Favipiravir in High-risk COVID-19 Patients

NCT ID: NCT04818320

Last Updated: 2021-11-24

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

PHASE3

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-16

Study Completion Date

2021-07-13

Brief Summary

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The study aims to investigate the efficacy of favipiravir in high-risk COVID-19 patients. The study population includes symptomatic mild-to-moderate COVID-19 inpatients, within first 7 days of illness, who are 50 years old and above, and have 1 or more comorbidities. The study is designed as a randomised, open-label, multicenter clinical trial where the patients are randomised 1:1 to groups receiving favipiravir (5 days) versus no favipiravir.

Detailed Description

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Conditions

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Covid19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Favipiravir

Favipiravir treatment group (with standard of care),

Group Type EXPERIMENTAL

Favipiravir

Intervention Type DRUG

Day 1: 1800mg BD, day 2-5: 800mg BD

Control

No favipiravir given. Standard of care only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Favipiravir

Day 1: 1800mg BD, day 2-5: 800mg BD

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients are eligible to be included in the study only if they fulfil ALL the following criteria:
* RT-PCR confirmed COVID-19 cases
* Aged 50 years and above, AND have one or more co-morbidities
* Within the first 7 days of illness (from symptom onset)
* Mild to moderate clinical severity

Exclusion Criteria

* Asymptomatic stage 1 patients
* Patients with SpO2 less than 95% without oxygen therapy
* Patients who needs oxygen supplements
* Patients with concomitant bacterial or fungal infection (confirmed by culture) prior to initiation of study
* Patients with congestive heart failure
* Patients with severe hepatic impairment (\>Grade 3: ALT \>10 times of upper normal limit)
* Impaired kidney function (creatinine clearance according to Cockcroft-Gault formula less than 30 ml/min) at the time of screening.
* Malabsorption syndrome or other clinically significant gastrointestinal disease that may affect absorption of the study drug (non-correctable vomiting, diarrhea, ulcerative colitis, and others).
* Pregnant or nursing women or women planning pregnancy.
* Female patients who cannot consent to contraceptive use of oral contraceptives, mechanical contraceptives such as intrauterine devices or barrier devices (pessaries, condoms), or a combination of these devices from the start of favipiravir administration to 7 days after the end of favipiravir administration
* Male patients whose partner cannot agree to use the contraception method described in (9)
* Patients with a history of gout or on treatment for gout or hyperuricemia
* Patients receiving immunosuppressants
* Patients who received interferon or drugs with reported antiviral activity against COVID-19 (hydroxychloroquine sulfate, chloroquine phosphate, lopinavir-ritonavir combination) within 7 days of illness.
* Patients in whom this episode of infection is a recurrence or reinfection of COVID-19 infection
* Patients who have previously received favipiravir
* Patients who are not able to provide written consent by themselves
* Other patients judged ineligible by the principal investigator or sub-investigator
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Enche' Besar Hajjah Khalsom Hospital

UNKNOWN

Sponsor Role collaborator

Jasin Hospital

UNKNOWN

Sponsor Role collaborator

Kepala Batas Hospital

OTHER_GOV

Sponsor Role collaborator

Melaka Hospital

UNKNOWN

Sponsor Role collaborator

Permai Hospital

UNKNOWN

Sponsor Role collaborator

The Queen Elizabeth Hospital

OTHER

Sponsor Role collaborator

Raja Perempuan Zainab II Hospital

UNKNOWN

Sponsor Role collaborator

Raja Permaisuri Bainun Hospital

UNKNOWN

Sponsor Role collaborator

Sultanah Aminah Hospital

UNKNOWN

Sponsor Role collaborator

Hospital Sultanah Nur Zahirah, Kuala Terengganu

OTHER_GOV

Sponsor Role collaborator

Sungai Buloh Hospital

UNKNOWN

Sponsor Role collaborator

Tampin Hospital

UNKNOWN

Sponsor Role collaborator

Tengku Ampuan Afzan Hospital

UNKNOWN

Sponsor Role collaborator

Tuanku Fauziah Hospital

UNKNOWN

Sponsor Role collaborator

Tuanku Jaafar Hospital

UNKNOWN

Sponsor Role collaborator

Tumpat Hospital

UNKNOWN

Sponsor Role collaborator

Institute for Clinical Research

OTHER

Sponsor Role collaborator

Tawau Hospital

UNKNOWN

Sponsor Role collaborator

Hulu Terrengganu Hospital

UNKNOWN

Sponsor Role collaborator

Penang Hospital, Malaysia

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Penang General Hospital

George Town, Pulau Pinang, Malaysia

Site Status

Countries

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Malaysia

References

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Chuah CH, Chow TS, Hor CP, Cheng JT, Ker HB, Lee HG, Lee KS, Nordin N, Ng TK, Zaid M, Zaidan NZ, Abdul Wahab S, Adnan NA, Nordin N, Tee TY, Ong SM, Chidambaram SK, Mustafa M; Malaysian Favipiravir Study Group. Efficacy of Early Treatment With Favipiravir on Disease Progression Among High-Risk Patients With Coronavirus Disease 2019 (COVID-19): A Randomized, Open-Label Clinical Trial. Clin Infect Dis. 2022 Aug 24;75(1):e432-e439. doi: 10.1093/cid/ciab962.

Reference Type DERIVED
PMID: 34849615 (View on PubMed)

Other Identifiers

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Favirpiravir-A1

Identifier Type: -

Identifier Source: org_study_id