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Completed

NCT Number: NCT03455491

Study to Assess Efficacy and Safety of XC221 in the Treatment of Influenza and Other Acute Respiratory Viral Infections

A multicenter double-blinded, randomized, placebo-controlled, parallel-group comparative Phase II clinical study to assess safety, tolerability, efficacy and optimal dose of XC221 vs. placebo in patients with uncomplicated influenza or other ARVI during a 3-day treatment.

The primary objective of the study is to demonstrate the difference in time before the onset of a sustained improvement in clinical symptoms according to the Modified Jackson Scale for ARVI and to determine the optimal dose of XC221 in the treatment of influenza and other ARVI.

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

City Clinical Hospital №9, Izhevsk, Russia

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About this study

11 Russian centers were planned for participation in this study. The study consists of three periods: screening, treatment and follow-up.

All eligible patients will be randomized into 3 groups (groups A, B and C) in a 1:1:1 ratio:

Group A - XC221 100 mg daily (40 patients); Group B - XC221 200 mg daily (40 patients); Group C - Placebo (40 patients).

During the treatment period (3 days), patients will receive XC221 / placebo daily on a background of standard symptomatic therapy. The follow-up period lasts for 11 days.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Men and women aged 18 to 45 years (inclusively).
  • Clinically diagnosed influenza or ARVI.
  • Patient's body temperature ≥37.5ºС and at least 1 symptom from Modified Jackson Scale estimated more than 2 points.
  • Uncomplicated course of influenza or ARVI based on clinical estimations.
  • The first 36 hours from the beginning of symptoms of influenza or ARVI.
  • Women of reproductive age (who are not in menopause and who have not undergone surgical sterilization) and men who have sexual activity should use a reliable method of contraception (acceptable methods of contraception in this study are: intrauterine devices, oral contraceptives, contraceptive patch, long-acting injectable contraceptives, a double barrier method (condom and diaphragm with spermicide) throughout the study period.
  • Compliance with the treatment regimen, visits and laboratory examinations provided by the protocol.
  • Signed Informed Consent Form.

Exclusion criteria

  • Existence of complications of influenza or ARVI (including the presence / development of bacterial infection).
  • Hypersensitivity to excipients of the drug XC221 or placebo.
  • Antiviral medications in 7 days prior to screening (antiviral agents, interferons and interferon inducers, drugs that have immunomodulating action) or anti-infective agents of systemic or local action.
  • Severe infection with signs of cardiovascular insufficiency development and other manifestations of infectious-toxic shock, as well as with the presence of neuroinfection syndrome (encephalic and meningoencephalic reactions, polyradiculoneuritis, neuritis).
  • Signs of the development of viral pneumonia (the presence of two or more of the following symptoms): dyspnea, chest pain when coughing, systemic cyanosis, dullness of percussion sound with a symmetrical evaluation of the upper and lower sections of the lungs).
  • Infectious diseases during the last week before including into the study.
  • History of bronchial asthma.
  • History of increased convulsive activity.
  • Severe, decompensated or unstable somatic diseases (any diseases or conditions that are life-threatening or may worsen the patient's prognosis, and make him/her ineligible for the clinical study).
  • History of oncological diseases, HIV, tuberculosis.
  • Diabetes mellitus.
  • Drug or alcohol abuse.
  • Participation in any other clinical trial in the last 90 days.
  • Pregnancy or lactation.
  • Military or prison populations.
  • Impossibility or inability to comply with the study procedures.
  • A member of the investigator's family or other person interested in the results of the study.
  • Abnormal laboratory results, which, according to the study doctor, interfere with the patient's inclusion in the study.
  • History of renal insufficiency.

Treatment and study plan

XC221 100 mg

Drug

once daily during 3 days.

XC221 200 mg

Drug

once daily during 3 days.

Placebo

Drug

once daily during 3 days.

Primary outcomes

  1. Time to Sustained Improvement in Clinical Symptoms Based on Modified Jackson Scale for ARVI

    Time frame: From the time of randomization up to Day 14

    The time before the onset of sustained improvement in clinical symptoms according to the Modified Jackson Scale (no more than 1 point for each symptom), measured in hours from the moment of the first dose of the drug.

    Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom.

Secondary outcomes

  1. Time to Body Temperature Normalization

    Time frame: From the time of randomization assessed up to Day 14

    Time to body temperature normalization since treatment initiation, measured in hours (normalization is regarded as setting of body temperature below 37°C without elevation above these values)

  2. Percentage of Patients With Complications

    Time frame: From the time of randomization up to Day 14

    The percentage of patients with complications of influenza/acute viral URI

  3. The Area Under the Curve "Modified Jackson Scale Score" During 3-day Therapy

    Time frame: From randomization up to 3 days of treatment

    Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom.

Sponsors and collaborators

Lead sponsor

PHARMENTERPRISES LLC

Industry

Registry information

Official study title

Multicenter Double-blinded Placebo-Controlled Parallel-Group Randomized Clinical Trial of Efficacy, Safety and Choice of an Optimum Dose of XC221 in the Treatment of Influenza and Other Acute Respiratory Viral Infections in Adults

Important dates

Study start
2018
Primary completion
2018
Study completion
2018
First posted
Mar 6, 2018
Registry last updated
Nov 4, 2019

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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