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Efficacy and Safety of Ingavirin®, Syrup, 30 mg/5 ml, in Children With Influenza and Other Acute Respiratory Viral Infections

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05269290
Recruitment Status : Recruiting
First Posted : March 7, 2022
Last Update Posted : March 7, 2022
Sponsor:
Information provided by (Responsible Party):
Valenta Pharm JSC

Brief Summary:
The study is planned to evaluate the therapeutic efficacy and safety of Ingavirin®, syrup, 30 mg/5 ml, in the treatment of influenza or other acute respiratory infections in children from 6 months to 2 years compared with placebo.

Condition or disease Intervention/treatment Phase
Influenza, Human Acute Respiratory Infection Common Cold Drug: Ingavirin®, syrup, 30 mg/5 ml Drug: Placebo Phase 3

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 284 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter, Double-blind, Randomized, Placebo-controlled Study of the Efficacy and Safety of Ingavirin®, Syrup, 30 mg/5 ml, in Children Aged 6 Months to 2 Years With Influenza and Other Acute Respiratory Viral Infections Against Standard Therapy
Actual Study Start Date : September 23, 2021
Estimated Primary Completion Date : December 31, 2022
Estimated Study Completion Date : December 31, 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Flu Flu Shot

Arm Intervention/treatment
Experimental: Ingavirin®, syrup, 30 mg/5 ml
Ingavirin®, syrup, 30 mg/5 ml will be administered on top of standard therapy
Drug: Ingavirin®, syrup, 30 mg/5 ml
A dose will be based on the body weight; Ingavirin® will be administered once a day on top of standard therapy.

Placebo Comparator: Placebo
Placebo will be administered on top of standard therapy
Drug: Placebo
Placebo will be administered once a day on top of standard therapy.




Primary Outcome Measures :
  1. Time of symptoms/events resolution [ Time Frame: From Day 1 up to Day 13-14 (visit 4) ]
    Time, in hours, from the first administration of the drug until all of the following symptoms/events have resolved (if each symptom/event has been achieved for at least 24 hours): Fever; Cough and/or runny nose/nasal congestion; Child's return to normal daytime activity and normal nighttime sleep (as assessed by the parent/adopter).


Secondary Outcome Measures :
  1. Time to fever relief [ Time Frame: From Day 1 up to Day 13-14 (visit 4) ]
    Number of hours elapsed from the first administration of the medication to the time of persistent normalization of the temperature, i.e., the moment when the body temperature is < 37.5 °C during the day without the use of antipyretic medication

  2. Time to cough relief [ Time Frame: From Day 1 up to Day 13-14 (visit 4) ]
    Number of hours from the first dose to the time the coughing cough has gone away, i.e. the parent/adoptive parent rates the symptom as 0-1 during the day and records this in the patient's diary

  3. Time to cough/nasal congestion relief [ Time Frame: From Day 1 up to Day 13-14 (visit 4) ]
    Number of hours from first medication administration to cough/congestion cessation, i.e., when parent/adopter rates severity of this symptom during the day at 0-1 point and records this in patient diary

  4. Frequency of complications of acute viral infection and influenza [ Time Frame: From Day 1 up to Day 13-14 (visit 4) ]
    Acute otitis media, viral and bacterial pneumonia, exacerbation of chronic conditions such as bronchial asthma and urinary tract infections), toxemia [septic-like syndrome], acute stenotic laryngotracheitis

  5. Frequency of patients with PCR-confirmed viral infection [ Time Frame: Day 1, Day 3-4 (visit 2), Day 6-7 (visit 3) ]
    PCR-confirmed acute respiratory infections/flu by visits 1, 2, 3

  6. Need for paracetamol or ibuprofen [ Time Frame: Days 1-7 ]
    Daily dose on study days 1-7

  7. Safety - Number of adverse events (AEs) [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Total number of AEs stratified by severity and frequency

  8. Safety - Adverse reactions [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Frequency of adverse reactions

  9. Safety - Serious adverse events (SAEs) [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Frequency of serious adverse events (SAEs) associated with study drug/placebo use

  10. Safety - Percentage of patients with AEs [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Percentage of patients with at least one AE

  11. Safety - Percentage of patients who interrupted treatment [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Percentage of patients who interrupted treatment due to AE

  12. Safety - Frequency of complications [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Frequency of complications

  13. Safety - Frequency of worsening [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Frequency of worsening of the disease course

  14. Safety - Frequency of hospitalization [ Time Frame: From Day 1 up to Day 13-14 (visit 4) or up to early termination visit within time frame of the study ]
    Frequency of need for hospitalization



Information from the National Library of Medicine

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Ages Eligible for Study:   6 Months to 2 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patient's parent/adoptive parent's informed consent form voluntarily signed by the patient's parent/adoptive parent;
  2. Boys and girls aged 6 months - 2 years 11 months 14 days, inclusive, with the following clinical signs of acute respiratory infections/flu: body temperature above 38.0 °C but not higher than 39.0 °C (without taking antipyretics within the last 8 h) at the time of screening/randomization; at least one of the respiratory manifestations of acute respiratory infection/influenza (cough, runny nose/ stuffy nose) of at least 2 points on a 4-point scale; decrease in the child's daytime activity and change in nighttime sleep, as compared with the state before the illness;
  3. There were no indications for hospitalization at the time of inclusion in the study;
  4. Duration of illness from manifestation of symptoms to inclusion in the study not more than 48 hours.

Exclusion Criteria:

  1. Presence of at least one of the epidemic signs: return from an overseas trip 14 days prior to the onset of symptoms; having close contact in the last 14 days with a person under observation for COVID-19 who has subsequently become ill; having close contact within the past 14 days with a person who has a laboratory-confirmed diagnosis of COVID-19;
  2. Positive result of laboratory testing for SARS-CoV-2 RNA using nucleic acid amplification techniques or antigen SARS-CoV-2 antigen using an immunochromatographic assay at the time of screening;
  3. Severe general intoxication syndrome (severe agitation with seizure syndrome and loss of consciousness against a background of hyperthermia);
  4. Hemorrhagic syndrome (nasal bleeding, blood in sputum, vomit and stool, hemorrhagic rash), disseminated intravascular coagulation syndrome (DIC) or Hasser syndrome with the formation of acute renal failure;
  5. Diffuse cyanosis or pallor;
  6. Symptoms of pneumonia and possible acute respiratory distress syndrome (ARDS): cough with frothy sputum with blood, shortened pulmonary sound on percussion, a large number of different-caliber moist rales and abundant crepitation on auscultation, a sharp drop in blood pressure (BP), deafness of heart tones and arrhythmia;
  7. Phenomena of respiratory distress combined with any of the following symptoms: grunting breathing, blowing of the wings of the nose when breathing, nodding movements (head movements synchronized with breathing); BPM in a child aged 6-11 months > 50 per minute, child over 1 year old > 40 per minute; lower chest retraction when breathing; blood oxygen saturation (SpO2) < 92% when breathing room air;
  8. Moderate acute respiratory infections (fever ≥ 38.5 °C) with exacerbation of comorbidities;
  9. Presence of any of the following symptoms: inability to drink/breastfeed; drowsiness or unconsciousness; respiratory rate less than 30 per minute or apnea; heart failure phenomena; severe dehydration;
  10. Febrile seizures, including a history of seizures; known intolerance to the active ingredient or excipient of the study drug or placebo components, paracetamol;

12. Lactose intolerance, lactase deficiency or glucose-galactose malabsorption. 13. Taking antibiotics, antivirals, or immunomodulatory drugs within < 48 h prior to the study and/or plans to use these groups of drugs (other than the study drug) during the study; 14. Use of systemic, inhaled, or nasal glucocorticosteroids within 30 days prior to the study and/or plans to use glucocorticosteroids (except topical cutaneous agents) during the study; 15. Failure to withdraw for the duration of the study other medications that may affect the outcome of this study, such as antiviral medications, or medications that are incompatible with the study therapy (see "prohibited concomitant therapies"); 16. Patient's participation in any other clinical trial within 90 days prior to inclusion in the study; 17. Any cardiovascular, renal, hepatic, gastrointestinal (GI), endocrine, or nervous system disease, severe decompensated chronic or acute disease, or any other condition/disease that, in the opinion of the investigating physician, would make it unsafe for the patient to participate in the study; 18. Having any vaccinations administered to the patient within 14 days prior to inclusion in the study; 19. Diabetes mellitus; 20. Clinical suspicion of pneumonia or other bacterial infections (including sinusitis, otitis media, urinary tract infection, meningitis, sepsis, etc.) requiring administration of antibacterial drugs; 21. Patients who have had surgery within 30 days prior to the Screening Visit and patients who are scheduled to have surgery, including diagnostic procedures, or a hospital stay during the study; 22. Suspicion of hemophagocytic syndrome; 23. Increased seizure activity in the history; 24. The presence of cancer, HIV infection, tuberculosis, including in the anamnesis; 25. Suspected low compliance of the parent/adopter with the child's treatment and recording of required parameters in the Patient Diary, or inability to perform these procedures and comply with restrictions according to the study protocol (e.g., due to mental illness).

Withdrawal Criteria:

  1. Identification of a probable or confirmed case COVID-19;
  2. Signs of complications of viral infection, including signs of secondary bacterial infection;
  3. The investigating physician decides that the patient must be excluded for the patient's own benefit;
  4. Withdrawal of informed consent by the parent or adoptive parent;
  5. Individual intolerance to the study drug;
  6. Development of NS requiring withdrawal of study drug/placebo;
  7. Erroneous inclusion (for example, the patient was included in violation of the inclusion/inclusion criteria of the protocol);
  8. Patient receives/needs additional treatment that may affect study outcome or patient safety (see "prohibited concomitant therapies");
  9. Persistence of nasal congestion longer than 10 days, worsening of condition after the first week of illness, facial pain;
  10. Patient's development of the conditions described in the criteria for exclusion;
  11. Development of hemorrhagic syndrome (including DIC): nosebleed, hemorrhagic rash on the face, neck, chest, and upper extremities, hemorrhages into the mucous membrane of the mouth and nose, the back of the throat, conjunctivae, blood in vomit, hemoptysis, etc.);
  12. A pronounced intoxication syndrome with the development of encephalic or meningoencephalic reactions (delirium, hallucinations, seizures, confusion or loss of consciousness, vomiting);
  13. Hemophagocytic syndrome;
  14. Other conditions or events that, in the opinion of the investigating physician, require exclusion of the patient from the study.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05269290


Locations
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Russian Federation
Federal Research and Clinical Center of Physical and Chemical Medicine of the Federal Medical and Biological Agency Recruiting
Odintsovo, Moscow Region, Russian Federation, 1430010
Contact: Anna Gratsianskaya, MD, PhD    +7 (903) 781 7158    annagrats@rambler.ru   
City Pediatric Outpatient Clinic number 5 Recruiting
Perm, Russian Federation, 614066
Contact: Olga Perminova, MD, PhD    +7 (912) 882 0549    perminova20062006@yandex.ru   
Professors' Clinic LLC. Recruiting
Perm, Russian Federation, 614070
Contact: Svetlana Teplykh, MD, PhD    +7 (919) 498 2931    profkliniki@mail.ru   
St. Petersburg State Budgetary Healthcare Institution "Children's City Polyclinic No. 44" Recruiting
Saint Petersburg, Russian Federation, 191144
Contact: Olga Trusova, MD, PhD    +7 (921) 645 1107    o-tru@mail.ru   
City Polyclinic No. 45 of Nevsky District Recruiting
Saint Petersburg, Russian Federation, 193312
Contact: Nina Baltserovich, MD    +7 (921) 742 6699    ninabalt@yandex.ru   
PiterKlinika LLC Recruiting
Saint Petersburg, Russian Federation, 196158
Contact: Tatiana Pak, MD,PhD    +7 (981) 851 8150    pte@list.ru   
Uromed LLC Recruiting
Smolensk, Russian Federation, 214031
Contact: Elena Moiseenko, MD    +7 (920) 663 2340    sc@smolensktrials.ru   
Bashkir State Medical University Recruiting
Ufa, Russian Federation, 450008
Contact: Ludmila Yakovleva, MD, PhD    +7 (927) 232 5780    fock20051@mail.ru   
Sponsors and Collaborators
Valenta Pharm JSC
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Responsible Party: Valenta Pharm JSC
ClinicalTrials.gov Identifier: NCT05269290    
Other Study ID Numbers: ING-03-04-2020
First Posted: March 7, 2022    Key Record Dates
Last Update Posted: March 7, 2022
Last Verified: January 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Infections
Communicable Diseases
Influenza, Human
Respiratory Tract Infections
Virus Diseases
Common Cold
Disease Attributes
Pathologic Processes
Orthomyxoviridae Infections
RNA Virus Infections
Respiratory Tract Diseases
Picornaviridae Infections
Pentanedioic acid imidazolyl ethanamide
Antiviral Agents
Anti-Infective Agents