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Active, not recruitingNCT07371650Updated Mar 27, 2026

This is an Early-stage Clinical Trial to Determine a Safe and Effective Dose for Tivoxavir Marboxil in Patients With Mild to Moderate Influenza

A Phase 2 interventional study of TRX-100 and Standard of Care (SOC) in Influenza, sponsored by Traws Pharma, Inc.. Active, not recruiting at 1 site in Australia. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-03-27.

Sponsored by Traws Pharma, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
105
Allocation
Randomized
Ages
18 Years to 64 Years
Sex
All
01

Where this study stands

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

Among 99 studies in Influenza, Human with a site in Australia — 9 open to participants now, 12 under way, 3 of them phase 3. Influenza, Human · Australia.

Planned enrollment
68th of 87
105 · median 363
Started
2025
with 4 others
Phase 2
27 of 99
1 open now
Primary completion
2026-12
later than 6 of 11 live
Registered
94th of 99
by date

Among the 99 studies in Influenza, Human with a site in Australia, this one is the 68th largest by planned enrollment of the 87 interventional ones, is one of 5 that started in 2025, is one of 27 in phase 2, reaches primary completion later than 6 of the 11 other live ones, and was the 94th registered.

By phase

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

Phase 2this study27 · 1 open
Phase 326 · 3 open
Phase 120 · 4 open
Observational11 · 0 open
No phase8 · 1 open
Phase 1/24 · 0 open
Phase 43 · 0 open

By the year they started

First in 2001; this study’s year is marked. 5 started in 2025.

Size and results

Median enrollment 363 across the 87 interventional studies, 1,000 across the 11 observational. Of the 81 that completed or were terminated, 31 (38%) have results posted.

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02

Study summary

This is an early-stage clinical trial to determine a safe and effective dose for Tivoxavir Marboxil (TRX-100) in patients with mild to moderate Influenza. Participants will take a study drug as well as a standard therapy. A descriptive statistics will be used to present the study results.

Read the detailed description

This is a multicenter, open-label, randomized, Phase 2a study to evaluate the safety, tolerability, and pilot efficacy of different oral doses of TRX-100 in otherwise healthy participants with mild to moderate influenza. The study will also evaluate PK of TRX-100 and its major active metabolite, TRX-101, following single oral doses of TRX-100.

03

Conditions studied

  • Influenza

Browse trials for

04

Who can participate

Ages eligible
18 Years to 64 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

  • Participants with a diagnosis of influenza A or B virus infection
  • The time interval between the onset of symptoms and enrollment is 48 hours or less
  • Satisfactory baseline medical assessment by history and physical examination

Exclusion criteria

Exclusion Criteria:

  • Positive test results for SARS-CoV-2 infection and/or respiratory syncytial virus infection
  • Participants with concurrent infections requiring systemic antimicrobial therapy
  • Participants with any serious or chronic underlying disease likely to affect study outcomes at the Investigator's discretion.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
105 participants (estimated)

Study arms

  • Experimental
    TRX-100 Dose Level 1

    Participants in this arm will receive a lower single oral dose of the investigational drug, TRX-100.

    Drug: TRX-100

  • Experimental
    TRX-100 Dose Level 2

    Participants in this arm will receive a higher single oral dose of the investigational drug, TRX-100.

    Drug: TRX-100

  • Active comparator
    Standard of Care (SOC)

    Participants in this arm will not receive the investigational drug. Instead, they will receive the current standard of care treatment. This arm serves as a comparator to evaluate the effects of the investigational drug.

    Drug: Standard of Care (SOC)

Interventions

  • CEN inhibitor, dosage form - capsules, dosing regimen - QD

  • DrugStandard of Care (SOC)

    Standard of Care Influenza Antiviral therapy

06

What researchers measure

Primary outcomes

  1. Incidence of AE/SAE

    Number of participants with Adverse Events (AEs), serious Adverse Events (SAEs) (including withdrawals due to AEs)

    Time frame: up to Day 28

  2. Incidence of abnormal laboratory tests results

    Number of participants with abnormal laboratory tests results

    Time frame: Up to Day 28

  3. Incidence of abnormal clinically significant ECG results

    Time frame: Up to 28 days

  4. Number of participants with abnormal physical examinations findings

    Time frame: Up to 28 days

Secondary outcomes

  1. Change from baseline in the total score of 7 influenza symptoms

    Seven symptoms (cough, sore throat, headache, nasal congestion, fever or chills, muscle or joint pain, and fatigue) will be assessed by the participant and recorded on a 4-point severity scale

    Time frame: up to Day 15

  2. Plasma Tmax

    Time to reach the maximum plasma concentration of TRX-100.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  3. Incidence of influenza-related complications

    Time frame: Up to 28 days

  4. Time to alleviation of influenza clinical symptoms (cough, sore throat, headache, nasal congestion, fever or chills, muscle or joint pain, and fatigue)

    Time frame: Up to 28 days

  5. Time to resolution of fever to <37 C (axillary temperature)

    Time frame: Up to 28 days

  6. Percentage of participants with resolution of fever

    Time frame: Up to 28 days

  7. Time needed to return to pre-influenza health status based on assessment of activities score

    Time frame: Up to 28 Days

  8. Plasma Cmax

    TRX-100 peak plasma concentration

    Time frame: PK samples will be collected from Day 1 through Day 22.

  9. Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC0-last) of TRX-100

    Time frame: PK samples will be collected from Day 1 through Day 22.

  10. Plasma Cmax

    TRX-101 peak plasma concentration

    Time frame: PK samples will be collected from Day 1 through Day 22.

  11. Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC0-last) of TRX-101

    Time frame: PK samples will be collected from Day 1 through Day 22.

  12. Area under the plasma concentration-time curve from time zero to 24 hours post-dose (AUC0-24)

    Area under the plasma concentration-time curve from time zero to 24 hours post-dose for TRX-100.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  13. Area under the plasma concentration-time curve from time zero to 24 hours post-dose (AUC0-24)

    Area under the plasma concentration-time curve from time zero to 24 hours post-dose for TRX-101.

    Time frame: PK samples will be collected from Day through Day 22

  14. Area under the plasma concentration-time curve from time zero extrapolated to infinity

    A measure of total drug exposure from administration extrapolated to infinite time, estimated for TRX-100.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  15. Area under the concentration-time curve extrapolated to infinity

    A measure of total drug exposure from administration extrapolated to infinite time, estimated for TRX-101.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  16. Terminal elimination half-life

    The time required for the plasma concentration of TRX-100 to decrease by 50% in the terminal elimination phase.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  17. Terminal elimination half-life

    The time required for the plasma concentration of TRX-101 to decrease by 50% in the terminal elimination phase.

    Time frame: PK samples will be collected from Day 1 through Day 22

  18. Terminal elimination rate constant

    The first-order rate constant associated with the terminal elimination phase of the plasma concentration-time curve for TRX-100.

    Time frame: PK samples will be collected from Day 1 through Day 22

  19. Terminal elimination rate constant.

    The first-order rate constant associated with the terminal elimination phase of the plasma concentration-time curve for TRX-101.

    Time frame: PK samples will be collected from Day 1 through Day 22

  20. Apparent oral clearance (CL/F)

    Apparent total clearance of TRX-100 from plasma following oral administration

    Time frame: PK samples will be collected from Day 1 through Day 22

  21. Apparent oral clearance (CL/F)

    Apparent total clearance of TRX-101 from plasma following oral administration

    Time frame: PK samples will be collected from Day 1 through Day 22

  22. Apparent volume of distribution during the terminal phase

    Apparent volume of distribution of TRX-100 during the terminal elimination phase following oral administration, calculated as Clearance (CL/F) divided by the elimination rate constant.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  23. Apparent volume of distribution during the terminal phase

    Apparent volume of distribution of TRX-101 during the terminal elimination phase following oral administration, calculated as Clearance (CL/F) divided by the elimination rate constant.

    Time frame: PK samples will be collected from Day 1 through Day 22.

  24. Plasma Tmax

    Time to reach the maximum plasma concentration of TRX-101.

    Time frame: Time Frame: PK samples will be collected from Day 1 through Day 22.

  25. Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration (AUC0-last) of TRX-101.

    Time frame: PK samples will be collected from Day 1 through Day 22.

Other outcomes

  1. Change from Baseline in Viral Titer

    Change of virus titer compared to pretreatment baseline sample

    Time frame: up to Day 6

  2. Change from Baseline in Viral Load

    Change in virus load compared to pretreatment baseline sample

    Time frame: up to Day 6

07

Study locations

1 site
08

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

Started Dec 2025 (actual). Primary completion is estimated for Dec 2026, 12 months after the start.

Of 86 industry-sponsored phase 2 interventional studies under Influenza, Human, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's planned 12 months is above 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
Aug 4, 2025
First posted
Jan 28, 2026
StartActual
Dec 15, 2025
Primary completionEst.
Dec 2026
CompletionEst.
Jan 2027
Last update
Mar 27, 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.
No changes since tracking began. The registry record was last updated on Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07371650
Lead sponsor
Traws Pharma, Inc.
Responsible party
Sponsor
First posted
Jan 28, 2026
Start date
Dec 15, 2025
Primary completion
Dec 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Mar 27, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Tivoxavir marboxil

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