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InfluenzaPhase 3NCT03629184

Study to Assess the Safety, Pharmacokinetics, and Efficacy of Baloxavir Marboxil in Healthy Pediatric Participants With Influenza-Like Symptoms

A Phase 3 study testing Baloxavir Marboxil and Oseltamivir in people with Influenza, run by Hoffmann-La Roche at 37 sites in 7 countries.

Completed

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

Official record
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Trial summary

This study will evaluate the safety, pharmacokinetics, and efficacy of baloxavir marboxil compared with oseltamivir in a single influenza episode in otherwise healthy pediatric participants (i.e., 1 to <12 years of age) with influenza-like symptoms. Read more about this study

Who is it for?
Ages 1 year to 11 years
Conditions the study is for
Influenza
What is being tested?
Baloxavir Marboxil and Oseltamivir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
173 participants
Where
37 sitesin 7 countries
Study dates
20 Nov 2018to 3 Apr 2019
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 1 year to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Aged 1 to < 12 years at randomization (Day 1).
  • Written informed consent/assent for study participation obtained from participant's parents or legal guardian, with assent as appropriate by the participant, depending on the patient's level of understanding
  • Participant able to comply with study requirements, depending on the patient's level of understanding
  • Participant with a diagnosis of influenza virus infection confirmed by the presence of all of the following:
  • Fever ≥ 38 degree celsius (tympanic temperature) at screening
  • At least one respiratory symptom (either cough or nasal congestion)
  • The time interval between the onset of symptoms and screening is ≤ 48 hours

Who cannot join

  • Severe symptoms of influenza virus infection requiring inpatient treatment
  • Concurrent infections requiring systemic antiviral therapy at screening
  • Require, in the opinion of the investigator, any of the prohibited medication during the study
  • Previous treatment with peramivir, laninamivir, oseltamivir, zanamivir, or amantadine within 2 weeks prior to screening
  • Immunization with a live/attenuated influenza vaccine in the 2 weeks prior to randomization
  • Concomitant treatment with steroids or other immuno-suppressant therapy
Show all 13Show fewer
  • Known HIV infection or other immunosuppressive disorder
  • Uncontrolled renal, vascular, neurologic, or metabolic disease (e.g., diabetes, thyroid disorders, adrenal disease), hepatitis, cirrhosis, or pulmonary disease or participants with known chronic renal failure.
  • Active cancer at any site
  • History of organ transplantation
  • Known allergy to either study drug (i.e., baloxavir marboxil and oseltamivir) or to acetaminophen
  • Females with child-bearing potential
  • Participation in a clinical trial within 4 weeks or five half-lives of exposure to an investigational drug prior to screening, whichever is longer

Trial locations and contacts

37 sites in 7 countries.

37 sites in 7 countries

United States27 sites
  • Kentucky Pediatric Research Center

    Bardstown, Kentucky, 40004

  • Central Alabama Research; Pediatrics

    Birmingham, Alabama, 35209

  • Spiegel, Craig

    Bridgeton, Missouri, 63044

  • Coastal Pediatric Research

    Charleston, South Carolina, 29414

  • OnSite Clinical Solutions LLC

    Charlotte, North Carolina, 28203

  • AFC Urgent Care- Cleveland

    Cleveland, Tennessee, 37312

  • Oak Cliff Research Company, LLC

    Dallas, Texas, 75243

  • Ohio Pediatric Research Association

    Dayton, Ohio, 45414

  • Harrisburg Family Medical Center

    Harrisburg, Arkansas, 72432

  • HD Research Corp

    Houston, Texas, 77004

  • Mercury Clinical Research

    Houston, Texas, 77036-3316

  • Clinical Research Prime

    Idaho Falls, Idaho, 83404

  • The Children's Clinic of Jonesboro, P.A.

    Jonesboro, Arkansas, 72401

  • Holston Medical Group

    Kingsport, Tennessee, 37660

  • Machuca Family Medicine

    Las Vegas, Nevada, 89104

  • The Probe Medical Research

    Los Angeles, California, 90004

  • Meridian Clinical Research, Llc

    Omaha, Nebraska, 68134

  • Orange County Research Institute

    Ontario, California, 91762

  • Avanza Medical Research Center

    Pensacola, Florida, 32503

  • FirstMed East (J Lewis Research)

    Salt Lake City, Utah, 84121

  • Advanced Clinical Research - Jordan Ridge Family Medicine

    Salt Lake City, Utah, 84123

  • Tekton Research

    San Antonio, Texas, 78240

  • Khruz Biotechnology Research Institute

    San Diego, California, 92102

  • Montgomery Medical Research /Frontier Clinical Research

    Smithfield, North Carolina, 15478

  • DM Clinical Research

    Tomball, Texas, 77375

  • Cotton O'Neil Clinic; Stormont-Vail Hlth Care

    Topeka, Kansas, 66606

  • ClinPoint Trials

    Waxahachie, Texas, 75165

Other trials in United States

Poland4 sites
  • Wojewodzki Szpital Obserwacyjno-Zakazny; Oddział Pediatrii, Chorób Infekcyjnych i Hepatologii

    Bydgoszcz, 85-030

  • NZOZ Vitamed

    Bydgoszcz, 85-079

  • Prywatny Gabinet Lekarski

    Dębica, 39-200

  • NZLA Michalkowice Jarosz i partnerzy Spolka Lekarska

    Siemianowice Śląskie, 41-103

Other trials in Poland

Spain2 sites
  • Hospital Universitario 12 de Octubre; Servicio de Pediatria

    Madrid, 28041

  • Complejo Hospitalario Universitario de Santiago (CHUS); Area Asistencial Integrada de Pediatría

    Santiago de Compostela, LA Coruña, 15706

Other trials in Spain

Costa Rica1 site
  • ICIMED Instituto de Investigación en Ciencias Médicas

    San José, 10108

Other trials in Costa Rica

Israel1 site
  • Clalit Health Services- Pediatric Ambulatory Clinic; Pediatric Ambulatory Clinic

    Petah Tikva, 4931807

Other trials in Israel

Mexico1 site
  • Hospital San Jose; Centro de investigacion y transferencia en salud del Tec de Monterrey

    Monterrey, N.L, 64710

Other trials in Mexico

Russia1 site
  • MC Gepatolog

    Samara, 443100

Other trials in Russia

About this study

Official title: A Multicenter, Randomized, Double-Blind, Active (Oseltamivir)-Controlled Study to Assess the Safety, Pharmacokinetics, and Efficacy of Baloxavir Marboxil in Otherwise Healthy Pediatric Patients 1 to <12 Years of Age With Influenza-Like Symptoms

This study will evaluate the safety, pharmacokinetics, and efficacy of baloxavir marboxil compared with oseltamivir in a single influenza episode in otherwise healthy pediatric participants (i.e., 1 to <12 years of age) with influenza-like symptoms.

Conditions
Influenza
Being tested
Baloxavir Marboxil, Oseltamivir
Medical subject headings
Influenza, Human

What participants receive

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

  • Baloxavir MarboxilDrug

    Baloxavir marboxil will be administered as oral suspension in a single dose on Day 1.

    Oseltamivir matching placebo will also be administered as oral suspension twice daily (BID) for 5 days.

  • OseltamivirDrug

    Oseltamivir will be administered as oral suspension BID for 5 days. Participants receiving oseltamivir will also receive baloxavir marboxil matching placebo as oral suspension, single dose on Day 1.

Study groups in NCT03629184
Study groupRoleWhat they receive
Baloxavir MarboxilExperimentalParticipants will receive a single oral dose of baloxavir marboxil on Day 1 (based on body weight). Oseltamivir matching placebo will also be administered orally twice daily (BID) for 5 days.
Receives: Drug: Baloxavir Marboxil
OseltamivirActive comparatorParticipants will receive oseltamivir orally BID for 5 days (based on body weight). Baloxavir marboxil matching placebo will also be administered orally on Day 1
Receives: Drug: Oseltamivir

What is being measured

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

  1. Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product. A serious adverse event (SAE) is any significant hazard, contraindication, side effect that is fatal or life-threatening, requires hospitalization or prolongation of an existing hospitalization, results in persistent or significant disability/ incapacity, is a congenital anomaly/ birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.

    Measured: Up to Day 29

Secondary outcomes (27)
  1. Plasma Concentrations of Baloxavir Marboxil - Sparse PK Population

    Results provided by body-weight groups for participants in the Baloxavir Marboxil arm. Values below lower limit of quantification (0.5 ng/mL) are set to zero.

    Measured: Days 1 (Post-Dose), 2, 4, 6 and 10

  2. Plasma Concentrations of S-033447 - Sparse PK Population

    Results provided by body-weight groups for participants in the Baloxavir Marboxil arm.

    Measured: Days 1 (Post-Dose), 2, 4, 6 and 10

  3. Plasma Concentrations of Baloxavir Marboxil - Extensive PK Population

    Results provided by body-weight groups for participants in the Baloxavir Marboxil arm. Values below lower limit of quantification (0.5 ng/mL) are set to zero.

    Measured: Days 1 (Post-Dose), 2, 4, 6 and 10

  4. Plasma Concentrations of S-033447 - Extensive PK Population

    Results provided by body-weight groups for participants in the Baloxavir Marboxil arm. Values below lower limit of quantification (0.5 ng/mL) are set to zero.

    Measured: Days 1 (Post-Dose), 2, 4, 6 and 10

  5. Time to Alleviation of Influenza Signs and Symptoms

    Time to alleviation of influenza signs and symptoms is defined as the length of time taken from the start of treatment to the point at which all of the following criteria are met and remain so for at least 21.5 hours:

    • A score of 0 (no problem) or 1 (minor problem) for cough and nasal symptoms (items 14 and 15 of the Canadian Acute Respiratory Illness and Flu Scale [CARIFS])
    • A "yes" response to the following question on the CARIFS: "Since the last assessment has the subject been able to return to day care/school, or resume his or her normal daily activity in the same way as performed prior to developing the flu?"
    • First return to afebrile state (tympanic temperature ≤37.2 degree Celsius [°C])

    Measured: Up to Day 15

  6. Duration of Fever

    Length of time taken by participants to return to afebrile state [tympanic temperature ≤ 37.2°C] and remaining so for at least 21.5 hours.

    Measured: Up to Day 15

  7. Duration of Symptoms

    The clinical efficacy of baloxavir marboxil is evaluated by duration of symptoms i.e., alleviation of all symptoms as defined by a score of 0 [no problem] or 1 [minor problem] and remaining so for at least 21.5 hours, for all 18 symptoms specified in the CARIFS questionnaire.

    Measured: Up to Day 15

  8. Time to Return to Normal Health and Activity

    Time to Return to Normal health and activity' is identified by a 'Yes' response to the following question on the CARIFS: "Since the last assessment has the patient been able to return to day care/school, or resume his or her normal daily activity in the same way as performed prior to developing the flu?"

    Measured: Up to Day 15

  9. Frequency of Influenza-Related Complications

    Influenza related complications include death, hospitalization, radiologically confirmed pneumonia, bronchitis, sinusitis, otitis media, encephalitis/encephalopathy, febrile seizures, myositis.

    Measured: Up to Day 29

  10. Percentage of Participants With Influenza-Related Complications

    Influenza related complications include death, hospitalization, radiologically confirmed pneumonia, bronchitis, sinusitis, otitis media, encephalitis/encephalopathy, febrile seizures, myositis.

    Measured: Up to Day 29

  11. Percentage of Participants Requiring Antibiotics

    Measured: Up to Day 29

  12. Time to Cessation of Viral Shedding by Virus Titer

    Time to cessation of viral shedding by virus titer is defined as the time, in hours, between the initiation of any study treatment and first time when the influenza virus titer is below the limit of detection.

    Measured: Day 1 - Day 29

  13. Time to Cessation of Viral Shedding by RT-PCR

    Time to cessation of viral shedding by RT-PCR, in hours, is defined as the time between the initiation of any study treatment and first time when the virus RNA by RT-PCR is below the limit of detection.

    Measured: Day 1 - Day 29

  14. Change From Baseline in Influenza Virus Titer at Day 2, 4, 6, 10, 15, 29

    Influenza virus titer (log10TCID50/ML) is the quantity of influenza virus in a given volume within the samples obtained from nasal swabs. If influenza virus titer was less than the lower limit of quantification, the virus titer was imputed as 0.749 (log10TCID50/mL). A lower value indicates lower viral titer.

    Measured: Baseline, Day 2, 3 (optional), 4, 6, 10, 15 (optional), 29

  15. Change From Baseline in the Amount of Virus RNA (RT-PCR) at Day 2, 4, 6, 10, 15, 29

    If the amount of virus RNA was less than the lower limit of quantification, the amount of virus RNA was imputed as 2.18 for flu A and 2.93 for flu B (log10 virus particles/mL)

    Measured: Baseline, Day 2, 3 (optional), 4, 6, 10, 15 (optional), 29

  16. Percentage of Participants With Positive Influenza Virus Titer at Day 2, 4, 6, 10

    Measured: Baseline, Day 2, 3 (optional), 4, 6, 10

  17. Percentage of Participants Positive by RT-PCR at Day 2, 4, 6, 10, 15, 29

    Measured: Day 2, 3 (optional), 4, 6, 10, 15 (optional), 29

  18. Area Under the Curve in Virus Titer

    Area under the curve (AUC) in virus titer was calculated using the trapezoidal method.

    Measured: Day 1 - Day 29

  19. Area Under the Curve in the Amount of Virus RNA (RT-PCR)

    AUC in virus RNA (RT-PCR) is defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 10. AUC is calculated using the trapezoidal method similar to AUC in virus titer.

    Measured: Day 1 - Day 10

  20. Area Under the Concentration to Time Curve From Time 0 to Infinity (AUC0-inf) of Baloxavir Marboxil

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  21. Area Under the Concentration to Time Curve From Time 0 to Infinity (AUC0-inf) of S-033447.

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  22. Maximum Plasma Concentration (Cmax) of Baloxavir Marboxil

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  23. Maximum Plasma Concentration (Cmax) of S-033447

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  24. Time to Maximum Plasma Concentration (Tmax) of Baloxavir Marboxil

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  25. Time to Maximum Plasma Concentration (Tmax) of S-033447

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: Up to Day 10

  26. Plasma Concentrations of Baloxavir Marboxil by Dosage

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: 24, 72, 96 and 240 hours post-dose

  27. Plasma Concentrations of S-033447 by Dosage

    Dose groups correspond to body-weight groups. 2mg/kg dose was used for subjects <20 kgs and 40 mg dose was used for subjects >20 kgs.

    Measured: 24, 72, 96 and 240 hours post-dose

Timeline

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

  1. First posted14 Aug 2018
  2. Study start20 Nov 2018
  3. Primary completion3 Apr 2019
  4. Study completion3 Apr 2019

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
173 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03629184
Sponsor's protocol ID
CP40563
Other IDs
2018-002169-21, 2018
Status last verified
Apr 2020
First submitted
10 Aug 2018
Last updated
29 Apr 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Retout S, De Buck S, Gaudreault J, Jolivet S, Duval V, Cosson V, Delporte ML. Population Pharmacokinetic and Exposure-Efficacy Analysis of Baloxavir Marboxil for Influenza Treatment and Post-Exposure Prophylaxis in Children. Clin Pharmacol Ther. 2026 Apr;119(4):1047-1056. doi: 10.1002/cpt.70204. Epub 2026 Jan 21.

    PubMed 41566882
  • Baker J, Block SL, Matharu B, Burleigh Macutkiewicz L, Wildum S, Dimonaco S, Collinson N, Clinch B, Piedra PA. Baloxavir Marboxil Single-dose Treatment in Influenza-infected Children: A Randomized, Double-blind, Active Controlled Phase 3 Safety and Efficacy Trial (miniSTONE-2). Pediatr Infect Dis J. 2020 Aug;39(8):700-705. doi: 10.1097/INF.0000000000002747.

    PubMed 32516282

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Baloxavir Marboxil and Oseltamivir in people with Influenza, run by Hoffmann-La Roche at 37 sites in 7 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 7 inclusion and 13 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 29 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in United States, Poland, Spain, Costa Rica, Israel and 2 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Apr 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Up to Day 29). 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 NCT03629184, which also lists 2 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 29 Apr 2020; AzTrials last refreshed its copy on 8 Nov 2026.

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