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Evaluation of the Efficacy and Safety of Peramivir in Subjects With Uncomplicated Acute Influenza.

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
BioCryst Pharmaceuticals
ClinicalTrials.gov Identifier:
NCT00419263
First received: January 4, 2007
Last updated: January 28, 2015
Last verified: January 2015
Results First Received: January 16, 2015  
Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition: Influenza
Interventions: Drug: Peramivir 150 mg
Drug: Peramivir 300 mg
Drug: Placebo

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Placebo Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of placebo).
Peramivir 150 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (one injection of peramivir 150 mg and one injection of placebo).
Peramivir 300 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of peramivir 150 mg).

Participant Flow:   Overall Study
    Placebo   Peramivir 150 mg   Peramivir 300 mg
STARTED   115   114   115 
COMPLETED   112   112   112 
NOT COMPLETED   3   2   3 
Lost to Follow-up                2                1                1 
Randomized in Error, Not Treated                1                1                0 
Adverse Event                0                0                1 
Withdrawal by Subject                0                0                1 



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
The safety population included all subjects who received any dose of study drug. Subjects were analyzed according to the treatment received.

Reporting Groups
  Description
Placebo Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of placebo).
Peramivir 150 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (one injection of peramivir 150 mg and one injection of placebo).
Peramivir 300 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of peramivir 150 mg).
Total Total of all reporting groups

Baseline Measures
   Placebo   Peramivir 150 mg   Peramivir 300 mg   Total 
Overall Participants Analyzed 
[Units: Participants]
 114   113   115   342 
Age 
[Units: Years]
Mean (Standard Deviation)
 33.9  (12.05)   36.2  (15.59)   36.2  (13.25)   35.4  (13.71) 
Age, Customized 
[Units: Participants]
       
18 - 27 years old   41   37   34   112 
28 - 37 years old   37   31   35   103 
38 - 47 years old   19   21   25   65 
48 - 57 years old   9   10   12   31 
≥ 58 years old   8   13   9   30 
Missing   0   1   0   1 
Gender 
[Units: Participants]
       
Female   54   67   62   183 
Male   60   46   53   159 
Ethnicity (NIH/OMB) 
[Units: Participants]
       
Hispanic or Latino   6   9   4   19 
Not Hispanic or Latino   108   104   111   323 
Unknown or Not Reported   0   0   0   0 
Race (NIH/OMB) 
[Units: Participants]
       
American Indian or Alaska Native   0   0   0   0 
Asian   7   4   7   18 
Native Hawaiian or Other Pacific Islander   6   8   4   18 
Black or African American   21   18   17   56 
White   77   78   81   236 
More than one race   0   0   0   0 
Unknown or Not Reported   3   5   6   14 
Body Mass Index at Screening [1] 
[Units: Kg/m^2]
Mean (Standard Deviation)
 26.5  (5.69)   27.5  (6.23)   27.8  (6.35)   27.2  (6.11) 
[1] Data were available for 114 participants in the placebo arm, 113 participants in the peramivir 150-mg arm, and 115 participants in the peramivir 300-mg arm.
Current Smoking Behavior at Randomization 
[Units: Participants]
       
Smoker   26   22   25   73 
Nonsmoker   88   91   90   269 
Estimated Time of Onset of Symptoms at Screening 
[Units: Participants]
       
0 - 12 hours ago   1   4   4   9 
> 12 - 24 hours ago   37   32   25   94 
> 24 - 36 hours ago   45   43   46   134 
> 36 - 48 hours ago   31   34   40   105 
Initial Composite Symptom Score [1] 
[Units: Units on a scale]
Mean (Standard Deviation)
 14.3  (3.70)   14.3  (3.22)   14.1  (3.92)   14.2  (3.62) 
[1] Initial Composite Symptom Score is defined as the sum of the 7 symptoms of influenza initially recorded by the subject in the diary (cough; sore throat; nasal congestion; myalgia [aches and pains]; headache; feverishness; and fatigue), each graded on a 4-point severity scale [0, absent; 1, mild; 2, moderate; 3, severe]); for the composite score, individual scores were summed, with a range from 0 to 21. Data were available for 111 participants in the placebo arm, 111 participants in the peramivir 150-mg arm, and 114 participants in the peramivir 300-mg arm.
Influenza Infection [1] 
[Units: Participants]
       
Negative   5   9   9   23 
Positive   109   104   105   318 
Missing   0   0   1   1 
[1] Infection as measured by polymerase chain reaction (PCR) or serology.
Body Surface Area [1] 
[Units: M^2]
Mean (Standard Deviation)
 1.9  (0.26)   1.9  (0.25)   1.9  (0.28)   1.9  (0.26) 
[1] Data were available for 114 participants in the placebo arm, 113 participants in the peramivir 150-mg arm, and 115 participants in the peramivir 300-mg arm.


  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Time to Alleviation of Symptoms (Kaplan-Meier Estimate)   [ Time Frame: Up to 14 days ]

2.  Secondary:   Time to Resolution of Fever   [ Time Frame: Up to 14 days ]

3.  Secondary:   Time to Resumption of Ability to Perform Usual Activities   [ Time Frame: Up to 14 days ]

4.  Secondary:   Change From Baseline to Day 2 in Influenza Virus Titer   [ Time Frame: Baseline and approximately 24 hours after treatment ]

5.  Secondary:   Change From Baseline to Day 3 in Influenza Virus Titer   [ Time Frame: Baseline and approximately 48 hours after treatment ]

6.  Secondary:   Change From Baseline to Day 5 in Influenza Virus Titer   [ Time Frame: Baseline and approximately 96 hours after treatment ]

7.  Secondary:   Change From Baseline to Day 9 in Influenza Virus Titer   [ Time Frame: Baseline and approximately 192 hours after treatment ]


  Serious Adverse Events
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Time Frame No text entered.
Additional Description No text entered.

Reporting Groups
  Description
Placebo Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of placebo).
Peramivir 150 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (one injection of peramivir 150 mg and one injection of placebo).
Peramivir 300 mg Single dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of peramivir 150 mg).
Total Total number of subjects who received at least 1 dose of study drug

Serious Adverse Events
    Placebo   Peramivir 150 mg   Peramivir 300 mg   Total
Total, Serious Adverse Events         
# participants affected / at risk   1/114 (0.88%)   0/113 (0.00%)   1/115 (0.87%)   2/342 (0.58%) 
Infections and infestations         
Meningitis † 1         
# participants affected / at risk   0/114 (0.00%)   0/113 (0.00%)   1/115 (0.87%)   1/342 (0.29%) 
# events   0   0   1   1 
Pyelonephritis † 1         
# participants affected / at risk   1/114 (0.88%)   0/113 (0.00%)   0/115 (0.00%)   1/342 (0.29%) 
# events   1   0   0   1 
Events were collected by systematic assessment
1 Term from vocabulary, MedDRA Version 9.1




  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Results Point of Contact:  
Name/Title: William P. Sheridan, MBBS
Organization: BioCryst Pharmaceuticals, Inc.
phone: (919) 859-1302



Responsible Party: BioCryst Pharmaceuticals
ClinicalTrials.gov Identifier: NCT00419263     History of Changes
Other Study ID Numbers: BCX1812-211
Study First Received: January 4, 2007
Results First Received: January 16, 2015
Last Updated: January 28, 2015