MedPath

Intramuscular Peramivir in Subjects With Uncomplicated Acute Influenza

Phase 3
Terminated
Conditions
Influenza
Interventions
Drug: Placebo
Registration Number
NCT00610935
Lead Sponsor
BioCryst Pharmaceuticals
Brief Summary

The purpose of this study is to determine the safety and effectivess of a single intramuscular injection of peramivir for the treatment of subjects with acute, uncomplicated influenza.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
82
Inclusion Criteria
  • Male and non-pregnant female subjects age ≥18 years.
  • A positive Influenza A and/or B 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.
  • 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.
  • Presence of at least one respiratory symptom (cough, sore throat, or nasal symptoms) of at least moderate severity.
  • Presence of at least one constitutional symptom (myalgia [aches and pains], headache, feverishness, or fatigue) of at least moderate severity.
  • Onset of symptoms no more than 48 hours before presentation for screening.
  • Written informed consent.
Exclusion Criteria
  • Women who are pregnant or breast-feeding.
  • Presence of clinically significant signs of acute respiratory distress.
  • History of severe chronic obstructive pulmonary disease (COPD) or severe persistent asthma (See section 15.2).
  • 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.
  • Screening ECG which suggests acute ischemia or presence of medically significant dysrhythmia.
  • 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).
  • 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.
  • 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.
  • 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.
  • Currently receiving treatment for viral hepatitis B or viral hepatitis C.
  • Presence of known HIV infection with a CD4 count <350 cell/mm3.
  • Current therapy with oral warfarin or other systemic anticoagulant.
  • Receipt of any doses of rimantadine, amantadine, zanamivir, or oseltamivir in the 7 days prior to screening.
  • Immunized against influenza with live attenuated virus vaccine (FluMist®) in the previous 21 days.
  • Immunized against influenza with inactivated virus vaccine within the previous 14 days.
  • Receipt of any intramuscular injection within the previous 14 days.
  • History of alcohol abuse or drug addiction within 1 year prior to admission in the study.
  • Participation in a previous study of intramuscular or intravenous peramivir or previous participation in this study.
  • Participation in a study of any investigational drug or device within the last 30 days.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo intramuscular injection
PeramivirPeramivirSingle intramuscular injection of 300mg peramivir
Primary Outcome Measures
NameTimeMethod
The Time to Alleviation of Clinical Signs and Symptoms of InfluenzaUp to 14 days

The primary efficacy endpoint was the time to alleviation of symptoms of influenza in subjects diagnosed with influenza, defined as the time from injection of study drug to the start of the time period when a subject had Alleviation of Symptoms. A subject had Alleviation of Symptoms if each of the seven symptoms of influenza (cough, sore throat, nasal obstruction, myalgia \[aches and pains\], headache, feverishness, and fatigue) as self-assessed and recorded in the subject diary were either absent or were present at no more than mild severity level and at this status for at least 21.5 hours (24 hours minus 10%). No statistical testing was performed.

Secondary Outcome Measures
NameTimeMethod
To Evaluate Changes in Influenza Virus Titer in Nasopharyngeal Samples in Response to Treatment.Change from baseline assessed on days 3, 5 and 9.

The change in influenza viral titers was defined as the time-weighted change from Baseline in log_10 tissue culture infective dose_50 (TCID50/mL) and was summarized for each treatment group. The differences between the treatment groups were planned to be evaluated using a Wilcoxon Rank Sum Test controlling for current smoking behavior. Specimens for virologic culture and determination of influenza virus TCID50/mL were obtained at interval visits after treatment. As the study was terminated prematurely, no statistical testing was performed on these data.

Trial Locations

Locations (95)

Clopton Clinic

🇺🇸

Jonesboro, Arkansas, United States

Kevin Adkins, MD

🇺🇸

Mountain Home, Arkansas, United States

Integrated Medical Research PC

🇺🇸

Ashland, Oregon, United States

Andras Koser

🇺🇸

Greenville, South Carolina, United States

J. Lewis Research Inc. FirstMed

🇺🇸

West Jordan, Utah, United States

West Houston Clinical Research Service

🇺🇸

Houston, Texas, United States

Dynamed Clinical Research, L.P.

🇺🇸

Houston, Texas, United States

Physical Express

🇺🇸

Millbrook, Alabama, United States

Research Solutions, LLC

🇺🇸

Jonesboro, Arkansas, United States

Physician Care PM

🇺🇸

Edmond, Oklahoma, United States

Ohio Clinical Research LLC

🇺🇸

Lyndhurst, Ohio, United States

Med Investigations Incorporated

🇺🇸

Fair Oaks, California, United States

Urgent Care of Green County

🇺🇸

Owasso, Oklahoma, United States

New England Center for Clinical Research, Inc.

🇺🇸

Cranston, Rhode Island, United States

NuLife Clinical Research, Inc.

🇺🇸

Anaheim, California, United States

Holston Medical Group, P.C.

🇺🇸

Kingsport, Tennessee, United States

Paris View Family Practice

🇺🇸

Greenville, South Carolina, United States

Hillcrest Clinical Research, LLC

🇺🇸

Simpsonville, South Carolina, United States

Warminster Medical Associates, PC

🇺🇸

Warminster, Pennsylvania, United States

Physicians Research Options, LLC

🇺🇸

Saratoga Springs, Utah, United States

S. Carolina Pharmaceutical Research

🇺🇸

Spartanburg, South Carolina, United States

Intrinsic Research Data, Inc.

🇺🇸

Corpus Christi, Texas, United States

San Diego Sports Medicine and Family Health Center

🇺🇸

San Diego, California, United States

Well Pharma Medical Research, Corp.

🇺🇸

Miami, Florida, United States

Investigators Research Group, LLC

🇺🇸

Indianapolis, Indiana, United States

Universal Biopharma Research Institute Inc.

🇺🇸

Fresno, California, United States

Associated Pharmaceutical Research Center, Inc.

🇺🇸

Buena Park, California, United States

Impact Clinical Trials

🇺🇸

Beverly Hills, California, United States

Allergy, Asthma, and Respiratory Care Medical Center

🇺🇸

Long Beach, California, United States

Research Center of Fresno, Inc

🇺🇸

Fresno, California, United States

Parsons Avenue Medical Clinic

🇺🇸

Columbus, Ohio, United States

Primary Physicians Research Inc.

🇺🇸

Pittsburgh, Pennsylvania, United States

Clinical Partners, LLC

🇺🇸

Johnston, Rhode Island, United States

DiscoveResearch Inc.

🇺🇸

Beaumont, Texas, United States

DiscoveResearch, Inc.

🇺🇸

Bryan, Texas, United States

Allergy/Immunology Research Center of North Texas

🇺🇸

Dallas, Texas, United States

Research Across America

🇺🇸

Dallas, Texas, United States

Holston Medical Group

🇺🇸

Weber City, Virginia, United States

Northwest Clinical Research Center

🇺🇸

Bellevue, Washington, United States

HOPE Research Institute

🇺🇸

Phoenix, Arizona, United States

GSA Research

🇺🇸

San Antonio, Texas, United States

Sun Research Institute

🇺🇸

San Antonio, Texas, United States

San Antonio Preventive and Diagnostic Medicine

🇺🇸

San Antonio, Texas, United States

Optimum Clinical Research

🇺🇸

Salt Lake City, Utah, United States

J. Lewis Research Inc

🇺🇸

Salt Lake City, Utah, United States

J. Lewis Research Inc. Foothill Family Clinic South

🇺🇸

Salt Lake City, Utah, United States

J. Lewis Research, Inc.

🇺🇸

Salt Lake City, Utah, United States

Alpine Clinical Research Center

🇺🇸

Boulder, Colorado, United States

Alabama Family Medical Center

🇺🇸

Tuscaloosa, Alabama, United States

Harmony Clinical, Inc.

🇺🇸

Garden Grove, California, United States

National Institute of Clinical Research

🇺🇸

Los Angeles, California, United States

Center for Clinical Trials, LLC

🇺🇸

Paramount, California, United States

Coastal Medical Research Group, Inc.

🇺🇸

San Luis Obispo, California, United States

Clinicos, LLC

🇺🇸

Colorado Springs, Colorado, United States

Longmont Clinic, P.C.

🇺🇸

Longmont, Colorado, United States

AGA Clinical Trials

🇺🇸

Hialeah, Florida, United States

Eastern Research

🇺🇸

Hialeah, Florida, United States

Century Clinical Research Inc

🇺🇸

Holly Hill, Florida, United States

Office of Roger J. Miller, Jr., MD

🇺🇸

Jacksonville, Florida, United States

Jacksonville Center for Clinical Research

🇺🇸

Jacksonville, Florida, United States

MD Now Medical Center

🇺🇸

Lake Worth, Florida, United States

DMI Healthcare Group

🇺🇸

Largo, Florida, United States

Pines Research, LLC

🇺🇸

Pembroke Pines, Florida, United States

Palm Beach Research Center

🇺🇸

West Palm Beach, Florida, United States

Wilker/Powers Center for Clinical Studies

🇺🇸

Saint Cloud, Florida, United States

Sandersville Family Practice Center

🇺🇸

Sandersville, Georgia, United States

Quincy Medical Group

🇺🇸

Quincy, Illinois, United States

Welborn Clinic Gateway

🇺🇸

Newburgh, Indiana, United States

Medical Associates Clinic PC

🇺🇸

Dubuque, Iowa, United States

Heart of America Research Institute

🇺🇸

Shawnee Mission, Kansas, United States

American Medical Exams, P.A.

🇺🇸

Topeka, Kansas, United States

Kentucky Lung Clinic

🇺🇸

Hazard, Kentucky, United States

Heartland Research Associates, LLC

🇺🇸

Wichita, Kansas, United States

Winchester, Patton, Burgess, PSC

🇺🇸

Whitley City, Kentucky, United States

Gulf Coast Research, LLC

🇺🇸

Baton Rouge, Louisiana, United States

Gulf Coast Research LLC

🇺🇸

Lafayette, Louisiana, United States

Byron Jackson

🇺🇸

Shreveport, Louisiana, United States

Professional Clinical Research-Benzonia

🇺🇸

Benzonia, Michigan, United States

Professional Clinical Research, Inc.

🇺🇸

Cadillac, Michigan, United States

Professional Clinical Research-Interlochen

🇺🇸

Interlochen, Michigan, United States

KMED Research

🇺🇸

Saint Clair Shores, Michigan, United States

Olive Branch Family Medical Center

🇺🇸

Olive Branch, Mississippi, United States

Clinvest

🇺🇸

Springfield, Missouri, United States

Mercury Street Medical Group, PLLC

🇺🇸

Butte, Montana, United States

Prarie Fields Family Medicine, P.C

🇺🇸

Fremont, Nebraska, United States

Quick Care Medical

🇺🇸

Hamilton, New Jersey, United States

Health Sciences Research Center at Asthma & Allergy Associates P.C.

🇺🇸

Elmira, New York, United States

Health Sciences Research Center

🇺🇸

Ithaca, New York, United States

American Institute of Healthcare & Fitness

🇺🇸

Raleigh, North Carolina, United States

Community Medical Partners

🇺🇸

Canfield, Ohio, United States

Florida Research Network, LLC

🇺🇸

Gainesville, Florida, United States

Compass Research LLC

🇺🇸

Orlando, Florida, United States

Virginia Adult & Pediatric Allergy & Asthma, P.C Department of Clinical Research

🇺🇸

Richmond, Virginia, United States

Holston Medical Group, PC

🇺🇸

Bristol, Tennessee, United States

Clinical Research Department

🇺🇸

Bozeman, Montana, United States

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