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NCT Number: NCT07827599

A Study to Confirm Efficacy of a Single Dose of Baloxavir Marboxil in the Post-exposure Prophylaxis (PEP) of Influenza Virus Infection in Chinese Participants

The main purpose of the study is to evaluate the efficacy of a single dose of baloxavir marboxil compared with placebo in the PEP of influenza virus infection with respect to symptomatic, laboratory-confirmed influenza in participants who are household contacts (HHCs) of participants with influenza (index participants).

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Key information

Age range

5 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Index Participants (Participants With Influenza Virus Infection):

  • First participant in a household with influenza virus infection in the current influenza season
  • Fewer than 6 HHCs
  • Agreement by all household members to participate in the study and comply with the study protocol for the duration of the study
  • Diagnosed as having influenza with positive rapid influenza diagnostic test (RIDT) or polymerase chain reaction (PCR) result
  • Onset of symptoms within 48 hours or less at time of signing Informed Consent Form (ICF)/Assent Form
  • PCR (-) or antigen test (-) for severe acute respiratory virus-coronavirus 2 (SARS-CoV-2) using point-of-care or local laboratory test

HHCs of Index Participants:

  • Lived with the index participant for 48 hours or more prior to informed consent/assent
  • Meet all the following criteria and are judged not to have influenza virus infection by the investigator: body temperature (tympanic) <37.5 degrees Celsius (°C); no influenza-like symptoms (cough, sore throat, headache, nasal discharge/nasal congestion, feverishness or chills, muscle or joint pain, or fatigue) at screening; negative RIDT or PCR result for influenza
  • For participants 12 years of age or older, ability to evaluate influenza symptoms by using a participant influenza symptoms diary; For participants under 12 years of age, capability of parents/caregivers to evaluate influenza symptoms by using a participant influenza symptoms diary
  • PCR (-) or antigen test (-) for SARS-CoV-2 using point-of-care or local laboratory test

Exclusion criteria

HHCs of Index Participants:

  • Diagnosed with influenza during the current influenza season
  • Unable to live with the index patient from screening until Day 10
  • Live with a household member who has any influenza-like symptom(s) other than the index participant on the day of screening
  • Live with household members other than the index participant who was diagnosed with or strongly suspected to have influenza during the current influenza season
  • Have any underlying diseases requiring systemic (oral or injection), or nasal treatment of antipyretics/analgesics, corticosteroids, or immunosuppressive agents
  • Immunocompromised
  • Use of any medications with anti-influenza effect within 30 days prior to screening
  • Known allergy and/or history of significant intolerance against baloxavir marboxil
  • Exposure to an investigational drug within 30 days or 5 half-lives of the drug prior to screening, whichever is longer

Note: Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

Baloxavir Marboxil

Drug

Baloxavir marboxil will be administered to the HHCs as per the schedule specified in the protocol.

Other names: Xofluza; RO7191686

Placebo

Drug

Baloxavir marboxil matching placebo will be administered to the HHCs as per the schedule specified in the protocol.

Primary outcomes

  1. Percentage of Participants who are Infected With Influenza Virus (Reverse Transcription - Polymerase Chain Reaction [RT-PCR] Positive), and Present With Fever and at Least one Respiratory Symptom

    Time frame: From Day 1 up to Day 10

Secondary outcomes

  1. Percentage of Participants who are Infected With Influenza Virus (RT-PCR Positive), and Present With Fever or at Least one Influenza Symptom (Respiratory or Systemic)

    Time frame: From Day 1 up to Day 10

  2. Percentage of Participants who are Infected With Influenza Virus (RT-PCR Positive) Regardless of Body Temperature or Influenza Symptoms

    Time frame: From Day 1 up to Day 10

  3. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Up to Day 21

Study contacts

Contact information is provided by the study sponsor or research team.

Fastest response: use the inquiry form https://www.gene.com/contact-us/submit-medical-inquiry

CONTACT

Roche Pharma (Schweiz) AG Reference Study ID Number: YV46459, https://forpatients.roche.com/

CONTACT

[email protected]

888-662-6728 (U.S. Only)

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Phase III, Randomized, Double-blinded, Placebo-controlled Study to Confirm Efficacy of a Single Dose of Baloxavir Marboxil in the Post-exposure Prophylaxis of Influenza Virus Infection in Chinese Participants

Acronym: Pearlstone

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Sep 18, 2026
Registry last updated
Sep 18, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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