Influenza APhase 3NCT03376321
A Study to Evaluate the Efficacy and Safety of Pimodivir in Combination With the Standard-of-Care Treatment in Adolescent, Adult, and Elderly Hospitalized Participants With Influenza A Infection
A Phase 3 study testing Pimodivir 600 mg and SOC Treatment in people with Influenza A, run by Janssen Research & Development, LLC at 269 sites in 38 countries.
Trial summary
The purpose of this study is to evaluate the clinical and virologic benefit of pimodivir in combination with Standard-of-Care (SOC) treatment compared to placebo in combination with SOC treatment. Read more about this study
- Who is it for?
- Ages 13 to 85 years
- Conditions the study is for
- Influenza A
- What is being tested?
- Pimodivir 600 mg and SOC Treatment
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 334 participants
- Where
- 269 sitesin 38 countries
- Study dates
- 3 Jan 2018to 30 Apr 2020
- Phase
- Phase 3
- 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 13 to 85 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Tested positive for influenza A infection after the onset of symptoms using a polymerase chain reaction (PCR)-based or other rapid molecular diagnostic assay
- Requires hospitalization to treat influenza infection and/or to treat complications of influenza infection (for example, radiological signs of lower respiratory tract disease, septic shock, central nervous system [CNS] involvement, myositis, rhabdomyolysis, acute exacerbation of chronic kidney disease, severe dehydration, myocarditis, pericarditis, ischemic heart disease, exacerbation of underlying chronic pulmonary disease, including asthma, chronic obstructive pulmonary disease [COPD], decompensation of previously controlled diabetes mellitus), including participants admitted to the Intensive Care Unit (ICU)
- Enrollment and initiation of study drug treatment less than or equal to (<=)96 hours after onset of influenza symptoms
- Being on invasive mechanical ventilation or having a peripheral capillary oxygen saturation (SpO2) less than (<)94 percent (%) on room air during screening. Participants with known pre-influenza SpO2 <94% must have an SpO2 decline greater than or equal to (>=)3% from pre-influenza SpO2 during screening
- Having a screening/baseline National Early Warning Score 2 (NEWS2) of >=4
Who cannot join
- Received more than 3 doses of influenza antiviral medication (for example, oseltamivir [OST] or zanamivir), or any dose of ribavarin (RBV) within 2 weeks, prior to first study drug intake. Received intravenous (IV) peramivir more than one day prior to screening
- Unstable angina pectoris or myocardial infarction within 30 days prior to screening (inclusive)
- Presence of clinically significant heart arrhythmias, uncontrolled, unstable atrial arrhythmia, or sustained ventricular arrhythmia, or risk factors for Torsade de Pointes syndrome
- Known severe hepatic impairment (Child Pugh C cirrhosis) or chronic hepatitis C infection undergoing hepatitis C antiviral therapy
- Severely immunocompromised in the opinion of the investigator (for example, known cluster of differentiation 4 plus [CD4+] count <200 cells per cubic millimeter [cells/mm^3], absolute neutrophil count <750/mm^3, first course of chemotherapy completed within 2 weeks prior to screening, history of stem cell transplant within 1 year prior to screening, any history of a lung transplant)
- Known allergies, hypersensitivity, or intolerance to pimodivir or its excipients
Trial locations and contacts
269 sites in 38 countries.
269 sites in 38 countries
United States28 sites
Anne Arundel Medical Center
Annapolis, Maryland, 21401
Northside Hospital
Atlanta, Georgia, 30342
Augusta University
Augusta, Georgia, 30912
University Of Maryland Medical Center
Baltimore, Maryland, 21201-1595
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Massachusetts General Hospital
Boston, Massachusetts, 02114
Mercury Street Medical Group, PLLC
Butte, Montana, 59701
Lowcountry Infectious Diseases
Charleston, South Carolina, 29414
UC Health LLC
Cincinnati, Ohio, 45229
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Wayne State Univ School of Medicine
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202
Wayne State University
Detroit, Michigan, 97205
UCSF Fresno
Fresno, California, 93701
Nea Baptist Clinic
Jonesboro, Arkansas, 72401
Western Michigan University Homer Stryker M.D. School of Medicine Center for Clinical Research
Kalamazoo, Michigan, 49008
Miller Children's at Long Beach Medical Center
Long Beach, California, 90806
Regents of the University of Minnesota
Minneapolis, Minnesota, 55455
Saint Michaels Medical Center
Newark, New Jersey, 07102
Rhode Island Hospital
Providence, Rhode Island, 02903
William Beaumont Hospital
Royal Oak, Michigan, 48073
Destin Pulmonary Critical Care, PLLS.
Santa Rosa Beach, Florida, 32459
Washington University
St Louis, Missouri, 63110
Stanford University School of Medicine
Stanford, California, 94306-5640
Holy Name Medical Center
Teaneck, New Jersey, 07666
Montefiore Medical Center PRIME
The Bronx, New York, 10467
DM Clinical Research
Tomball, Texas, 77375
William Beaumont Hospital
Troy, Michigan, 48085
India20 sites
Zydus Hospital-Ahmedabad
Ahmedabad, 380054
Rajiv Gandhi Institute of Medical Sciences
Balaga, 532001
M S Ramaiah Memorial Hospital
Bangalore, 560054
Apollo Hospitals International Limited
Gandhinagar, 382424
Aware Global Hospital
Hyderabad, 500035
S. R. Kalla Memorial General Hospital
Jaipur, 302001
Eternal Heart Care Centre
Jaipur, 302020
Ajanta Research Cemtre
Lucknow, 226005
Midland Healthcare & Research Center
Lucknow, 226006
Vinaya Hospital and Research Center
Mangalore, 575003
Kasturba Medical College Hospital
Manipal, 576104
Suretech Hospital and Research Centre Limited
Nagpur, 400012
Siddhi Hospital
Nashik, 422007
BLK Super Specialty Hospital
New Delhi, 110005
Sir Ganga Ram Hospital
New Delhi, 110060
Fortis Flight Lieutenant Rajan Dhall Hospital
New Delhi, 110070
Lifepoint Multispecialty Hospital
Pune, 411023
Sahyadri Speciality Hospital
Pune, 411038
Shree Giriraj Multispeciality Hospital
Rajkot, 360005
BAPS Pramukhswami Hospital
Surat, 395009
France17 sites
Centre Hospitalier d'Agen
Agen, 47923
CHU Amiens - Hopital Sud
Amiens, 80054
Hopital Louis Mourier
Colombes, 92700
Centre Hospitalier Intercommunal de Créteil
Créteil, 94010
CHU Dijon
Dijon, 21000
Centre Hospitalier Départemental
La Roche S/ Yon Cedex 9, 85925
CHU de Grenoble Hopital Albert Michallon
La Tronche, 38043
CHU de Limoges Hopital Dupuytren
Limoges, 87042
Hopital Edouard Herriot - CHU Lyon
Lyon, 69003
Hopital Nord Marseille
Marseille, 13915
CHU Nantes - Hotel Dieu
Nantes, 44093
CHU De Nice Hopital De l'Archet
Nice, 06202
Hôpital Bichat - Claude Bernard
Paris, 75018
Hopital Saint Louis
Paris, 75475
Hopital Cochin
Paris, 75679
CHU Poitiers - Hopital la Miletrie
Poitiers, 86021
CHU Saint Etienne Hopital Nord
Saint-Etienne, 42055
Spain17 sites
Hosp Clinic de Barcelona
Barcelona, 08036
Hosp. Univ. Donostia
Donostia / San Sebastian, 20014
Hosp. Gral. Univ. de Elche
Elche, 3203
Hosp. Univ. de Getafe
Getafe, 28905
Hosp. Univ. San Cecilio
Granada, 18012
Hosp. Univ. Virgen de Las Nieves
Granada, 18014
Hosp. Univ. de Bellvitge
L'Hospitalet de Llobregat, 08907
Hosp. Univ. de La Princesa
Madrid, 28006
Hosp. Univ. Ramon Y Cajal
Madrid, 28034
Hosp. Clinico San Carlos
Madrid, 28040
Hosp. Univ. 12 de Octubre
Madrid, 28041
Hosp. Univ. La Paz
Madrid, 28046
Hosp. Univ. Hm Monteprincipe
Madrid, 28660
Hosp. De Mataro
Mataró, 08304
Hosp. Clinico Univ. de Santiago
Santiago de Compostela, 15706
Hosp. Mutua Terrassa
Terrassa, 08221
Hosp. Alvaro Cunqueiro
Vigo, 36213
Israel14 sites
Haemek Medical Center
Afula, 18101
Barzilai Medical Center
Ashkelon, 78278
Soroka University Medical Center
Beersheba, 84101
Bnai Zion Medical Center
Haifa, 31048
Rambam Health Care Campus
Haifa, 3109601
Wolfson Medical Center
Holon, 58100
Hadassah University Hospita Ein Kerem
Jerusalem, 91120
Sapir Medical Center, Meir Hospital
Kfar Saba, 4428164
Galilee Medical Center
Nahariya, 2210001
Rabin Medical Center Beilinson Campus
Petah Tikva, 49100
Chaim Sheba Medical Center
Ramat Gan, 52621
Kaplan Medical Center
Rehovot, 7610001
Ziv Medical Center
Safed, 13100
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
South Korea13 sites
Chungbuk National University Hospital
Cheongju-si, 28644
Yonsei University Wonju Severance Christian Hospital
Gangwon-do, 220-701
Korea University Ansan Hospital
Gyeonggi-do, 15355
The Catholic university of Korea, St. Vincent's Hospital
Gyeonggi-do, 16247
Hallym University Dongtan Sacred Heart Hospital
Hwaseong-si, 18450
Gachon University Gil Medical Center
Incheon, 21565
The Catholic University of Korea, Incheon St. Mary's Hospital
Incheon, 403-720
Dong-A University Hospital
Pusan, 602-715
Korea University Anam Hospital
Seoul, 02841
Konkuk University Medical Center
Seoul, 05030
Asan Medical Center
Seoul, 05505
Hallym University Kangnam Sacred Heart Hospital
Seoul, 07441
Korea University Guro Hospital
Seoul, 152-703
Argentina12 sites
Hospital Interzonal General de Agudos Dr. Jose Penna
Bahía Blanca, B8001DDU
CEMIC (Centro de Educación Médica e Investigaciones Clínicas)
C.a.b.a., 1431
Hospital Nuestra Señora de la Misericordia
Córdoba, 5000
Hospital Rawson
Córdoba, 5000
Hospital San Roque
Córdoba, 5000
Hospital Cordoba
Córdoba, X5004CDT
Hospital Privado Centro Medico de Cordoba
Córdoba, X5016KEH
Sanatorio Juan XXIII
General Roca, 8332
Instituto Medico Platense
La Plata, B1900AVG
Hospital Italiano de La Plata
La Plata Lpl Lpl, 1900
Hospital Universitario Austral
Pilar, B1629ODT
Sanatorio Britanico S.A.
Rosario, 2000
Brazil11 sites
Santa Casa de Misericordia de Belo Horizonte
Belo Horizonte, 30150-221
Cardresearch - Cardiologia Assistencial
Belo Horizonte, 30150-240
Infection Control Ltda
Brasil, 30110-063
Associacao Hospitalar Beneficente Sao Vicente de Paulo - Hospital Sao Vicente de Paulo
Passo Fundo, 99010-080
Hospital das Clinicas de Porto Alegre
Porto Alegre, 90035-903
Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90050-170
Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre, 90610-000
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto Hospital de Base
São José do Rio Preto, 15090-000
Irmandade Santa Casa de Misericordia de Sao Paulo
São Paulo, 01221-020
Fundacao Jose Luiz Egydio Setubal
São Paulo, 01227-200
Hosp. Da Luz Lisboa
São Paulo, 04013-060
Italy11 sites
Fondazione IRCCS Ca Granda Ospedale Maggiore Policlinico
Milan, 20122
Fondazione IRCCS Ospedale Maggiore Policlinico,Mangiagalli e Regina Elena
Milan, 20122
Ospedale San Giuseppe - Fatebenefratelli
Milan, 20123
Ospedale San Raffaele- Sede Distaccata Ospedale S. Raffaele Turro
Milan, 20127
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
AOU Policlinico di Modena
Modena, 41124
Azienda Socio Sanitaria Territoriale di Monza Presidio San Gerardo
Monza, 20052
Azienda Ospedaliera Universitaria Maggiore della Carità
Novara, 28100
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone
Palermo, 90127
Lazzaro Spallanzani IRCCS
Roma, 149
Azienda Ospedaliera Universitaria Integrata Verona
Verona, 37126
Malaysia9 sites
Hospital Sultanah Bahiyah
Alor Star, 5460
Hospital Queen Elizabeth
Kota Kinabalu, 88586
Hospital Sultanah Nur Zahirah
Kuala, 20400
Hospital Umum Sarawak
Kuching, 93586
Hospital Miri
Miri, 98000
Hospital Tuanku Jaafar
Seremban, 70300
Hospital Sibu
Sibu, 96000
Hospital Sungai Buloh
Sungai Buloh, 47000
Hospital Taiping
Taiping, 34000
South Africa8 sites
Clinical Research Centre University of Cape Town
Cape Town, 7925
Johese Unitas
Centurion, 157
Abdullah, IA
Durban, 4001
Sebastian, Peter
Durban, 4001
DJW Research
Krugersdorp, 1739
Emmed Research
Pretoria, 0084
Into Research
Pretoria, 0181
Limpopo Clinical Research Initiative
Thabazimbi, 380
Latvia7 sites
Regional Hospital of Liepaja
Liepāja, LV-3414
Hospital of Rezekne
Rēzekne, LV-4600
Children's Clinical University Hospital
Riga, LV-1004
Riga East Clinical University Hospital
Riga, LV-1038
Pauls Stradins Clinical University Hospital
Riga, LV1002
Centre of Tuberculosis and Lung Diseases
Riga District, LV-2118
Vidzemes Hospital
Valmiera, LV-4201
Australia6 sites
Flinders Medical Centre
Bedford Park, 5042
Box Hill Hospital
Box Hill, 3128
The Alfred Hospital
Melbourne, 3004
Royal Melbourne Hospital
Melbourne, 3050
Mater Hospital Brisbane
South Brisbane, 4101
Townsville Hospital
Townsville, 4814
Bulgaria6 sites
SHATPPD - Ruse Ltd.
Rousse, 7002
SHATPPD - Sofia District EOOD
Sofia, 1202
Fifth Multiprofile Hospital for Active Treatment - MHAT - Sofia EAD
Sofia, 1233
Multiprofile Hospital for Active Treatment - MHAT Lyulin EAD
Sofia, 1336
Military Medical Academy - Sofia
Sofia, 1606
MHAT Dr Stefan Cherkezov
Veliko Tarnovo, 5000
Germany6 sites
Universitaetsklinikum Koelnt
Cologne, 50937
Klinikum Donaustauf
Donaustauf, 93093
Universitaetsklinik Erlangen
Erlangen, 91054
Universitaetsklinikum Giessen und Marburg GmbH
Hessen, 35392
Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
Lübeck, 23538
Klinikum Weiden
Weiden, 92637
Turkey (Türkiye)6 sites
Hacettepe University Medical Faculty
Ankara, 06100
Adnan Menderes University
Aydin, 09100
Dicle University Medical Faculty
Diyarbakır, 21280
Kocaeli University Medical Faculty
Kocaeli, 41380
Hacettepe University Medical Faculty
Samanpazarı, 06100
Karadeniz Teknik University Medical Faculty
Trabzon, 61100
Vietnam6 sites
Bach Mai Hospital
Hanoi, 100000
National Hospital for Tropical Diseases
Hanoi, 100000
Thanh Nhan Hospital
Hanoi
Children's Hospital 1
Ho Chi Minh City
Children's Hospital 2
Ho Chi Minh City
Nguyen Tri Phuong Hospital
Ho Chi Minh City
Mexico5 sites
JM Research, SC
Cuernavaca, 62290
Hospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, 44280
Hospital Civil de Guadalajara Dr. Juan I. Menchaca
Guadalajara, 44340
Hospital Universitario Dr Jose Eleuterio Gonzalez
México, 64460
Hospital Infantil de Mexico Federico Gomez
Mexico City, 6720
Russia5 sites
City Hospital #8
Chelyabinsk, 454000
Clinical Infectious Diseases Hospital n. a. S.P. Botkin
Saint Petersburg, 193167
Clinical Infectious Diseases Hospital n. a. S.P. Botkin
Saint Petersburg, 195067
LLC Reafarm
Stavropol, 355000
Clinical Hospital #3
Yaroslavl, 150007
Ukraine5 sites
Kharkiv MA of PGE Ch of inf.dis. BO Kharkiv Reg.Cl.inf.Hosp.
Kharkiv, 61096
Kyiv Oleksandrivska Clinical Hospital
Kyiv, 1601
Poltava Regional Clinical Hospital HSEI of Ukraine Ukrainian Medical Stomatological Academy
Poltava, 36000
CCH #1 Vinnytsia M.I. Pyrogov NMU Ch of Propaedeutics of IM
Vinnytsia, 21021
Communal Institution Central City Hospital
Zhytomyr, 10002
United Kingdom5 sites
Aberdeen Royal Infirmary
Aberdeen, AB25 2ZB
Western General Hospital
Edinburgh, EH4 2XU
Leeds General Infirmary
Leeds, LS1 3EX
North Manchester General Hospital
Manchester, M8 5RB
Musgrove Park Hospital
Taunton, TA1 5DA
China4 sites
The Third Xiangya Hospital, Central South University
Changsha, 410013
Nanfang Hospital
Guangzhou, 510515
Wuxi People s Hospital
Wuxi, 214000
Henan Provincial Peoples Hospital
Zhengzhou
Netherlands4 sites
Jeroen Bosch Ziekenhuis
's-Hertogenbosch, 5223 GZ
Albert Schweitzer Ziekenhuis
Dordrecht, 3318 AT
UMC Utrecht
Utrecht, 3584 CX
Gelre Ziekenhuizen Zutphen
Zutphen, 7207 AE
New Zealand4 sites
Christchurch Hospital
Christchurch, 8011
Waikato Hospital
Hamilton, 3240
Tauranga Hospital
Tauranga, 3143
Wellington Hospital
Wellington, 6021
Slovakia4 sites
DFNsP Bratislava
Bratislava, 83340
Nemocnica Malacky, Nemocnicna A.S.
Malacky, 90122
Nemocnica s poliklinikou S. Kukuru Michalovce, a.s.
Michalovce, 07101
Nemocnica arm. generala L. Svobodu Svidnik, a.s.,
Svidník, 08901
Taiwan4 sites
Kaohsiung Medical University Chung Ho Memorial Hospital
Kaohsiung City, 80756
National Taiwan University Hospital
Taipei, 10002
Tri-Service General Hospital
Taipei, 114
Taipei Medical University-Wan Fang Hospital
Taipei, 116
Thailand4 sites
Siriraj Hospital
Bangkok, 10700
Bamrasnaradura Infectious Disease Institute
Muang, 11000
Srinagarind Hospital
Muang, 40002
Bumrungrad Hospital
Wattana, 10110
Austria3 sites
AKH - Medizinische Universitat Wien
Vienna, 1090
SMZ Süd - Kaiser Franz Josef Spital Wien
Vienna, 1100
Social Medizinisches Zentrum Baumgartner Höhe - Otto Wagner Spital
Vienna, 1140
Belgium3 sites
CHU Saint-Pierre
Brussels, 1000
Institut Jules Bordet
Brussels, 1000
ULB Hôpital Erasme
Brussels, 1070
Czechia3 sites
Fakultni nemocnice Brno
Brno, 625 00
Nemocnice Kyjov, p.o.
Kyjov, 697 01
Nemocnice Na Bulovce
Prague, 180 81
Lithuania3 sites
Klaipeda University Hospital
Klaipėda, 92288
Siauliai Republican Hospital, Public Institution
Šiauliai, 76231
Infectious Diseases Center of Vilnius University Hospital Santaros klinikos
Vilnius, 08117
Poland3 sites
Szpital Miejski ZOZ
Dębica, 39-200
Centrum Medyczne w Lancucie Sp.z o.o.
Łańcut, 37-100
NZOZ Centrum Badan Klinicznych Piotr Napora Lekarze Spolka Partnerska
Wroclaw, 51 162
Singapore3 sites
National University Hospital
Singapore, 117599
Tan Tock Seng Hospital
Singapore, 308433
Changi General Hospital
Singapore, 529889
Sweden3 sites
Department for Heart Failure and Valvular Disease
Malmö, 205 02
Norrlands Universitetssjukhus
Umeå, 901 87
Akademiska Sjukhuset
Uppsala, 75185
Canada2 sites
Health Sciences North Horizon Sante-Nord
Greater Sudbury, Ontario, P3E5J1
University of British Columbia
Vancouver, British Columbia, V6Z 1Y6
Chile2 sites
Hospital Dr Sotero del Rio
Puente Alto, 8150000
Hospital El Pino
San Bernardo, 13560
Hungary2 sites
Veszprem Megyei Tudogyogyintezete
Farkasgyepü, 8582
Tudogyogyintezet Torokbalint
Törökbálint, 2045
About this study
Official title: A Phase 3 Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pimodivir in Combination With the Standard-of-Care Treatment in Adolescent, Adult, and Elderly Hospitalized Patients With Influenza A Infection
The purpose of this study is to evaluate the clinical and virologic benefit of pimodivir in combination with Standard-of-Care (SOC) treatment compared to placebo in combination with SOC treatment.
Read the detailed description
This double-blind (neither researchers nor participants know what treatment participant is receiving) study will evaluate efficacy/safety of pimodivir in combination with SOC treatment versus placebo in combination with SOC treatment in adolescent, adult, and elderly hospitalized participants with influenza A infection. The study will be conducted in 3 phases: screening phase, double-blind treatment period of 5 days (with the possibility to extend treatment period by 5 days for participants who will enter an optional double-blind extension treatment arm), and post treatment follow-up period of 23 days. Study evaluations will include efficacy, pharmacokinetic, biomarkers, safety and tolerability. The duration of participation in study for each participant is 28 days, except for participants receiving extended treatment, for whom study duration will be up to 33 days.
- Conditions
- Influenza A
- Being tested
- Pimodivir 600 mg, Placebo, SOC Treatment
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pimodivir 600 mgDrug
Participants will receive pimodivir 600 mg orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of pimodivir on Day 1 [evening], dosing will continue until the morning of Day 6). Participants who meet treatment extension criteria may receive an additional 5 day course of the same treatment as received at study start (on Days 6 through 10).
PlaceboDrug
Participants will receive placebo matching to pimodivir, orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of placebo on Day 1 [evening], dosing will continue until the morning of Day 6). Participants who meet treatment extension criteria may receive an additional 5 day course of the same treatment as received at study start (on Days 6 through 10).
SOC TreatmentOther
Participants may receive SOC treatment as a part of background therapy. The SOC treatment is determined by the investigator based on local practice, and may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be started no later than the day when participants initially receive pimodivir. An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during either the treatment period or extension phase, with the exception that an influenza antiviral may be discontinued in the case of a suspected AE.
| Study group | Role | What they receive |
|---|---|---|
| Treatment Arm 1 (pimodivir + Standard-of-Care [SOC] treatment) | Experimental | Participants will receive pimodivir 600 milligram (mg) orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of pimodivir on Day 1 [evening], dosing will continue until the morning of Day 6) along with SOC treatment. Participants who meet all treatment extension criteria as defined in the protocol may receive an additional 5 day course of same treatment as received at study start. The SOC treatment is determined by investigator based on local practice, may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of SOC should be started no later than the day when participants initially receive pimodivir. An influenza antiviral as part of SOC cannot be changed (example, switching one influenza antiviral for another) during either treatment period or extension phase, with the exception that an influenza antiviral may be discontinued in case of suspected adverse event (AE). Receives: Drug: Pimodivir 600 mg; Other: SOC Treatment |
| Treatment Arm 2 (placebo + SOC treatment) | Placebo comparator | Participants will receive placebo matching to pimodivir orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of placebo on Day 1 [evening], dosing will continue until morning of Day 6) along with SOC treatment. Participants who meet all treatment extension criteria as defined in protocol may receive an additional 5 day course of same treatment as received at study start. The SOC treatment determined by investigator based on local practice, may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be made before randomization. The influenza antiviral should be started no later than day of first study drug intake. An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during either treatment period/extension phase, with the exception that an influenza antiviral may be discontinued in case of a suspected AE. Receives: Drug: Placebo; Other: SOC Treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Hospital Recovery Scale on Day 6
The hospital recovery scale assesses a participant's clinical status. The scale provides 6 mutually exclusive conditions ordered from best to worst: 1) not hospitalized; 2) non-ICU hospitalization, not requiring supplemental oxygen; 3) non-ICU hospitalization, requiring supplemental oxygen; 4) admitted to the ICU, not requiring invasive mechanical ventilation; 5) requiring invasive mechanical ventilation; and 6) death.
Measured: Day 6
Secondary outcomes (9)
Time to Hospital Discharge
The time to hospital discharge was defined as the time from start of study drug to hospital discharge.
Measured: Up to Day 33
Number of Participants With Adjudicated Influenza Complications
Influenza complications include pulmonary complications (such as respiratory failure, primary viral pneumonia, secondary bacterial pneumonia [including pneumonia attributable to unusual pathogens], exacerbations of chronic underlying pulmonary diseases such as chronic obstructive pulmonary disease [COPD] and asthma) and extrapulmonary complications (such as cardiovascular and cerebrovascular diseases [for example, myocardial infarction, congestive heart failure, arrhythmia, stroke], muscular disorders [for example, myositis, rhabdomyolysis], central nervous system [CNS] involvement, acute exacerbation of chronic kidney disease, decompensation of previously controlled diabetes mellitus, other infections [for example, sinusitis and otitis]).
Measured: Up to Day 33
Viral Load Over Time
Viral load over time was measured by quantitative real time polymerase chain reaction (qRT-PCR) and viral culture in the mid-turbinate (MT) nasal swabs and endotracheal samples.
Measured: Baseline, Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 14 and 19
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.
Measured: Up to Day 33
Number of Participants With Emergence of Viral Resistance to Pimodivir
Emergence of viral resistance to Pimodivir was detected by genotyping and/or phenotyping. Nasal MT swabs and endotracheal samples were used for sequence analysis of the polymerase basic protein (PB)2 region of the influenza polymerase gene, and of neuraminidase (NA) genes for participants using an NA inhibitor (NAI) as part of their Standard of Care (SOC).
Measured: Up to Day 33
Plasma Concentration of Pimodivir
Plasma concentration of Pimodivir was reported.
Measured: Day 1: 1 hour30minutes to 6 hours postdose, Day 3: Predose, Day 5: Predose and 1 hour30minutes to 6 hours postdose, Day 6: 12 hours postdose
Number of Participants With Clinically Significant Changes in Laboratory Tests
Number of participants with clinically significant changes in laboratory tests were reported. Blood samples for hematology, serum chemistry, and urinalysis were collected at predefined time points for clinical laboratory testing.
Measured: Up to Day 33
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG)
Number of participants with clinically significant changes in Electrocardiogram (ECG) was reported.
Measured: Up to Day 33
Number of Participants With Clinically Significant Changes in Vital Signs
Number of participants with clinically significant changes in vital signs (temperature, pulse rate, respiratory rate and blood pressure) was reported.
Measured: Up to Day 33
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Dec 2017
- Study start3 Jan 2018
- Primary completion31 Mar 2020
- Study completion30 Apr 2020
Why it stopped: Study terminated early (date of study termination decision: 28 August 2020) as a result of the outcome of the pre-planned Interim Analysis.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Influenza AStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 334 participants (actual)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03376321
- Sponsor's protocol ID
- CR108399
- Other IDs
- 2017-002156-84, 63623872FLZ3001, 2017
- Status last verified
- Jan 2025
- First submitted
- 12 Dec 2017
- Last updated
- 4 Feb 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Expanded access
- Available
Publications
Leopold L, Vingerhoets J, Deleu S, Nalpas C, Weber K, van Dromme I, Lowson D, Michiels B, van Duijnhoven W. Efficacy and Safety of Pimodivir Combined With Standard of Care in Hospitalized and Nonhospitalized High-Risk Adolescents and Adults With Influenza A Infection. J Infect Dis. 2025 Feb 4;231(1):e132-e143. doi: 10.1093/infdis/jiae408.
PubMed 39172627Young B, Tan TT, Leo YS. The place for remdesivir in COVID-19 treatment. Lancet Infect Dis. 2021 Jan;21(1):20-21. doi: 10.1016/S1473-3099(20)30911-7. Epub 2020 Nov 26. No abstract available.
PubMed 33248473
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pimodivir in Combination With the Standard-of-Care Treatment in Adolescent, Adult, and Elderly Hospitalized Patients With Influenza A Infection
- ClinicalTrials.gov ID
- NCT03376321
- Acronym / sponsor ID
- CR108399
- Conditions
- Influenza A
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study terminated early (date of study termination decision: 28 August 2020) as a result of the outcome of the pre-planned Interim Analysis.
- Enrolment
- 334 participants (actual)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 3 Jan 2018 (actual)
- Primary completion
- 31 Mar 2020 (actual)
- Study completion
- 30 Apr 2020 (actual)
- First posted
- 18 Dec 2017 (actual)
- Results
- Posted 14 Apr 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the clinical and virologic benefit of pimodivir in combination with Standard-of-Care (SOC) treatment compared to placebo in combination with SOC treatment.
Detailed description
This double-blind (neither researchers nor participants know what treatment participant is receiving) study will evaluate efficacy/safety of pimodivir in combination with SOC treatment versus placebo in combination with SOC treatment in adolescent, adult, and elderly hospitalized participants with influenza A infection. The study will be conducted in 3 phases: screening phase, double-blind treatment period of 5 days (with the possibility to extend treatment period by 5 days for participants who will enter an optional double-blind extension treatment arm), and post treatment follow-up period of 23 days. Study evaluations will include efficacy, pharmacokinetic, biomarkers, safety and tolerability. The duration of participation in study for each participant is 28 days, except for participants receiving extended treatment, for whom study duration will be up to 33 days.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment Arm 1 (pimodivir + Standard-of-Care [SOC] treatment) | Experimental | Drug: Pimodivir 600 mg, Other: SOC TreatmentParticipants will receive pimodivir 600 milligram (mg) orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of pimodivir on Day 1 [evening], dosing will continue until the morning of Day 6) along with SOC treatment. Participants who meet all treatment extension criteria as defined in the protocol may receive an additional 5 day course of same treatment as received at study start. The SOC treatment is determined by investigator based on local practice, may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of SOC should be started no later than the day when participants initially receive pimodivir. An influenza antiviral as part of SOC cannot be changed (example, switching one influenza antiviral for another) during either treatment period or extension phase, with the exception that an influenza antiviral may be discontinued in case of suspected adverse event (AE). |
| Treatment Arm 2 (placebo + SOC treatment) | Placebo comparator | Drug: Placebo, Other: SOC TreatmentParticipants will receive placebo matching to pimodivir orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of placebo on Day 1 [evening], dosing will continue until morning of Day 6) along with SOC treatment. Participants who meet all treatment extension criteria as defined in protocol may receive an additional 5 day course of same treatment as received at study start. The SOC treatment determined by investigator based on local practice, may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be made before randomization. The influenza antiviral should be started no later than day of first study drug intake. An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during either treatment period/extension phase, with the exception that an influenza antiviral may be discontinued in case of a suspected AE. |
Who may qualify
- Ages
- 13 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (5 listed)
- Tested positive for influenza A infection after the onset of symptoms using a polymerase chain reaction (PCR)-based or other rapid molecular diagnostic assay
- Requires hospitalization to treat influenza infection and/or to treat complications of influenza infection (for example, radiological signs of lower respiratory tract disease, septic shock, central nervous system [CNS] involvement, myositis, rhabdomyolysis, acute exacerbation of chronic kidney disease, severe dehydration, myocarditis, pericarditis, ischemic heart disease, exacerbation of underlying chronic pulmonary disease, including asthma, chronic obstructive pulmonary disease [COPD], decompensation of previously controlled diabetes mellitus), including participants admitted to the Intensive Care Unit (ICU)
- Enrollment and initiation of study drug treatment less than or equal to (<=)96 hours after onset of influenza symptoms
- Being on invasive mechanical ventilation or having a peripheral capillary oxygen saturation (SpO2) less than (<)94 percent (%) on room air during screening. Participants with known pre-influenza SpO2 <94% must have an SpO2 decline greater than or equal to (>=)3% from pre-influenza SpO2 during screening
- Having a screening/baseline National Early Warning Score 2 (NEWS2) of >=4
Key exclusion criteria (6 listed)
- Received more than 3 doses of influenza antiviral medication (for example, oseltamivir [OST] or zanamivir), or any dose of ribavarin (RBV) within 2 weeks, prior to first study drug intake. Received intravenous (IV) peramivir more than one day prior to screening
- Unstable angina pectoris or myocardial infarction within 30 days prior to screening (inclusive)
- Presence of clinically significant heart arrhythmias, uncontrolled, unstable atrial arrhythmia, or sustained ventricular arrhythmia, or risk factors for Torsade de Pointes syndrome
- Known severe hepatic impairment (Child Pugh C cirrhosis) or chronic hepatitis C infection undergoing hepatitis C antiviral therapy
- Severely immunocompromised in the opinion of the investigator (for example, known cluster of differentiation 4 plus [CD4+] count <200 cells per cubic millimeter [cells/mm^3], absolute neutrophil count <750/mm^3, first course of chemotherapy completed within 2 weeks prior to screening, history of stem cell transplant within 1 year prior to screening, any history of a lung transplant)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pimodivir 600 mgParticipants will receive pimodivir 600 mg orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of pimodivir on Day 1 [evening], dosing will continue until the morning of Day 6). Participants who meet treatment extension criteria may receive an additional 5 day course of the same treatment as received at study start (on Days 6 through 10). | Drug | Treatment Arm 1 (pimodivir + Standard-of-Care [SOC] treatment) |
| PlaceboParticipants will receive placebo matching to pimodivir, orally twice daily for 5 days (on Days 1 through 5; for participants who will receive only 1 dose of placebo on Day 1 [evening], dosing will continue until the morning of Day 6). Participants who meet treatment extension criteria may receive an additional 5 day course of the same treatment as received at study start (on Days 6 through 10). | Drug | Treatment Arm 2 (placebo + SOC treatment) |
| SOC TreatmentParticipants may receive SOC treatment as a part of background therapy. The SOC treatment is determined by the investigator based on local practice, and may include influenza antivirals and/or supportive care only. The choice to use influenza antivirals as part of the SOC should be started no later than the day when participants initially receive pimodivir. An influenza antiviral as part of the SOC cannot be changed (for example, switching one influenza antiviral for another) during either the treatment period or extension phase, with the exception that an influenza antiviral may be discontinued in the case of a suspected AE. | Other | Treatment Arm 1 (pimodivir + Standard-of-Care [SOC] treatment), Treatment Arm 2 (placebo + SOC treatment) |
Primary outcome
Number of Participants With Hospital Recovery Scale on Day 6
Time frame: Day 6
The hospital recovery scale assesses a participant's clinical status. The scale provides 6 mutually exclusive conditions ordered from best to worst: 1) not hospitalized; 2) non-ICU hospitalization, not requiring supplemental oxygen; 3) non-ICU hospitalization, requiring supplemental oxygen; 4) admitted to the ICU, not requiring invasive mechanical ventilation; 5) requiring invasive mechanical ventilation; and 6) death.
9 secondary outcomes
Time to Hospital Discharge
Time frame: Up to Day 33
Number of Participants With Adjudicated Influenza Complications
Time frame: Up to Day 33
Viral Load Over Time
Time frame: Baseline, Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 14 and 19
Number of Participants With Adverse Events as a Measure of Safety and Tolerability
Time frame: Up to Day 33
Number of Participants With Emergence of Viral Resistance to Pimodivir
Time frame: Up to Day 33
Plasma Concentration of Pimodivir
Time frame: Day 1: 1 hour30minutes to 6 hours postdose, Day 3: Predose, Day 5: Predose and 1 hour30minutes to 6 hours postdose, Day 6: 12 hours postdose
Number of Participants With Clinically Significant Changes in Laboratory Tests
Time frame: Up to Day 33
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG)
Time frame: Up to Day 33
Number of Participants With Clinically Significant Changes in Vital Signs
Time frame: Up to Day 33
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Feb 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39172627Leopold L, Vingerhoets J, Deleu S, Nalpas C, Weber K, van Dromme I, Lowson D, Michiels B, van Duijnhoven W. Efficacy and Safety of Pimodivir Combined With Standard of Care in Hospitalized and Nonhospitalized High-Risk Adolescents and Adults With Influenza A Infection. J Infect Dis. 2025 Feb 4;231(1):e132-e143. doi: 10.1093/infdis/jiae408.
- Derived from this study: PubMed 33248473Young B, Tan TT, Leo YS. The place for remdesivir in COVID-19 treatment. Lancet Infect Dis. 2021 Jan;21(1):20-21. doi: 10.1016/S1473-3099(20)30911-7. Epub 2020 Nov 26. No abstract available.
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Healthy Participants
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
269 sites in 38 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pimodivir 600 mg and SOC Treatment in people with Influenza A, run by Janssen Research & Development, LLC at 269 sites in 38 countries.
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 5 inclusion and 6 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: stopped early, as of the sponsor's last update on 4 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 269 sites in United States, India, France, Spain, Israel and 33 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 14 Apr 2021). 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?
Number of Participants With Hospital Recovery Scale on Day 6 (time frame: Day 6). 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 NCT03376321, which also lists 2 linked publications.
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 4 Feb 2025.