A Phase III, Randomized, Double-Blind, Placebo Controlled Trial to Evaluate the Efficacy and Safety of Nitazoxanide in the Treatment of Uncomplicated Influenza

NCT ID: NCT03336619

Last Updated: 2022-06-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1030 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-17

Study Completion Date

2019-04-17

Brief Summary

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Trial to evaluate efficacy and safety of nitazoxanide (NTZ) in the treatment of uncomplicated influenza.

Detailed Description

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A multicenter, randomized, double-blind, placebo controlled trial to evaluate efficacy and safety of nitazoxanide (NTZ) in the treatment of uncomplicated influenza.

Conditions

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Influenza

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Nitazoxanide

Two Nitazoxanide 300 mg tablets orally twice daily (b.i.d.) for 5 days

Group Type ACTIVE_COMPARATOR

Nitazoxanide

Intervention Type DRUG

Nitazoxanide 600 mg administered orally twice daily for five days

Placebo

Two Placebo tablets orally twice daily (b.i.d.) for 5 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo administered orally twice daily for five days

Interventions

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Nitazoxanide

Nitazoxanide 600 mg administered orally twice daily for five days

Intervention Type DRUG

Placebo

Placebo administered orally twice daily for five days

Intervention Type DRUG

Other Intervention Names

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NTZ NT-300

Eligibility Criteria

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Inclusion Criteria

1. Male and female subjects at least 12 years of age
2. Presence of clinical signs and/or symptoms consistent with an acute illness compatible with influenza infection (each of the following is required):

1. oral temperature ≥99.4°F or ≥37.4°C (obtained in office or self- measured within 12 hours prior to screening - if self-measured, subjects must also have taken an antipyretic within 4 hours prior to screening), AND
2. at least one of the following respiratory symptoms (cough, sore throat, nasal obstruction), AND
3. one of the following constitutional symptoms (fatigue, headache, myalgia, feverishness).
3. Confirmation of influenza A or B infection in the local community by one of the following means:

1. the institution's local laboratory,
2. the local public health system,
3. the national public health system, OR
4. a laboratory of a recognized national or multinational influenza surveillance scheme.
4. Onset of illness no more than 40 hours before enrollment in the trial.

Note: Time of onset of illness is defined as either the earlier of:
1. the time when the temperature was first measured as elevated, OR
2. the time when the subject experienced the presence of at least one respiratory symptom AND the presence of at least one constitutional symptom.
5. Willing and able to provide written informed consent (including assent by legal guardian if under 18 years of age) and comply with the requirements of the protocol, including completion of the patient diary.

Exclusion Criteria

1. Severity of illness requiring or anticipated to require in-hospital care.
2. Moderate or severe persistent asthma.
3. Cystic fibrosis in children.
4. Stage III or IV (severe or very severe) chronic obstructive pulmonary disease (COPD).
5. Class III or IV congestive heart failure (at least marked limitation of physical activity in which minimal ordinary activity results in fatigue, palpitation, dyspnea, or angina pain)
6. Arrhythmia
7. Immunosuppressive disorders or who are receiving immunosuppressive therapy (e.g., for organ or bone marrow transplants)
8. Untreated HIV infection or treated HIV infection with a CD4 count below 350 cells/mm3 in the last 6 months
9. Persons with sickle cell anemia or other hemoglobinopathies
10. Poorly controlled insulin-dependent diabetes mellitus (HBA1C \> 8%)
11. Residents of any age of nursing homes or other long-term care institutions
12. Concurrent infection at the screening examination that requires systemic antimicrobial therapy.
13. Females of childbearing potential who are either pregnant, breast-feeding or are sexually active without the use of birth control. Female subjects of child-bearing potential that are sexually active must have a negative baseline pregnancy test and must agree to continue an acceptable method of birth control for the duration of the study and for 1 month post- treatment. A double barrier method, oral birth control pills administered for at least 2 monthly cycles prior to study drug administration, an IUD, or medroxyprogesterone acetate administered intramuscularly for a minimum of one month prior to study drug administration are acceptable methods of birth control for inclusion into the study. Female subjects are considered of childbearing potential unless they are postmenopausal (absence of menstrual bleeding for 1 year - or 6 months if laboratory confirmation of hormonal status), or have had a hysterectomy, bilateral tubular ligation or bilateral oophorectomy.
14. Receipt of any dose of NTZ, oseltamivir, zanamivir, peramivir, laninamivir, baloxavir, amantadine or rimantadine within 3 days prior to screening.
15. Prior treatment with any investigational drug therapy within 30 days prior to screening.
16. Subjects with active respiratory allergies or subjects expected to require anti-allergy medications during the study period for respiratory allergies.
17. Known sensitivity to NTZ or any of the excipients comprising the NTZ tablets.
18. Subjects unable to take oral medications.
19. Presence of any pre-existing illness that, in the opinion of the Investigator, would place the subject at an unreasonably increased risk through participation in this study.
20. Subjects who, in the judgment of the Investigator, will be unlikely to comply with the requirements of this protocol.
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Romark Laboratories L.C.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Francois Rossignol, M.D., Ph.D.

Role: STUDY_DIRECTOR

Romark Laboratories L.C.

Locations

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Vanguard Study Site

Alabaster, Alabama, United States

Site Status

Vanguard Study Site

Birmingham, Alabama, United States

Site Status

Vanguard Study Site

Birmingham, Alabama, United States

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Vanguard Study Site

Hoover, Alabama, United States

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Vanguard Study Site

Pelham, Alabama, United States

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Vanguard Study Site

Goodyear, Arizona, United States

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Vanguard Study Site

Tolleson, Arizona, United States

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Vanguard Study Site

Hot Springs, Arkansas, United States

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Vanguard Study Site

Anaheim, California, United States

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Vanguard Study Site

Westminster, California, United States

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Vanguard Study Site

Lauderdale Lakes, Florida, United States

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Vanguard Study Site

Orlando, Florida, United States

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Vanguard Study Site

Valparaiso, Indiana, United States

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Vanguard Study Site

New Orleans, Louisiana, United States

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Vanguard Study Site

St Louis, Missouri, United States

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Vanguard Study Site

Missoula, Montana, United States

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Vanguard Study Site

Brooklyn, New York, United States

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Vanguard Study Site

Cincinnati, Ohio, United States

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Vanguard Study Site

Columbus, Ohio, United States

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Vanguard Study Site

Dayton, Ohio, United States

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Vanguard Study Site

Medford, Oregon, United States

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Vanguard Study Site

Rapid City, South Dakota, United States

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Vanguard Study Site

Jackson, Tennessee, United States

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Vanguard Study Site

Smyrna, Tennessee, United States

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Vanguard Study Site

Austin, Texas, United States

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Vanguard Study Site

Carrollton, Texas, United States

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Vanguard Study Site

Dallas, Texas, United States

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Vanguard Study Site

Dallas, Texas, United States

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Vanguard Study Site

Fort Worth, Texas, United States

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Vanguard Study Site

Houston, Texas, United States

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Vanguard Study Site

Pharr, Texas, United States

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Vanguard Study Site

Plano, Texas, United States

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Vanguard Study Site

Plano, Texas, United States

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Vanguard Study Site

St. George, Utah, United States

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Vanguard Study Site

Morayfield, Queensland, Australia

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Vanguard Study Site

Sherwood, Queensland, Australia

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Vanguard Study Site

Victoria Point, Queensland, Australia

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Vanguard Study Site

Ponce, , Puerto Rico

Site Status

Countries

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United States Australia Puerto Rico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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RM08-3004

Identifier Type: -

Identifier Source: org_study_id

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