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CompletedNCT04464408Avi-MildUpdated Nov 5, 2021

Favipiravir Therapy in Adults With Mild COVID-19

A Phase 2/3 interventional study of Favipiravir and Placebo in COVID-19, sponsored by King Abdullah International Medical Research Center. Completed at 7 sites in Saudi Arabia. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2021-11-05.

Sponsored by King Abdullah International Medical Research Center · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
231
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
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Study summary

Favipiravir is a selective and potent inhibitor of influenza viral RNA polymerase. It acts as a purine analogue, which selectively inhibits viral RNA-dependent RNA polymerase (RdRps). It has the characteristic of acting on RNA viruses including Ebola and Coronaviruses especially novel coronavirus (2019-nCoV). The purpose of this study is to evaluate the clinical efficacy and safety of Favipiravir in comparison to placebo in the treatment of mild COVID-19 cases. It is a Multicenter, randomized double-blinded, parallel-group trial.

02

Conditions studied

  • COVID-19

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Keywords

  • Favipiravir
  • COVID19
  • Mild illness
  • Saudi Arabia
03

In context

COVID-19

7,640 studies on the registry are indexed under COVID-19; 488 are open to participants now.

This study's enrollment of 231 is above the median of 100 across 4,099 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

King Abdullah International Medical Research Center is the lead sponsor of 44 studies on the registry; 6 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients must be eligible according to the following criteria for enrollment

  1. Should be at least 18 years of age
  2. Male or non-pregnant female (pregnancy testing is not mandatory. If the patient requests or is not sure, the study team will provide it)
  3. Diagnosed with mild COVID-19* confirmed by positive PCR test for SARS-CoV-2 at the time of recruitment, a result within the last five days
  4. Patients have to be enrolled within 5 days of disease onset.

Exclusion criteria

Exclusion criteria

Patients meeting any of the following criteria will be excluded from trial enrolment:

  1. Patients with concomitant documented bacterial pneumonia established through positive sputum cultures
  2. Patients who are pregnant or breastfeeding
  3. Known sensitivity/allergy to Favipiravir (If Faviparavir was used for COVID-19 in the patient previously for influenza)
  4. Major comorbidities increasing the risk of study drug including

    • Hematologic malignancy
    • Advanced (stage 4-5) chronic kidney disease or dialysis therapy
    • Severe liver damage (Child-Pugh score C, AST> 5 times the upper limit)
    • HIV
    • Gout/history of Gout or hyperuricemia (two times above the ULN)

(6) Having used Favipiravir or participated in any other interventional drug clinical study within 30 days before the first dose of study drug (i.e., the patient received it for influenza previously) (7) The investigator believes that participating in the trial is not in the best interests of the patient, or the investigator considers unsuitable for enrollment (such as unpredictable risks or subject compliance issues) (8) Clinical prognostic non-survival, palliative care, or in a deep coma and have no response to supportive treatment within three hours of admission.

(9) Hospitalized patients for mild, moderate, or severe COVID-19

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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
231 participants (actual)

Study arms

  • Experimental
    Favipiravir

    Favipiravir: 1800 mg (9 tablets) by mouth twice daily for one day, followed by 800mg (4 tablets) twice daily (Maximum days of therapy is 7 days)

    Drug: Favipiravir

  • Placebo comparator
    Placebo

    9 tablets by mouth twice daily for one day, followed by 4 tablets twice daily (Maximum days of therapy is 7 days).

    Drug: Placebo

Interventions

  • DrugFavipiravir

    1800 mg twice daily for one day, followed by 800mg (4 tablets) twice daily

  • DrugPlacebo

    (9 tablets) by mouth twice daily for one day, followed by (4 tablets) twice daily (Maximum days of therapy is 7 days)

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What researchers measure

Primary outcomes

  1. PCR negative

    Time from randomization to negativity in RT-PCR nucleic acid test for COVID-19 within 15 days of randomization

    Time frame: 15 days

Secondary outcomes

  1. Time from randomization to clinical recovery

    The duration from start of treatment (Favipiravir or placebo) to normalization of pyrexia, respiratory symptoms, and relief of cough (or other relevant symptoms at enrollment) that is maintained for at least 72 hours.

    Time frame: 15 days

  2. Evaluate symptoms progression

    Evaluate symptoms severity and the disease course progression in both arms till 28 days after starting the medicine.

    Time frame: 28 days

  3. Evaluate Faviparivirs effect

    To evaluate Favipiravir's effect on the requirement of the use of antipyretics, analgesics, or antibiotics within 15 days after starting medicine.

    Time frame: 15 days

  4. Evaluate Favipiravir's effect

    To evaluate Favipiravir's effect on disease complications within 28 days after starting medicine (hospitalization, ICU admission, or Mechanical ventilation )

    Time frame: 28 days

  5. Evaluate the safety of Favipiravir

    Evaluate the safety of investigational drug compared to the control arm within 15 days after starting the medicine. This is assessed by allergic reactions, medication intolerance, liver toxicity, and hyperuricemia in subjects

    Time frame: 28 days

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Study locations

7 sites
  • Prince Mohammed Bin Abdul Aziz Hospital - Al Madinah
    Al Madinah, Saudi Arabia
  • King Fahad Hospital - Madinah
    Al Madīnah, Saudi Arabia
  • Primary Health Care-Safiyah
    Al Madīnah, Saudi Arabia
  • King Abdullah Medical City - Makkah
    Mecca, Saudi Arabia
  • King Abdulaziz Medical City - Riyadh
    Riyadh, Saudi Arabia
  • Primary Health Care-Al Mansoura
    Riyadh, Saudi Arabia
  • Primary Health Care-Al Urijah
    Riyadh, Saudi Arabia
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References and documents

Publications

  • Bosaeed M, Alharbi A, Hussein M, Abalkhail M, Sultana K, Musattat A, Alqahtani H, Alshamrani M, Mahmoud E, Alothman A, Alsaedy A, Aldibasi O, Alhagan K, Asiri AM, AlJohani S, Al-Jeraisy M, Alaskar A. Multicentre randomised double-blinded placebo-controlled trial of favipiravir in adults with mild COVID-19. BMJ Open. 2021 Apr 14;11(4):e047495. doi: 10.1136/bmjopen-2020-047495. PubMed 33853806 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04464408
Lead sponsor
King Abdullah International Medical Research Center
Collaborators
Ministry of Health, Saudi Arabia
Responsible party
Sponsor
First posted
Jul 9, 2020
Start date
Jul 23, 2020
Primary completion
Aug 4, 2021
Completion
Aug 4, 2021
Last update
Nov 5, 2021

Study contacts

Mohammad Bosaeed
principal investigator · KAMC-RD, Ministry of National Guard Health Affairs (MNGHA), Saudi Arabia

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 Nov 2021. You cannot join it, but the record below documents what was studied.

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