ClinicalTrials.gg
RecruitingNCT06094010PebblestoneUpdated Oct 23, 2026

A Surveillance Study of Susceptibility to Baloxavir Marboxil in Pediatric Participants With Influenza and Transmission of Influenza to Household Contacts

A Phase 3 interventional study of Baloxavir Marboxil in Influenza, sponsored by Hoffmann-La Roche. Recruiting at 51 sites in 4 countries. Open to participants aged 3 Weeks to 11 Years. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Updated Oct 23, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,100
Allocation
Not applicable
Ages
3 Weeks to 11 Years
Sex
All
01

Where this study stands

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

Among 18 studies testing baloxavir in Influenza, Human — 7 open to participants now, 7 under way, 5 of them phase 3. baloxavir · Influenza, Human.

Planned enrollment
6th of 18
1,100 · median 483
Started
2023
with 2 others
Phase 3
12 of 18
5 open now
Registered
12th of 18
by date
Lead sponsor
7 of 18
Hoffmann-La Roche

Among the 18 studies testing baloxavir in Influenza, Human, this one is the 6th largest by planned enrollment, is one of 3 that started in 2023, is one of 12 in phase 3, and was the 12th registered.

By phase

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

Phase 3this study12 · 5 open
Phase 43 · 0 open
No phase1 · 1 open
Phase 21 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 2016; this study’s year is marked. 3 started in 2023.

Size and results

Median enrollment 483 across the 18 interventional studies. Of the 10 that completed or were terminated, 8 (80%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 18 studies testing baloxavir in Influenza, Human, or all of them as a file.
02

Study summary

This study consists of two parts: Part A Surveillance and Part B Transmission.

The main purpose of Part A is to evaluate the prevalence of pre-dose and treatment-emergent amino acid substitutions in pediatric participants' \<12 years with influenza treated with baloxavir marboxil.

Part B will include a subset of Part A participants who have household contacts (HHCs) recruited to the study. Part B will evaluate the incidence of onward influenza transmission from pediatric index participants (IPs) under 5 years of age and those aged 5 to under 12 years, treated with baloxavir marboxil, to their HHCs. Participants will no longer be enrolled to Part B Transmission as per protocol version 3.

03

Conditions studied

  • Influenza

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04

Who can participate

Ages eligible
3 Weeks to 11 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria (Part A):

  • Participants with symptoms suggestive of influenza based on investigator's judgement with diagnosis confirmed by a positive local influenza test within 24 hours before full study screening
  • Participants with a negative severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) test within 48 hours before full study screening
  • Time interval between onset of influenza symptoms and the start of pre-dose examinations at screening is 48 hours or less

Inclusion Criteria (Part B):

[A] IP:

  • Eligible to take part in Part A
  • Lives in a household with a HHC willing to be recruited as full HHC

[B] HHCs:

- Each HHC living in the home of an IP at the time of IP treatment must be screened for partial or full-study HHC eligibility

[C] Partial HHC:

  • Starts screening within 1 calendar day after IP treatment
  • Negative influenza and SARS-CoV-2 test at screening after IP's treatment with baloxavir marboxil
  • HHC lives in a household where 1 or more HHCs meet the full-study HHC requirements AND at least 1 full-study HHC has not received the influenza vaccine within 6 months prior to screening
  • HHC lives in a household where 1 or more HHCs meet the full-study HHC requirements, and at least 1 full-study HHC has not received the influenza vaccine within 6 months prior to screening.
  • HHC lives with other HHCs (if applicable) who fulfill all the "partial HHC" criteria

[D] Full-study HHC:

  • Fulfills the "partial HHC" criteria
  • Agrees to participate in the full study
  • Will reside in the IP's house for at least 12 of the next 15 days and will be present for scheduled study visits
  • No influenza symptoms within 7 days prior to screening
  • Does not have a moderate or worse active infections or infections requiring systemic or otherwise internally administered or otherwise internally administered antibiotic/antiviral/antifungal therapy

Exclusion Criteria (Part A):

  • Participants with severe influenza virus infection requiring inpatient treatment
  • Severely participants (including participants receiving immunosuppressant therapy, or those with cancer or [HIV] infection) as defined by the investigator
  • Participants with concurrent (non-influenza) infections requiring systemic anti-microbial and/or anti-viral therapy at the pre-dose examinations
  • Treatment with baloxavir marboxil, peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir or amantadine within 30 days prior to screening
  • Treatment with an influenza-specific monoclonal antibody within 6 months or 5 half-lives, whichever is longer, prior to screening
  • Treatment with an investigational therapy within 30 days or 5 half-lives, whichever is longer, prior to screening
  • Known to baloxavir marboxil or the drug product
  • Females who have commenced menarche (i.e., )

Exclusion Criteria (Part B):

  • IPs who fulfil an exclusion criterion for Part A
  • HHCs deemed to require influenza post-exposure prophylaxis with influenza antiviral treatment due to their risk of developing influenza-related complications in accordance with local guidelines or clinical practice
  • HHCs diagnosed with influenza by health care professional in the past 4 weeks
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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,100 participants (estimated)

Study arms

  • Experimental
    Baloxavir Marboxil

    Participants will receive a single oral dose of baloxavir marboxil on Day 1 (based on body weight and age). HHCs related to IPs will be enrolled but will not receive treatment.

    Drug: Baloxavir Marboxil

Interventions

  • Baloxavir marboxil will be administered as an oral suspension per body weight (≥80 kilograms \[kg\]: 80 milligrams \[mg\]; ≥20 kg to \< 80 kg: 40 mg; \<20 kg: 2 milligrams per kilogram \[mg/kg\]).

    Also known as: XOFLUZA®; RO7191686

06

What researchers measure

Primary outcomes

  1. Part A: Percentage of Participants With Resistance-associated Pre-treatment Substitutions

    Time frame: Day 1 (At Baseline)

  2. Part A: Percentage of Participants With Resistance-associated Treatment-emergent Substitutions

    Time frame: Days 4, 6 and 10

Secondary outcomes

  1. Part A: Percentage of IPs With Resistance-associated Treatment-emergent Substitutions by Age Groups (<5 Years [< 1 Year, ≥ 1 Year to < 5 Years], and 5 to < 12 Years)

    Time frame: Days 4, 6 and 10

  2. Part A: Percentage of IPs With Novel Treatment-emergent Mutations in Polymerase Acidic Protein (PA)

    Time frame: Days 4, 6 and 10

  3. Part A: Percentage of IPs With Resistance-associated Treatment-emergent Substitutions by Baseline Vaccination Status

    Time frame: Days 4, 6 and 10

  4. Part A: Percentage of IPs With Influenza Virus Type (A or B) and Subtype (A/H1 or A/H3)

    Time frame: Day 1 (At Baseline)

  5. Part A: Change From Baseline in Viral Titers by Quantitative Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)

    Time frame: At Baseline (Day 1); Days 4, 6 and 10

  6. Part A: Susceptibility to Baloxavir Marboxil by Phenotyping of Virus With Novel Genotypic PA Substitutions

    Time frame: Days 4, 6 and 10

  7. Part A: Number of IPs with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AEs were reported according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0).

    Time frame: Up to Day 29

  8. Part B: Percentage of HHCs With Transmission of Influenza Virus by Confirmed by Central RT-PCR, With Virus Subtype Consistent With the IP

    Time frame: Day 6, Day 10

  9. Part B: Percentage of HHCs Who Develops Influenza Symptoms With Transmission of Influenza Virus Confirmed by Central RT-PCR, With Virus Subtype Consistent With the IP

    Time frame: Day 6, Day 10

Other outcomes

  1. Percentage of HHCs Who Become PCR (+) for Influenza Bearing a PA/I38X Substitution (or Other Identified Substitution) Including All Data up to Day 15

    Time frame: Up to Day 15

07

Study locations

20 of 51 sites recruiting
  • Central Alabama Research
    Birmingham, Alabama 35209, United States
    Recruiting
  • Harrisburg Family Medical Center
    Harrisburg, Arkansas 72432, United States
    Recruiting
  • Kendall South Medical Center Inc.
    Miami, Florida 33185, United States
    Recruiting
  • Avanza Medical Research Center
    Pensacola, Florida 32503, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Tekton Research - Chamblee Georgia
    Chamblee, Georgia 30341, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Tekton Research Lawrenceville
    Lawrenceville, Georgia 30043, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research at Primary Pediatrics Macon
    Macon, Georgia 31210, United States
    Completed

    Not enrolling at this site — choose another above.

  • Clinical Research Prime
    Idaho Falls, Idaho 83404, United States
    Recruiting
  • Mishawaka Osteopathic Clinic
    Mishawaka, Indiana 46544, United States
    Recruiting
  • Kentucky Pediatric Research Center
    Bardstown, Kentucky 40004, United States
    Recruiting
  • Velocity Clinical Research Lafayette
    Lafayette, Louisiana 70508, United States
    Recruiting
  • Velocity Clinical Research, Slidell
    Slidell, Louisiana 31210, United States
    Completed

    Not enrolling at this site — choose another above.

  • Velocity Clinical Research, Grand Island
    Grand Island, Nebraska 68803, United States
    Completed

    Not enrolling at this site — choose another above.

  • Machuca Family Medicine
    Las Vegas, Nevada 89104, United States
    Completed

    Not enrolling at this site — choose another above.

  • Ohio Pediatric Research Association
    Dayton, Ohio 45414, United States
    Completed

    Not enrolling at this site — choose another above.

  • Helios Clinical Research, Inc (former Ventavia Research Group)
    Middleburg Heights, Ohio 44130-3643, United States
    Recruiting
  • Frontier Clinical Research
    Smithfield, Pennsylvania 15478, United States
    Recruiting
  • Coastal Pediatric Research
    Charleston, South Carolina 29414, United States
    Completed

    Not enrolling at this site — choose another above.

  • Tekton Research - Beaumont
    Beaumont, Texas 77706, United States
    Completed

    Not enrolling at this site — choose another above.

  • Oak Cliff Research Company, LLC
    Dallas, Texas 75287, United States
    Completed

    Not enrolling at this site — choose another above.

  • Mercury Clinical Research
    Houston, Texas 77087, United States
    Completed

    Not enrolling at this site — choose another above.

  • Pioneer Research Solutions
    Houston, Texas 77099, United States
    Recruiting
  • Oak Cliff Research Company, LLC
    Richardson, Texas 75287, United States
    Completed

    Not enrolling at this site — choose another above.

  • Sun Research Institute
    San Antonio, Texas 78215, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Tekton Research
    San Antonio, Texas 78229, United States
    Completed

    Not enrolling at this site — choose another above.

  • Siena Research Network
    Sugar Land, Texas 77479, United States
    Recruiting
  • Velocity Clinical Research, Salt Lake City
    West Jordan, Utah 84088, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Frontier Clinical Research, LLC
    Kingwood, West Virginia 26537, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Medical Centre "Asklepii", OOD
    Dupnitsa, 2600, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • MHAT " St. Ivan Rilski " Kozloduy
    Kozloduy, 3320, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • MHAT Stamen Iliev AD
    Montana, 3400, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • MHAT City Clinic - Saint George
    Montana, 3403, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • SHATPPD Dr. Dimitar Gramatikov, Ruse Ltd.
    Rousse, 7002, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • MHAT Sliven - Military Medial Academy
    Sliven, 8800, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • AGPSMP Pediatric diseases South park OOD
    Sofia, 1421, Bulgaria
    Recruiting
  • Medical Center Hera Sofia
    Sofia, 1510, Bulgaria
    Completed

    Not enrolling at this site — choose another above.

  • IN VIVO Sp. z o.o.
    Bydgoszcz, 85-048, Poland
    Recruiting
  • NZOZ Vitamed
    Bydgoszcz, 85-079, Poland
    Recruiting
  • Centrum Medyczne Pratia Częstochowa
    Częstochowa, 42-200, Poland
    Recruiting
  • Niepubliczny Zaklad Opieki Zdrowotnej "Amed"
    Grójec, 05-600, Poland
    Recruiting
  • Vita Longa Sp. z o.o.
    Katowice, 40-748, Poland
    Recruiting
  • Centrum Medyczne K2J2
    Lodz, 92-108, Poland
    Completed

    Not enrolling at this site — choose another above.

  • NZLA Michalkowice Rybarczyk i partnerzy, Spolka Lekarska
    Siemianowice Śląskie, 41-103, Poland
    Recruiting
  • Jaroslaw Kierkus Prywatna Prakyka Lekarska
    Warsaw, 04-501, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • Centrum Medyczne K2J2
    Wo?omin, 05-200, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • Vistamed & Vertigo Spó?Ka Z Ograniczon? Odpowiedzialno?Ci?
    Wroclaw, 53-149, Poland
    Recruiting
  • NZOZ Salmed
    Łęczna, 21-010, Poland
    Recruiting
  • Complejo Hospitalario Universitario de Santiago (CHUS)
    Santiago de Compostela, LA Coruna 15706, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Infantil Universitario Nino Jesus
    Madrid, 28009, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
    Withdrawn

    Not enrolling at this site — choose another above.

  • Hospital Universitari i Politècnic La Fe
    Valencia, 46026, Spain
    Completed

    Not enrolling at this site — choose another above.

08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Nov 2023 (actual). Primary completion is estimated for May 2027, 41 months after the start.

Of 118 industry-sponsored phase 3 interventional studies under Influenza, Human, half reached primary completion within 8 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 14. This study's planned 41 months is above that.

Counting every sponsor, half of 153 studies reached it within 8 months; a quarter within 4 and three quarters within 15.

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

Registered
Oct 17, 2023
First posted
Oct 23, 2023
StartActual
Nov 22, 2023
Primary completionEst.
May 11, 2027
CompletionEst.
Jun 30, 2027
Last update
Oct 23, 2026
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.
Sites
Tekton Research - Beaumont is now Completed
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Tekton Research - Beaumont is now Completed
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06094010
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Oct 23, 2023
Start date
Nov 22, 2023
Primary completion
May 11, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Oct 23, 2026

Study contacts

Reference Study ID Number: CV44536 https://forpatients.roche.com/
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. Only)
Clinical Trials
study director · Hoffmann-La Roche

Oversight

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

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Studies of the drug tested here: Baloxavir

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