ClinicalTrials.gg
Not yet recruitingNCT07791251Updated Aug 31, 2026

Efficacy and Safety of Inhaled Peramivir Solution for the Treatment of Adults With Uncomplicated Influenza

A Phase 3 interventional study of Peramivir Inhalation Solution and Placebo for Peramivir Inhalation Solution in Influenza Infection, sponsored by Capital Medical University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by Capital Medical University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
600
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 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.

Planned enrollment
2nd of 11
600 · median 384
Started
2026
with 2 others
Phase 3
3 of 12
2 open now
Registered
10th of 12
by date

Among the 12 studies in Influenza, Human by Capital Medical University, this one is the 2nd largest by planned enrollment of the 11 interventional ones that give a count, is one of 3 that started in 2026, is one of 3 in phase 3, and was the 10th registered.

Influenza, Human

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

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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:

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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 to 64 Years · all sexes · no healthy volunteers.

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02

Study summary

This multicenter, randomized, double-blind, placebo-controlled, parallel-group Phase 3 study will evaluate the efficacy and safety of peramivir inhalation solution in adults with uncomplicated influenza. Approximately 600 participants aged 18 to 64 years with laboratory-confirmed influenza and symptom onset within 48 hours will be randomized in a 2:1 ratio to receive a single nebulized dose of peramivir inhalation solution 80 mg or matching placebo.

The primary efficacy outcome is the time to alleviation of all seven influenza symptoms. Secondary outcomes include changes in influenza viral RNA and infectious viral titers, time to viral clearance, alleviation of respiratory and systemic symptoms, resolution of fever, influenza-related complications, and use of rescue medication. Safety will be assessed through adverse events, clinical laboratory tests, vital signs, physical examinations, and electrocardiograms. Pharmacokinetics will also be evaluated in a subset of approximately 90 participants. Participants will be followed for approximately 15 days.

03

Conditions studied

  • Influenza Infection

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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 must meet all of the following criteria:

The participant or the participant's legally authorized representative understands the study and voluntarily signs the form. The participant must be 18 to 64 years of age, inclusive, at the time of informed consent.

At screening, the participant meets all of the following criteria:

Positive result from a rapid influenza diagnostic test (antigen test) or polymerase chain reaction (PCR) test.

Axillary temperature of at least 37.3°C at screening. If an antipyretic has been taken, the axillary temperature must be at least 37.3°C at least 4 hours after administration.

At least one influenza-related systemic symptom of moderate or greater severity: muscle or joint pain, fatigue, headache, or feverishness/chills.

At least one influenza-related respiratory symptom of moderate or greater severity: nasal congestion, sore throat, or cough.

The interval between the onset of the first influenza symptom and initiation of study treatment is no more than 48 hours. Symptom onset is defined as either:

The first occurrence of a temperature of at least 37.3°C measured axillary, 37.5°C measured orally, or 38.0°C measured rectally or tympanically; or The onset of at least one systemic or respiratory symptom: nasal congestion, sore throat, cough, muscle or joint pain, fatigue, headache, or feverishness/chills.

The participant is able to comply with all study procedures and complete the participant diary as required.

A female participant must meet either of the following criteria:

Not of , defined as having undergone hysterectomy or bilateral oophorectomy, having medically documented ovarian failure, or being . Postmenopausal status is defined as age greater than 50 years with amenorrhea for at least 12 months; or Of childbearing potential, with a negative pregnancy test at screening, and not pregnant, in the peripartum period, or breastfeeding.

The participant and the participant's partner agree to remain completely abstinent or use effective from screening through 3 months after completion of study treatment. Acceptable methods include:

For a female participant or the female partner of a male participant, one of the following methods together with correct condom use by the male partner: an intrauterine device with an annual failure rate of less than 1%, a female barrier method consisting of a cervical cap or diaphragm with spermicide, or tubal sterilization; or Prior vasectomy of the male participant or the male partner of a female participant.

Male participants agree not to donate sperm from screening through 3 months after completion of study treatment.

Exclusion criteria

Exclusion Criteria:

  • Participants meeting any of the following criteria will be excluded:

    • Influenza requiring hospitalization, as indicated by any of the following:
    • Severe influenza characterized by one or more of the following:
    • Persistent fever accompanied by severe cough, purulent sputum, bloody sputum, or chest pain.
    • Tachypnea, difficulty breathing, or cyanosis of the lips.
    • Altered mental status, including reduced responsiveness, somnolence, or agitation, or the occurrence of seizures.
    • Severe vomiting or diarrhea with evidence of dehydration.
    • Pneumonia.
    • Marked exacerbation of a pre-existing underlying disease.
    • Any other clinical condition requiring hospitalization.
    • Critical influenza characterized by one or more of the following:
    • Respiratory failure.
    • Acute necrotizing encephalopathy.
    • Shock.
    • Multiple organ dysfunction.
    • Any other serious clinical condition requiring intensive monitoring or care.
    • High risk of severe influenza, as indicated by any of the following:
    • A serious or poorly controlled underlying condition, such as chronic pulmonary disease, liver disease, chronic kidney disease, severe hematologic disease, chronic congestive heart failure classified as functional class III or IV, neurologic or neuromuscular disease, or metabolic disease.
    • abnormality on electrocardiography, defined as a Fridericia-corrected QT interval (QTcF) greater than 450 milliseconds for males or greater than 470 milliseconds for females.
    • Immunodeficiency, including , organ or bone marrow transplantation, infection, or use of therapy within the previous 3 months.
    • A concomitant condition requiring treatment with aspirin- or salicylate-containing medication.
    • Bronchitis, pneumonia, pleural effusion, or interstitial lung abnormality that is clinically suspected or confirmed by chest imaging (posteroanterior or posteroanterior and lateral chest radiography, or computed tomography) at screening and considered clinically significant by the investigator.
    • Previous diagnosis of , severe allergic rhinitis, or asthma.
    • Acute respiratory tract infection, otitis media, or sinusitis within 2 weeks before screening.
    • A concomitant infection requiring systemic anti-infective treatment, or a white blood cell count greater than 10.0 × 10\^9/L at screening.
    • Purulent sputum or suppurative tonsillitis at screening.
    • Suspected to any active ingredient or of the product or acetaminophen.
    • Use of any anti-influenza antiviral medication within 7 days before screening, including but not limited to neuraminidase inhibitors, hemagglutinin inhibitors, M2 ion-channel blockers, or RNA polymerase inhibitors, such as oseltamivir, zanamivir, peramivir, umifenovir (Arbidol), favipiravir, rimantadine, amantadine, baloxavir marboxil, onradivir, suraxavir marboxil, seloxavir marboxil, or pixavir marboxil.
    • Receipt of an influenza vaccine within 6 months before screening.
    • Suspected or confirmed history of alcohol or drug abuse.
    • Participation in another interventional drug or medical device clinical trial within 28 days before screening.
    • Positive test for SARS-CoV-2 at screening.
    • Any other condition that, in the investigator's judgment, makes the participant unsuitable for participation in the study
Terms in these criteria, in plain language(14)

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
600 participants (estimated)

Study arms

  • Experimental
    Peramivir Inhalation Solution

    Participants will receive a single nebulized dose of peramivir inhalation solution 80 mg on Day 1. The 80-mg dose will be administered as two 2-mL ampules, each containing 40 mg of peramivir. Nebulization will last at least 15 minutes. Participants will remain under observation at the study site for 30 minutes after completion of administration.

    Drug: Peramivir Inhalation Solution

  • Placebo comparator
    Placebo for Peramivir Inhalation Solution

    Participants will receive a single nebulized dose of matching placebo on Day 1. The placebo will be administered as two 2-mL ampules containing no active peramivir. Nebulization will last at least 15 minutes. Participants will remain under observation at the study site for 30 minutes after completion of administration.

    Drug: Placebo for Peramivir Inhalation Solution

Interventions

  • DrugPeramivir Inhalation Solution

    Participants will receive a single nebulized dose of matching placebo on Day 1. The placebo will be administered as two 2-mL ampules containing no active peramivir. Nebulization will last at least 15 minutes. Participants will remain under observation at the study site for 30 minutes after completion of administration.

  • DrugPlacebo for Peramivir Inhalation Solution

    Participants will receive a single nebulized administration of matching placebo on Day 1. Two 2-mL placebo ampules containing no active peramivir will be placed in the nebulizer, for a total volume of 4 mL. Nebulization will last at least 15 minutes. Participants will remain under observation at the study site for 30 minutes after completion of administration.

06

What researchers measure

Primary outcomes

  1. Time to Alleviation of All Influenza Symptoms

    Time in hours from initiation of study treatment to alleviation of all seven influenza symptoms recorded in the participant diary. The seven symptoms are nasal congestion, sore throat, cough, muscle or joint pain, fatigue, headache, and feverishness or chills. Alleviation is defined as a score of 0 (absent) or 1 (mild) for all seven symptoms, maintained for at least 21.5 hours.

    Time frame: From initiation of study treatment through 336 hours after treatment

Secondary outcomes

  1. Change From Baseline in Influenza Virus RNA and Viral Titer

    Change from baseline in influenza virus RNA measured by quantitative PCR (qPCR; log10 copies/mL) and influenza viral titer (log10 TCID50/mL) at scheduled visits.

    Time frame: Baseline (pre-dose), Days 2, 3, 4, 5, Day 9 ± 2 days, and Day 15 (+3 days)/early withdrawal.

  2. Weighted Time to Alleviation of Five Core Influenza Symptoms

    Weighted time in hours from initiation of study treatment to alleviation of all five core influenza symptoms: feverishness or chills, cough, nasal congestion, sore throat, and headache. Alleviation is defined as a score of 0 (absent) or 1 (mild) for all five symptoms, maintained for at least 21.5 hours. Symptom-specific weights will be applied as prespecified in the statistical analysis plan.

    Time frame: From initiation of study treatment through 336 hours after treatment

  3. Time to Influenza Viral RNA Negativity

    Time in hours from initiation of study treatment to the first respiratory specimen in which influenza viral RNA is below the assay limit of detection, as measured by quantitative polymerase chain reaction.

    Time frame: From initiation of study treatment through Day 15 (+3 days)

  4. Time to Influenza Virus Titer Negativity

    Time in hours from initiation of study treatment to the first respiratory specimen in which the infectious influenza virus titer is below the assay lower limit of quantification.

    Time frame: From initiation of study treatment through Day 15 (+3 days)

  5. Proportion of Participants With Influenza Virus RNA Below the LOD and Viral Titer Below the LLOQ

    Proportion of participants with influenza virus RNA below the qPCR LOD and influenza viral titer below the LLOQ at each scheduled visit.

    Time frame: Baseline, Days 2, 3, 4, 5, Day 9 ± 2 days, and Day 15 (+3 days)/early withdrawal.

  6. Percentage of Participants With Alleviation of All Influenza Symptoms

    Percentage of participants with scores of 0 (absent) or 1 (mild) for all seven influenza symptoms, maintained for at least 21.5 hours.

    Time frame: Assessed repeatedly from initiation of study treatment through 336 hours after treatment

  7. Percentage of Participants With Alleviation of All Respiratory Symptoms

    Percentage of participants with scores of 0 (absent) or 1 (mild) for all three respiratory symptoms-nasal congestion, sore throat, and cough-maintained for at least 21.5 hours.

    Time frame: Assessed repeatedly from initiation of study treatment through 336 hours after treatment

  8. Time to Alleviation of All Respiratory Symptoms

    Time in hours from initiation of study treatment to alleviation of nasal congestion, sore throat, and cough. Alleviation is defined as a score of 0 (absent) or 1 (mild) for all three symptoms, maintained for at least 21.5 hours.

    Time frame: From initiation of study treatment through 336 hours after treatment

  9. Percentage of Participants With Alleviation of All Systemic Symptoms

    Percentage of participants with scores of 0 (absent) or 1 (mild) for all four systemic symptoms-muscle or joint pain, fatigue, headache, and feverishness or chills-maintained for at least 21.5 hours.

    Time frame: Assessed repeatedly from initiation of study treatment through 336 hours after treatment

  10. Time to Alleviation of All Systemic Symptoms

    Time in hours from initiation of study treatment to alleviation of muscle or joint pain, fatigue, headache, and feverishness or chills. Alleviation is defined as a score of 0 (absent) or 1 (mild) for all four symptoms, maintained for at least 21.5 hours.

    Time frame: From initiation of study treatment through 336 hours after treatment

  11. Time to Alleviation of Each Individual Influenza Symptom

    Time in hours from initiation of study treatment to alleviation of each of the seven influenza symptoms, assessed separately: nasal congestion, sore throat, cough, muscle or joint pain, fatigue, headache, and feverishness or chills. Alleviation is defined as a score of 0 (absent) or 1 (mild), maintained for at least 21.5 hours.

    Time frame: From initiation of study treatment through 336 hours after treatment

  12. Time to Alleviation of Fever

    Time in hours from initiation of study treatment to the first axillary temperature below 37.0°C that is maintained for at least 12 hours.

    Time frame: From initiation of study treatment through 336 hours after treatment

  13. Percentage of Participants With Normalization of Body Temperature

    Percentage of participants with an axillary temperature below 37.0°C that is maintained for at least 12 hours.

    Time frame: At 24, 48, 72, 96, 120, 144, and 168 hours after initiation of study treatment

  14. Percentage of Participants With Influenza-Related Complications

    Percentage of participants experiencing one or more influenza-related complications, including hospitalization, death, sinusitis, bronchitis, otitis media, or radiographically confirmed pneumonia.

    Time frame: From initiation of study treatment through Day 15 (+3 days)

  15. Use of Acetaminophen for Influenza-Related Symptoms

    Proportion of participants using acetaminophen and frequency of acetaminophen use during the study treatment period.

    Time frame: From initiation of study treatment through 336h.

Other outcomes

  1. Change From Baseline in Myxovirus Resistance Protein A (MxA) Concentration

    Change from baseline in MxA concentration (ng/mL) at protocol-specified post-baseline visits.

    Time frame: Baseline and protocol-specified visits through Day 15 (+3 days)/early withdrawal.

  2. Safety and Tolerability

    Safety and tolerability will be assessed based on spontaneously reported and directly observed adverse events (AEs), serious adverse events (SAEs), and/or unexpected serious adverse events, as well as clinically significant abnormalities or changes from baseline in vital signs, physical examinations, clinical laboratory tests, and 12-lead electrocardiograms (ECGs). Adverse events will be graded according to the Common Terminology Criteria for Adverse Events (CTCAE), Version 6.0.

    Time frame: From the first administration of study treatment through Day 15 (+3 days)/early withdrawal.

  3. Plasma Concentrations and Pharmacokinetic Parameters of Peramivir

    Plasma concentrations of peramivir will be measured at prespecified time points following administration. Pharmacokinetic parameters, including maximum observed plasma concentration (Cmax), time to maximum observed plasma concentration (Tmax), area under the plasma concentration-time curve from time zero to the last quantifiable concentration (AUC0-t), area under the plasma concentration-time curve from time zero to infinity (AUC0-∞), terminal elimination half-life (t1/2), elimination rate constant (Ke), apparent volume of distribution (Vd/F), mean residence time (MRT), and apparent total clearance (CL/F), will be estimated using plasma concentration-time data.

    Time frame: From Day 1 post-dose through Day 5.

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

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 Oct 2026; primary completion for Apr 2028, 17 months later.

Of 35 non-industry phase 3 interventional studies under Influenza, Human, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 41. This study's planned 17 months is close to 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
Aug 25, 2026
First posted
Aug 27, 2026
StartEst.
Oct 28, 2026
Primary completionEst.
Apr 6, 2028
CompletionEst.
May 6, 2028
Last update
Aug 31, 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 Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07791251
Responsible party
Bin Cao (President, Chinese Thoracic Society (CTS) Director, Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital Professor of Pulmonary and Critical Care Medicine, Capital Medical University, Capital Medical University) — Principal investigator
First posted
Aug 27, 2026
Start date
Oct 28, 2026 (estimated)
Primary completion
Apr 6, 2028 (estimated)
Completion
May 6, 2028 (estimated)
Last update
Aug 31, 2026

Study contacts

Yeming Wang, PhD
Contact
wwyymm_love@163.com
+86 18810663558

Oversight

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

Not currently enrolling

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