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NCT Number: NCT07008755

Clinical Trial of Pegylated Interferon α-2b Via Nebulization for Treatment of Hand, Foot, and Mouth Disease .

This is a multicenter clinical trial investigating the safety and efficacy of inhaled Peginterferon α-2b at different doses, in combination with supportive care, for the treatment of patients with hand, foot, and mouth disease (HFMD) of ordinary type. The trial aims to enroll 90 patients with HFMD. Eligible subjects will be randomly assigned to receive either supportive care + Peginterferon α-2b mcg or supportive care + Peginterferon α-2b 90 mcg, administered on days 1 and 3. The study period includes a 3-day screening phase and a 5-7 day inpatient visit period. The results of this trial will be used to evaluate safety and efficacy.

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Key information

Conditions

Age range

1 year–6 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Xindu District People's Hospital of Chengdu, Chengdu, China

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

-1. Age: 1 year of age ≤ Age ≤ 6 years of age. 2.Gender: Both male and female. 3.Clinical symptoms/signs: Manifesting as common type HFMD (Stage 1, rash stage), with fever or rash symptoms first occurring within 72 hours prior to the signing of the informed consent form.

4.Informed consent: Guardians understand and sign the informed consent form (if the guardian is the parent, both parents must sign).

Exclusion criteria

  • (1) Severe or Critical HFMD Presentation at Enrollment
  • Manifesting as severe HFMD (Stage 2, neurological involvement phase)
  • Manifesting as critical HFMD (Stage 3 or 4, cardiopulmonary failure phase) with any of:

Brainstem encephalitis, encephalomyelitis, or meningitis,Neurogenic pulmonary edema or respiratory failure requiring mechanical ventilation,Shock or circulatory collapse.

  • Concurrent multi-organ failure requiring ICU monitoring

(2) Allergy History and Treatment History

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  • Received interferon, ribavirin, acyclovir, ganciclovir, or vidarabine monophosphate within 30 days prior to screening or current use
  • Received immunoglobulin or glucocorticoid therapy within 30 days prior to screening or current use
  • Known hypersensitivity to interferon or its components, or other clinically significant allergies contraindicating participation
  • Use of other investigational drugs within 3 months or 5 half-lives (whichever is longer) prior to screening, or current participation in medical device trials

(3) Medical History

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  • Congenital heart disease, severe malnutrition, immune dysfunction, asthma, or other severe systemic diseases
  • Active HBV, HCV, HIV, or Treponema pallidum infection
  • History of malignant tumors (current or prior)
  • History of epilepsy, neurological/psychiatric disorders, or relevant family history

(4) Clinical Parameters: Resting respiratory rate >40 breaths/min,Heart rate >160 bpm

(5) Other Considerations: Any condition deemed by investigators to render participation medically inadvisable

Treatment and study plan

Peginterferon α-2b injection

Drug

During the study period, patients will continue to receive symptomatic supportive therapy, along with nebulized Peginterferon α-2b injection at a dose of 45 μg per administration, to be delivered on Day 1 and Day 3.

Primary outcomes

  1. Median time to resolution of fever

    Time frame: Day5-7.

  2. Median time to resolution of skin rash

    Time frame: Day5-7.

  3. Median time to resolution of oral ulcers

    Time frame: Day5-7.

  4. Median time to resolution of feeding difficulties

    Time frame: Day5-7.

Secondary outcomes

  1. Proportion of patients with complete recovery of fever

    Time frame: Day 3

  2. Proportion of patients with complete recovery of fever

    Time frame: Day 5

  3. Proportion of patients with complete recovery of rash

    Time frame: Day 3

  4. Proportion of patients with complete recovery of rash

    Time frame: Day 5

  5. Proportion of patients with complete recovery of oral ulcers

    Time frame: Day 3

  6. Proportion of patients with complete recovery of oral ulcers

    Time frame: Day 5

  7. Proportion of patients with complete recovery of feeding difficulties

    Time frame: Day 3

  8. Proportion of patients with complete recovery of feeding difficulties

    Time frame: Day 5

  9. Proportion of patients showing improvement in fever

    Time frame: Day 3

  10. Proportion of patients showing improvement in fever

    Time frame: Day 5

  11. Proportion of patients showing improvement in rash

    Time frame: Day 3

  12. Proportion of patients showing improvement in rash

    Time frame: Day 5

  13. Proportion of patients showing improvement in oral ulcers

    Time frame: Day 3

  14. Proportion of patients showing improvement in oral ulcers

    Time frame: Day 5

  15. Proportion of patients showing improvement in feeding difficulties

    Time frame: Day 3

  16. Proportion of patients showing improvement in feeding difficulties

    Time frame: Day 5

  17. Proportion of patients developing pulmonary edema

    Time frame: Day1-7

  18. Proportion of patients developing myocarditis

    Time frame: Day1-7

  19. Proportion of patients developing respiratory failure

    Time frame: Day1-7

  20. Proportion of patients developing circulatory failure

    Time frame: Day1-7

  21. Proportion of patients developing meningoencephalitis

    Time frame: Day1-7

  22. Proportion of patients achieving viral nucleic acid negativity

    Time frame: Day 3

  23. Proportion of patients achieving viral nucleic acid negativity

    Time frame: Day 5

Study contacts

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

Fang Wang

CONTACT

[email protected]

13783637576

Sponsors and collaborators

Lead sponsor

Zhengzhou Children's Hospital, China

Other

Registry information

Official study title

Clinical Trial of Different Doses of Pegylated Interferon α-2b Injection Nebulization Therapy for Common Hand, Foot, and Mouth Disease (HFMD).

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Jun 6, 2025
Registry last updated
Jun 6, 2025

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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