 1 (inclusion) 4800 mg (2400 mg bid). Day 2 to Day 14: 3600, 4200, 4800 mg per day depending on cohort 1 results. Cohort 3: Day 1 (inclusion) 4800 mg (2400 mg bid). Day 2 to Day 14: 3600, 4200, 4800 mg per day depending on cohorts 1 and 2 results.

    Also known as: AVIGAN

06

What researchers measure

Primary outcomes

  1. Number of patients undergoing grade 3 or 4 clinical or biological adverse events related to Favipiravir (Common Terminology Criteria for Adverse Events, CTCAE, v4.03)

    Day 1 is the first day of favipiravir intake

    Time frame: Day 14

Secondary outcomes

  1. Evolution of EBOV semen RNA and infectious loads

    From Day 14 to Day 90, semen EBOV PCR will be performed every 3 weeks until their semen tests negative for virus twice by RT-PCR, with an interval of one week between tests.

    Time frame: Semen collection will be performed at least at Day 7, Day 14, Day 21 and Day 90

  2. Plasma and semen trough concentrations of favipiravir

    Time frame: Plasma collection at Day 3, Day7, Day 10 and Day 14. Semen collection at Day 7 and Day 14

  3. Genetic variations associated with favipiravir exposition

    Time frame: Blood collection at Day 1 will be used for further genotyping.

07

Study locations

2 sites
  • Conakry
    Conakry, Guinea
  • Nzérékoré
    Nzérékoré, Guinea
08

References and documents

Publications

  • Eloy P, Laouenan C, Beavogui AH, Keita S, Manchon P, Etard JF, Sissoko D, Mentre F, Malvy D. High doses of favipiravir in two men survivors of Ebola virus disease carrying Ebola virus in semen in Guinea. IDCases. 2022 Jan 21;27:e01412. doi: 10.1016/j.idcr.2022.e01412. eCollection 2022. PubMed 35127447 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02739477
Responsible party
Sponsor
First posted
Apr 15, 2016
Start date
Apr 2016
Primary completion
Aug 2016
Completion
Aug 2016
Last update
Feb 24, 2025

Study contacts

Daouda Sissoko, Doctor
principal investigator · Inserm 897 unit, ISPED, Université de Bordeaux, Bordeaux cedex
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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