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Severe Acute Respiratory IllnessPhase 2NTZ-SARINCT02057757

Nitazoxanide Versus Placebo for the Treatment of Hospitalized Subjects With Severe Acute Respiratory Illness

A Phase 2 study testing Nitazoxanide in people with Severe Acute Respiratory Illness, run by National Institute of Allergy and Infectious Diseases (NIAID) at 6 sites in Mexico.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Respiratory viruses are a significant cause of hospitalization for respiratory tract infections. This study will evaluate the safety, effectiveness, and tolerability of nitazoxanide (NTZ) in treating severe acute respiratory illness (SARI) in people who are hospitalized. Read more about this study

Who is it for?
Ages 12 months and older
Conditions the study is for
Severe Acute Respiratory Illness
What is being tested?
Nitazoxanide
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
260 participants
Where
6 sitesMexico
Study dates
Feb 2014to Jan 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 months and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Signed informed consent prior to performance or initiation of any study procedures
  • Age greater than or equal to 12 months of age (no upper age limit)
  • Influenza-like illness (ILI), defined as (all of the following):
  • Onset of fever greater than or equal to 38°C (or hypothermia less than 36°C)
  • New or worse cough or sore throat
  • New or worse shortness of breath or difficulty breathing
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  • Onset of illness no more than 5 days before screening defined as when the participant experienced at least 1 respiratory symptom, constitutional symptom, or fever
  • Hospitalization for ILI (decision for hospitalization will be up to the individual treating clinician), with anticipated hospitalization for more than 24 hours
  • One of the following to avoid pregnancy:
  • Females who are able to become pregnant (i.e., are not postmenopausal, have not undergone surgical sterilization, and are sexually active with men) must agree to use at least 1 effective form of contraception from the date of informed consent through Day 28 of study
  • Males who have not undergone surgical sterilization and are sexually active with women must agree to use condoms or have a partner use at least 1 effective form of contraception through Day 28 of study

Who cannot join

  • Women who are pregnant or breastfeeding
  • Clinical suspicion that etiology of illness is primarily bacterial in origin
  • Prior treatment with antivirals (e.g., oseltamivir) for the current illness for more than 24 hours
  • Unable to take oral medications (adults must tolerate tablets, children must tolerate suspension)
  • Unable to tolerate oral food/fluids (absorption is significantly better with food)
  • Prior treatment with any investigational drug therapy within 30 days prior to screening
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  • Known sensitivity to NTZ or any of the excipients comprising the NTZ tablets
  • Prior NTZ use within 1 week
  • Self-reported history of chronic kidney disease or impaired renal function (no blood or urine kidney function laboratory testing will be done prior to enrollment, but intent is to exclude disease severe enough to cause estimated creatinine clearance [CrCl] less than 30)
  • Self-reported history of liver disease (no blood laboratory testing will be done prior to enrollment, but intent is to exclude disease severe enough to cause cirrhosis or total bilirubin greater than 2, aspartate aminotransferase [AST]/alanine aminotransferase [ALT] greater than 3 times the upper limit of normal [ULN])
  • Presence of any pre-existing illness that, in the opinion of the investigator, would place the participant at an unreasonably increased risk through participation in this study
  • Participants who, in the judgment of the investigator, will be unlikely to comply with the requirements of this protocol
  • The onset of SARI occurs after hospitalization
  • Hospitalized for any reason for greater than 48 hours prior to enrollment
  • Participants previously enrolled in this study
  • Prior hospital discharge within 30 days
  • Known chronic respiratory infection (e.g., tuberculosis, atypical mycobacterial infections)

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Mexico6 sites
  • Instituto Nacional de Pediatria

    Coyoacán, 04530

  • Hospital General Dr. Aurelio Valdivieso

    Oaxaca City, 68050

  • Hospital Central Dr. Ignacio Morones Prieto

    San Luis Potosí City, 78240

  • Hospital Infantil de Mexico Federico Gomez

    Tamaulipas, 06720

  • Instituto Nacional de Ciencias medicas y Nutricion Salvador Zubiran

    Tlalpan, 14000

  • Instituto Nacional de Enfermedades Respiratorias

    Tlalpan, 14000

Other trials in Mexico

About this study

Official title: A Randomized Double-Blind Phase 2 Study Comparing the Efficacy, Safety, and Tolerability of Nitazoxanide Versus Placebo in Addition to Standard Care for the Treatment of Hospitalized Subjects With Severe Acute Respiratory Illness

Respiratory viruses are a significant cause of hospitalization for respiratory tract infections. This study will evaluate the safety, effectiveness, and tolerability of nitazoxanide (NTZ) in treating severe acute respiratory illness (SARI) in people who are hospitalized.

Read the detailed description

Respiratory viral infections are one of the most common causes of illness in the world. These infections are major causes of SARI and can lead to severe outcomes, including hospitalization and death. NTZ is a medication that is approved in the United States and Mexico to treat gastrointestinal parasitic diseases. This study will evaluate the use of NTZ to treat SARI. The purpose of this study is to evaluate the safety, effectiveness, and tolerability of NTZ, in combination with standard care, in treating SARI in people who are hospitalized.

Participants will be hospitalized and study entry assessments will include medical assessments, blood collection, and a nasopharyngeal swab or wash. Participants will then be randomly assigned to receive NTZ or placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ or placebo; participants 12 years and older will receive NTZ or placebo tablets. All participants will also receive standard of care treatment for acute severe viral respiratory infections, which may include antibiotics and/or treatment for influenza. They will be discharged from the hospital based on their doctors' recommendations. Participants will record their temperature and symptoms in a daily diary, which will be reviewed by study staff during study visits. Follow-up visits will occur on Days 3, 7, 14, and 28, and may occur as inpatient or outpatient visits. These visits may include the same assessments that occurred at baseline, as well as physical examinations, depending on the visit. Participants who are still hospitalized at Day 28 will be followed by study staff until they are discharged from the hospital.

Being tested
Nitazoxanide, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NitazoxanideDrug

    Also called NTZ

    Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days.

    Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days.

    Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.

  • PlaceboDrug

    Also called PCB

    Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days.

    Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days.

    Participants 12 years and older: two placebo tablets orally twice daily for 5 days.

Study groups in NCT02057757
Study groupRoleWhat they receive
Nitazoxanide (NTZ)ExperimentalParticipants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets.
Receives: Drug: Nitazoxanide
PlaceboPlacebo comparatorParticipants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Hospital Discharge

    The time to hospital discharge measured through Day 28.

    Measured: Measured through Day 28

Secondary outcomes (21)
  1. Number of Participants Hospitalized on Days 3, 7, 14, and 28

    The number of study participants (e.g., adults and children) who were hospitalized on Days 3, 7, 14, and 28.

    Measured: Measured at Day 3, Day 7, Day 14, and Day 28

  2. Number of Participants Who Died Within the First 5 Days

    Total Deaths of Participants, including Deaths within First 5 Days

    Measured: Measured within First 5 Days

  3. Number of Participants Who Experienced Clinical Symptoms

    Measured daily through Study Day 14 and then again on Study Day 28

    Measured: Measured through Day 28

  4. Duration of Fever in Study Participants

    Study participants' duration (hours) of fever measured daily through Day 14 and then again on Day 28. The total duration in hours from the visit when fever was registered for the study participant until the next visit when no fever was registered for the study participant.

    Measured: Measured each day through Day 14 and on Day 28

  5. Number of Participants Who Require Oxygen Use

    Number of study participants who require use of supplemental oxygen at time points (e.g., Any time, Day 0, Day 3, Day 7, Day 14, and Day 28)

    Measured: Measured through Day 28 or participants' last day of hospitalization

  6. Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)

    Number of study participants (e.g., adult and children) admitted to the intensive care unit (ICU) by time point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28); worst case imputed.

    Measured: Measured through Day 28 or participants' last day in the ICU

  7. Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)

    Study participants (e.g., adults, children) requiring mechanical ventilation (e.g., intubation/extubation) at study time points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28); worst case imputed.

    Measured: Measured through Day 28 or participants' last day of hospitalization

  8. Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study

    Number of study participants (e.g., adults and children) with the presence of a complication (pneumonia, respiratory failure requiring mechanical ventilation, acute respiratory distress syndrome [ARDS], sepsis, or bronchiolitis) during the study .

    Measured: Measured through Day 28 or participants' last day of hospitalization

  9. Duration (Days) Until Affirmative Global Assessment (e.g., Answered Yes) by Study Participants (e.g., Adults, Children)

    Study participant (e.g., adults and children) answers (e.g., yes) to global assessment questions measured daily through Day 14 and then again on Day 28.

    Measured: Measured daily through Day 14 and on Day 28

  10. Number of Participants Using Antibiotics/Antivirals During Hospitalization

    Number of study participants taking an Antibiotic or Anti-Influenza Antiviral during first 5 days of hospitalization.

    Measured: Measured through participants' first 5 days of hospitalization

  11. Number of Participants Who Are Re-hospitalized Within 28 Days

    Number of study participants (e.g., adults and children) who were re-hospitalized within 28 days (e.g., days from randomization).

    Measured: Measured through Day 28

  12. Use of Systemic Corticosteroids

    Number of study participants taking Systemic Steroids during first 5 days.

    Measured: Measured within First 5 Days

  13. Presence of Virus on Nasopharyngeal (NP) Swab at Day 3 (Same Virus as Day 0)

    Study participants with Detectable Virus on nasopharyngeal (NP) swab at Baseline and at Day 3.

    Measured: Measured through Day 3

  14. Number of Participants Reporting Adverse Events (AEs)

    Number of study participants with at least one Adverse Event During Study Duration

    Measured: Measured through Day 28 or participants' last day of hospitalization

  15. Number of Participants Reporting Serious Adverse Events (SAEs)

    Number of study participants (e.g., adults and children) reporting at least one serious adverse events (SAEs).

    Measured: Measured through Day 28 or participants' last day of hospitalization

  16. Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28

    Laboratory values for chemistry laboratory assessments (e.g., Creatinine and Total Bilirubin) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day, 7 and Day 28

  17. Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28

    Chemistry laboratory assessments (e.g., ALT, AST, and LDH) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day 7, and Day 28

  18. Chemistry Laboratory Assessment (CRP) on Days 3, 7, and 28

    Lab Values for chemistry laboratory assessment (e.g., CRP) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day, 7 and Day 28

  19. Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28

    Hematology laboratory assessments (e.g., Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day, 7 and Day 28

  20. Hematologic Laboratory Assessment (Hemoglobin) on Days 3, 7, and 28

    Hematology laboratory assessment (e.g., Hemoglobin) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day, 7 and Day 28

  21. Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28

    Lab values for hematology laboratory assessments (e.g., WBC and Platelets) on Days 3, 7, and 28.

    Measured: Measured on Day 3, Day, 7 and Day 28

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Feb 2014 (estimated)
  2. Study startFeb 2014
  3. Primary completionMay 2017
  4. Study completionJan 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02057757
Sponsor's protocol ID
NTZ-SARI
Acronym
NTZ-SARI
Status last verified
Jul 2018
First submitted
5 Feb 2014
Last updated
1 Aug 2018
Data monitoring committee
Yes
Individual data sharing
Undecided

Publications

  • Gamino-Arroyo AE, Guerrero ML, McCarthy S, Ramirez-Venegas A, Llamosas-Gallardo B, Galindo-Fraga A, Moreno-Espinosa S, Roldan-Aragon Y, Araujo-Melendez J, Hunsberger S, Ibarra-Gonzalez V, Martinez-Lopez J, Garcia-Andrade LA, Kapushoc H, Holley HP, Smolskis MC, Ruiz-Palacios GM, Beigel JH; Mexico Emerging Infectious Diseases Clinical Research Network (LaRed). Efficacy and Safety of Nitazoxanide in Addition to Standard of Care for the Treatment of Severe Acute Respiratory Illness. Clin Infect Dis. 2019 Nov 13;69(11):1903-1911. doi: 10.1093/cid/ciz100.

    PubMed 30753384

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nitazoxanide in people with Severe Acute Respiratory Illness, run by National Institute of Allergy and Infectious Diseases (NIAID) at 6 sites in Mexico.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Jul 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Hospital Discharge (time frame: Measured through Day 28). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02057757, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Aug 2018; AzTrials last refreshed its copy on 8 Nov 2026.

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