MxA-Guided Antiviral Treatment in Respiratory Viral Infections
Application of Myxovirus Resistance Protein A in Antiviral Treatment Guidance of Respiratory Viral Infections
1 other identifier
interventional
86
1 country
1
Brief Summary
This pilot randomized controlled trial (RCT) will investigate the clinical impact of Myxovirus Resistance Protein A (MxA)-guided antiviral treatment versus standard treatment in patients with respiratory viral infections.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2024
1 active site
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
October 30, 2024
CompletedFirst Posted
Study publicly available on registry
October 31, 2024
CompletedStudy Start
First participant enrolled
December 12, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 28, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 12, 2026
CompletedMarch 4, 2026
March 1, 2026
1.1 years
October 30, 2024
March 2, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
30-Day recurrence rate
Recurrence is defined as the worsening of symptoms and a positive viral PCR test from respiratory samples in patients who discontinued antiviral treatment within 30 days of enrollment.
30 days
Secondary Outcomes (9)
Antiviral-days by day 30
30 days
Length of hospital stay
30 days
30-day mortality
30 days
Incidence of mechanical ventilation
30 days
Incidence of complications
30 days
- +4 more secondary outcomes
Study Arms (2)
MxA group
EXPERIMENTALPerform MxA test; MxA results reported to attending clinicians; Provide MxA-based guidelines on antiviral treatment to attending clinicians; Telephone Visit at Day 30
Control group
ACTIVE COMPARATORTelephone Visit at Day 30
Interventions
Whole blood samples will be collected on Days 1, 4, 7, and 10 for MxA testing. MxA measurements on Days 4, 7, and 10 will be performed only for patients still hospitalized on antiviral thearpy or at the attending physician's discretion.
MxA results will be reported to the attending physician within 4 hours, along with MxA-based antiviral treatment guidelines.
A telephone visit will be conducted on or around Day 30 for study participants who are discharged, to collect information on antiviral usage, recurrence infection, readmissions, and additional medical visits.
Eligibility Criteria
You may qualify if:
- ≥ 18 years old
- With a primary diagnosis of influenza or COVID-19 infection, diagnosed by a rapid antigen test or RT-PCR
- Duration of infection ≤14 days for non-severe patients and \< 28 days for patients with severe infections
- Currently receiving or planned to receive antiviral treatment, with the attending physician yet to decide on the discontinuation of the antiviral treatment
You may not qualify if:
- Current endotracheal intubation and mechanical ventilation
- Current vasopressor use
- Known immunosuppression
- Received interferon therapy within 30 days before screening
- Systemic inflammatory responses within 30 days prior to screening, such as cerebral infarction, myocardial infarction, or surgery
- Received vaccine in the past 30 days
- Active tuberculosis
- With contraindications for antiviral treatment
- Unable to obtain eligible samples
- Co-infected with influenza and COVID-19
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Capital Medical Universitylead
- China-Japan Friendship Hospitalcollaborator
- Chinese Academy of Medical Sciencescollaborator
Study Sites (1)
China-Japan Friendship hospital
Beijing, Beijing Municipality, 100029, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bin Cao
China-Japan Friendship Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
October 30, 2024
First Posted
October 31, 2024
Study Start
December 12, 2024
Primary Completion
January 28, 2026
Study Completion
February 12, 2026
Last Updated
March 4, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- ICF, CSR
IPD used in the results publication will be shared.