Study of Obeldesivir in Participants With COVID-19 Who Have a High Risk of Developing Serious or Severe Illness

NCT ID: NCT05603143

Last Updated: 2024-12-20

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

468 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-05

Study Completion Date

2023-11-07

Brief Summary

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The goal of this clinical study is to test how well the study drug, obeldesivir (GS-5245), works and how safe it is in treating coronavirus disease 2019 (COVID-19) in participants that have a higher risk of getting a serious illness.

Detailed Description

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Conditions

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COVID-19

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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Obeldesivir

Participants will receive obeldesivir 350 mg orally twice daily for 5 days.

Group Type EXPERIMENTAL

Obeldesivir

Intervention Type DRUG

Tablets administered orally without regard to food.

Placebo

Participants will receive placebo-to-match obeldesivir orally twice daily for 5 days.

Group Type PLACEBO_COMPARATOR

Obeldesivir Placebo

Intervention Type DRUG

Placebo tablets administered orally without regard to food.

Interventions

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Obeldesivir

Tablets administered orally without regard to food.

Intervention Type DRUG

Obeldesivir Placebo

Placebo tablets administered orally without regard to food.

Intervention Type DRUG

Other Intervention Names

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GS-5245

Eligibility Criteria

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Inclusion Criteria

* Willing and able to provide written informed consent.
* Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection confirmed by PCR or an approved alternative assay (eg. Rapid Antigen Test) ≤ 5 days before randomization. Serologic tests will not be accepted.
* Initial onset of COVID-19 signs/symptoms ≤ 5 days before randomization.
* Not currently hospitalized or requiring hospitalization.
* Presence of ≥ 1 risk factor (if unvaccinated) or ≥ 2 risk factors (if vaccinated at any point) for progression to severe disease.

Exclusion Criteria

* Anticipated use of COVID-19 therapies during the current COVID-19 illness.
* Received any direct acting antiviral drug against SARS-CoV-2 for the treatment of COVID-19 \< 28 days or \< 5 half-lives, whichever is longer, before randomization.
* Anticipated need for hospitalization \< 48 hours after randomization.
* New oxygen requirement \< 24 hours before randomization.
* Decompensated cirrhosis (Child-Pugh class B or C) or acute liver injury/failure.
* Undergoing dialysis, or history of moderate to severe renal impairment.
* Pregnant or breastfeeding (nursing).
* Unwilling to use protocol-mandated birth control.
* Received an approved, authorized or investigational COVID-19 vaccine (including booster dose) \<120 days before randomization.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Faculdade de Medicina da Universidade Federal de Minas Gerais

Belo Horizonte - MG, , Brazil

Site Status

L2iP Instituto de Pesquisas Clínicas

Brasília - DF, , Brazil

Site Status

Centro de Pesquisa Clinica da Universidade Municipal de São Caetano do Sul (USCS)

São Caetano Do Sul - SP, , Brazil

Site Status

Multiprofile Hospital for Active Treatment Puls AD, Department of Internal Diseases

Blagoevgrad, , Bulgaria

Site Status

Medical Center Asklepii OOD

Dupnitsa, , Bulgaria

Site Status

Specialìzed Hosp¡tal for Active Trealment of Pneumophthisiatric Diseases Haskovo EOOD, Department of pneumology and phthisiatry

Haskovo, , Bulgaria

Site Status

Medical Center Zdrave-1 OOD

Kozloduy, , Bulgaria

Site Status

Diagnostic Consultative Center 1 - Lon EOOD

Lom, , Bulgaria

Site Status

Medical Center Hera EOOD, Montana

Montana, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment Dr. Stamen Iliev AD, Department of Pneumology Phthisiatrics

Montana, , Bulgaria

Site Status

Medical Center Medconsult Pleven OOD

Pleven, , Bulgaria

Site Status

Diagnostic Consultative Center Sveti Georgi EOOD

Plovdiv, , Bulgaria

Site Status

MHAT Sveta Karidad EAD, First Department of Anesthesiology and Intensive Care

Plovdiv, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment Sveti Panteleymon EOOD, First Department of Internal Diseases

Plovdiv, , Bulgaria

Site Status

Medical Center Prolet EOOD

Rousse, , Bulgaria

Site Status

Multiprofile Hospital for Active Treatment - Samokov EOOD, Department of Internal Diseases

Samokov, , Bulgaria

Site Status

Medical Center Unimed EOOD

Sevlievo, , Bulgaria

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Diagnostic and Consulting Center Aleksandrovska EOOD

Sofia, , Bulgaria

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Medical Center Hera EOOD

Sofia, , Bulgaria

Site Status

Diagnostic Consultative Center XX - Sofia EOOD

Sofia, , Bulgaria

Site Status

Specialized Hospital for Active Treatment of Pneumophthisiatric Diseases-Vratsa EOOD, Department of Pneumology

Vratsa, , Bulgaria

Site Status

Hamilton Medical Research Group

Hamilton, , Canada

Site Status

Dr. Anil K. Gupta Medicine Professional Corporation

Toronto, , Canada

Site Status

Vancouver ID Research and Care Centre Society

Vancouver, , Canada

Site Status

CHU de Montpellier-Hopital La Colombiere

Montpellier, , France

Site Status

Hopital Pitie Salpetriere

Paris, , France

Site Status

Debreceni Egyetem Klinikai Kozpont

Debrecen, , Hungary

Site Status

Unita Operativa Di Malattie Infettive Ospedale San Raffaele S.r.l.

Milan, , Italy

Site Status

IUHW Narita Hospital

Chibaken, , Japan

Site Status

Okayama University Hospital

Okayama, , Japan

Site Status

Suita Municipal Hospital

Suita, , Japan

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Panamerican Clinical Research Mexico S.A. de C.V.

Col. El Salitre Juriquilla, , Mexico

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Neurociencias Estudios Clinicos S.C.

Culiacan Sinaloa, , Mexico

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PanAmerican Clinical Research Mexico S.A de C.V.

Guadalajara, , Mexico

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Clinstile, S.A. De C.V.

Mexico City, , Mexico

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EME RED Hospitalaria

Mérida, , Mexico

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Kohler & Milstein Research S.A de C.V.

Mérida, , Mexico

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Oaxaca Site Management Organization S.C.

Oaxaca City, , Mexico

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FAICIC S. de R.L. de C.V.

Veracruz, , Mexico

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Ginemedica OVO 21

Wroclaw, , Poland

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ETG Lodz

Zgierz, , Poland

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ClinMedica Research

Skierniewice, Łódź Voivodeship, Poland

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Hospital CUF Descobertas

Lisbon, , Portugal

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Centro Hospitalar de Entre Douro e Vouga - Hospital de Sao Sebaststiao

Santa Maria da Feira, , Portugal

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Hospital da Luz - Arrabida

Vila Nova de Gaia, , Portugal

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"Prof. Dr. Matei Bals" National Institute for Infectious Diseases

Bucharest, , Romania

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County Hospital Caracal

Caracal, , Romania

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Sibiu Emergency Clinical County Hospital

Sibiu, , Romania

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National Centre for Infectious Diseases, Tan Tock Seng Hospital

Singapore, , Singapore

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Madibeng Centre for Research

Brits, , South Africa

Site Status

Clinresco Centres (Pty) Ltd

City of Johannesburg, , South Africa

Site Status

Synapta Clinical Research Centre

Durban, , South Africa

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Perinatal HIV Research Unit (PHRU)

Johannesburg, , South Africa

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Global Clinical Trials

Pretoria, , South Africa

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Jongaie Research

Pretoria West, , South Africa

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Limpopo Clinical Research Initiative

Thabazimbi, , South Africa

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FCRN Clinical Trial Centre (Pty) Ltd

Vereeniging, , South Africa

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ChungNam National University Hospital

Daejeon, , South Korea

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Chonnam National University Bitgoeul Hospital

Gwangju, , South Korea

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Korea University Guro Hospital

Seoul, , South Korea

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Hospital Universitario Virgen de Las Nieves.

A Gudiña, , Spain

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Hospital General Universitario Dr. Balmis

Alicante, , Spain

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Hospital Universitari Germans Trias i Pujol

Badalona, , Spain

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CAP La Mina

Barcelona, , Spain

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Hospital HM Nou Delfos

Barcelona, , Spain

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Hospital Universitario Virgen del Rocio

Las Cabezas de San Juan, , Spain

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Hospital Universitario Infanta Leonor

Madrid, , Spain

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Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario Puerta de Hierro - Majadahonda

Majadahonda, , Spain

Site Status

Hospital General Universitario Reina Sofia

Murcia, , Spain

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Hospital Universitario Son Espases

Palma de Mallorca, , Spain

Site Status

Hospital Universitaro y Politecnico La Fe

Valencia, , Spain

Site Status

Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation

Hualien City, , Taiwan

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China Medical University Hospital

Taichung, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Tao-Yuan General Hospital

Taoyuan, , Taiwan

Site Status

Kaohsiung Veterans General Hospital

Zuo Ying Qu, , Taiwan

Site Status

Acibadem University School of Medicine Atakent Hospital

Trabzon, , Turkey (Türkiye)

Site Status

Ormeau Clinical Trials Limited

Belfast, , United Kingdom

Site Status

Lakeside Healthcare

Corby, , United Kingdom

Site Status

CPS Research

Glasgow, , United Kingdom

Site Status

Countries

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Czechia Switzerland Brazil Bulgaria Canada France Hungary Italy Japan Mexico Poland Portugal Romania Singapore South Africa South Korea Spain Taiwan Turkey (Türkiye) United Kingdom

References

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Streinu-Cercel A, Castagna A, Chang SC, Chen YS, Koullias Y, Mozaffarian A, Hyland RH, Humeniuk R, Caro L, Davies S, Rodriguez L, Hedskog C, Chen S, Etchevers K, Behenna-Renton N, Llewellyn J, Osinusi A, Duff F, Barrat Hernandez A, McNally D, Simon-Campos JA, Leal FE, Fouche LF, Gonzalez Del Castillo JM. Efficacy and Safety of Obeldesivir in High-Risk Nonhospitalized Patients with COVID-19 (BIRCH): a Phase 3, Randomized, Double-Blind, Placebo-Controlled Study. Clin Infect Dis. 2025 Jul 22:ciaf406. doi: 10.1093/cid/ciaf406. Online ahead of print.

Reference Type DERIVED
PMID: 40694627 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2022-002741-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GS-US-611-6273

Identifier Type: -

Identifier Source: org_study_id