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Influenza Disease; FluPhase 3INFLUENTNCT06653569

Efficacy of Baloxavir Against Influenza in Hospitalized Patients: The INFLUENT Study (INpatients inFLUENza Treatment)

A Phase 3 study testing Baloxavir Marboxil in people with Influenza Disease; Flu, run by Dre Pauline Vetter at 1 site in Switzerland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this clinical trial is to find out if the medication called baloxavir marboxil (sold under the brand name Xofluza®) can help to reduce the time needed to recover from flu when patients need an hospitalization. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Influenza Disease; Flu
What is being tested?
Baloxavir Marboxil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
484 participants
Where
1 siteSwitzerland
Study dates
13 Dec 2024to Sep 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years
  • Participant or participant representative capable of giving signed informed consent.
  • Positive reverse transcriptase-polymerase chain reaction (RT-PCR) for influenza A and/or B confirmed on arespiratory tract sample.
  • Patient requiring hospitalization.
  • National Early Warning Score 2 (NEWS2) of ≥4 at planned randomization

Who cannot join

  • Ongoing pregnancy or breastfeeding (self-reported by the participant or diagnosed by the treating phyisician)
  • Known contraindication to baloxavir or to the placebo
  • Participant weighing < 40 kg
  • Patients already on NAI therapy for the current influenza episode for > 24 hours at the time of randomization.
  • Prior treatment with baloxavir for the current influenza epidose
  • Immunosuppression defined as 1) cancer treatment with significant negative effect on the immune system; 2) immunosuppressive therapy (treatments comprising a dose of ≥20 mg/day prednisone or equivalent when administered for ≥ 2 weeks, biological therapies, steroid sparing drugs); 3) HIV infection if CD4+ T cell count < 500/µL; 4) organ or stem cell transplantation; 5) patients on the waiting list for a transplant
Show all 12Show fewer
  • Severe underlying respiratory comorbidity requiring long-term oxygenotherapy at home.
  • Severe disease requiring ICU care directly at hospitalization.
  • Severe hepatic insufficiency or any other severe medical condition when participation in the study puts the patient at risk according to the investigator's judgment.
  • History of inclusion in this study during a previous influenza season
  • Inclusion in another interventional study with an investigational drug 30 days before inclusion in the study.
  • Unability to consent or patient representative unable to consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Pauline Vetter, MD contact

+41 79 55 39 761

Pauline.Vetter@hug.ch

Krisztina Hosszu-Fellous, MD contact

+41795522953

krisztina.hosszu-fellous@hug.ch

Switzerland1 site, 1 recruiting
  • Geneva University Hospitals

    Geneva, Canton of Geneva, 1205

    Pauline Vetter, +41(0)795539761, pauline.vetter@hug.ch

    Krisztina Hosszu-Fellous, Krisztina.Hosszu-Fellous@hug.ch

    Recruiting

Other trials in Switzerland

About this study

Official title: A Swiss Multi-center, Randomized, Placebo-controlled Trial on the Efficacy of Baloxavir Marboxil to Reduce Time to Clinical Improvement in Adult Patients Hospitalized for Influenza

The purpose of this clinical trial is to find out if the medication called baloxavir marboxil (sold under the brand name Xofluza®) can help to reduce the time needed to recover from flu when patients need an hospitalization. Patients infected by influenza and requiring a hospitalization will be approched to be included in the study.

The main questions are:

Read more
  1. When someone is hospitalized with a severe influenza infection, does baloxavir help to reduce the time needed to recover?
  2. Can baloxavir marboxil help to shorten the amount of time people need to stay in the hospital with severe flu?
  3. Can baloxavir marboxil help to reduce the risk of life-threatening complications as well as of death due to severe flu?
  4. Can baloxavir reduce duration of contagiousness?

To be able to measure the above, the investigators will compare two groups of patients: One group receiving baloxavir marboxil, the other group receiving a mock treatment called placebo.

Participants will:

  • Take one single dose of baloxavir marboxil or placebo soon after hospitalization.
  • Vital signs will be followed three times per day during hospital stay.
  • Have a nose swab to detect the presence of influenza virus on the first and third day of trial participation.
  • Answer to a short quality of life questionnaire on the phone 3 months after receiving the study treatment.
Read the detailed description

Background: Influenza virus is a major source of seasonal outbreaks and is the leading candidate for a future pandemic. Each winter thousands of people are hospitalized with infection complications. The most at risk are the very young (< 5 years), the elderly (>65 years old) and those with a weak immune system. When a person is hospitalized because of the flu, it is not always clear if the administration of a specific medicine that fights the virus (called an antiviral) will help.

Most studies looked at antivral drug benefits among people with mild flu, who didn't need to be hospitalized. They found that if the antiviral is started early (up to two days after the symptoms started), it can make the symptoms go away a little faster. But for people in the hospital, especially if it's been more than two days since their symptoms started, it is not so sure if antiviral drugs still help. Clinical research involving patients hospitalized for disease complications is few and of lesser quality. While some indicate that early treatment might be beneficial, there is no scientific agreement about treatment benefits. Therefore, recommendations and antiviral prescription varies between hospitals and physicians.

In Switzerland two antiviral drugs are authorized to treat the flu: Tamiflu® and Xofluza®.

Study aims and methods: The goal of this industry-independent trial is to measure the benefits of Xofluza® compared to placebo (mock medication) in adult patients hospitalized for the flu.

Choice of the medication: The investigators chose Xofluza® instead of Tamiflu® because it is very simple to use (only a single pill instead of twice a day Tamiflu® for 5 days), it has fewer side effects and can be safely given to patients with a wide range of chronic diseases.

Importance: This study is very important because it could lead to a Swiss and international consensus about the utility of antiviral treatment in hospitalized patients.

If beneficial, Xofluza® might be the drug of choice in a future pandemic, when access to a simple to administer and easily stored drug effective at all stages of the illness with few side effects would be of utmost importance.

However, if the trial doesn't show any benefit of Xofluza® administration, antiviral treatment prescription won't be recommended, preserving patients from unneeded medication and from its potential side effects and saving ressources.

Tailoring antiviral use will also help prevent the risk of the virus becoming resistant which might happen in case of overuse.

Patient and public involvement: During the preparation of the study, patient representatives were involved in the development of the research idea, in the discussion concerning its ethical aspects, the feasibility of recruitment, and the selection of questionnaires to measure treatment benefits. They participated in the revision of the lay summary as well. The informed consent form has been developped together with them, in our communication efforts targeting potential participants at the start as well as in the dissemination of the results at the end of the study. Patients representatives also developped together with the investigators the strategy of participants recruitment.

Being tested
Baloxavir Marboxil, Placebo
Keywords
antiviral treatment, baloxavir marboxil, influenza complications, hospitalization, severe influenza
Medical subject headings
Influenza, Human

What participants receive

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

  • Baloxavir MarboxilDrug

    The antiviral baloxavir marboxil administered in one unique dose.

    1 capsule (40 mg) if participant weighs < 80 kg; 2 capsules (80 mg) if participant weighs ≥ 80 kg

  • PlaceboDrug

    Patients in the placebo group will receive one unique dose of placebo. 1 capsule if participant weighs < 80 kg; 2 capsules (80 mg) if participant weighs ≥ 80 kg.

Study groups in NCT06653569
Study groupRoleWhat they receive
antiviral treatmentExperimentalbaloxavir marboxil
Receives: Drug: Baloxavir Marboxil
placeboPlacebo comparatorPacebo
Receives: Drug: Placebo

What is being measured

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

  1. Time to clinical improvement

    The primary outcome is the time to clinical improvement, calculated from treatment administration, assessed by time to hospital discharge alive or time to a NEWS2 score of 2 or lower maintained for 24 h, whichever comes first.

    Measured: From treatment administration to hospital discharge or NEWS2 score of 2 or lower maintained for 24 h, whichever comes first, assessed up to day 90

Secondary outcomes (10)
  1. Clinical status severity score

    A patient's clinical improvement can be assessed by an additional scoring system. Here, a 6-point ordinal scale will be used to capture the different clinical trajectories of the patients (1: discharged; 2: subacute care; 3: acute care without respiratory failure; 4: acute care with respiratory failure; 5: intensive care unit; 6: death) and to measure antiviral treatment's potential benefits with a different tool.

    Measured: At 7 days post treatment administration

  2. Duration of hospitalization

    Duration of hospitalization post-treatment administration, measured in hours

    Measured: From treatment administration to hospital discharge, assessed up to day 90

  3. Duration of Oxigen supplementation

    Duration of O2 supplementation post-treatment administration (in hours).

    Measured: From treatment administration to waining of oxygen therapy, assessed up to day 90 (in patients requiring oxygen).

  4. In-hospital clinical failure

    In-hospital clinical failure, defined as death or ICU or ICMU admission during hospitalization or up to 30 days post treatment administration in case of prolonged hospital stay.

    Measured: From treatment administration to the end of hospital stay, maximum 30 days after treatment administration

  5. Mortality

    Mortality due to any cause.

    Measured: From treatment administration during 90 days

  6. Influenza-related complications

    Influenza-related complications, diagnosed by the treating physician (composite outcome defined as pneumonia, sepsis, acute lung injury or ARDS, encephalitis/encephalopathy, myo or -pericarditis, otitis, sinusitis as well as any cardiovascular event (cardiac decompensation, myocardial infarction or stroke))

    Measured: From treatment administration during 90 days

  7. Antibiotic consumption

    Number of antibiotic days (AD).

    Measured: From treatment administration to the end of hospital stay, maximum 30 days after treatment administration

  8. Change in quality of life at D90

    Impact of antiviral treatment on patient quality of life after discharge using the EQ-5D-5L scale (5-level EQ-5D version).

    The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    Measured: At day 90-days post treatment administration

  9. Viral shedding

    Number of participants with detectable RNA in respiratory sample on day 3 after treatment administration.

    Measured: On day 3 after treatment administration.

  10. Duration of infectious viral shedding

    Infectious viral load in respiratory sample at day 3 post-treatment administration.

    Measured: On day 3 post-treatment administration

Timeline

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

  1. First posted22 Oct 2024
  2. Study start13 Dec 2024
  3. Primary completionApr 2027 (estimated)
  4. Study completionSep 2027 (estimated)

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Placebo-controlled
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
484 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06653569
Sponsor's protocol ID
2024-01535
Other IDs
33IC30_221790
Acronym
INFLUENT
Status last verified
Apr 2026
First submitted
18 Oct 2024
Last updated
1 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The investigators plan to share individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices). IPD can be shared with investigators whose proposed use of the data has been approved by an independent review committee, for, as an example, individual participant data meta-analysis. The approval of the biobank regulation committee, which includes the coordinating PI, the sites PI and the responsibles of the biobank is also required on a case by case basis.

Publications

  • Hosszu-Fellous K, Vetter P, Agoritsas T, Kaiser L. Which trial do we need? Randomized, placebo-controlled trial of antiviral treatment in patients hospitalized for influenza. Clin Microbiol Infect. 2024 May;30(5):567-569. doi: 10.1016/j.cmi.2024.01.025. Epub 2024 Feb 3. No abstract available.

    PubMed 38316358
  • Hosszu-Fellous K, Poncet A, Cabecinhas ARG, Schibler M, Meyer B, Prendki V, Huttner A, Carballo S, Pouillon M, Slankamenac K, Bart PA, Bernasconi E, Manuel O, Mombelli M, Mueller NJ, Kaiser L, Vetter P. Antiviral treatment in adult patients hospitalized for influenza: study protocol for a multi-center, randomized, placebo-controlled trial on the efficacy of baloxavir marboxil to reduce time to clinical improvement and the risk for severe complications (the INFLUENT trial). Trials. 2025 Nov 24;26(1):538. doi: 10.1186/s13063-025-09248-0.

    PubMed 41286959

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Baloxavir Marboxil in people with Influenza Disease; Flu, run by Dre Pauline Vetter at 1 site in Switzerland.

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 12 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: looking for participants now, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Pauline Vetter, MD (+41 79 55 39 761, Pauline.Vetter@hug.ch), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to clinical improvement (time frame: From treatment administration to hospital discharge or NEWS2 score of 2 or lower maintained for 24 h, whichever comes first, assessed up to day 90). 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 NCT06653569, 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 1 May 2026.

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