Favipiravir Therapy in Adults With Mild COVID-19

NCT ID: NCT04464408

Last Updated: 2021-11-05

Study Results

Results pending

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

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

231 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-23

Study Completion Date

2021-08-04

Brief Summary

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Favipiravir is a selective and potent inhibitor of influenza viral RNA polymerase. It acts as a purine analogue, which selectively inhibits viral RNA-dependent RNA polymerase (RdRps). It has the characteristic of acting on RNA viruses including Ebola and Coronaviruses especially novel coronavirus (2019-nCoV). The purpose of this study is to evaluate the clinical efficacy and safety of Favipiravir in comparison to placebo in the treatment of mild COVID-19 cases. It is a Multicenter, randomized double-blinded, parallel-group trial.

Detailed Description

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Conditions

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COVID-19

Keywords

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Favipiravir COVID19 Mild illness Saudi Arabia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Favipiravir

Favipiravir: 1800 mg (9 tablets) by mouth twice daily for one day, followed by 800mg (4 tablets) twice daily (Maximum days of therapy is 7 days)

Group Type EXPERIMENTAL

Favipiravir

Intervention Type DRUG

1800 mg twice daily for one day, followed by 800mg (4 tablets) twice daily

Placebo

9 tablets by mouth twice daily for one day, followed by 4 tablets twice daily (Maximum days of therapy is 7 days).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

(9 tablets) by mouth twice daily for one day, followed by (4 tablets) twice daily (Maximum days of therapy is 7 days)

Interventions

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Favipiravir

1800 mg twice daily for one day, followed by 800mg (4 tablets) twice daily

Intervention Type DRUG

Placebo

(9 tablets) by mouth twice daily for one day, followed by (4 tablets) twice daily (Maximum days of therapy is 7 days)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients must be eligible according to the following criteria for enrollment

1. Should be at least 18 years of age
2. Male or non-pregnant female (pregnancy testing is not mandatory. If the patient requests or is not sure, the study team will provide it)
3. Diagnosed with mild COVID-19\* confirmed by positive PCR test for SARS-CoV-2 at the time of recruitment, a result within the last five days
4. Patients have to be enrolled within 5 days of disease onset.

Exclusion Criteria

Patients meeting any of the following criteria will be excluded from trial enrolment:

1. Patients with concomitant documented bacterial pneumonia established through positive sputum cultures
2. Patients who are pregnant or breastfeeding
3. Known sensitivity/allergy to Favipiravir (If Faviparavir was used for COVID-19 in the patient previously for influenza)
4. Major comorbidities increasing the risk of study drug including

* Hematologic malignancy
* Advanced (stage 4-5) chronic kidney disease or dialysis therapy
* Severe liver damage (Child-Pugh score C, AST\> 5 times the upper limit)
* HIV
* Gout/history of Gout or hyperuricemia (two times above the ULN)

(6) Having used Favipiravir or participated in any other interventional drug clinical study within 30 days before the first dose of study drug (i.e., the patient received it for influenza previously) (7) The investigator believes that participating in the trial is not in the best interests of the patient, or the investigator considers unsuitable for enrollment (such as unpredictable risks or subject compliance issues) (8) Clinical prognostic non-survival, palliative care, or in a deep coma and have no response to supportive treatment within three hours of admission.

(9) Hospitalized patients for mild, moderate, or severe COVID-19
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Saudi Arabia

OTHER_GOV

Sponsor Role collaborator

King Abdullah International Medical Research Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mohammad Bosaeed

Role: PRINCIPAL_INVESTIGATOR

KAMC-RD, Ministry of National Guard Health Affairs (MNGHA), Saudi Arabia

Locations

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King Fahad Hospital - Madinah

Al Madīnah, , Saudi Arabia

Site Status

Primary Health Care-Safiyah

Al Madīnah, , Saudi Arabia

Site Status

Prince Mohammed Bin Abdul Aziz Hospital - Al Madinah

Al Madīnah, , Saudi Arabia

Site Status

King Abdullah Medical City - Makkah

Mecca, , Saudi Arabia

Site Status

King Abdulaziz Medical City - Riyadh

Riyadh, , Saudi Arabia

Site Status

Primary Health Care-Al Mansoura

Riyadh, , Saudi Arabia

Site Status

Primary Health Care-Al Urijah

Riyadh, , Saudi Arabia

Site Status

Countries

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Saudi Arabia

References

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Bosaeed M, Alharbi A, Hussein M, Abalkhail M, Sultana K, Musattat A, Alqahtani H, Alshamrani M, Mahmoud E, Alothman A, Alsaedy A, Aldibasi O, Alhagan K, Asiri AM, AlJohani S, Al-Jeraisy M, Alaskar A. Multicentre randomised double-blinded placebo-controlled trial of favipiravir in adults with mild COVID-19. BMJ Open. 2021 Apr 14;11(4):e047495. doi: 10.1136/bmjopen-2020-047495.

Reference Type DERIVED
PMID: 33853806 (View on PubMed)

Other Identifiers

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RC 20/220/R

Identifier Type: -

Identifier Source: org_study_id