A phase II/III multicenter, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of intramuscular peramivir in subjects with uncomplicated acute influenza - The IMPROVE 2 Study
- Conditions
- ncomplicated acute influenza
- Registration Number
- EUCTR2007-002527-32-GB
- Lead Sponsor
- BioCryst Pharmaceuticals
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Recruiting
- Sex
- All
- Target Recruitment
- 750
1. Male and non-pregnant female subjects age =18 years.
2. A positive Influenza A Rapid Antigen Test (RAT) performed with a commercially available test kit on an adequate anterior nasal specimen, in accordance with the manufacturer’s instructions. A negative initial RAT should be repeated within one hour. Subjects with a positive influenza B or mixed A and B RAT will be excluded.
3. Presence of fever at time of Screening of =38.0 ºC (=100.4 ºF) taken orally, or =38.5 ºC (=101.2 ºF) taken rectally. A subject self-report of a history of fever or feverishness within the 24 hours prior to Screening will also qualify for enrollment in the absence of documented fever at the time of Screening.
4. Presence of at least one respiratory symptom (cough, sore throat, or nasal symptoms) of at least moderate severity.
5. Presence of at least one constitutional symptom (myalgia [muscle aches], headache, feverishness, or fatigue) of at least moderate severity.
6. Onset of symptoms no more than 48 hours before presentation for screening.
7. Females of child-bearing potential must have a negative urine pregnancy test at screening/ baseline and utilize approved contraceptive methods. Males enrolled must ensure that their female partners of childbearing potential utilize approved contraceptive methods to avoid pregnancy.
8. Written informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
1. Women who are pregnant or breast-feeding.
2. Presence of clinically significant signs of acute respiratory distress.
3. History of severe chronic obstructive pulmonary disease (COPD) or severe persistent asthma.
4. History of congestive heart failure requiring daily pharmacotherapy with symptoms consistent with New York Heart Association Class III or IV functional status within the past 12 months.
5. History of chronic renal impairment requiring hemodialysis and/or known or suspected to have moderate or severe renal impairment (actual or estimated creatinine clearance <50 mL/min).
6. Clinical evidence of worsening of any chronic medical condition (temporally associated with the onset of symptoms of influenza) which, in the investigator's opinion, indicates that such finding(s) could represent complications of influenza.
7. Current clinical evidence, including clinical signs and/or symptoms consistent with otitis, bronchitis, sinusitis and/or pneumonia, or active bacterial infection at any body site that requires therapy with oral or systemic antibiotics.
8. Presence of immunocompromised status due to chronic illness, previous organ transplant, or use of immunosuppressive medical therapy which would include oral or systemic treatment with > 10 mg prednisone or equivalent on a daily basis within 30 days of screening.
9. Currently receiving treatment for viral hepatitis B or viral hepatitis C.
10. Presence of known HIV infection with a CD4 count <350 cell/mm3.
11. Current therapy with oral warfarin or other systemic anticoagulant.
12. Receipt of any doses of rimantadine, amantadine, zanamivir, or oseltamivir in the 7 days prior to screening.
13. Immunized against influenza with live attenuated virus vaccine (FluMist®) in the previous 21 days.
14. Immunized against influenza with inactivated virus vaccine within the previous 14 days.
15. Receipt of any intramuscular injection within the prvious 14 days.
16. History of alcohol abuse or drug addiction within 1 year prior to admission in the study.
17. Participation in a previous study of intramuscular or intravenous peramivir or previous participation in this study.
18. Participation in a study of any investigational drug or device within the last 30 days.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: To evaluate the efficacy of peramivir compared to placebo when administered intramuscularly on the time to alleviation of clinical symptoms in adult subjects with uncomplicated acute influenza A.;Primary end point(s): Clinical: Time to alleviation of clinical symptoms of influenza in subjects with influenza A.;Secondary Objective: To evaluate the safety and tolerability of peramivir administered intramuscularly;<br>To evaluate secondary clinical outcomes in response to treatment;<br>To evaluate changes in influenza virus titer (viral shedding) in response to treatment;<br>To assess pharmacoeconomic measures in response to treatment;<br>To assess changes in influenza viral susceptibility to neuraminidase inhibitors following treatment<br>
- Secondary Outcome Measures
Name Time Method