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Completed

NCT Number: NCT04024137

Study of ZSP1273 in Patients With Acute Uncomplicated Influenza A

The purpose of this study is to evaluate the antiviral effect, as measured by the time to alleviation of influenza symptoms and viral titer in nasopharyngeal secretions in adults with acute uncomplicated influenza A following administration of ZSP1273.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

The Second Hospital Of Anhui Medical University, Hefei, Anhui, China

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Males and female subjects between 18-65 years (Both inclusive).
  • Patients with a diagnosis of influenza virus A infection confirmed by all of the following:
  • Positive Rapid Antigen Test (RAT) with throat swabs;and
  • Fever≥38.0ºC (axillary) in the predose examinations;and
  • At least one of the following general systemic symptoms and respiratory symptoms respectively associated with influenza are present with a severity of moderate or greater:
  • General systemic symptoms:Headache,Feverishness or chills,Muscle or joint pain,Fatigue;
  • Respiratory symptoms:Cough,Sore throat,Nasal congestion.
  • The time interval between the onset of symptoms and the enrollment is≤48 hours. The onset of symptoms is defined as:
  • Time of the first increase in body temperature(axillary temperature≥38.0ºC),or
  • Time when the patient experiences at least one general or respiratory symptom.
  • Subjects who agree to use an appropriate method of contraception during the study and up to 6 months after drug withdrawal.
  • Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment.

Exclusion criteria

  • Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to ZSP1273;
  • Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs.
  • Use of the following medications within 7 days prior to screening:
  • Influenza antiviral medication:oseltamivir,peramivir,famivir,abidol,amantadine or rimantadine.
  • Chinese patent medicine or herbal medicine with antiviral effect.
  • Patients who have received influenza vaccine within 6 months prior to enrollment.
  • Presence of clinically significant abnormalities in ECG .
  • Chest X - ray examination confirmed bronchitis,pneumonia,pleural effusion or pulmonary interstitial lesions.
  • Patients who have experienced respiratory tract infection,Otitis media,nasosinusitis.
  • White blood cells(WBC)>10.0×109/L at screening.
  • Subject who produces purulent sputum or has suppurative tonsillitis.
  • Patients with severe or uncontrollable underlying diseases:blood disorders,severe chronic obstructive pulmonary disease(COPD),liver disorders(ALT or AST≥3 ULN,total bilirubin≥1.5 ULN),kidney disorders(serum creatinine>177μmol/L or 2mg/dL),chronic congestive heart failure(NYHA III-IV),mental disorders.
  • Immunodeficiency,including malignant tumor,organ or marrow transplant,human immunodeficiency virus [HIV] infection,or patients receiving immunosuppressant therapy 3 months prior to enrollment.
  • Concomitant therapy with aspirin or salicylic acid.
  • Morbid obesity(Body mass index [BMI]≥30kg/m2).
  • Known history of alcohol abuse or drug abuse.
  • Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial.
  • Have received any other investigational products within 3 months prior to dosing.
  • Subjects who should not be included in the study in the opinion of the Investigator.

Treatment and study plan

ZSP1273 200 mg

Drug

1 X 200-mg tablet taken orally

Placebo

Drug

2 tablets taken orally

ZSP1273-400 mg

Drug

2 X 200-mg tablet taken orally

ZSP1273-600 mg

Drug

3 X 200-mg tablet taken orally

Primary outcomes

  1. Time to alleviation of influenza symptoms in participants

    Time frame: Initiation of study treatment (Day 1) up to Day 15

    Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all 7 influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours

Secondary outcomes

  1. AUC of the log10 pharyngeal viral load

    Time frame: Days 6

    Area under the curve (AUC) of the log10 pharyngeal viral load is measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

  2. Change in the total score of 7 influenza symptoms

    Time frame: Up to Day15

    Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    The composite symptom score is the total score of the 7 influenza symptoms(Sum of symptom scores) as assessed by the participant, and ranges from 0 to 21.

  3. Time to alleviation of each influenza symptom.

    Time frame: Up to Day15

    Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    Time to alleviation of each symptom was defined as the time from the start of treatment to the start of the time period when the individual symptom was assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours.

  4. Time to Resolution of Fever

    Time frame: Up to Day15

    Time to resolution of fever was defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever was defined as the time when the participant's self-measured axillary temperature became less than 37ºC and was maintained at less than 37ºC for a duration of at least 12 hours.

  5. Proportion of patients reporting normal temperature

    Time frame: Up to Day15

    Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment.

  6. Percentage of subjects with virus titer detected

    Time frame: Days 2,4, 6

    Influenza virus RNA was quantified from throat swabs.Proportion of patients positive for influenza virus titer is defined as the percentage of patients whose virus titer is not less than the lower limit of quantification among those assessed for virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2,4, 6.

  7. Duration of detectable virus

    Time frame: Days 2,4, 6

    Defined as the time from the start of treatment to the time when the titer is less than the lower limit of quantification measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

  8. Change in virus titer

    Time frame: Days 2,4, 6

    Defined as the change from baseline in virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

  9. Change in viral RNA load

    Time frame: Days 2,4, 6

    Defined as the change from baseline in viral RNA load measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2, 4, 6.

  10. Incidence of influenza-related complications

    Time frame: Up to Day21

    Defined as the percentage of subjects in the analysis population who experience each influenza-related complication (sinusitis, otitis media, bronchitis, and pneumonia) as an adverse event after the initiation of the study treatment.

  11. Time to return to normal activities of daily life

    Time frame: Up to Day15

    Participants were asked to record their activities of daily life on a scale from 0 (worst possible health) to 10 (normal activities of daily life).

    Time to return to normal activities of daily life defined as the time between the initiation of the study treatment and the return to normal activities of daily life. The return to normal activities of daily life is defined as the time when the subject assesses his/her activities as 10.Subjects with a baseline self-rated daily activity score of 10 are not included in this analysis.

  12. Proportion of patients with the Serological conversion of neutralizing antibody titer relative to that in Visit 1 ≥4

    Time frame: Baseline and Day 21

    Defined as the protprtion of patients with a ratio of 4 or more at Visit 5 antibody titer relative to Visit 1 titer

  13. Proportion of patients and frequency in combination use of acetaminophen.

    Time frame: Up to 21 days post-dose

    The proportion of patients who use acetaminophen in the duration of the study

  14. Change in EQ-5D-5L

    Time frame: Baseline up to Day 15

    Defined as the change from baseline in the index value and that in EQ VAS score as calculated from the EQ-5D-5L questionnaire.

Sponsors and collaborators

Lead sponsor

Guangdong Raynovent Biotech Co., Ltd

Industry

Registry information

Official study title

A Randomized, Double-blind, Placebo-controlled, Phase 2 Study of ZSP1273 in Adults With Acute Uncomplicated Influenza A

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Jul 18, 2019
Registry last updated
Jun 4, 2020

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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