ClinicalTrials.gg
Status unknownNCT04425460Updated Jun 11, 2020

A Multi-center,Randomized,Double-blind,Placebo-controlled,Phase 3 Study Evaluating Favipiravir in Treatment of COVID19

A Phase 3 interventional study of Favipiravir and Placebo in COVID-19, sponsored by Zhejiang Hisun Pharmaceutical Co. Ltd.. Status unknown at 10 sites in 3 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-06-11.

Sponsored by Zhejiang Hisun Pharmaceutical Co. Ltd. · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2020), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
256
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

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

Among 35 studies testing favipiravir in COVID-19 — 2 open to participants now, 2 under way, none of them phase 3. favipiravir · COVID-19.

Planned enrollment
13th of 35
256 · median 200
Started
2020
with 28 others
Phase 3
15 of 35
none open now
Registered
14th of 35
by date

Among the 35 studies testing favipiravir in COVID-19, this one is the 13th largest by planned enrollment, is one of 29 that started in 2020, is one of 15 in phase 3, and was the 14th registered.

By phase

35 studies; the count open now beside each. This study's row is marked.

Phase 3this study15 · 0 open
Phase 29 · 1 open
No phase4 · 0 open
Phase 2/33 · 0 open
Phase 42 · 0 open
Phase 11 · 0 open
Phase 1/21 · 1 open

By the year they started

First in 2020; this study’s year is marked. 29 started in 2020.

Size and results

Median enrollment 200 across the 35 interventional studies. Of the 23 that completed or were terminated, 7 (30%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 35 studies testing favipiravir in COVID-19, or all of them as a file.
02

Study summary

This is a multi-center, randomized, double-blind, placebo-controlled, phase III clinical study to evaluate the efficacy of Favipiravir combined with supportive care for adult patients with COVID-19-Moderate type.

03

Conditions studied

  • COVID-19

Browse trials for

04

Who can participate

Ages eligible
18 Years to 75 Years
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. Voluntarily participating in the clinical study; fully understanding and being fully informed of the study and having signed the Form (ICF); willingness and capability to complete all the study procedures;
  2. Age 18-75 years (inclusive) at the time of signing ICF;
  3. Being confirmed with COVID-19-Moderate type according to Competent Authority and Ministry of Health and respective country guidelines and recommendations reported in Appendix 1 (a, b, c, d) to the present protocol. Based on comprehensive analysis and judgement taking into account both the epidemiological history and clinical manifestations, the diagnosis is to be confirmed for suspected cases or suspected cases/clinically diagnosed cases with all of the following etiological evidences:

    • Positivity in RT-PCR 2019-nCov test on respiratory tract specimens;
    • High homology with known gene sequence of 2019-nCov in viral gene sequencing on respiratory tract specimens.
  4. Chest imaging (CT as first option or X-ray if CT not possible)-documented pneumonia; if CT cannot be performed, Pneumonia confirmed by X-ray may be used. The method of chest imaging pneumonia diagnosis must be consistent all through the study period;
  5. Patients with pyrexia (axillary ≥37℃ or oral ≥ 37.5℃, or tympanic or rectal≥38℃) or either respiratory rate >24/min and \<30/min or cough; For not hospitalized patients, the Investigator should maintain the detection method consistent through study period. In addition, the Investigator should maintain the data collection and quality compliant with GCP requirements.
  6. The interval between symptoms onset and randomization is no more than 10 days; symptoms onset is primarily based on pyrexia, and can be based on cough or other related symptoms for patients without experiencing pyrexia following onset (it is strongly recommended that the interval between symptoms onset and randomization should not exceed 5 days);
  7. For female subjects: evidence of , or, for pre-menopause subjects, negative pre-treatment serum or urine pregnancy test. Menopause is defined as amenorrhea for at least 12 months without other medical cause, with the following age-specific requirements:

    • For female subjects aged \<50 years: menopause for at least 12 months following withdrawal of exogenous hormonal therapy, with LH or FSH within the post-menopausal ranges, or having undergone any surgery (bilateral oophorectomy or hysterectomy);
    • For female subjects aged ≥ 50 years: menopause for at least 12 months following withdrawal of exogenous hormonal therapy, or having undergone radiotherapy-induced oophorectomy with amenorrhea >1 year, or having undergone chemotherapy-induced menopause with amenorrhea>1 year, or having undergone any contraceptive surgery (bilateral oophorectomy or hysterectomy).
  8. Eligible subjects of child-bearing age (male or female) must agree to take effective contraceptive measures (including hormonal contraception, barrier methods or abstinence) with his/her partner during the study period and for at least 3 months (in male) and 1 month (in female)following the last study treatment; in addition:

    1. For female participants of only highly effective methods (failure rate \< 1 %) plus one barrier method is allowed throughout the period of relevant systemic exposure with Favipiravir. Double barrier methods alone are not considered as highly effective. Additionally, pregnancy testing at baseline only is not deemed sufficient and must be repeated more frequently, at least if clinical signs of pregnancy occur and at follow-up / end of study.
    2. male participants, if vasectomized or not, must wear a condom each time having heterosexual intercourse throughout the period of relevant systemic exposure with Favipiravir (as it is distributed to seminal fluid).
    3. male participant must be instructed not to have intercourse with pregnant women throughout the period of relevant systemic exposure with Favipiravir.
    4. For further details on contraception in clinical trials, please refer to the CTFG guidance: https://www.hma.eu/fileadmin/dateien/Human_Medicines/01- About_HMA/Working_Groups/CTFG/2014_09_HM A_CTFG_Contraception.pd
  9. Not participating in any other drug clinical studies before completion of the present study.

Exclusion criteria

Exclusion Criteria:

  1. Where, in the opinion of the investigator, participation in this study will not be in the best interest of the subject, or any other circumstances that prevent the subject from participating in the study safely;
  2. nausea, vomiting, or chronic gastrointestinal disorders, inability to swallow the study drug or having undergone extensive bowel resection which may affect adequate absorption of Favipiravir;
  3. Severe liver disease: underlying liver cirrhosis or (ALT)/aspartate aminotransferase (AST) elevated over 5 times the ;
  4. Gout/history of gout or hyperuricemia (above the ULN);
  5. Oxygen saturation (SPO2) ≤93% or arterial oxygen partial pressure (PaO2)/ fraction of inspired O2 (FiO2) ≤300 mmHg;
  6. Known allergy or to Favipiravir or any of its , or to placebo excipients
  7. Known severe renal impairment [ (CrCl) \<30 mL/min] or having received continuous renal replacement therapy, hemodialysis or peritoneal dialysis;
  8. Possibility of the subject being transferred to a non-study hospital within 72h;
  9. Pregnant or lactating women;
  10. Having used Favipiravir or participated in any other interventional drug clinical study within 30 days prior to first dose of study drug or having received treatments with other Medicinal Products (IMPs) or previous therapies within two weeks or five times the half-life of the drug, whichever is longer, must lead to exclusion
  11. Persons, who were placed in an institution due to official or legal orders should be excluded
  12. Persons, who are dependent on the sponsor, the investigator or the trial site, meaning that the voluntary nature of their consent is no longer guaranteed, must be excluded from participation
Terms in these criteria, in plain language(11)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on 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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
256 participants (estimated)

Study arms

  • Experimental
    Favipiravir

    Favipiravir Tablets, 200 mg/tablet Favipiravir combined with supportive care recommended in the current National/Local guidelines. Favipiravir dosage and method of administration: Day 1: 1800mg, BID; Day 2 and thereafter: 600mg, TID, for a maximum of 14 days.

    Drug: Favipiravir

  • Placebo comparator
    Placebo

    Placebo control group Favipiravir combined with supportive care recommended in the current National/Local guidelines

    Other: Placebo

Interventions

  • Favipiravir combined with supportive care recommended in the current National/Local guidelines. Favipiravir dosage and method of administration: Day 1 1800 mg x2; Day 2 up to a maximum of 14 days 600 mg x 3

  • OtherPlacebo

    Placebo combined with supportive care recommended in the current National/Local guidelines. Placebo dosage and method of administration: Day 1 1800 mg x2; Day 2 up to a maximum of 14 days 600 mg x 3

06

What researchers measure

Primary outcomes

  1. Time from randomization to clinical recovery

    The duration from start of treatment (Favipiravir or placebo) to normalization of pyrexia, respiratory rate and SPO2 and relief of cough (where there are relevant abnormal symptoms at enrolment) that is maintained for at least 72h. Criteria for normalization or relief: * Pyrexia (body temperature): axillary ≤37℃,or oral≤37.5℃,or rectal or tympanic ≤38℃; * Respiratory rate: ≤24/min without oxygen inhalation; * SPO2: \>94% without oxygen inhalation; * Cough: Subject-perceived improvement or resolution of cough.

    Time frame: 28 days

Secondary outcomes

  1. Negativity in RT-PCR nucleic acid test

    Time from randomization to negativity in RT-PCR nucleic acid test for 2019-nCov within 28 days of randomization;

    Time frame: 28 days

  2. Time from randomization to resolution of pyrexia

    Time from randomization to resolution of pyrexia (defined the same as for the primary efficacy variable; applicable to subjects with pyrexia at enrolment) within 28 days of randomization;

    Time frame: 28 days

  3. Time from randomization to relief of cough

    Time from randomization to relief of cough (defined the same as for the primary efficacy variable; applicable to subjects with cough at enrolment) within 28 days of randomization; It is recommended that the severity of cough be graded as per NCI-CTCAE v5.0: * Mild: Requires non-prescription treatment; * Moderate: Requires medication treatment; limits instrumental activities of daily living; * Severe: Limits self-care activities of daily living;

    Time frame: 28 days

  4. Incidence of deterioration/aggravation of pneumonia

    Incidence of deterioration/aggravation of pneumonia (defined as SPO2≤93% or PaO2/FiO2 ≤300 mmHg or distressed RR≥30/min without oxygen inhalation and requiring oxygen therapy or more advanced breath support) within 28 days of randomization;

    Time frame: 28 days

  5. Time from randomization to relief of dyspnoea

    Time from randomization to relief of dyspnoea (defined as subject-perceived improvement or resolution of dyspnoea; applicable to subjects with dyspnoea at enrolment) within 28 days of randomization;

    Time frame: 28 days

  6. Rate of auxiliary oxygen therapy or non-invasive ventilation

    Rate of auxiliary oxygen therapy or non-invasive ventilation within 28 days of randomization;

    Time frame: 28 days

  7. ICU admission rate within 28 days of randomization

    ICU admission rate within 28 days of randomization (except patients already enrolled in ICU which respect eligibility criteria);

    Time frame: 28 days

  8. All-cause mortality within 28 days of randomization.

    All-cause mortality within 28 days of randomization.

    Time frame: 28 days

07

Study locations

10 sites
  • The First Affiliated Hospital of Zhejiang University School of Medicine
    Hangzhou, Shangcheng District 310003, China
  • Peking University First Hospital
    Beijing, Xicheng District 100034, China
  • Department of Internal Medicine Pneumology and infectious diseases Neukölln Clinic
    Berlin, 12351, Germany
  • Medical clinic and polyclinic IV Hospital of the University of Munich
    München, 80336, Germany
  • Infectious Diseases Hospital Cluj-Napoca
    Cluj-Napoca, Cluj 400000, Romania
  • National Institute of Infectious Diseases "Prof.Dr.Matei Bals"
    Bucharest, Ilfov '021105, Romania
  • "Dr.Victor Babes" Infectious Diseases and Pneumoftiziology Clinical Hospital Timisoara
    Timisoara, Timis '300310, Romania
  • "Dr.Victor Babes" Infectious Diseases and Pneumoftiziology Clinical Hospital Timisoara
    Timişoara, Timis 300310, Romania
  • Dr.Victor Babes Infectious Diseases and Pneumoftiziology Clinical Hospital Timisoara
    Timişoara, Timis 300310, Romania
  • Emergency County Hospital "Pius Brinzeu"Timisoara
    Timişoara, Timis 300723, Romania
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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

Start is estimated for Jun 2020; primary completion for Aug 2020, 2 months later.

Of 168 industry-sponsored phase 3 interventional studies under COVID-19, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 16. This study's planned 2 months is below that.

Counting every sponsor, half of 453 studies reached it within 9 months; a quarter within 4 and three quarters within 17.

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

Registered
May 28, 2020
First posted
Jun 11, 2020
StartEst.
Jun 2020
Primary completionEst.
Aug 2020
CompletionEst.
Sep 2020
Last update
Jun 11, 2020
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 Jun 11, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04425460
Lead sponsor
Zhejiang Hisun Pharmaceutical Co. Ltd.
Collaborators
Opera CRO, a TIGERMED Group Company
Responsible party
Sponsor
First posted
Jun 11, 2020
Start date
Jun 2020 (estimated)
Primary completion
Aug 2020 (estimated)
Completion
Sep 2020 (estimated)
Last update
Jun 11, 2020

Study contacts

Dionisio Barattini, MD Europe, Opera CRO
Contact
barattini@operacro.ro
+40774012684
Emanuel Dogaru, CPM, Opera CRO
Contact
dogaru@operacro.com
+40724345115

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Favipiravir

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