Trial Outcomes & Findings for A Study on Emergence of Resistance With Oseltamivir (Tamiflu) in Participants With Seasonal Influenza (NCT NCT00949533)

NCT ID: NCT00949533

Last Updated: 2016-08-08

Results Overview

Resistant virus included new influenza A virus subtype hemagglutinin type 1 and neuraminidase type 1 (New AH1N1).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

37 participants

Primary outcome timeframe

Day 5

Results posted on

2016-08-08

Participant Flow

Out of 199 participants, 162 were considered as screening failures, mainly due to the negative result detected by the quick test for Influenza A Antigen. Therefore, 37 participants included in the study.

Participant milestones

Participant milestones
Measure
Standard Dose
Oseltamivir (Tamiflu) capsule was administered orally at a dose of 75 milligrams (mg) twice a day (BID) in adult participants and children received oseltamivir powder for oral suspension dose (at 12 milligrams/ milliliter \[mg/mL\]) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Overall Study
STARTED
19
18
Overall Study
COMPLETED
19
17
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard Dose
Oseltamivir (Tamiflu) capsule was administered orally at a dose of 75 milligrams (mg) twice a day (BID) in adult participants and children received oseltamivir powder for oral suspension dose (at 12 milligrams/ milliliter \[mg/mL\]) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Overall Study
Lost to Follow-up
0
1

Baseline Characteristics

A Study on Emergence of Resistance With Oseltamivir (Tamiflu) in Participants With Seasonal Influenza

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Dose
n=19 Participants
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=18 Participants
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Total
n=37 Participants
Total of all reporting groups
Age, Continuous
21.6 years
STANDARD_DEVIATION 11.0 • n=5 Participants
22.0 years
STANDARD_DEVIATION 12.7 • n=7 Participants
21.8 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 5

Population: ITT population. Here "number of participants analyzed" included evaluable participants for the outcome measure.

Resistant virus included new influenza A virus subtype hemagglutinin type 1 and neuraminidase type 1 (New AH1N1).

Outcome measures

Outcome measures
Measure
Standard Dose
n=19 Participants
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=17 Participants
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Percentage of Participants Excreting Resistant Virus
26.3 percentage of participants
35.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline, Day 5

Population: ITT population.

Viral load is defined as the amount of H1N1 virus in blood. As per investigator, a participant was considered as having viral load reduction at Day 5 if the Day 5 viral load was lower than the Baseline viral load.

Outcome measures

Outcome measures
Measure
Standard Dose
n=19 Participants
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=18 Participants
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Percentage of Participants With A Reduction in Viral Load
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Day 5

Population: ITT population. Here "number of participants analyzed" included evaluable participants for the outcome measure.

Number of participants with various clinical signs and symptoms, as per investigator's discretion, were reported. Same participants were reported in more than 1 category. "Other" in the category included abdominal pain, breathlessness, thoracic pain and tired.

Outcome measures

Outcome measures
Measure
Standard Dose
n=19 Participants
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=17 Participants
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Number of Participants With Various Clinical Signs and Symptoms
Cough
10 participants
9 participants
Number of Participants With Various Clinical Signs and Symptoms
Rhinorrhea
10 participants
5 participants
Number of Participants With Various Clinical Signs and Symptoms
Sore throat
2 participants
2 participants
Number of Participants With Various Clinical Signs and Symptoms
Shortness of breath
2 participants
1 participants
Number of Participants With Various Clinical Signs and Symptoms
Diarrhea
2 participants
0 participants
Number of Participants With Various Clinical Signs and Symptoms
Headache
1 participants
2 participants
Number of Participants With Various Clinical Signs and Symptoms
Conjunctivitis
1 participants
0 participants
Number of Participants With Various Clinical Signs and Symptoms
Vomiting
1 participants
0 participants
Number of Participants With Various Clinical Signs and Symptoms
Other
4 participants
0 participants

SECONDARY outcome

Timeframe: Day 5

Population: ITT population. Here "number of participants analyzed" included evaluable participants for the outcome measure.

Number of participants with various clinical signs and symptoms, as per investigator's discretion, in whom new AH1N1 virus was detected, were reported. Same participants were reported in more than 1 category.

Outcome measures

Outcome measures
Measure
Standard Dose
n=5 Participants
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=6 Participants
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/mL) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Number of Participants With Various Clinical Signs and Symptoms in Whom Resistant Virus Were Detected
Cough
3 participants
4 participants
Number of Participants With Various Clinical Signs and Symptoms in Whom Resistant Virus Were Detected
Rhinorrhea
3 participants
3 participants
Number of Participants With Various Clinical Signs and Symptoms in Whom Resistant Virus Were Detected
Shortness of breath
0 participants
1 participants

Adverse Events

Standard Dose

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Double Dose

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard Dose
n=19 participants at risk
Oseltamivir capsule was administered orally at a dose of 75 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/ml) based on their body weight with a starting dose of 30 mg BID to a maximum dose of 75 mg BID; for 5 days.
Double Dose
n=18 participants at risk
Oseltamivir capsule was administered orally at a dose of 150 mg BID in adult participants and children received oseltamivir powder for oral suspension dose (at 12 mg/ml) based on their body weight with a starting dose of 60 mg BID to a maximum dose of 150 mg BID; for 5 days.
Gastrointestinal disorders
Abdominal cramps
0.00%
0/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Gastrointestinal disorders
Abdominal pain
5.3%
1/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Gastrointestinal disorders
Diarrhoea
5.3%
1/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Gastrointestinal disorders
Dyspepsia
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
Gastrointestinal disorders
Epigastric discomfort
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
Gastrointestinal disorders
Nausea
5.3%
1/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Gastrointestinal disorders
Vomiting
5.3%
1/19 • Up to 12 months
11.1%
2/18 • Up to 12 months
General disorders
Chest pain
0.00%
0/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
General disorders
Feeling hot
0.00%
0/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Infections and infestations
Pneumonia
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
General disorders
Tracheobronchitis
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
Investigations
Weight decreased
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
Psychiatric disorders
Agitation
0.00%
0/19 • Up to 12 months
5.6%
1/18 • Up to 12 months
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months
Skin and subcutaneous tissue disorders
Rash
5.3%
1/19 • Up to 12 months
0.00%
0/18 • Up to 12 months

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER