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Influenza and Other Novel Respiratory VirusesNCT01056354

Respiratory Virus Outpatient Study (FLU 002 Plus)

An observational study of Influenza and Other Novel Respiratory Viruses, run by University of Minnesota at 68 sites in 15 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 describe participants seeking medical care in geographically diverse locations with 2009 H1N1 infection and their clinical course over a 14-day period following enrollment. Read more about this study

Who is it for?
Ages 18 years and older
How many people
11,719 participants
Where
68 sitesin 15 countries
Study dates
Aug 2009to 12 May 2017
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: Persons who seek medical care and are suspected of having influenza or a targeted novel respiratory virus* of major public health concern will be enrolled at numerous participating clinical sites on several continents. *The current list of other targeted novel respiratory viruses includes MERS-CoV and SARS-CoV.

Who may be able to join

  • Be ≥ 18 years of age
  • Have a signed informed consent by participant
  • Have a fever (37.8 degrees C (100 degrees F) or higher on examination or patient-reported fever (37.8 degrees C (100 degrees F) or higher, or feverishness (felt febrile but did not take temperature) in the past 24 hours.
  • Have a cough and/or sore throat
  • Have suspected influenza or a suspected targeted non-influenza viral respiratory infection

Who cannot join

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

Trial locations and contacts

68 sites in 15 countries.

68 sites in 15 countries

United States17 sites
  • UNC AIDS Clinical Trials Unit

    Chapel Hill, North Carolina, 27514

  • University of Tennessee College of Medicine

    Chattanooga, Tennessee, 37403

  • University of Illinois at Chicago

    Chicago, Illinois, 60612

  • Denver Public Health

    Denver, Colorado, 80204

  • Henry Ford Health System

    Detroit, Michigan, 48202

  • Duke University

    Durham, North Carolina, 27710

  • University of North Texas Health Science Center

    Fort Worth, Texas, 76107

  • Houston AIDS Research Team

    Houston, Texas, 77030

  • Cornell CRS

    New York, New York, 10010

  • New Jersey Medical School Adult Clinical Research Center

    Newark, New Jersey, 07103

  • Infectious Diseases Associates NW FL, PA

    Pensacola, Florida, 32503

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • UCSD Antiviral Research Center

    San Diego, California, 92103-8208

  • Newland Immunology Center of Excellence (NICE)

    Southfield, Michigan, 48075

  • Bronx-Lebanon Hospital Center

    The Bronx, New York, 10457

  • 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

Argentina12 sites
  • CEMIC

    Buenos Aires

  • FUNCEI

    Buenos Aires

  • Hospital General de Agudos JM Ramos Mejia

    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

  • Hospital Interzonal General de Agudos Dr. Diego Paroissien

    La Matanza, Buenos Aires

  • Instituto Medico Platense

    La Plata, Buenos Aires

  • CAICI (Instituto Centralizado de Assistencia e Investigacion Clinica Integral)

    Rosario, Santa Fe Province

  • Sanatorio Britanico

    Rosario, Santa Fe Province

  • Hospital Profesor Bernardo Houssay

    Vicente López, Buenos Aires

Other trials in Argentina

Australia5 sites
  • Interchange General Practice

    Canberra, Australian Capital Territory, 2601

  • Holdsworth House Medical Practice

    Darlinghurst, New South Wales, 2010

  • Northside Clinic

    Fitzroy North, Victoria, 3068

  • Prahran Market Clinic

    Melbourne, Victoria, 3181

  • Westmead Hospital

    Westmead, New South Wales, 2145

Other trials in Australia

Denmark4 sites
  • Arhus Universitetshospital, Skejby

    Aarhus

  • CHIP

    Copenhagen

  • Rigshospitalet, Infektionsmedicinsk ambulatorium 8622

    Copenhagen

  • University Clinic of General Practice

    Copenhagen

Other trials in Denmark

Germany4 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

  • Ifi - Studien und Projekte GmbH

    Hamburg

Other trials in Germany

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

Peru4 sites
  • Hospital Nacional Arzobispo Loayza

    Lima, 01

  • Asociacion Civil IMPACTA Salud y Educacion

    Lima, 04

  • Hospital Nacional Edgardo Rebagliati Martins

    Lima, 11

  • Hospital Nacional Guillermo Almenara Irigoyen

    Lima, 13

Other trials in Peru

United Kingdom4 sites
  • Bradford Teaching Hospitals NHS Foundation Trust

    Bradford, West Yorkshire, BD9 6RJ

  • Churchill Hospital

    Headington, Oxford, OX3 9LJ

  • St James's University Hospital

    Leeds, West Yorkshire, LS9 7TF

  • Norfolk and Norwich University Hospital

    Norwich, Norfolk, NR4 7UY

Other trials in United Kingdom

Chile3 sites
  • Clinica Alemana

    Santiago

  • Fundacion Arriaran

    Santiago

  • Pontificia Universidad Catolica de Chile

    Santiago

Other trials in Chile

Thailand3 sites
  • Chulalongkorn University Hospital

    Bangkok, 10330

  • Khon Kaen University, Srinagarind Hospital

    Khon Kaen, 40002

  • Bamrasnaradura Institute

    Nonthaburi, 11000

Other trials in Thailand

Belgium2 sites
  • Centre Hospitalier Universitaire St. Pierre (C.H.U. St. Pierre)

    Brussels

  • Practimed Medisch Centrum Tessenderlo

    Tessenderlo

Other trials in Belgium

Poland2 sites
  • Wojewodzki Szpital Zakazny

    Warsaw

  • EMC Instytut Medyczny SA

    Wroclaw

Other trials in Poland

Spain2 sites
  • Hospital Universitario y Politécnico La Fe

    Valencia, 46026

  • Hospital Txagorritxu

    Vitoria-Gasteiz

Other trials in Spain

Estonia1 site
  • West Tallinn Central Hospital Infectious Diseases

    Tallinn

Other trials in Estonia

Japan1 site
  • National Hospital Organization Nagoya Medical Center

    Nagoya, 460-0001

Other trials in Japan

About this study

Official title: An International Observational Study to Characterize Adults 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 describe participants seeking medical care in geographically diverse locations with 2009 H1N1 infection and their clinical course over a 14-day period following enrollment. 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. This version of the protocol 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 participants in geographically diverse locations with influenza virus infection and other viral respiratory diseases of public health importance and their clinical course over a 14-day period following enrollment.

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

Sample size is open-ended for this observational study. Based on experience to date, it is estimated that 75 sites will participate and will enroll approximately 1,700 patients with influenza each year, about one-half in the Northern Hemisphere and one-half in the Southern Hemisphere. Sites in diverse geographic locations on several continents will participate.

Study Plan:

  • Participants who meet the eligibility criteria will be enrolled at participating clinical sites.
  • 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 specimen. The respiratory specimen will be sent for central reverse transcriptase polymerase chain reaction (RT-PCR) testing for influenza.
  • Status will be re-assessed at approximately 14 days after enrollment and another blood sample for serum and plasma will be obtained. For participants with a confirmed novel respiratory virus of public health importance, attempts will be made to obtain a sample of the local specimen used to diagnose the infection.

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 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 disease progression among individuals with infectious diseases of public health importance who are enrolled in qualifying INSIGHT studies.

Participating FLU 002 Plus sites are given the option to also participate in INSIGHT Genomics, which requires a separate protocol registration. Participants, once consented to FLU 002 Plus, will be offered the option to also consent to INSIGHT Genomics, which includes a single whole blood sample collection. Participation in FLU 002 Plus will not be compromised if a participant opts not to participate in INSIGHT Genomics.

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

What participants receive

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

Study groups in NCT01056354
Study groupRoleWhat they receive
InfluenzaInfluenza A and subtypes such as H3N2 and 2009 H1N1 or influenza B
Novel respiratory virus-1MERS-CoV (Middle Eastern 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 or Hospitalization

    Death or hospitalization within 14 days of enrollment or the development of one severe complication.

    Measured: 14-day period following enrollment

Secondary outcomes (1)
  1. Days of work/school lost, duration of symptoms, use of antivirals

    Measured: 14 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 completion12 May 2017
  4. Study completion12 May 2017

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
11,719 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01056354
Sponsor's protocol ID
0603M83587 FLU 002
Other IDs
HHSN261200800001E ; 29XS214
Status last verified
Aug 2017
First submitted
25 Jan 2010
Last updated
18 Aug 2017
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

  • 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
  • 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 Other Novel Respiratory Viruses, run by University of Minnesota at 68 sites in 15 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 18 Aug 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 68 sites in United States, Argentina, Australia, Denmark, Germany and 10 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 or Hospitalization (time frame: 14-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 NCT01056354, which also lists 7 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 18 Aug 2017.

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