Trial Outcomes & Findings for Nitazoxanide Versus Placebo for the Treatment of Hospitalized Subjects With Severe Acute Respiratory Illness (NCT NCT02057757)

NCT ID: NCT02057757

Last Updated: 2018-08-01

Results Overview

The time to hospital discharge measured through Day 28.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

260 participants

Primary outcome timeframe

Measured through Day 28

Results posted on

2018-08-01

Participant Flow

Participant milestones

Participant milestones
Measure
Nitazoxanide (NTZ)
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Overall Study
STARTED
131
129
Overall Study
Intent to Treat
130
127
Overall Study
COMPLETED
117
121
Overall Study
NOT COMPLETED
14
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Nitazoxanide (NTZ)
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Overall Study
Withdrawal by Subject
3
5
Overall Study
Death
2
0
Overall Study
Lost to Follow-up
8
3
Overall Study
Non-compliance
1
0

Baseline Characteristics

The analysis only includes the adult (\>= 18 years) population with evaluable data.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Total
n=257 Participants
Total of all reporting groups
Age, Categorical
<=18 years
67 Participants
n=130 Participants
64 Participants
n=127 Participants
131 Participants
n=257 Participants
Age, Categorical
Between 18 and 65 years
54 Participants
n=130 Participants
56 Participants
n=127 Participants
110 Participants
n=257 Participants
Age, Categorical
>=65 years
9 Participants
n=130 Participants
7 Participants
n=127 Participants
16 Participants
n=257 Participants
Age, Continuous
22.6 years
STANDARD_DEVIATION 24.0 • n=130 Participants
23.6 years
STANDARD_DEVIATION 24.4 • n=127 Participants
23.1 years
STANDARD_DEVIATION 24.2 • n=257 Participants
Sex: Female, Male
Female
68 Participants
n=130 Participants
50 Participants
n=127 Participants
118 Participants
n=257 Participants
Sex: Female, Male
Male
62 Participants
n=130 Participants
77 Participants
n=127 Participants
139 Participants
n=257 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
130 Participants
n=130 Participants
127 Participants
n=127 Participants
257 Participants
n=257 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Race (NIH/OMB)
Asian
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Race (NIH/OMB)
White
1 Participants
n=130 Participants
0 Participants
n=127 Participants
1 Participants
n=257 Participants
Race (NIH/OMB)
More than one race
129 Participants
n=130 Participants
127 Participants
n=127 Participants
256 Participants
n=257 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=130 Participants
0 Participants
n=127 Participants
0 Participants
n=257 Participants
Region of Enrollment
Mexico
130 participants
n=130 Participants
127 participants
n=127 Participants
257 participants
n=257 Participants
Body Mass Index (BMI)
27.2 kg/m^2
STANDARD_DEVIATION 6.2 • n=63 Participants • The analysis only includes the adult (\>= 18 years) population with evaluable data.
27.0 kg/m^2
STANDARD_DEVIATION 5.6 • n=62 Participants • The analysis only includes the adult (\>= 18 years) population with evaluable data.
27.1 kg/m^2
STANDARD_DEVIATION 5.9 • n=125 Participants • The analysis only includes the adult (\>= 18 years) population with evaluable data.
BMI Z Score
0.2 Z Score
STANDARD_DEVIATION 2.0 • n=66 Participants • The analysis only included the child (\< 18 years) population with evaluable data.
-0.6 Z Score
STANDARD_DEVIATION 2.5 • n=64 Participants • The analysis only included the child (\< 18 years) population with evaluable data.
-0.2 Z Score
STANDARD_DEVIATION 2.3 • n=130 Participants • The analysis only included the child (\< 18 years) population with evaluable data.

PRIMARY outcome

Timeframe: Measured through Day 28

The time to hospital discharge measured through Day 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Time to Hospital Discharge
7.1 Days
Standard Error 0.37
7.5 Days
Standard Error 0.41

SECONDARY outcome

Timeframe: Measured at Day 3, Day 7, Day 14, and Day 28

Population: Number of study participants - adults (\>= 18 years) and children (\< 18 years) in the Intent-to-Treat population (ITT) hospitalized by time point

The number of study participants (e.g., adults and children) who were hospitalized on Days 3, 7, 14, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Hospitalized on Days 3, 7, 14, and 28
Day 3
95 participants
96 participants
Number of Participants Hospitalized on Days 3, 7, 14, and 28
Day 7
39 participants
38 participants
Number of Participants Hospitalized on Days 3, 7, 14, and 28
Day 14
7 participants
6 participants
Number of Participants Hospitalized on Days 3, 7, 14, and 28
Day 28
3 participants
2 participants

SECONDARY outcome

Timeframe: Measured within First 5 Days

Population: The Adult (\>=18 Years) population includes 126 participants (63 in NTZ arm; 63 in Placebo arm). The Children (\<18 Years) population includes 131 participants (67 in NTZ arm; 64 in Placebo arm)

Total Deaths of Participants, including Deaths within First 5 Days

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Who Died Within the First 5 Days
Total Deaths
2 participants
1 participants
Number of Participants Who Died Within the First 5 Days
Deaths within the First 5 Days (Adults >=18) Years
0 participants
0 participants
Number of Participants Who Died Within the First 5 Days
Deaths within the First 5 Days (Children<18) Years
0 participants
0 participants

SECONDARY outcome

Timeframe: Measured through Day 28

Measured daily through Study Day 14 and then again on Study Day 28

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Who Experienced Clinical Symptoms
Cough
71 Participants
75 Participants
Number of Participants Who Experienced Clinical Symptoms
Sore Throat
29 Participants
23 Participants
Number of Participants Who Experienced Clinical Symptoms
Fatigue
60 Participants
54 Participants
Number of Participants Who Experienced Clinical Symptoms
Nasal Discharge
40 Participants
25 Participants
Number of Participants Who Experienced Clinical Symptoms
Difficulty Breathing
54 Participants
51 Participants
Number of Participants Who Experienced Clinical Symptoms
Headache
21 Participants
13 Participants
Number of Participants Who Experienced Clinical Symptoms
Muscle Pain
28 Participants
18 Participants
Number of Participants Who Experienced Clinical Symptoms
Nausea
4 Participants
8 Participants
Number of Participants Who Experienced Clinical Symptoms
Vomiting
5 Participants
7 Participants
Number of Participants Who Experienced Clinical Symptoms
Diarrhea
4 Participants
5 Participants

SECONDARY outcome

Timeframe: Measured each day through Day 14 and on Day 28

Study participants' duration (hours) of fever measured daily through Day 14 and then again on Day 28. The total duration in hours from the visit when fever was registered for the study participant until the next visit when no fever was registered for the study participant.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Duration of Fever in Study Participants
11.3 hours
Standard Error 3.55
20.6 hours
Standard Error 5.44

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day of hospitalization

Number of study participants who require use of supplemental oxygen at time points (e.g., Any time, Day 0, Day 3, Day 7, Day 14, and Day 28)

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Who Require Oxygen Use
Any Time
119 Participants
118 Participants
Number of Participants Who Require Oxygen Use
Day 0
114 Participants
116 Participants
Number of Participants Who Require Oxygen Use
Day 3
74 Participants
80 Participants
Number of Participants Who Require Oxygen Use
Day 7
28 Participants
27 Participants
Number of Participants Who Require Oxygen Use
Day 14
6 Participants
5 Participants
Number of Participants Who Require Oxygen Use
Day 28
6 Participants
4 Participants

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day in the ICU

Number of study participants (e.g., adult and children) admitted to the intensive care unit (ICU) by time point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28); worst case imputed.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Any Time
3 Participants
2 Participants
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 0
3 Participants
1 Participants
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 3
1 Participants
1 Participants
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 7
1 Participants
1 Participants
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 14
0 Participants
1 Participants
Number of Study Participants (e.g., Adult and Children) Admitted to the Intensive Care Unit (ICU) by Time Point (Anytime, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 28
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day of hospitalization

Study participants (e.g., adults, children) requiring mechanical ventilation (e.g., intubation/extubation) at study time points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28); worst case imputed.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 0
2 Participants
1 Participants
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Any Time
4 Participants
4 Participants
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 3
1 Participants
2 Participants
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 7
1 Participants
1 Participants
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 14
1 Participants
1 Participants
Study Participants (e.g., Adults, Children) Requiring Mechanical Ventilation at Study Time Points (Any Time, Day 0, Day 3, Day 7, Day 14, Day 28)
Day 28
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day of hospitalization

Number of study participants (e.g., adults and children) with the presence of a complication (pneumonia, respiratory failure requiring mechanical ventilation, acute respiratory distress syndrome \[ARDS\], sepsis, or bronchiolitis) during the study .

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study
Pneumonia
74 Participants
73 Participants
Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study
Respiratory Failure Requiring Mechanical Vent.
0 Participants
0 Participants
Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study
Acute Respiratory Distress Syndrome (ARDS)
6 Participants
6 Participants
Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study
Sepsis
0 Participants
0 Participants
Number of Study Participants With the Presence of Complications (Pneumonia, Respiratory Failure Requiring Mechanical Ventilation, Acute Respiratory Distress Syndrome [ARDS], Sepsis, or Bronchiolitis) During Study
Bronchitis
2 Participants
7 Participants

SECONDARY outcome

Timeframe: Measured daily through Day 14 and on Day 28

Study participant (e.g., adults and children) answers (e.g., yes) to global assessment questions measured daily through Day 14 and then again on Day 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=63 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=63 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
n=67 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
n=64 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Duration (Days) Until Affirmative Global Assessment (e.g., Answered Yes) by Study Participants (e.g., Adults, Children)
Have you felt as good as you did before?
10.2 days
Standard Error 1.47
7.0 days
Standard Error 1.27
3.3 days
Standard Error 0.40
3.5 days
Standard Error 0.63
Duration (Days) Until Affirmative Global Assessment (e.g., Answered Yes) by Study Participants (e.g., Adults, Children)
Are you functioning as well as you were before?
12.6 days
Standard Error 1.52
9.4 days
Standard Error 1.38
3.6 days
Standard Error 0.43
3.1 days
Standard Error 0.36

SECONDARY outcome

Timeframe: Measured through participants' first 5 days of hospitalization

Number of study participants taking an Antibiotic or Anti-Influenza Antiviral during first 5 days of hospitalization.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Using Antibiotics/Antivirals During Hospitalization
Antibiotic Use During First 5 Days of Hosp
100 Participants
88 Participants
Number of Participants Using Antibiotics/Antivirals During Hospitalization
Antiviral Use During First 5 Days of Hosp
46 Participants
45 Participants

SECONDARY outcome

Timeframe: Measured through Day 28

Population: The Adult (\>=18 Years) population includes 126 participants (63 in NTZ arm; 63 in Placebo arm). The Children (\<18 Years) population includes 131 participants (67 in NTZ arm; 64 in Placebo arm)

Number of study participants (e.g., adults and children) who were re-hospitalized within 28 days (e.g., days from randomization).

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Who Are Re-hospitalized Within 28 Days
Adults >=18 Years
1 participants
2 participants
Number of Participants Who Are Re-hospitalized Within 28 Days
Children >18 Years
1 participants
2 participants

SECONDARY outcome

Timeframe: Measured within First 5 Days

Population: The analysis was based on the Intent to Treat (ITT) population.

Number of study participants taking Systemic Steroids during first 5 days.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Use of Systemic Corticosteroids
DESMOPRESSIN
0 Participants
1 Participants
Use of Systemic Corticosteroids
Subjects Taking Systemic Steroids - First 5 Days
78 Participants
70 Participants
Use of Systemic Corticosteroids
DEXAMETHASONE
4 Participants
5 Participants
Use of Systemic Corticosteroids
GLUCOCORTICOIDS (Fluticasone/Vilanterol)
0 Participants
1 Participants
Use of Systemic Corticosteroids
HYDROCORTISONE
5 Participants
3 Participants
Use of Systemic Corticosteroids
LEVOTHYROXINE
6 Participants
8 Participants
Use of Systemic Corticosteroids
LEVOTHYROXINE SODIUM
1 Participants
1 Participants
Use of Systemic Corticosteroids
METHYLPREDNISOLONE
35 Participants
26 Participants
Use of Systemic Corticosteroids
NOVOTHYRAL
0 Participants
1 Participants
Use of Systemic Corticosteroids
PREDNISONE
43 Participants
35 Participants

SECONDARY outcome

Timeframe: Measured through Day 3

Population: Efficacy analysis of Intent to Treat population

Study participants with Detectable Virus on nasopharyngeal (NP) swab at Baseline and at Day 3.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=79 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=89 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Presence of Virus on Nasopharyngeal (NP) Swab at Day 3 (Same Virus as Day 0)
No Detectable Virus on Day 3
17 Participants
19 Participants
Presence of Virus on Nasopharyngeal (NP) Swab at Day 3 (Same Virus as Day 0)
Same Detectable Virus on Day 3
56 Participants
61 Participants
Presence of Virus on Nasopharyngeal (NP) Swab at Day 3 (Same Virus as Day 0)
Different Detectable Virus on Day 3
6 Participants
9 Participants

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day of hospitalization

Population: Analysis was based on the safety population.

Number of study participants with at least one Adverse Event During Study Duration

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Reporting Adverse Events (AEs)
83 Participants
80 Participants

SECONDARY outcome

Timeframe: Measured through Day 28 or participants' last day of hospitalization

Population: The analysis is based on the safety population.

Number of study participants (e.g., adults and children) reporting at least one serious adverse events (SAEs).

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Number of Participants Reporting Serious Adverse Events (SAEs)
6 Participants
3 Participants

SECONDARY outcome

Timeframe: Measured on Day 3, Day, 7 and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Laboratory values for chemistry laboratory assessments (e.g., Creatinine and Total Bilirubin) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Creatinine (mg/dL): Day 3
0.5 mg/dL
Standard Deviation 0.3
0.6 mg/dL
Standard Deviation 0.4
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Creatinine (mg/dL): Day 7
1.1 mg/dL
Standard Deviation 5.3
0.6 mg/dL
Standard Deviation 0.3
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Creatinine (mg/dL): Day 28
0.6 mg/dL
Standard Deviation 1.1
0.6 mg/dL
Standard Deviation 0.4
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Total Bilirubin (mg/dL): Day 3
0.6 mg/dL
Standard Deviation 0.4
0.5 mg/dL
Standard Deviation 0.3
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Total Bilirubin (mg/dL): Day 7
1.0 mg/dL
Standard Deviation 4.6
0.5 mg/dL
Standard Deviation 0.3
Chemistry Laboratory Assessments (Creatinine, Total Bilirubin) on Days 3, 7, and 28
Total Bilirubin (mg/dL): Day 28
0.6 mg/dL
Standard Deviation 0.3
0.6 mg/dL
Standard Deviation 0.3

SECONDARY outcome

Timeframe: Measured on Day 3, Day 7, and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Chemistry laboratory assessments (e.g., ALT, AST, and LDH) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
ALT (SGPT) (U/L): Day 3
32.7 U/L
Standard Deviation 24.6
30.9 U/L
Standard Deviation 27.2
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
ALT (SGPT) (U/L): Day 7
33.1 U/L
Standard Deviation 20.5
35.1 U/L
Standard Deviation 28.7
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
ALT (SGPT) (U/L): Day 28
26.7 U/L
Standard Deviation 15.4
27.4 U/L
Standard Deviation 16.8
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
AST (SGOT) (U/L): Day 3
32.7 U/L
Standard Deviation 19.4
36.1 U/L
Standard Deviation 30.4
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
AST (SGOT) (U/L): Day 7
33.2 U/L
Standard Deviation 20.2
33.2 U/L
Standard Deviation 19.0
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
AST (SGOT) (U/L): Day 28
33.0 U/L
Standard Deviation 20.0
31.8 U/L
Standard Deviation 18.5
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
LDH (U/L): Day 3
248.1 U/L
Standard Deviation 164.8
266.8 U/L
Standard Deviation 180.0
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
LDH (U/L): Day 7
250.3 U/L
Standard Deviation 151.4
255.2 U/L
Standard Deviation 150.8
Chemistry Laboratory Assessments (ALT, AST, LDH) on Days 3, 7, and 28
LDH (U/L): Day 28
241.8 U/L
Standard Deviation 141.6
249.7 U/L
Standard Deviation 151.3

SECONDARY outcome

Timeframe: Measured on Day 3, Day, 7 and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Lab Values for chemistry laboratory assessment (e.g., CRP) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Chemistry Laboratory Assessment (CRP) on Days 3, 7, and 28
CRP (mg/L): Day 3
2.3 mg/L
Standard Deviation 4.1
2.2 mg/L
Standard Deviation 3.4
Chemistry Laboratory Assessment (CRP) on Days 3, 7, and 28
CRP (mg/L): Day 7
1.2 mg/L
Standard Deviation 3.3
1.1 mg/L
Standard Deviation 2.4
Chemistry Laboratory Assessment (CRP) on Days 3, 7, and 28
CRP (mg/L): Day 28
1.1 mg/L
Standard Deviation 3.7
0.5 mg/L
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Measured on Day 3, Day, 7 and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Hematology laboratory assessments (e.g., Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Neutrophils (%): Day 3
59.1 percentage of blood
Standard Deviation 19.8
55.9 percentage of blood
Standard Deviation 19.3
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Neutrophils (%): Day 7
52.4 percentage of blood
Standard Deviation 21.0
52.3 percentage of blood
Standard Deviation 17.0
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Neutrophils (%): Day 28
51.4 percentage of blood
Standard Deviation 16.6
49.8 percentage of blood
Standard Deviation 17.2
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Lymphocytes (%): Day 3
31.6 percentage of blood
Standard Deviation 17.5
33.4 percentage of blood
Standard Deviation 17.0
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Lymphocytes (%): Day 7
36.5 percentage of blood
Standard Deviation 19.3
36.7 percentage of blood
Standard Deviation 16.0
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Lymphocytes (%): Day 28
36.1 percentage of blood
Standard Deviation 15.2
37.5 percentage of blood
Standard Deviation 16.9
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Eosinophils (%): Day 3
1.5 percentage of blood
Standard Deviation 2.2
2.3 percentage of blood
Standard Deviation 5.2
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Eosinophils (%): Day 7
2.3 percentage of blood
Standard Deviation 1.9
2.6 percentage of blood
Standard Deviation 2.7
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Eosinophils (%): Day 28
3.8 percentage of blood
Standard Deviation 4.3
3.6 percentage of blood
Standard Deviation 4.1
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Hematocrit (%): Day 3
41.3 percentage of blood
Standard Deviation 5.6
40.6 percentage of blood
Standard Deviation 6.1
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Hematocrit (%): Day 7
40.7 percentage of blood
Standard Deviation 5.3
40.9 percentage of blood
Standard Deviation 6.1
Hematologic Laboratory Assessments (Neutrophils, Lymphocytes, Eosinophils, and Hematocrit) on Days 3, 7, and 28
Hematocrit (%): Day 28
41.2 percentage of blood
Standard Deviation 4.6
41.7 percentage of blood
Standard Deviation 6.1

SECONDARY outcome

Timeframe: Measured on Day 3, Day, 7 and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Hematology laboratory assessment (e.g., Hemoglobin) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Hematologic Laboratory Assessment (Hemoglobin) on Days 3, 7, and 28
Hemoglobin (g/dL): Day 3
13.5 g/dL
Standard Deviation 1.8
13.2 g/dL
Standard Deviation 2.0
Hematologic Laboratory Assessment (Hemoglobin) on Days 3, 7, and 28
Hemoglobin (g/dL): Day 7
13.5 g/dL
Standard Deviation 1.7
13.4 g/dL
Standard Deviation 2.1
Hematologic Laboratory Assessment (Hemoglobin) on Days 3, 7, and 28
Hemoglobin (g/dL): Day 28
13.6 g/dL
Standard Deviation 1.5
13.6 g/dL
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Measured on Day 3, Day, 7 and Day 28

Population: This analysis was based on the Intent to Treat (ITT) population.

Lab values for hematology laboratory assessments (e.g., WBC and Platelets) on Days 3, 7, and 28.

Outcome measures

Outcome measures
Measure
Nitazoxanide (NTZ)
n=130 Participants
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 Participants
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Nitazoxanide (NTZ) - Children <18 Years
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo - Children <18 Years
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
WBC (10^3 cells/mcL): Day 3
9.0 10^3 cells/mcL
Standard Deviation 3.9
8.2 10^3 cells/mcL
Standard Deviation 3.4
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
WBC (10^3 cells/mcL): Day 7
9.8 10^3 cells/mcL
Standard Deviation 3.9
9.1 10^3 cells/mcL
Standard Deviation 3.8
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
WBC (10^3 cells/mcL): Day 28
8.1 10^3 cells/mcL
Standard Deviation 3.1
8.2 10^3 cells/mcL
Standard Deviation 3.3
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
Platelets (10^3 cells/mcL): Day 3
301.3 10^3 cells/mcL
Standard Deviation 123.5
295.8 10^3 cells/mcL
Standard Deviation 113.7
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
Platelets (10^3 cells/mcL): Day 7
364.7 10^3 cells/mcL
Standard Deviation 155.9
393.3 10^3 cells/mcL
Standard Deviation 191.2
Hematologic Laboratory Assessments (WBC, Platelets) on Days 3, 7, and 28
Platelets (10^3 cells/mcL): Day 28
269.0 10^3 cells/mcL
Standard Deviation 85.5
267.5 10^3 cells/mcL
Standard Deviation 110.9

Adverse Events

Nitazoxanide (NTZ)

Serious events: 6 serious events
Other events: 26 other events
Deaths: 2 deaths

Placebo

Serious events: 3 serious events
Other events: 26 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Nitazoxanide (NTZ)
n=130 participants at risk
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 participants at risk
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Blood and lymphatic system disorders
Neutropenia
0.00%
0/130 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.79%
1/127 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Infections and infestations
Aspergillosis
0.77%
1/130 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.00%
0/127 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Infections and infestations
Pneumonia
0.77%
1/130 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
1.6%
2/127 • Number of events 2 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Infections and infestations
Pneumonia Viral
0.77%
1/130 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.00%
0/127 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Infections and infestations
Septic Shock
0.77%
1/130 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.79%
1/127 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Immune Reconstitution Inflammatory Syndrome Associated Kaposi's Sarcoma
0.00%
0/130 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.79%
1/127 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Psychiatric disorders
Delirium
0.77%
1/130 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.00%
0/127 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
1.5%
2/130 • Number of events 2 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
0.79%
1/127 • Number of events 1 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)

Other adverse events

Other adverse events
Measure
Nitazoxanide (NTZ)
n=130 participants at risk
Participants will receive NTZ for 5 days. Participants younger than 12 years will receive an oral suspension formulation of NTZ; participants 12 years and older will receive NTZ tablets. Nitazoxanide (NTZ): Participants 1 to 3 years old: 5 mL oral suspension (100 mg NTZ) every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL oral suspension (200 mg NTZ) every 12 hours for 5 days. Participants 12 years and older: two 300-mg NTZ tablets orally twice daily for 5 days.
Placebo
n=127 participants at risk
Participants will receive placebo for 5 days. Participants younger than 12 years will receive an oral suspension formulation of placebo; participants 12 years and older will receive placebo tablets. Placebo: Participants 1 to 3 years old: 5 mL placebo oral suspension every 12 hours for 5 days. Participants 4 to 11 years old: 10 mL placebo oral suspension every 12 hours for 5 days. Participants 12 years and older: two placebo tablets orally twice daily for 5 days.
Gastrointestinal disorders
Vomitting
6.2%
8/130 • Number of events 9 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
11.0%
14/127 • Number of events 14 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
General disorders
Pyrexia
6.2%
8/130 • Number of events 8 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
3.9%
5/127 • Number of events 5 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
7.7%
10/130 • Number of events 10 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)
5.5%
7/127 • Number of events 7 • AEs were recorded for each subject starting at completing the Informed Consent process and continuing until the subject completed study, or until resolution of the adverse event as recorded by the clinical site (up to Day 28).
The definition of AEs and SAEs used to collect AE event information for this study does not differ from the clinicaltrials.gov definitions. The study Investigators evaluated AEs with respect to Seriousness (as per the protocol), Severity (grading), and Causality according to the "DAIDS (Division of AIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events" Version 1.0, December 2004: (Clarification August 2009)

Additional Information

Dr. John Beigel

National Institute of Allergy and Infectious Diseases (NIAID)

Phone: 301-451-9881

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place