Oseltamivir and Baloxavir Marboxil for Prophylaxis Against Influenza Under a Hospital-based Setting
A Randomized, Open-Label Clinical Study on the Efficacy of Baloxavir Marboxil and Oseltamivir for Post-Exposure Prevention of Influenza in a Hospital Setting
1 other identifier
interventional
372
1 country
1
Brief Summary
This study aims to randomly assign close contacts of hospitalized influenza virus patients to receive baloxavir marboxil prophylaxis, oseltamivir prophylaxis or no antiviral prophylaxis and monitor the incidence of clinical influenza, evaluating the prophylaxis efficiency of antivirals in a hospital setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2025
Shorter than P25 for not_applicable
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
December 30, 2024
CompletedStudy Start
First participant enrolled
January 5, 2025
CompletedFirst Posted
Study publicly available on registry
January 7, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 5, 2025
CompletedJanuary 7, 2025
January 1, 2025
4 months
December 30, 2024
January 6, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of Clinical Influenza within a 5-day period
Incidence of Clinical Influenza within a 5-day period is defined as the percentage of contacts who become positive for influenza based on reverse-transcriptase polymerase chain reaction (RT-PCR) testing or rapid antigen testing (RAT), along with fever (defined as axillary temperature ≥37.3℃) and at least one respiratory symptom.
up to 5 days
Secondary Outcomes (3)
Incidence of influenza within a 5-day period
up to 5 days
Incidence of Clinical Influenza within a 10-day period
up to 10 days
Susceptibility to antivirals by phenotyping post-baseline samples with novel mutation
up to 10 days
Study Arms (3)
Baloxavir Marboxil
EXPERIMENTALBaloxavir marboxil will be administered on the first day following the close contact's enrollment in this study. Participants weighing ≤80 kg will receive 40 mg of baloxavir marboxil, while those weighing ≥80 kg will receive 80 mg.
Oseltamivir Arm
EXPERIMENTALOseltamivir will be administered once daily for 5 consecutive days following the close contact's enrollment in this study. Participants will receive 75 mg of oseltamivir once each day
Control Arm
NO INTERVENTIONNo antivirals will be administered to the contacts.
Interventions
Baloxavir marboxil will be administered on the first day following the close contact's enrollment in this study. Participants weighing ≤80 kg will receive 40 mg of baloxavir marboxil, while those weighing ≥80 kg will receive 80 mg.
Oseltamivir will be administered once daily for 5 consecutive days following the close contact's enrollment in this study. Participants will receive 75 mg of oseltamivir once each day.
Eligibility Criteria
You may qualify if:
- Index patient:
- \. Patients or accompanying caregivers hospitalized at participating medical institutions.
- The subject and/or their legal guardian both agree to participate in this clinical study, sign the informed consent form, and are able to comply with the study requirements for follow-up and completion of all study procedures and assessments.
- Age ≥ 2 years.
- Influenza nucleic acid positivity confirmed by throat swab, sputum and other respiratory sample through rapid antigen testing (RAT) or PCR.
- Close contact:
- Patients or accompanying caregivers hospitalized at participating medical institutions.
- The subject and/or their legal guardian both agree to participate in this clinical study, sign the informed consent form, and are able to comply with the study requirements for follow-up and complete all study procedures and assessments
- Age ≥ 12 years.
- Expected to remain hospitalized for ≥ 72 hours.
- The room must contain at least one hospitalized index patient diagnosed with influenza virus within the past 72 hours, and the contact is expected to stay with the hospitalized index patient in the ward for more than 24 hours.
- Throat swab on the first day tested negative for influenza virus by PCR.
You may not qualify if:
- Close contacts
- With known allergies to the active ingredients or excipients of the investigational drug.
- Close contacts diagnosed with or having experienced an influenza virus infection within the past 12 weeks.
- Close contacts who have used antiviral drugs (including neuraminidase inhibitors, hemagglutinin inhibitors, and M2 ion channel blockers, such as oseltamivir, zanamivir, peramivir, favipiravir, abidol, baloxavir marboxil, amantadine, rimantadine, or any other antiviral drugs approved by NMPA) within the 2 weeks prior to screening.
- Close contacts known to be pregnant or breastfeeding.
- \. Having experienced fever (axillary temperature ≥37.3°C) in the past 3 days prior to screening.
- Subjects deemed unsuitable to participate in the study by the investigator.
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
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bin Cao, Ph.D
China-Japan Friendship Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
December 30, 2024
First Posted
January 7, 2025
Study Start
January 5, 2025
Primary Completion
April 30, 2025
Study Completion
May 5, 2025
Last Updated
January 7, 2025
Record last verified: 2025-01
Data Sharing
- IPD Sharing
- Will not share