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InfluenzaNCT01056185

Respiratory Virus Hospitalization Study (FLU 003 Plus)

An observational study of Influenza and Novel Respiratory Virus-1 Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV), run by University of Minnesota at 63 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Following the sudden and unexpected emergence of influenza A(H1N1)pdm09 (2009 H1N1) virus, this observational study was initiated to estimate rates of morbidity and mortality and to examine predictors of severity among participants with 2009 H1N1 infection. Read more about this study

Who is it for?
Ages 18 years and older
How many people
1,000 participants
Where
63 sitesin 12 countries
Study dates
Aug 2009to 30 Aug 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Adult patients who are hospitalized with a diagnosis (confirmed or suspected) of influenza or a targeted non-influenza viral respiratory infection, as soon as possible after the suspected diagnosis is made. Participants may have already been admitted to the hospital at the study site or may have been previously seen at another hospital where the diagnosis of influenza or infection with a targeted respiratory virus was made.

Who may be able to join

  • Be ≥ 18 years of age
  • Have been admitted to hospital
  • Have a signed informed consent by participant or surrogate/representative
  • Have a local diagnosis (confirmed or suspected) of influenza, or of a targeted non-influenza viral respiratory infection*, resulting in (or extending a previous) hospitalization
  • A list of targeted non-influenza respiratory viruses is maintained on the INSIGHT website.

Who cannot join

  • Current imprisonment, or compulsory detention (involuntary incarceration) for treat of a psychiatric or physical illness.

Trial locations and contacts

63 sites in 12 countries.

63 sites in 12 countries

United States18 sites
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Cooper University Hospital

    Camden, New Jersey, 08103

  • University of Tennessee College of Medicine

    Chattanooga, Tennessee, 37403

  • University of Illinois at Chicago

    Chicago, Illinois, 60612

  • The Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Miami Valley Hospital

    Dayton, Ohio, 45409

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Duke University

    Durham, North Carolina, 27710

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Cornell ID-CRU

    New York, New York, 10010

  • New Jersey Medical School Adult Clinical Research Center

    Newark, New Jersey, 07103

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • UCSD Antiviral Research Center

    San Diego, California, 92103-8208

  • Baystate Infectious Diseases Clinical Research

    Springfield, Massachusetts, 01199

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • George Washington Medical Faculty Associates

    Washington D.C., District of Columbia, 20037

  • Washington DC VA Medical Center

    Washington D.C., District of Columbia, 20422

Other trials in United States

Argentina11 sites
  • CEMIC

    Buenos Aires

  • Hospital General de Agudos JM Ramos Mejia

    Buenos Aires

  • Hospital Interzonal General de Agudos Dr. Diego Paroissien

    Buenos Aires

  • Hospital Italiano de Buenos Aires

    Buenos Aires

  • Hospital Privado Centro Medico de Cordoba

    Córdoba

  • Hospital Rawson

    Córdoba

  • Hospital Nacional Profesor Alejandro Posadas

    El Palomar, Buenos Aires

  • Instituto Medico Platense

    La Plata, Buenos Aires

  • Hospital Universitario Austral

    Pilar, Buenos Aires

  • Sanatorio Britanico

    Rosario, Santa Fe Province

  • Hospital Profesor Bernardo Houssay

    Vicente López, Buenos Aires

Other trials in Argentina

United Kingdom7 sites
  • Bradford Teaching Hospitals NHS Foundation Trust

    Bradford, West Yorkshire, BD9 6RJ

  • Brighton and Sussex University Hospitals NHS Trust

    Brighton, East Sussex, BN2 1ES

  • Churchill Hospital

    Headington, Oxford, OX3 9LJ

  • St James's University Hospital

    Leeds, West Yorkshire, LS9 7TF

  • Newcastle General Hospital

    Newcastle upon Tyne, NE4 6BE

  • Sheffield Teaching Hospital NHS Foundation Trust

    Sheffield, South Yorkshire, S10 2JF

  • Heatherwood and Wexham Park Hospitals NHS Foundation Trust

    Slough, Berkshire

Other trials in United Kingdom

Spain5 sites
  • Hospital Clinico San Carlos

    Madrid

  • Hospital La Paz

    Madrid

  • Hospital Universitario Gregorio Mara�on

    Madrid

  • Hospital Universitario Infanta Leonor

    Madrid

  • Hospital Txagorritxu

    Vitoria-Gasteiz

Other trials in Spain

Denmark4 sites
  • Arhus Universitetshospital, Skejby

    Aarhus

  • CHIP

    Copenhagen

  • Hvidovre University Hospital, Department of Infectious Diseases

    Hvidovre

  • Odense University Hospital

    Odense

Other trials in Denmark

Greece4 sites
  • 1st Dept of Critical Care Medicine and Pulmonary Services, Evangelismos Hospital

    Athens

  • 1st Respiratory Medicine Dept, Athens Hosp for Diseases of the Chest "Sotiria Hospital"

    Athens

  • Evangelismos General Hospital

    Athens

  • Hippokration University General Hospital of Athens

    Athens

Other trials in Greece

Australia3 sites
  • St. Vincent's Hospital

    Darlinghurst, New South Wales, 2010

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • Westmead Hospital

    Westmead, New South Wales, 2145

Other trials in Australia

Germany3 sites
  • Medizinische Universitatsklinik - Bonn, Immunologische Ambulanz CRS

    Bonn

  • Klinik I fur Innere Medizin der Universitat zu Koln, Studienburo fur Infektiologie u. HIV

    Cologne

  • Johann Wolfgang Goethe - University Hospital, Infektionsambulanz CRS

    Frankfurt

Other trials in Germany

Thailand3 sites
  • Chulalongkorn University Hospital

    Bangkok, 10330

  • Khon Kaen University, Srinagarind Hospital

    Khon Kaen, 40002

  • Bamrasnaradura Institute

    Nonthaburi, 11000

Other trials in Thailand

Chile2 sites
  • Clinica Alemana

    Santiago

  • Fundacion Arriaran

    Santiago

Other trials in Chile

Peru2 sites
  • Hospital Nacional Arzobispo Loayza

    Lima, 01

  • Hospital Nacional Guillermo Almenara Irigoyen

    Lima, 13

Other trials in Peru

Belgium1 site
  • Centre Hospitalier Universitaire St. Pierre (C.H.U. St. Pierre)

    Brussels

Other trials in Belgium

About this study

Official title: An International Observational Study to Characterize Adults Who Are Hospitalized With Influenza or Other Targeted Respiratory Viruses

Following the sudden and unexpected emergence of influenza A(H1N1)pdm09 (2009 H1N1) virus, this observational study was initiated to estimate rates of morbidity and mortality and to examine predictors of severity among participants with 2009 H1N1 infection. In 2011, as surveillance indicated that 2009 H1N1 virus was co-circulating with other seasonal influenza A and B viruses worldwide, the protocol was expanded to include other influenza A subtypes and influenza B viruses. The current version of the protocol (released in August 2013) further broadens the scope of this observational study. With the recognition that novel respiratory viruses other than novel influenza A viruses, e.g., Middle East Respiratory Syndrome Coronavirus (MERS-CoV), could become prevalent and of major public health importance, the objectives of this protocol have been expanded.

Read the detailed description

The purpose of this observational study is to describe the characteristics and outcomes over a 60-day follow-up period of participants with influenza virus infection (including influenza A subtypes such as H3N2 and 2009 H1N1, or influenza B), or a targeted non-influenza respiratory virus, who are hospitalized with severe illness and/or complications in geographically diverse locations.

Specific objectives related to influenza virus infection are to estimate the percentage of participants who go on to develop severe disease or complications that require hospitalization; to obtain information on risk factors for disease severity; and to establish a central repository of specimens for use in virus characterization, including subtyping, antigenic and genetic analyses, identification of signature mutations associated with antiviral drug resistance, mutational evolution, and additional reassortment.

Specific objectives related to novel non-influenza respiratory viruses of potential major public health importance are to characterize initial cases and their outcomes in order to develop more specific protocols that could inform the prevention and treatment of these new infections.

The information used from this study on participants with influenza and novel respiratory virus infections will be rapidly analyzed and shared broadly in order to guide policymakers and to design future studies.

Approximately 500 patients with influenza will be enrolled each year at an estimated 75 sites which are in geographically diverse locations across several continents.

Study Plan:

  • Participants who meet the eligibility criteria will be enrolled at participating clinical sites.
  • Patients with a diagnosis of influenza (confirmed or suspected), who are hospitalized with complications or severe disease, will be enrolled.
  • At enrollment, consent is signed and information (demographics, medical history (including prior influenza and pneumococcal vaccination), medications (including antivirals) and treatments prescribed) will be recorded. A blood sample for serum and plasma will be obtained at enrollment, as well as an upper respiratory tract sample and lower respiratory tract sample, if appropriate. The respiratory specimens will be sent for central reverse transcriptase polymerase chain reaction (RT-PCR) testing for influenza.
  • For participants who are still hospitalized, and not intubated, 5 to 7 days after enrollment an additional upper respiratory sample is obtained.
  • Status will be re-assessed at approximately 28 days and 60 days after enrollment and another blood sample for serum and plasma will obtained at both time points.
  • For participants who are mechanically ventilated additional upper and lower respiratory tract specimens will be obtained at specific timepoints.

In February 2012, the FLU 004 Genomics protocol v 1.0 was released to the field. In August 2013, v 2.0 of the protocol was released as INSIGHT Genomics. The protocol was expanded beyond the FLU 002 and FLU 003 studies to include all qualifying INSIGHT studies (list of qualifying studies is posted on the INSIGHT website, www.insight-trials.org). The purpose of this substudy is to obtain a whole blood sample from which DNA will be extracted to study polymorphisms in immune response genes and other genetic variants that may be associated with an increased risk of severe influenza.

Participating FLU 003 Plus sites are given the option to also participate in INSIGHT Genomics which requires a separate protocol registration. Participants, once consented to FLU 003 Plus, will be offered the option to also consent to INSIGHT Genomics which includes a single whole blood sample collection. Participation in FLU 003 Plus will not be compromised if a participant opts not to participate in INSIGHT Genomics.

Keywords
influenza, flu, swine flu, respiratory virus, hospitalization, MERS-CoV, SARS-CoV
Medical subject headings
Influenza, Human, Severe Acute Respiratory Syndrome, Orthomyxoviridae Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01056185
Study groupRoleWhat they receive
InfluenzaInfluenza A and subtypes such as H3N2 and 2009 H1N1 or influenza B
Novel Respiratory Virus-1MERS-CoV (Middle East Respiratory Syndrome Coronavirus
Novel Respiratory Virus-2SARS-CoV (Severe Acute Respiratory Syndrome Coronavirus)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Death

    Measured: 60-day period following enrollment

Secondary outcomes (1)
  1. Recovery from influenza illness (including days lost from normal activities) duration of hospitalization, days in intensive care, days of mechanical ventilation, days of dialysis, pregnancy outcome

    Measured: approximately 60 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jan 2010 (estimated)
  2. Study startAug 2009
  3. Primary completion30 Aug 2024
  4. Study completion30 Aug 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01056185
Sponsor's protocol ID
0603M83587 FLU 003
Status last verified
Oct 2024
First submitted
25 Jan 2010
Last updated
21 Oct 2024
Results posted
No
Data monitoring committee
No

Publications

  • Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team; Dawood FS, Jain S, Finelli L, Shaw MW, Lindstrom S, Garten RJ, Gubareva LV, Xu X, Bridges CB, Uyeki TM. Emergence of a novel swine-origin influenza A (H1N1) virus in humans. N Engl J Med. 2009 Jun 18;360(25):2605-15. doi: 10.1056/NEJMoa0903810. Epub 2009 May 7.

    PubMed 19423869
  • World Health Organization (WHO), www.who.int/, accessed 26 August 2013

  • Guery B, Poissy J, el Mansouf L, Sejourne C, Ettahar N, Lemaire X, Vuotto F, Goffard A, Behillil S, Enouf V, Caro V, Mailles A, Che D, Manuguerra JC, Mathieu D, Fontanet A, van der Werf S; MERS-CoV study group. Clinical features and viral diagnosis of two cases of infection with Middle East Respiratory Syndrome coronavirus: a report of nosocomial transmission. Lancet. 2013 Jun 29;381(9885):2265-72. doi: 10.1016/S0140-6736(13)60982-4. Epub 2013 May 30.

    PubMed 23727167
  • Drosten C, Seilmaier M, Corman VM, Hartmann W, Scheible G, Sack S, Guggemos W, Kallies R, Muth D, Junglen S, Muller MA, Haas W, Guberina H, Rohnisch T, Schmid-Wendtner M, Aldabbagh S, Dittmer U, Gold H, Graf P, Bonin F, Rambaut A, Wendtner CM. Clinical features and virological analysis of a case of Middle East respiratory syndrome coronavirus infection. Lancet Infect Dis. 2013 Sep;13(9):745-51. doi: 10.1016/S1473-3099(13)70154-3. Epub 2013 Jun 17.

    PubMed 23782859
  • World Health Organization (WHO), Severe Acute Respiratory Syndrome (SARS), www.who.int/csr/sars/, accessed 26 August 2013

  • Wendt CH, Castro-Pearson S, Proper J, Pett S, Griffin TJ, Kan V, Carbone J, Koulouris N, Reilly C, Neaton JD; INSIGHT FLU003 Plus Study Group. Metabolite profiles associated with disease progression in influenza infection. PLoS One. 2021 Apr 2;16(4):e0247493. doi: 10.1371/journal.pone.0247493. eCollection 2021.

    PubMed 33798209
  • Simonsen L, Higgs E, Taylor RJ, Wentworth D, Cozzi-Lepri A, Pett S, Dwyer DE, Davey R, Lynfield R, Losso M, Morales K, Glesby MJ, Weckx J, Carey D, Lane C, Lundgren J; INSIGHT FLU002 and FLU003 Study Groups. Using Clinical Research Networks to Assess Severity of an Emerging Influenza Pandemic. Clin Infect Dis. 2018 Jul 18;67(3):341-349. doi: 10.1093/cid/ciy088.

    PubMed 29746631
  • Pett SL, Kunisaki KM, Wentworth D, Griffin TJ, Kalomenidis I, Nahra R, Montejano Sanchez R, Hodgson SW, Ruxrungtham K, Dwyer D, Davey RT, Wendt CH; INSIGHT FLU003 Plus Study Group. Increased Indoleamine-2,3-Dioxygenase Activity Is Associated With Poor Clinical Outcome in Adults Hospitalized With Influenza in the INSIGHT FLU003Plus Study. Open Forum Infect Dis. 2017 Oct 25;5(1):ofx228. doi: 10.1093/ofid/ofx228. eCollection 2018 Jan.

    PubMed 29322062
  • Lynfield R, Davey R, Dwyer DE, Losso MH, Wentworth D, Cozzi-Lepri A, Herman-Lamin K, Cholewinska G, David D, Kuetter S, Ternesgen Z, Uyeki TM, Lane HC, Lundgren J, Neaton JD; INSIGHT Influenza Study Group. Outcomes of influenza A(H1N1)pdm09 virus infection: results from two international cohort studies. PLoS One. 2014 Jul 8;9(7):e101785. doi: 10.1371/journal.pone.0101785. eCollection 2014.

    PubMed 25004134

Questions about this trial

What is this clinical trial studying?

An observational study of Influenza and Novel Respiratory Virus-1 Middle Eastern Respiratory Syndrome Coronavirus (MERS-CoV), run by University of Minnesota at 63 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 sites in United States, Argentina, United Kingdom, Spain, Denmark and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Death (time frame: 60-day period following enrollment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01056185, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2024.

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