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AzTrials

InfluenzaPhase 3NCT03969212

Study to Assess the Efficacy of Baloxavir Marboxil Versus Placebo to Reduce Onward Transmission of Influenza A or B in Households

A Phase 3 study testing Baloxavir Marboxil in people with Influenza, run by Hoffmann-La Roche at 142 sites in 16 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

Otherwise healthy index patients (IP) are randomized to either baloxavir marboxil or placebo if their influenza symptoms onset was within 48 hours of screening. Their households are enrolled within 24 hours of randomization if at least 1 household contacts (HHC) have not received influenza vaccine within 6 months of… Read more about this study

Who is it for?
Ages 5 to 64 years
Conditions the study is for
Influenza
What is being tested?
Baloxavir Marboxil
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
4,138 participants
Where
142 sitesin 16 countries
Study dates
10 Oct 2019to 10 May 2024
Phase
Phase 3

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 5 to 64 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Index Patients (IPs):
  • Able to comply with the study protocol per investigator judgment.
  • Diagnosed with acute influenza infection by investigator.
  • Polymerase chain reaction [PCR] (+) or Rapid Influenza Diagnostic Test [RIDT] (+) for influenza A/B based on cobas® SARS-CoV-2 and influenza A/B or other point-of-care / local laboratory results.
  • PCR (-) or antigen test (-) for SARS-CoV-2 based on cobas® SARS-CoV-2 and Influenza A/B test or other point-of-care / local laboratory result
  • Presence of (a) fever (>=38.0 °C per tympanic or rectal thermometer; >=37.5 °C per axillary, oral or forehead/temporal thermometer) or (b) any influenza symptoms (cough, sore throat, nasal congestion, headache, feverishness or chills, muscle or joint pain, fatigue).
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  • The time interval between the onset of fever or influenza symptoms and the pre-dose examinations is 48 hours or less.
  • IP lives in a household where: (1) No HHC is known to have been diagnosed with influenza or SARS-CoV-2 infection by a healthcare professional (HCP) in the past 4 weeks; (2) All HHCs are expected to meet the key HHC inclusion criteria; (3) >=1 HHCs are expected to participate in the full study who have not received the influenza vaccine within 6 months prior to screening.
  • Women of childbearing potential: Agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures specified in the protocol
  • All HHCs (Part 1):
  • PCR (-) or RIDT (-) based on cobas® SARS-CoV-2 and influenza A/B or other local point-of-care / local laboratory result.
  • PCR (-) or antigen test (-) for SARS-CoV-2 based on cobas® SARS-CoV-2 and Influenza A/B or other POC / local laboratory result.
  • HHC lives with no HHC who will be present in the home at any time during the study and who meets any HHC exclusion criteria.
  • HHC lives with no HHC who does not meet HHC inclusion criteria (part 1).
  • HHC lives in a household where ≥1 HHCs meet all of the following: Start screening within 24 hours after IP randomization; Have NOT received the influenza vaccine within 6 months prior to screening; and Fulfill full study HHC inclusion criteria part 2.
  • Full study HHCs (part 2) intended for full study must meet the following additional criteria for study entry:
  • Agree to participate in the full study.
  • Able to comply with the study protocol per investigator judgment
  • No influenza symptoms within 7 days prior to screening. Alternatively, mild symptoms are permissible if determined by the investigator to be due to a preexisting condition.
  • Temperature <38.0 °C (tympanic).
  • Will reside in the index patient's house for at least 7 of the next 9 days and will be present for scheduled study visits.
  • Willing and able to measure and record temperature, or have another household member perform the task on his or her behalf. Furthermore, a responsible adult will assume responsibility to oversee or perform this task on behalf of minors.
  • In the 6 months prior to screening: a) Has not been diagnosed with influenza by a healthcare professional b) Has not received BXM, peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir, favipiravir or amantadine.
  • Does not have a moderate or worse active infections OR infections requiring systemic (e.g., oral or intravenous) or otherwise internally administered (e.g., inhaled, intrathecal) antibiotic/antiviral/antifungal therapy, (topical therapies for mild external infections allowed).

Who cannot join

  • IPs:
  • IPs with severe influenza virus infection requiring inpatient treatment.
  • IPs judged by the investigator to be at high risk for complications of influenza.
  • IP is ≥12 years old and unable to swallow tablets (not applicable to IPs 5 to 11 year olds who will receive oral suspension).
  • Women who are breastfeeding or have a positive pregnancy test in the pre-dose examinations.
  • IPs with concurrent (non-influenza) infections requiring systemic antimicrobial and/or antiviral therapy at the pre-dose examinations.
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  • IPs who have received baloxavir marboxil, peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir, favipiravir or amantadine, or an investigational drug, within 30 days or 5 drug-elimination half-lives, whichever is longer, prior to screening.
  • IPs who have received an investigational monoclonal antibody for a viral disease in the last year.
  • Known hypersensitivity to baloxavir marboxil or the drug product excipients.
  • IP previously included in the study
  • IP lives with an HHC who, based on available information, meets the HHC exclusion criteria
  • HHC:
  • Pregnant or within 2 weeks post-partum at screening.
  • Immunocompromised.
  • Less than 2 years old.
  • Who have received an investigational therapy within the 30 days or 5 drug elimination half-lives, whichever is longer, prior to screening.
  • Diagnosed with influenza or SARS-CoV-2 infection by a healthcare professional in the past 4 weeks.
  • HHC who plans to arrive home after 24 hours post IP randomization to Day 9 and is not willing to be consented as soon as possible upon arrival.
  • HHC previously included in the study.

Trial locations and contacts

142 sites in 16 countries.

142 sites in 16 countries

United States43 sites
  • Agile Clinical Research Trials

    Atlanta, Georgia, 30328

  • Cahaba Research, Inc.

    Birmingham, Alabama, 35235

  • Mercury Street Medical Group

    Butte, Montana, 59701

  • Hope Clinical Research

    Canoga Park, California, 91303

  • OnSite Clinical Solutions LLC

    Charlotte, North Carolina, 28277

  • AFC Urgent Care-Gunbarrell

    Chattanooga, Tennessee, 37421

  • Hometown Urgent Care and Occupational Health - Springdale

    Cincinnati, Ohio, 45215

  • City Doc Urgent Care-Dallas/Ft. Worth

    Dallas, Texas, 75204

  • Southwest Family Medicine Associates

    Dallas, Texas, 75235

  • Premier Pulmonary Critical Care and Sleep Medicine

    Denison, Texas, 75020

  • Cherry Creek Family Practice

    Denver, Colorado, 80246

  • Proactive Clinical Research, LLC

    Fort Lauderdale, Florida, 33308

  • Jedda Enterprises dba Galen Clinical Research

    Greer, South Carolina, 29651

  • Pioneer Research Solutions

    Houston, Texas, 077099

  • Vilo Research Group

    Houston, Texas, 77017

  • Fairway Medical Clinic

    Houston, Texas, 77087

  • Mercury Clinical Research

    Houston, Texas, 77087

  • Clinical Research Prime

    Idaho Falls, Idaho, 83404

  • Helios Clinical Research, Inc (former Ventavia Research Group)

    Jackson, Tennessee, 38305

  • Frontier Clinical Research

    Kingwood, West Virginia, 26537

  • Helios Clinical Research, Inc (former Ventavia Research Group)

    Kissimmee, Florida, 34744

  • Accent Clinical Trials

    Las Vegas, Nevada, 89104

  • Excel Clinical Research

    Las Vegas, Nevada, 89109

  • Long Beach Clinical Trials

    Long Beach, California, 90806

  • Downtown LA Research Center

    Los Angeles, California, 90017

  • Family Practice Center

    McAllen, Texas, 78501

  • South Florida Research Center, Inc.

    Miami, Florida, 33135

  • Cordova Research Institute, LLC

    Miami, Florida, 33155

  • Research Institute of South Florida Inc

    Miami, Florida, 33173

  • Mishawaka Osteopathic Clinic

    Mishawaka, Indiana, 46544

  • Montana Medical Research LLC

    Missoula, Montana, 59808

  • Burke Primary Care

    Morganton, North Carolina, 28655

  • Cahaba Research, Inc

    Pelham, Alabama, 35124

  • Tristar Clinical Investigations

    Philadelphia, Pennsylvania, 19114

  • Precision Trials

    Phoenix, Arizona, 85032

  • Probe Clinical Research

    Riverside, California, 92501

  • Sun Research Institute

    San Antonio, Texas, 78215

  • MD Strategies Research Centers

    San Diego, California, 92119

  • Frontier Clinical Research

    Scottdale, Pennsylvania, 15683

  • Frontier Clinical Research

    Smithfield, Pennsylvania, 15478

  • Frontier Clinical Research

    Smithfield, Pennsylvania, 26505

  • Kendall South Medical Center Inc.

    South Miami, Florida, 33185

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

Japan43 sites
  • Toda Internal Medicine & Neurology Clinic

    Akashi, 674-0081

  • Medical Corporation Houmankai?Umezu?Clinic

    Chikushino-shi, 818-0024

  • Shin Komonji Hospital

    Fukuoka, 800-0057

  • Irie Naika Syounika Iin

    Fukuoka, 812-0053

  • Kimura Siro Clinic

    Fukuoka, 819-0022

  • Iguchi Clinic

    Fukuyama, 720-0825

  • Mashiba Clinic

    Hannō, 357-0024

  • Fujimaki Ent Clinic

    Ichikawa, 272-0143

  • Hisaki Family Clinic

    Ichikawa, 272-0805

  • Moriyama Otolaryngology

    Kagoshima, 890-0034

  • Kamoike ENT Allergy Clinic

    Kagoshima, 890-0063

  • Clinic Kashiwanoha

    Kashiwa, 277-0882

  • Kamezawa Clinic

    Kasugai, 486-0817

  • Oishi Clinic

    Kasuyagun, 811-2310

  • Takahashi naika

    Kawasaki, 211-0041

  • Kanagawa Himawari Clinic

    Kawasaki, 216-0006

  • Osaki Internal and Respiratory Clinic,

    Kitakyushu, 802-0083

  • Morizono medical clinic

    Kitakyushu, 807-0072

  • Sato ENT Clinic

    Kitakyushu, 807-0856

  • Kiheibashi Otolaryngology

    Kodaira, 187-0044

  • Medical corporation Shirayurikai Swing Nozaki Clinic

    Musashino, 180-0022

  • Yaesu Clinic

    Naha, 900-0032

  • Horikawa Clinic

    Nonoichi, 921-8801

  • Funai Ear Nose Throat Clinic

    Ōita, 870-0021

  • Lee's Clinic

    Osaka, 531-0073

  • Kitada Clinic

    Osaka, 538-0044

  • Sunami Internal medicine Clinic

    Osaka, 538-0044

  • Saga Memorial Hospital

    Saga, 849-0917

  • Segawa Hospital

    Saitama, 355-0328

  • Uehara Clinic

    Sapporo, 006-0031

  • Aiiku Hospital

    Sapporo, 064-0804

  • Tokyo Shinagawa Hospital Medical Corporation Association Tokyokyojuno-kai

    Shinagawa City, 140-8522

  • Wakasa Clinic

    Tokorozawa, 359-1151

  • Seiwa Clinic

    Tokyo, 123-0845

  • Denenchofu Family Clinic

    Tokyo, 145-0071

  • Sato Clinic

    Tokyo, 150-0013

  • Sekino Hospital

    Toshima City, 171-0014

  • Takeru CLINIC

    Toyohashi, 440-0834

  • Tsuchiura Beryl Clinic

    Tsuchiura, 300-0062

  • Medical corporation Seijinkai Takei Clinic

    Tsuru, 402-0025

  • Gushiken-Cardiology and Internal medicine

    Urasoe, 901-2102

  • Uranishi Clinic

    Urasoe, 901-2104

  • Yotsukaido Tokushukai Medical Center

    Yotsukaidō, 284-0032

Other trials in Japan

China12 sites
  • Capital Medical University Beijing Hospital of Traditional Chinese Medicine

    Beijing, 100010

  • Beijing You An Hospital

    Beijing, 100069

  • China-Japan Friendship Hospital

    Beijing, 10029

  • Beijing Tsinghua Changgung Hospital

    Beijing, 102218

  • West China Hospital, Sichuan University

    Chengdu, 610041

  • The Third People's Hospital of Hainan Province

    Sansha, 572000

  • Shenzhen People's Hospital

    Shenzhen, 510852

  • Shenzhen children's hospital

    Shenzhen, 518038

  • Taizhou People's Hospital

    Taizhou, 225309

  • The First Affiliated Hospital of Wenzhou Medical College

    Wenzhou, 325000

  • General Hospital of Ningxia Medical University

    Yinchuan, 750004

  • Henan Provincial People's Hospital

    Zhengzhou, 450003

Other trials in China

Turkey (Türkiye)10 sites
  • Ankara Bilkent City Hospital

    Ankara, 06100

  • Ankara University Faculty of Medicine Cebeci Hospital

    Ankara, 06590

  • Hacettepe University Medical Faculty

    Ankara, 6100

  • Gazi University Medical Faculty

    Ankara, 65000

  • Akdeniz University Medical Faculty

    Antalya, 07059

  • Atakent Acibadem Private Hosptial Halkali Merkez Mh.,

    Istanbul, 34303

  • Ege University Medical Faculty

    Izmir, 35100

  • Dokuz Eylul University Medical Faculty

    Izmir, 35340

  • Kocaeli University Medical Faculty

    Kocaeli, 41380

  • Karadeniz Technical Uni School of Medicine

    Trabzon, 61080

Other trials in Turkey (Türkiye)

Bulgaria7 sites
  • Medical Centre "Asklepii", OOD

    Dupnitsa, 2600

  • Medical Center Hera Eood

    Montana, 3400

  • MHAT Sveta Paraskeva

    Pleven, 5800

  • Medizinski Zentrar-1-Sevlievo EOOD

    Sevlievo, 5400

  • MHAT Sliven - Military Medial Academy

    Sliven, 8800

  • Medical Center Hera Sofia

    Sofia, 1510

  • MHAT Sveta Sofia

    Sofia, 1618

Other trials in Bulgaria

Mexico5 sites
  • Centro de Investigacion Medico Biologico y Terapia Avanzada, S.C.

    Guadalajara, Jalisco, 44130

  • EME RED

    Mérida, Yucatán, 97000

  • Merida | Investigacion Clinica

    Mérida, Yucatán, 97125

  • Centro Respiratorio de México

    México, Mexico CITY (federal District), 14050

  • Centro de Estudios Clinicos de Queretaro (CECLIQ)

    Querétaro City, Querétaro, 76000

Other trials in Mexico

Hungary4 sites
  • Obudai Egeszsegugyi Centrum Kft.

    Budapest, 1036

  • II. Háziorvosi Körzet

    Hosszúhetény, 7694

  • Gyermekháziorvosi rendel?- Dr. Újhelyi János

    Nyíregyháza, 4400

  • OEC Clinical Research

    Zalaegerszeg, 8900

Other trials in Hungary

Poland4 sites
  • KLIMED

    Bialystok, 15-704

  • Centrum Medyczne Lukamed Joanna Luka

    Chojnice, 89-600

  • KO-MED Centra Kliniczne Sp. z o.o.

    Puławy, 24-100

  • CLINHOUSE Sp z o.o.

    Zabrze, 41-807

Other trials in Poland

South Africa4 sites
  • Into Research

    Groenkloof, 0181

  • Newtown Clinical Research

    Johannesburg, 2113

  • Langeberg Clinical Trials

    Kraaifontein, 7570

  • Midrand Medical Centre

    Midrand, 1685

Other trials in South Africa

Greece3 sites
  • Laiko General Hospital - Uni of Athens

    Athens, 115 27

  • Sotiria General Hospital of Athens

    Athens, 115 27

  • Attikon University General Hospital

    Chaïdári, 124 62

Other trials in Greece

Israel2 sites
  • Kiryat Motzkin Maccabi Medical Center

    Kiryat Motzkin

  • Maccabi health services - Moked Hashalom

    Tel Aviv, 6789140

Other trials in Israel

Costa Rica1 site
  • ICIMED Instituto de Investigación en Ciencias Médicas

    San José, 10108

Other trials in Costa Rica

India1 site
  • JSS Hospital

    Mysuru, Karnataka, 570004

Other trials in India

Puerto Rico1 site
  • Fundacion de Investigacion de Diego

    San Juan, 00927

Other trials in Puerto Rico

Spain1 site
  • Centro de Salud Las Aguilas

    Madrid, 28044

Other trials in Spain

United Kingdom1 site
  • Preston Hill Surgery

    Harrow, HA3 9SN

Other trials in United Kingdom

About this study

Official title: A Phase IIIB, Multicenter, Randomized, Double-Blind, Placebo-Controlled, Clinical Efficacy Study of Baloxavir Marboxil for the Reduction of Direct Transmission of Influenza From Otherwise Healthy Patients to Household Contacts

Otherwise healthy index patients (IP) are randomized to either baloxavir marboxil or placebo if their influenza symptoms onset was within 48 hours of screening. Their households are enrolled within 24 hours of randomization if at least 1 household contacts (HHC) have not received influenza vaccine within 6 months of screening and if all HHC screen negative for influenza infection. The main endpoints are assessed based on multiple respiratory swabs, obtained from both IP and HHC up to 9 (+/-1) days post IP randomization, and through the assessment of symptoms.

Conditions
Influenza
Being tested
Baloxavir Marboxil, Placebo
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

    Also called Xofluza

    IPs less than 12 years old will receive either 2 mg/kg (if weight less than 20 kg) or 40 mg (if weight more than or equal to 20 kg) of Baloxavir Marboxil as oral suspension. IPs more than or equal to 12 years old will receive either 40 mg (if weight less than 80 kg) or 80 mg (if weight more than or equal to 80 kg) of Baloxavir Marboxil as tablets. HHCs of IPs will not receive study medication.

  • PlaceboDrug

    IPs less than 12 years old will receive placebo oral suspension and those above 12 years will receive placebo tablets. HHCs of IPs will not receive study medication.

Study groups in NCT03969212
Study groupRoleWhat they receive
Baloxavir MarboxilExperimentalParticipants who are IPs will receive a single oral dose of baloxavir marboxil. HHCs of the IPs will not receive study medication.
Receives: Drug: Baloxavir Marboxil
PlaceboPlacebo comparatorParticipants who are IPs will receive a single oral dose of placebo. HHCs of the IPs will not receive study medication.
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of HHCs With Virological Influenza Transmission by Day 5

    The virological transmission was determined based on Polymerase Chain Reaction Positive (PCR+) influenza test results. The adjusted incidence (cumulative proportion of events by Day 5) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 5 post IP randomization with virus subtype matching with that of the respective IP, irrespective of being symptomatic or asymptomatic. The adjusted incidence rates presented were estimated using a generalized estimating equations (GEE) approach.

    Measured: Baseline (Day 1) to Day 5

Secondary outcomes (11)
  1. Percentage of HHCs With Symptomatic Influenza Transmission by Day 5

    The adjusted incidence (cumulative proportion of events by Day 5) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 5 post IP randomization with virus subtype matching with that of respective IP, \& developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years old were symptomatic if 1. Presence of temperature ≥38.0 Celsius (C) and 1 respiratory symptom (cough, sore throat, nasal congestion) or 2. Presence of 1 respiratory symptom and 1 general systemic symptom (headache, feverishness or chills, muscle or joint pain, fatigue), with/without a fever. HHCs ≥2 and <12 years old were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory tract infection signs or symptoms (cough, nasal congestion, or rhinorrhea). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.

    Measured: Baseline (Day 1) to Day 5

  2. Percentage of Households (HHs) With Virological Influenza Transmission at Household Level by Day 5

    Percentage of households with at least one HHC who met the primary endpoint of virological transmission by Day 5 are reported here. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.

    Measured: Baseline (Day 1) to Day 5

  3. Percentage of HHs With Symptomatic Influenza Transmission at Household Level by Day 5

    Percentage of HHs with at least one HHC who meets the symptomatic transmission by Day 5 endpoint are reported here. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.

    Measured: Baseline (Day 1) to Day 5

  4. Percentage of HHCs With Virological Influenza Transmission by Day 9

    The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 9 post IP randomization with virus subtype matching with the respective IP, irrespective of being symptomatic or asymptomatic including: 1. all HHC meeting primary endpoint, AND 2. all HHC cases detected after Day 5 meeting the following criteria: 2a. included HHC case was in an HH where another HHC had already met the primary endpoint OR 2b. included HHC case was PCR+ bearing an amino acid substitution of isoleucine for another amino acid at position 38 (I38X) in the polymerase acidic (PA) protein (PA/I38X substitution) or amino acid substitution of threonine to lysine at position 20 in the PA protein for influenza B only (PA/T20K). The adjusted incidence rates presented were estimated using a GEE approach.

    Measured: Baseline (Day 1) to Day 9

  5. Percentage of HHCs With Symptomatic Influenza Transmission by Day 9

    The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who met the virological transmission by Day 9 endpoint and developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years were symptomatic if they had 1. temperature ≥38.0°C and one respiratory symptom (cough, sore throat, nasal congestion) or 2. one respiratory and one general systemic symptom (headache, feverishness or chills, muscle or joint pain, fatigue), with or without fever. HHCs ≥2 and <12 years were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory symptoms (headache, feverishness or chills, muscle or joint pain, fatigue). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.

    Measured: Baseline (Day 1) to Day 9

  6. Percentage of HHCs With Any Virological Infection by Day 9

    Virological infection was defined as HHCs who tested PCR+ for influenza by Day 9 post IP randomization based on PCR influenza test results. The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who met the virological infection by Day 9 endpoint. The adjusted incidence rates presented were estimated using a GEE approach.

    Measured: Baseline (Day 1) to Day 9

  7. Percentage of HHs With Any Virological Infection at HH Level by Day 9

    Virological infection at the HH level was defined as the HHs with at least one HHC who met the endpoint of any virological infection by Day 9. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.

    Measured: Baseline (Day 1) to Day 9

  8. Percentage of HHCs With Any Symptomatic Infection by Day 9

    The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 9 post IP randomization and developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years were symptomatic if they had (1) a temperature ≥38.0°C and one respiratory symptom (cough, sore throat, nasal congestion) or (2) one respiratory and one systemic symptom (headache, chills, muscle/joint pain, fatigue), with or without fever. HHCs ≥2 and <12 years were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory symptoms (cough, nasal congestion, rhinorrhea). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.

    Measured: Baseline (Day 1) to Day 9

  9. Percentage of HHs With Any Symptomatic Infection at HH Level by Day 9

    Percentage of HHs with at least one HHC who meets the endpoint of any symptomatic infection by Day 9 are reported here. HHCs ≥12 years were symptomatic if they had 1. a temperature ≥38.0°C \&1 respiratory symptom (cough, sore throat, nasal congestion) or 2. 1 respiratory \& 1 systemic symptom (headache, chills, muscle/joint pain, fatigue), with/without fever. HHCs ≥2 \& <12 years were symptomatic if the temperature was ≥38.0°C \& had upper respiratory symptoms (cough, nasal congestion, rhinorrhea). Symptoms must be new or have worsened versus baseline in HHC with baseline symptoms due to preexisting comorbidity. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.

    Measured: Baseline (Day 1) to Day 9

  10. Number of IPs With Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and regardless of 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.

    Measured: Baseline up to Day 9 (for IPs ≥12 years old) and Day 21 (for IPs <12 years old)

  11. Number of IPs With Serious Adverse Events (SAEs)

    A 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 or incapacity, is a congenital anomaly or birth defect, is medically significant or requires intervention to prevent one or other of the outcomes listed above.

    Measured: Baseline up to Day 9 (for IPs ≥12 years old) and Day 21 (for IPs <12 years old)

Timeline

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

  1. First posted31 May 2019
  2. Study start10 Oct 2019
  3. Primary completion10 May 2024
  4. Study completion10 May 2024

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
4,138 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03969212
Sponsor's protocol ID
MV40618
Other IDs
2018-004056-37, 2018
Status last verified
Jul 2025
First submitted
29 May 2019
Last updated
4 Jul 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to individual patient level data through the clinical study data request platform (www.vivli.org). Further details on Roche's criteria for eligible studies are available here (https://vivli.org/ourmember/roche/). For further details on Roche's Global Policy on the Sharing of Clinical Information and how to request access to related clinical study documents, see here (https://www.roche.com/research\_and\_development/who\_we\_are\_how\_we\_work/clinical\_trials/our\_commitment\_to\_data\_sharing.htm)

Publications

  • Monto AS, Kuhlbusch K, Bernasconi C, Cao B, Cohen HA, Graham E, Hurt AC, Katugampola L, Kamezawa T, Lauring AS, McLean B, Takazono T, Widmer A, Wildum S, Cowling BJ. Efficacy of Baloxavir Treatment in Preventing Transmission of Influenza. N Engl J Med. 2025 Apr 24;392(16):1582-1593. doi: 10.1056/NEJMoa2413156.

    PubMed 40267424
  • Komeda T, Takazono T, Hosogaya N, Ogura E, Fujiwara M, Miyauchi H, Ajisawa Y, Iwata S, Watanabe H, Honda K, Kitanishi Y, Hara K, Mukae H. Comparison of Household Transmission of Influenza Virus From Index Patients Treated With Baloxavir Marboxil or Neuraminidase Inhibitors: A Health Insurance Claims Database Study. Clin Infect Dis. 2021 Jun 1;72(11):e859-e867. doi: 10.1093/cid/ciaa1622.

    PubMed 33103200

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