A Pharmacokinetic/Pharmacodynamic Study of Oseltamivir in Immunocompromised Children With Confirmed Influenza Infection

NCT ID: NCT01715909

Last Updated: 2018-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-22

Study Completion Date

2018-06-17

Brief Summary

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This open-label, randomized, adaptive, 2-arm, multicenter study will evaluate the pharmacokinetics and pharmacodynamics of oseltamivir (Tamiflu) in immunocompromised children, less than (\<) 13 years of age, with confirmed influenza infection. Participants will be randomized to receive either the standard dose or triple dose of oseltamivir orally daily for a minimum of 5 days and up to 20 days. Infants \<1 year of age will be randomized to the standard dose arm only.

Detailed Description

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Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oseltamivir: Standard dose

Participants will receive standard dose of oseltamivir capsules or suspension orally for 5 to maximum of 20 days depending on weight. Infants \<1 year of age will receive oseltamivir at a dose of 3 milligrams per kilogram (mg/kg).

Group Type EXPERIMENTAL

Oseltamivir

Intervention Type DRUG

Participants will receive standard dose (30 to 75 milligrams \[mg\]) or triple standard dose (90 to 225 mg) of oseltamivir orally daily for up to maximum of 20 days. Standard dose of oseltamivir according to weight (except infants): 30 mg twice daily for \</= 15 kilograms (kg) body weight participants; 45 mg twice daily for 15 to 23 kg body weight participants; 60 mg twice daily for 23 to 40 kg body weight participants; and 75 mg twice daily for greater than (\>) 40 kg body weight participants. Standard dose for infants is 3 mg/kg.

Oseltamivir: Triple dose

Participants will receive three times the standard dose of oseltamivir capsules or suspension orally for 5 to maximum of 20 days depending on weight and age. Infants \<1 year will receive standard dose at 3 mg/kg.

Group Type EXPERIMENTAL

Oseltamivir

Intervention Type DRUG

Participants will receive standard dose (30 to 75 milligrams \[mg\]) or triple standard dose (90 to 225 mg) of oseltamivir orally daily for up to maximum of 20 days. Standard dose of oseltamivir according to weight (except infants): 30 mg twice daily for \</= 15 kilograms (kg) body weight participants; 45 mg twice daily for 15 to 23 kg body weight participants; 60 mg twice daily for 23 to 40 kg body weight participants; and 75 mg twice daily for greater than (\>) 40 kg body weight participants. Standard dose for infants is 3 mg/kg.

Interventions

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Oseltamivir

Participants will receive standard dose (30 to 75 milligrams \[mg\]) or triple standard dose (90 to 225 mg) of oseltamivir orally daily for up to maximum of 20 days. Standard dose of oseltamivir according to weight (except infants): 30 mg twice daily for \</= 15 kilograms (kg) body weight participants; 45 mg twice daily for 15 to 23 kg body weight participants; 60 mg twice daily for 23 to 40 kg body weight participants; and 75 mg twice daily for greater than (\>) 40 kg body weight participants. Standard dose for infants is 3 mg/kg.

Intervention Type DRUG

Other Intervention Names

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Tamiflu

Eligibility Criteria

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Inclusion Criteria

* Male or female children, \<13 years of age
* Rapid influenza diagnostic test (RIDT), polymerase chain reaction (PCR), or viral culture positive for influenza
* Immunocompromised
* Symptoms/signs suggestive of influenza like illness (ILI)
* Less than or equal to (\</=) 96 hours between onset of ILI and first dose of study drug

Exclusion Criteria

* Clinical evidence of severe hepatic impairment
* Infants with post-menstrual age (PMA) \<36 weeks
* Clinical evidence of significant renal impairment
* Allergy to oseltamivir or excipients
* Hereditary fructose intolerance
* Received anti-viral treatment with activity against influenza (for example amantadine, rimantadine, oseltamivir, laninamivir, peramivir, zanamivir, and ribavirin) or probenecid medication within 2 weeks prior to randomization
Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Lucile Packard Child Hosp; Pediatric Pulmonary Division

Palo Alto, California, United States

Site Status

The Children's Hospital; Pediatric Infectious Diseases

Aurora, Colorado, United States

Site Status

Tufts Medical Center

Boston, Massachusetts, United States

Site Status

University of Minnesota

Minneapolis, Minnesota, United States

Site Status

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status

Seattle Children's Hospital

Seattle, Washington, United States

Site Status

UZ Brussel

Brussels, , Belgium

Site Status

Cliniques Universitaires St-Luc

Brussels, , Belgium

Site Status

UZ Leuven Gasthuisberg

Leuven, , Belgium

Site Status

Hospital Erasto Gaertner

Curitiba, Paraná, Brazil

Site Status

Hospital São Lucas da PUCRS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Graacc-Grupo de Apoio ao adolescente e a crianca com cancer

São Paulo, São Paulo, Brazil

Site Status

Casa de Saúde Santa Marcelina

São Paulo, São Paulo, Brazil

Site Status

Children'S Hospital of Eastern Ontario

Ottawa, Ontario, Canada

Site Status

Hospital For Sick Children; Infectious Disease Dept

Toronto, Ontario, Canada

Site Status

McGill University; Montreal Children's Hospital; Oncology

Montreal, Quebec, Canada

Site Status

Hospital Dr. Gustavo Fricke

Viña del Mar, , Chile

Site Status

Centro Medico Imbanaco

Cali, , Colombia

Site Status

Fundacion Clinica Valle de Lili, Department Rheumatology

Cali, , Colombia

Site Status

Turun yliopistollinen keskussairaala

Turku, , Finland

Site Status

Charité - Universitätsmedizin Berlin;Klinik für Allgemeine Pädiatrie

Berlin, , Germany

Site Status

Universitatsklinikum Frankfurt

Frankfurt, , Germany

Site Status

Dr. Von Haunersches Kinderspital

München, , Germany

Site Status

Universitätsklinikum Münster

Münster, , Germany

Site Status

Universitätsklinikum Tübingen UNI-Klinik für Kinder- und Jugendmedizin

Tübingen, , Germany

Site Status

Childrens Regional Hospital Aglaia Kyriakou

Athens, , Greece

Site Status

Aghia Sophia Children's Hospital; Pediatric Rheumatology Unit; 1st Department of Pediatrics

Athens, , Greece

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Hadassah University Hospital - Ein Kerem

Jerusalem, , Israel

Site Status

Schneider Children's Medical Center of Israel; Pediatrics Department

Petah Tikva, , Israel

Site Status

The Chaim Sheba Medical Center; Multiple Sclerosis Center

Ramat Gan, , Israel

Site Status

The Dana Children's Hospital

Tel Aviv, , Israel

Site Status

Ospedale Pediatrico Bambino Gesu

Rome, Lazio, Italy

Site Status

Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico; Unità Operativa Complessa Pediatria 1

Milan, Lombardy, Italy

Site Status

ASST DI MONZA; Divisione Malattie Infettive

Monza, Lombardy, Italy

Site Status

Instituto Nacional de Pediatria; Departmento de Neurologia

México, , Mexico

Site Status

Hospital Universitario Dr Jose Eleuterio Gonzalez; Universidad Autónoma de Nuevo León

Monterrey, , Mexico

Site Status

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status

Children Hospital, Olsztyn; Ward of Pediatric Hematology and Oncology

Olsztyn, , Poland

Site Status

Samodzielny Publiczny Szpital Kliniczny nr 1 im. prof.Tadeusza Sokolowskiego

Szczecin, , Poland

Site Status

Medical University of Silesia; Department of Pediatric Hematology and Oncology

Zabrze, , Poland

Site Status

Tygerberg Hospital; Rheumatology

Cape Town, , South Africa

Site Status

WWCT Lakeview Hospital

Johannesburg, , South Africa

Site Status

Chris Hani Baragwanath Hospital

Johannesburg, , South Africa

Site Status

Hospital Sant Joan De Deu

Esplugues de Llobregas, Barcelona, Spain

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Infantil Universitario Nino Jesus

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Countries

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United States Belgium Brazil Canada Chile Colombia Finland Germany Greece Israel Italy Mexico Poland South Africa Spain

Other Identifiers

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2012-002633-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NV25719

Identifier Type: -

Identifier Source: org_study_id

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