COmbination Therapy With Baloxavir and Oseltamivir 1 for Hospitalized Patients With Influenza (The COMBO Trial 1)
COMBO 1
1 other identifier
interventional
60
1 country
3
Brief Summary
This is a randomized, double-blind, placebo-controlled Phase 2-like, investigator-directed trial of hospitalized patients with laboratory confirmed influenza. Eligible and consented patients will be randomly assigned, in a 1:1 ratio, to one of two groups: Group 1, the combination treatment group (oseltamivir and baloxavir); Group 2, the standard treatment group (oseltamivir and placebo).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Apr 2020
Longer than P75 for phase_2
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 27, 2020
CompletedFirst Posted
Study publicly available on registry
March 31, 2020
CompletedStudy Start
First participant enrolled
April 3, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2025
CompletedOctober 30, 2023
October 1, 2023
4.2 years
March 27, 2020
October 27, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Time to Clearance of Viral Shedding
influenza viral titer obtained by nasal swab using qCulture
30 days
Study Arms (2)
baloxavir
EXPERIMENTALBaloxavir: 40 mg po once for wt \< 80 kg OR 80 mg po once for wt \>/= 80 kg
placebo
PLACEBO COMPARATORplacebo po once
Interventions
Eligibility Criteria
You may qualify if:
- Adults \>/= 18 years old
- Laboratory confirmed influenza A and/or B (rapid test or PCR)
- Able to be enrolled, randomized, and dosed with study drug within 8 hours of the decision to admit patient to hospital for treatment of influenza
- Oseltamivir treatment ordered by clinical team AND patient is able to be enrolled:
- Prior to the initial dose of oseltamivir OR
- Within 60 minutes after the initial dose of oseltamivir
- Subject or Legally Authorized Representative able to and willing to provide written informed consent
- Able to commit to 30 days of follow up
- Weight \> 40 kg
- SARS-CoV-2 PCR swab sent within 1 week of enrollment
You may not qualify if:
- ESRD not undergoing hemodialysis (HD) or peritoneal dialysis (CAPD)
- Severe hepatic insufficiency, cirrhosis, acute or chronic liver failure
- Nausea/vomiting, aspiration risk, or other conditions precluding the ability to use oral medications (if patient is NPO including meds, otherwise unable to swallow oral medications)
- Influenza medication use within the prior week, other than the initial oseltamivir given during this hospitalization for this episode of influenza
- Oseltamivir or baloxavir allergy or intolerance
- Pregnancy (need negative pregnancy test (urine or blood) in reproductive age women)
- Absence of dependable contraception in reproductive age women
- Inability to obtain informed consent
- Refusal of oseltamivir therapy by patient as baseline treatment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bassett Healthcarelead
- Genentech, Inc.collaborator
- Viroclinics Biosciences B.V.collaborator
Study Sites (3)
Baystate Medical Center
Springfield, Massachusetts, 01199, United States
Bassett Medical Center
Cooperstown, New York, 13326, United States
Oregon Health & Science University
Portland, Oregon, 97239, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Freilich, MD
Bassett Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- attending physician - hospitalist
Study Record Dates
First Submitted
March 27, 2020
First Posted
March 31, 2020
Study Start
April 3, 2020
Primary Completion
June 1, 2024
Study Completion
June 1, 2025
Last Updated
October 30, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share