ClinicalTrials.gg
CompletedNCT03394209Updated May 15, 2019

A Pharmacokinetics Study of Favipiravir in Patients With Severe Influenza

A Phase 2 interventional study of Favipiravir and Oseltamivir 75Mg Capsule in Influenza, Human, Critical Illness and Influenza, sponsored by Capital Medical University. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-15.

Sponsored by Capital Medical University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
34
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Influenza, Human by Capital Medical University — 7 open to participants now, 7 under way, 3 of them phase 3. Influenza, Human · Capital Medical University.

Enrollment
11th of 11
34 · median 384
Started
2018
the only one that year
Phase 2
Only one
of the 12
Registered
3rd of 12
by date

Among the 12 studies in Influenza, Human by Capital Medical University, this one is the 11th largest by enrollment of the 11 interventional ones that give a count, is the only one that started in 2018, is the only one in phase 2, and was the 3rd registered.

Influenza, Human

2,358 studies on the registry are indexed under Influenza, Human; 185 are open to participants now.

Browse Influenza, Human studies →

Open to participants now

7 of the 12 studies in Influenza, Human by Capital Medical University are open now, in 1 country. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 7 open studies →

Where they have run

Who these studies take

Of the 120 Influenza, Human studies recruiting now, 64 (53%) set no upper age limit and 46 (38%) stop at 75 or younger; 33 take children under 18; 66 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Title: An adaptive study of the pharmacokinetics of favipiravir in patients with severe influenza Study Design: An open label, single group assignment, adaptive study to evaluate the pharmacokinetics of favipiravir in adult patients with severe influenza.

In the first stage, participants will receive favipiravir 1600mg BID on day 1, followed by favipiravir 600mg BID for 9 days.

If the proportion of patients with a minimum observed plasma trough concentration above the MEC (20μg/ml) at all measured time points after the second dose is less than 80% then a second patient cohort will be recruited and will receive favipiravir 1800mg BID on day 1, followed by favipiravir 800mg BID for 9 days.

Intervention: The 1st stage: 1600mg BID on day 1, followed with 600mg BID for 9 days. Sample size: 15 The 2nd stage: 1800mg BID on day 1, followed with 800mg BID for 9 days. Sample size: 15 Population: Males and females aged 18 years or older admitted to hospital with a positive PCR test for influenza and a PaO2/FiO2≤300mmHg or/and on mechanical ventilation for severe lung infection on admission.

Sample size 15 or 30 severe influenza patients Research hypothesis The administration of oral favipiravir at either 1600mg/600mg BID or 1800/800mg BID will result in ≥ 80% patients achieving a minimum observed plasma trough concentration above the MEC (20μg/ml) at all measured time points after the second dose.

Phase: Phase 2a, PK, safety and feasibility study. Description of Study Agent: Favipiravir (T-705) a viral RNA-dependent RNA polymerase inhibitor.

Study Duration: 1 year Participant Duration: 38 days

03

Conditions studied

  • Influenza, Human
  • Critical Illness
  • Influenza

Keywords

  • Favipiravir, Influenza, Human, Critical Illness, Pharmacokinetics
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Hospitalized males or females with a positive PCR test for influenza virus infection
  2. Adults aged ≥18years
  3. PaO2/FiO2≤300mmHg or on mechanical ventilation
  4. \< 10 days since symptom onset
  5. Negative pregnancy testing for childbearing age females (under 60 years)
  6. Willingness to use for 7 days after end of treatment
  7. In addition, male subjects must:

    1. Agree not to donate sperm during the study and for 7 days following the last dose of study drug, and
    2. Agree to adhere strictly to one of the following contraceptive measures from the Screening Visit until 7 days after the last dose of study drug:

    i. abstain from sexual intercourse or ii. have a female partner using effective means of birth control as noted below or iii. use a condom with spermicide or a second barrier method by female partner.

Female subjects

a. Of must agree to adhere strictly to one of the following approved contraceptive measures during the study and for 7 days after the last dose of study drug: i. abstain from sexual intercourse or ii. have a male partner incapable of fathering a child (eg, had a vasectomy at least 6 months with history of negative semen analysis prior Screening or iii. use of one of the following methods, in combination with condom and spermicide use by a male partner: nonhormonal intrauterine device (IUD); diaphragm; or hormonal contraceptives including oral contraceptives, injectable subdermal implants, hormonal IUD, or vaginal ring b. Be unable to bear children defined as one of the following: i. absence of a menstrual period for ≥12 consecutive months with FSH confirmation, ii. be 60 years of age or greater, iii. had surgical removal of uterus or removal of both ovaries, or iv. had undergone tubal ligation >6 weeks prior to Day 1 dosing

Exclusion criteria

Exclusion Criteria:

  1. Any condition that does not allow for safely following the protocol
  2. Patient refusal to accept invasive organ support treatment if needed
  3. Pregnant or breastfeeding
  4. Any condition resulted to reception of renal replacement therapy
  5. > 5 times upper of limit or score ≥ C
  6. Serum uric acid level > 3 times upper level of normal (430 ummol/L) associated with symptoms of gout
  7. Has a history of gout or is under treatment for: gout or hyperuricemia; hereditary xanthinuria; hypouricemia or xanthine calculi of the urinary tract
  8. Has a history of to an anti-viral nucleoside-analog drug targeting a viral RNA polymerase
  9. Physician makes a decision that trial involvement is not in patients' best interest.
  10. Currently or have been involved in another anti-influenza treatment trial in the last 28 days
Terms in these criteria, in plain language(6)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

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
34 participants (actual)

Study arms

  • Experimental
    Favipiravir+oseltamivir

    Favipiravir+oseltamivir will be given twice daily for a 10-day period.

    Drug: Favipiravir · Drug: Oseltamivir 75Mg Capsule

Interventions

  • In first step: favipiravir tablet is orally administered. This drug will be given twice daily for a 10-day period. For the First day, the dosage is 1600 mg twice daily. Starting from the second day, the dosage is 600 mg twice daily. In second step: favipiravir tablet is orally administered. This drug will be given twice daily for a 10-day period. For the First day, the dosage is 1800 mg twice daily. Starting from the second day, the dosage is 800 mg twice daily.

    Also known as: T-705

  • oseltamivir will be administered at 75mg twice daily orally for 10 days

06

What researchers measure

Primary outcomes

  1. Proportion of patients with minimum plasma of Favipiravir trough concentration above the MEC (20μg/ml) at all measured time points after the second dose.

    Time frame: 10 days during the intervention period

Secondary outcomes

  1. Maximum plasma concentration observed over the treatment period (Cmax )

    Time frame: 10 days during the intervention period

  2. Minimum plasma concentration observed over the treatment period (Cmin)

    Time frame: 10 days during the intervention period

  3. Average pre-dose plasma concentration (Trough)

    Time frame: 10 days during the intervention period

  4. Proportion of patients whose favipiravir plasma concentration at least one time exceeds MEC in study days

    Time frame: 10 days during the intervention period

  5. The proportion of patients falling into each category of a five-point ordinal scale on day 10 and day 28 after starting favipiravir

    The category of a five-point ordinal scale: death; hospitalised on ECMO and/or mechanical ventilation; hospitalised on supplemental oxygenation; hospitalised not on supplemental oxygenation; discharged.

    Time frame: 28 days from starting intervention

  6. Duration (days) of mechanical ventilation

    Time frame: from reception of mechanical ventilation to ventilator weening, an average of 10 days

  7. Duration (days) of extracorporeal membrane oxygenation

    Time frame: from starting ECMO to weening, an average of 9 days

  8. Duration (days) of supplemental oxygenation

    Time frame: Duration (days) of hospitalization with oxygen therapy,an average of 13 days

  9. Duration (days) of hospitalization

    Time frame: Days from admission to discharge,an average of 19 days

  10. The proportion of patients with a negative RT-PCR for influenza from upper and/or lower respiratory tract samples on day 10 after starting treatment

    Time frame: Duration of viral shedding,an average of 15 days

  11. The time (days) to negative RT-PCR for influenza from upper and/or lower respiratory tract samples (capped at day 10)

    Time frame: Duration of viral shedding,an average of 15 days

  12. The proportion of patients with drug related adverse events

    Time frame: 38 days from starting intervention

  13. The proportion of patients with genetic and phenotypic markers of resistance to favipiravir and/or oseltamivir

    Time frame: Days from admission to discharge,an average of 19 days

07

Study locations

1 site
  • China-Japan Friendship Hospital
    Beijing, 100029, China
08

References and documents

Publications

  • Gao HN, Lu HZ, Cao B, Du B, Shang H, Gan JH, Lu SH, Yang YD, Fang Q, Shen YZ, Xi XM, Gu Q, Zhou XM, Qu HP, Yan Z, Li FM, Zhao W, Gao ZC, Wang GF, Ruan LX, Wang WH, Ye J, Cao HF, Li XW, Zhang WH, Fang XC, He J, Liang WF, Xie J, Zeng M, Wu XZ, Li J, Xia Q, Jin ZC, Chen Q, Tang C, Zhang ZY, Hou BM, Feng ZX, Sheng JF, Zhong NS, Li LJ. Clinical findings in 111 cases of influenza A (H7N9) virus infection. N Engl J Med. 2013 Jun 13;368(24):2277-85. doi: 10.1056/NEJMoa1305584. Epub 2013 May 22. Erratum In: N Engl J Med. 2013 Nov 7;369(19):1869. PubMed 23697469 ↗
  • Zheng S, Tang L, Gao H, Wang Y, Yu F, Cui D, Xie G, Yang X, Zhang W, Ye X, Zhang Z, Wang X, Yu L, Zhang Y, Yang S, Liang W, Chen Y, Li L. Benefit of Early Initiation of Neuraminidase Inhibitor Treatment to Hospitalized Patients With Avian Influenza A(H7N9) Virus. Clin Infect Dis. 2018 Mar 19;66(7):1054-1060. doi: 10.1093/cid/cix930. PubMed 29077848 ↗
  • Li H, Yang SG, Gu L, Zhang Y, Yan XX, Liang ZA, Zhang W, Jia HY, Chen W, Liu M, Yu KJ, Xue CX, Hu K, Zou Q, Li LJ, Cao B, Wang C; National Influenza A(H1N1)pdm09 Clinical Investigation Group of China. Effect of low-to-moderate-dose corticosteroids on mortality of hospitalized adolescents and adults with influenza A(H1N1)pdm09 viral pneumonia. Influenza Other Respir Viruses. 2017 Jul;11(4):345-354. doi: 10.1111/irv.12456. Epub 2017 Jun 9. PubMed 28464462 ↗
  • Wang X, Jiang H, Wu P, Uyeki TM, Feng L, Lai S, Wang L, Huo X, Xu K, Chen E, Wang X, He J, Kang M, Zhang R, Zhang J, Wu J, Hu S, Zhang H, Liu X, Fu W, Ou J, Wu S, Qin Y, Zhang Z, Shi Y, Zhang J, Artois J, Fang VJ, Zhu H, Guan Y, Gilbert M, Horby PW, Leung GM, Gao GF, Cowling BJ, Yu H. Epidemiology of avian influenza A H7N9 virus in human beings across five epidemics in mainland China, 2013-17: an epidemiological study of laboratory-confirmed case series. Lancet Infect Dis. 2017 Aug;17(8):822-832. doi: 10.1016/S1473-3099(17)30323-7. Epub 2017 Jun 2. PubMed 28583578 ↗
  • Dunning J, Baillie JK, Cao B, Hayden FG; International Severe Acute Respiratory and Emerging Infection Consortium (ISARIC). Antiviral combinations for severe influenza. Lancet Infect Dis. 2014 Dec;14(12):1259-70. doi: 10.1016/S1473-3099(14)70821-7. Epub 2014 Sep 8. Erratum In: Lancet Infect Dis. 2014 Dec;14(12):1174. PubMed 25213733 ↗
  • Kumar A. Early versus late oseltamivir treatment in severely ill patients with 2009 pandemic influenza A (H1N1): speed is life. J Antimicrob Chemother. 2011 May;66(5):959-63. doi: 10.1093/jac/dkr090. Epub 2011 Mar 15. PubMed 21406435 ↗
  • Kile JC, Ren R, Liu L, Greene CM, Roguski K, Iuliano AD, Jang Y, Jones J, Thor S, Song Y, Zhou S, Trock SC, Dugan V, Wentworth DE, Levine MZ, Uyeki TM, Katz JM, Jernigan DB, Olsen SJ, Fry AM, Azziz-Baumgartner E, Davis CT. Update: Increase in Human Infections with Novel Asian Lineage Avian Influenza A(H7N9) Viruses During the Fifth Epidemic - China, October 1, 2016-August 7, 2017. MMWR Morb Mortal Wkly Rep. 2017 Sep 8;66(35):928-932. doi: 10.15585/mmwr.mm6635a2. Erratum In: MMWR Morb Mortal Wkly Rep. 2017 Oct 13;66(40):1084. doi: 10.15585/mmwr.mm6640a8. PubMed 28880856 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Feb 2019, 12 months.

Of 36 non-industry phase 2 interventional studies under Influenza, Human, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 56. This study's 12 months is below that.

Counting every sponsor, half of 122 studies reached it within 10 months; a quarter within 5 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 25, 2017
First posted
Jan 9, 2018
StartActual
Feb 6, 2018
Primary completionActual
Feb 20, 2019
CompletionActual
Mar 27, 2019
Last update
May 15, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03394209
Collaborators
Beijing Institute of Pharmacology and Toxicology, University of Oxford, Centers for Disease Control and Prevention, China
Responsible party
Bin Cao (Dr.Bin Cao, China-Japan Friendship Hospital) — Principal investigator
First posted
Jan 9, 2018
Start date
Feb 6, 2018
Primary completion
Feb 20, 2019
Completion
Mar 27, 2019
Last update
May 15, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Favipiravir

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