TCAD vs. Monotherapy for Influenza A in Immunocompromised Patients
A Pilot, Randomized Study Comparing the Safety, Tolerability and Pharmacokinetics of Combination Therapy (Amantadine, Ribavirin, Oseltamivir) Versus Neuraminidase Inhibitor Monotherapy to Influenza Virus Infected Immunocompromised Patients
This date has not been verified as actual or estimated.
Primary Completion
August 2009
Actual (reported)
Study Completion
January 2010
Actual (reported)
Brief Summary
The purpose of this study is to assess the safety and tolerability of triple combination antiviral drug (TCAD) for use in immunocompromised patients with Influenza A infection, and to gain data on the effectiveness of TCAD
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
7 participants
Study completion date
January 2010
Actual (reported)
Listed locations
1 countries · 2 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Study Start
March 2009
Date type not reported
This date has not been verified as actual or estimated.
Number of Participants With Adverse Events (AEs), Drug Specific AEs or AEs Resulting in Treatment Interruption
Abnormal lab data or newly appeared symptoms \& signs were considered as AEs.
Examined lab data:
Blood cell count (WBC, differential count, Red Blood Cell (RBC), Hemoglobin, Hematocrit, Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin Concentration (MCHC), platelets), Chemistry (Cl, bicarbonate (HCO3), K, Na), Renal function test (BUN, Creatinine, Creatinine clearance), Liver function test (AST, Alanine aminotransferase(ALT), T.Bil, gamma-glutamyltransferase)
30 days after the final dose of study drug
Secondary Outcomes (11)
Number of Participants With Viral Load Decrease as a Function of Time
baseline and 28 days
Number of Patients Not Shedding Virus at Day 5 +/-1 and Day 10 +/- 1
10 days
Number of Participants With Viral Resistance as a Function of Drug Exposure
28 days
Duration of Symptoms
from baseline up to 28 days
Frequency of Confirmed Pneumonia
58 days
+6 more secondary outcomes
Study Arms (3)
TCAD-Randomized Arm
EXPERIMENTAL
TCAD (amantadine hydrocholoride, ribavirin and oseltamivir phosphate)
Drug: TCAD
Neuraminidase Monotherapy Arm
ACTIVE COMPARATOR
Zanamivir or Oseltamivir
Drug: Zanamivir or Oseltamivir
TCAD Open Label Arm
OTHER
TCAD for subjects who cannot tolerate or are ineligible to receive zanamivir
Other: Open label treatment with TCAD
Interventions
TCADDrug
TCAD (amantadine hydrocholoride, ribavirin and oseltamivir phosphate)
Also known as: Symmetrel, Rebetol, Tamiflu
TCAD-Randomized Arm
Zanamivir or OseltamivirDrug
Zanamivir or Oseltamivir
Also known as: Relenza, Tamiflu
Registry intervention entries
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Grouped treatment entry
Zanamivir or Oseltamivir
The registry names several treatments. This does not confirm that participants received them together or that they form a single product.
Seo S, Englund JA, Nguyen JT, Pukrittayakamee S, Lindegardh N, Tarning J, Tambyah PA, Renaud C, Went GT, de Jong MD, Boeckh MJ. Combination therapy with amantadine, oseltamivir and ribavirin for influenza A infection: safety and pharmacokinetics. Antivir Ther. 2013;18(3):377-86. doi: 10.3851/IMP2475. Epub 2012 Dec 21.
Study was terminated. Limitations of this study include: small sample size pilot study; inability to enroll the projected number of patients for full analysis before the study was terminated.
TCAD(amantadine hydrocholoride, ribavirin and oseltamivir phosphate)
Also known as: Symmetrel, Rebetol, Tamiflu
TCAD Open Label Arm
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Young age (1-6 years) with any influenza severity, proven or probable influenza A (H1N1)(H274Y); OR
History of asthma; OR
Older age (≥ 7 years), with no asthma; AND
moderate to severe influenza; AND/OR
\. Able to provide informed consent, or for whom consent may be provided by guardian 2. Immunocompromised, as defined by one of the following:
Recent hematopoietic cell transplantation (HCT) (within 2 years, all conditioning regimens, allogeneic, autologous, syngeneic; after 2 years patients with chronic graft-versus-host disease (GVHD) requiring systemic treatment may be included) or solid organ transplantation
Patients taking at least 2 immunosuppressants
Patients undergoing combination chemotherapy within the past 3 month 3. One or more of the following:
Presence of fever at time of screening of ≥ 38.0°C (≥ 100.0°F) taken orally.
presence of at least one constitutional symptom (headache, myalgia, malaise, or fatigue) of any severity (mild, moderate, or severe),
presence of at least one respiratory symptoms (e.g. cough, or sore throat) of any severity (mild, moderate, or severe),
other flu-like symptoms, where the clinician orders a respiratory virus test including influenza A or B 4. Positive test for influenza A (if available) 5. Onset of illness no more than 5 days prior to diagnosis. 6. Females patients of child-bearing age who are capable of conception (i.e. previously have not undergone surgical sterilization) must meet the following criteria:
Have been sexually abstinent or have used contraceptive agents (oral contraceptive or other hormonal contraceptives including vaginal rings or transdermal patches, intrauterine device (IUD), or barrier methods including condoms) during the 4 weeks prior to date of screening (3 months prior to enrollment for oral/hormonal contraceptives)
+1 more criteria
You may not qualify if:
Nausea that prevents taking oral medications
Creatinine clearance (estimated by serum creatinine) less than 30 ml/min
Current clinical evidence of a recognized or suspected uncontrolled non-influenza infectious illness with onset prior to screening
Known hypersensitivity to amantadine, ribavirin, oseltamivir or zanamivir
Women who are pregnant (positive serum or urine pregnancy test), who are attempting to become pregnant, or who are breast-feeding
Psychiatric or cognitive illness, or recreational drug/alcohol use that, in the opinion of the principal investigator, would affect patient safety and/or compliance
Uncontrolled seizure disorder or history of a seizure activity within 12 months prior to study participation
Any significant finding in the patient's medical history or physical exam on Day 1 that, in the opinion of the investigator, would affect patient safety or compliance with the dosing schedule
Documented Influenza B viral co-infection
Contact the study team to confirm eligibility.
Bridged-Ring Compounds
Hydrocarbons, Cyclic
Hydrocarbons
Organic Chemicals
Ribonucleosides
Nucleosides
Nucleic Acids, Nucleotides, and Nucleosides
Acetamides
Amides
Cyclohexenes
Cyclohexanes
Cycloparaffins
Hydrocarbons, Alicyclic
Guanidines
Amidines
Sialic Acids
Neuraminic Acids
Sugar Acids
Acids, Acyclic
Carboxylic Acids
Hydroxy Acids
Pyrans
Heterocyclic Compounds, 1-Ring
Heterocyclic Compounds
Amino Sugars
Carbohydrates
Primary Completion
August 2009
Actual (reported)
Study Completion
January 2010
Actual (reported)
Last Updated
August 15, 2013
Results First Posted
June 4, 2013
Record last verified: 2013-08
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.