Efficiency of Antagonist Drugs of the Cellular Transcriptomic Signature of Influenza A Virus Infection.

NCT ID: NCT03212716

Last Updated: 2023-02-06

Study Results

Results pending

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

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-23

Study Completion Date

2022-05-04

Brief Summary

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The aim of this study is to evaluate the possibility to repropose marketed drugs as antiviral ones, based on their ability to reverse the transcriptomic signature of the infected cells. This strategy has to be considered is the context of emerging viral diseases and of increase of resistance to antivirals. Concerning infection by Influenza viruses, the main drugs were identified and evaluated on in vitro and in vivo models: diltiazem. Therefore, it will be assess the efficacy of these the drug, compared to placebo, to treat severe flu.

Detailed Description

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Conditions

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Flu

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Caregivers Investigators Outcome Assessors

Study Groups

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diltiazem

oseltamivir + diltiazem

Group Type EXPERIMENTAL

Oseltamivir

Intervention Type DRUG

150 mg twice a day during 10 days (ANSM guidelines for severe flu).

Diltiazem

Intervention Type DRUG

60 mgx3 per day during 10 days.

oseltamivir + placebo

oseltamivir + placebo of diltiazem

Group Type PLACEBO_COMPARATOR

Oseltamivir

Intervention Type DRUG

150 mg twice a day during 10 days (ANSM guidelines for severe flu).

Placebos

Intervention Type DRUG

Placebo of diltiazem

Interventions

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Oseltamivir

150 mg twice a day during 10 days (ANSM guidelines for severe flu).

Intervention Type DRUG

Diltiazem

60 mgx3 per day during 10 days.

Intervention Type DRUG

Placebos

Placebo of diltiazem

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients hospitalized in intensive care units,
* patients with mechanical ventilation invasive or non-invasive or Optiflow® ventilation system.
* for a suspicion of severe flu,
* with a symptoms for less than 96 hours,
* and a respiratory failure defined by the necessity to resort to mechanical ventilation, invasive or Optiflow® Ventilation System The inclusion is conditioned to the detection of Influenza A viruses by PCR on nasopharyngeal swab.

Exclusion Criteria

* No consent.
* Hypersensibility to Oseltamivir
* Negative PCR on nasopharyngeal swab
* Symptoms for more than 96 hours.
* Moribund patients at inclusion.
* Pregnant/nursing woman.
* Patients already taking diltiazem in the 48 hours before.
* Patients having taken more than 3 intakes of oseltamivir before randomization.
* Hemodynamic instability needing a dose of noradrenaline exceeding 2mg/h

Contraindication to diltiazem:

* sinusal dysfunction without device.
* auriculo-ventricular heart block without device.
* Cardiogenic pulmonary oedema.
* Left cardiac failure
* bradycardia\<40/min
* Concomitant use of beta-blockers, antiarrythmic drugs, especially amiodarone.
* Concomitant use of ivabradine, pimozide, nifedipine, ergot alkaloids.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, France

OTHER_GOV

Sponsor Role collaborator

University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julien Poissy, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Lille

Locations

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Chu Amiens Picardie

Amiens, , France

Site Status

CH ARRAS

Arras, , France

Site Status

Ch Hnfc Site de Belfort

Belfort, , France

Site Status

Ch Bethune

Béthune, , France

Site Status

Ch Pierre Oudot Bourgoin Jallieu

Bourgoin, , France

Site Status

Chru Brest

Brest, , France

Site Status

CH DOUAI

Douai, , France

Site Status

Hôpital Raymond Poincaré

Garches, , France

Site Status

CH LENS

Lens, , France

Site Status

Hôpital Roger Salengro, CHRU

Lille, , France

Site Status

Hôpital Edouard Herriot Hospices Civils de Lyon

Lyon, , France

Site Status

CH de Montauban

Montauban, , France

Site Status

Ch Regional Orleans

Orléans, , France

Site Status

Gpe Hosp Cochin Saint Vincent de Paul - Paris

Paris, , France

Site Status

Hu Paris Sud Site Kremlin Bicetre Aphp

Paris, , France

Site Status

Hopitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status

Hôpital Bretonneau

Tours, , France

Site Status

Ch de Valenciennes

Valenciennes, , France

Site Status

Centre Hospitalier de Versailles - Le Chesnay Rocquencourt

Versailles, , France

Site Status

Countries

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France

Other Identifiers

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2016-004222-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PHRC_N -15-0442

Identifier Type: OTHER

Identifier Source: secondary_id

2015_65

Identifier Type: -

Identifier Source: org_study_id

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