MedPath

Favipiravir

Generic Name
Favipiravir
Drug Type
Small Molecule
Chemical Formula
C5H4FN3O2
CAS Number
259793-96-9
Unique Ingredient Identifier
EW5GL2X7E0
Background

Discovered by Toyama Chemical Co., Ltd. in Japan, favipiravir is a modified pyrazine analog that was initially approved for therapeutic use in resistant cases of influenza. The antiviral targets RNA-dependent RNA polymerase (RdRp) enzymes, which are necessary for the transcription and replication of viral genomes.

Not only does favipiravir inhibit replication of influenza A and B, but the drug has shown promise in the treatment of avian influenza, and may be an alternative option for influenza strains that are resistant to neuramidase inhibitors. Favipiravir has been investigated for the treatment of life-threatening pathogens such as Ebola virus, Lassa virus, and now COVID-19.

Indication

⑴用于埃博拉病毒感染的治疗。

⑵用于治疗成人新型或再次流行的流感(仅限于其他抗流感病毒药物治疗无效或效果不佳时使用)

Associated Conditions
Treatment resistant Novel Influenza, Treatment resistant Reemerging Influenza

Finding Treatments for COVID-19: A Trial of Antiviral Pharmacodynamics in Early Symptomatic COVID-19 (PLATCOV)

Phase 2
Recruiting
Conditions
COVID-19
Interventions
Drug: Nirmatrelvir/ritonavir (e.g. PAXLOVID™)
Drug: Molnupiravir and nirmatrelvir/ritonavir (e.g. PAXLOVID™)
Other: No treatment
Drug: Monoclonal antibodies
Drug: Molnupiravir
First Posted Date
2021-09-13
Last Posted Date
2024-10-28
Lead Sponsor
University of Oxford
Target Recruit Count
3800
Registration Number
NCT05041907
Locations
🇳🇵

Sukraraj Tropical & Infectious Disease Hospital, Kathmandu, Nepal

🇧🇷

Universidade Federal de Minas Gerais, Minas Gerais, Brazil

🇱🇦

Laos-Oxford-Mahosot Wellcome Trust Research Unit, Vientiane, Lao People's Democratic Republic

and more 4 locations

Clinical Trial For Early SARS-CoV-2 (COVID-19) Treatment

Phase 3
Completed
Conditions
Covid19
Interventions
First Posted Date
2021-07-29
Last Posted Date
2021-07-29
Lead Sponsor
Health Institutes of Turkey
Target Recruit Count
1120
Registration Number
NCT04981379
Locations
🇹🇷

Ankara City Hospital, Ankara, Turkey

🇹🇷

Istanbul University Istanbul Medicine Faculty, Istanbul, Turkey

🇹🇷

Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Istanbul, Turkey

and more 3 locations

Study to Assess the Efficacy and Safety of Favipiravir-HU

Phase 2
Terminated
Conditions
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)
Interventions
First Posted Date
2021-06-28
Last Posted Date
2022-11-09
Lead Sponsor
University of Pecs
Target Recruit Count
1
Registration Number
NCT04940871
Locations
🇭🇺

University of Szeged - Internal Medicine, Szeged, Hungary

Favipiravir +/- Nitazoxanide: Early Antivirals Combination Therapy in COVID-19

Phase 2
Completed
Conditions
Covid19
Interventions
Other: Nitazoxanide Placebo
First Posted Date
2021-06-09
Last Posted Date
2023-03-24
Lead Sponsor
Coordinación de Investigación en Salud, Mexico
Target Recruit Count
120
Registration Number
NCT04918927
Locations
🇲🇽

Hospital de Infectología "Daniel Méndez Hernández" del Centro Médico Nacional La Raza, Ciudad de Mexico, Azcapotzalco, Mexico

Pharmacokinetics, Tolerability and Safety of Favipiravir Compared to Ribavirin for the Treatment of Lassa Fever

Phase 2
Completed
Conditions
Lassa Fever
Interventions
First Posted Date
2021-06-01
Last Posted Date
2023-02-08
Lead Sponsor
Bernhard Nocht Institute for Tropical Medicine
Target Recruit Count
40
Registration Number
NCT04907682
Locations
🇳🇬

Federal Medical Center of Owo, Owo, Ondo State, Nigeria

🇳🇬

Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria

Efficacy and Safety of Favipiravir and Ribavirin Formulation for Treatment of COVID-19

Phase 2
Conditions
SARS-CoV2
COVID-19
Interventions
First Posted Date
2021-04-02
Last Posted Date
2021-04-02
Lead Sponsor
The Scientific and Technological Research Council of Turkey
Target Recruit Count
100
Registration Number
NCT04828564
Locations
🇹🇷

Ankara University, School of Medicine, Ankara, Cebeci, Turkey

🇹🇷

Umraniye Training and Research Hospital, Istanbul, Turkey

🇹🇷

Koc University Hospital, Istanbul, Turkey

and more 1 locations

Favipiravir in High-risk COVID-19 Patients

Phase 3
Completed
Conditions
Covid19
Interventions
First Posted Date
2021-03-26
Last Posted Date
2021-11-24
Lead Sponsor
Penang Hospital, Malaysia
Target Recruit Count
500
Registration Number
NCT04818320
Locations
🇲🇾

Penang General Hospital, George Town, Pulau Pinang, Malaysia

Trial to Determine the Efficacy/Safety of Plitidepsin vs Control in Patients With Moderate COVID-19 Infection

Phase 3
Terminated
Conditions
COVID-19 Infection
Interventions
First Posted Date
2021-03-05
Last Posted Date
2025-02-21
Lead Sponsor
PharmaMar
Target Recruit Count
205
Registration Number
NCT04784559
Locations
🇧🇷

Hospital Felicio Rocho, Belo Horizonte, MG, Brazil

🇲🇽

Universidad Autonoma de Nuevo Leon - Hospital Universitario "Dr. Jose Eleuterio Gonzalez", Monterrey, NL, Mexico

🇷🇴

Institutul National De Boli Infectioase "Prof. Dr. Matei Bals", Bucharest, Romania

and more 25 locations

AGILE (Early Phase Platform Trial for COVID-19)

Phase 1
Active, not recruiting
Conditions
Covid19
Interventions
Drug: Molnupiravir
Drug: NHS standard of care as per COVID-19 treatment guidelines
Drug: Paxlovid
First Posted Date
2021-02-09
Last Posted Date
2024-11-19
Lead Sponsor
University of Liverpool
Target Recruit Count
600
Registration Number
NCT04746183
Locations
🇬🇧

Manchester University NHS Foundation Trust, Manchester, United Kingdom

🇿🇦

Desmond Tutu Health Foundation, Cape Town, South Africa

🇿🇦

Ezintsha, Johannesburg, South Africa

and more 3 locations

Antiviral Drugs on the Treatment of SARS-CoV-2

Completed
Conditions
Pneumonia, Viral
Complication of Medical Care
Interventions
First Posted Date
2021-01-27
Last Posted Date
2023-08-02
Lead Sponsor
Astana Medical University
Target Recruit Count
150
Registration Number
NCT04727775
Locations
🇰🇿

Semey Medical University, Semey, Kazakhstan

🇰🇿

Aidos Konkaev, Astana, Kazakhstan

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