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Influenza APhase 2NCT04024137

Study of ZSP1273 in Patients With Acute Uncomplicated Influenza A

A Phase 2 study testing ZSP1273 200 mg, ZSP1273-400 mg and ZSP1273-600 mg in people with Influenza A, run by Guangdong Raynovent Biotech Co., Ltd at 26 sites in China.

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

The purpose of this study is to evaluate the antiviral effect, as measured by the time to alleviation of influenza symptoms and viral titer in nasopharyngeal secretions in adults with acute uncomplicated influenza A following administration of ZSP1273. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Influenza A
What is being tested?
ZSP1273 200 mg, ZSP1273-400 mg and ZSP1273-600 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
172 participants
Where
26 sitesChina
Study dates
7 Dec 2019to 18 May 2020
Phase
Phase 2
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and female subjects between 18-65 years (Both inclusive).
  • Patients with a diagnosis of influenza virus A infection confirmed by all of the following:
  • Positive Rapid Antigen Test (RAT) with throat swabs;and
  • Fever≥38.0ºC (axillary) in the predose examinations;and
  • At least one of the following general systemic symptoms and respiratory symptoms respectively associated with influenza are present with a severity of moderate or greater:
  • General systemic symptoms:Headache,Feverishness or chills,Muscle or joint pain,Fatigue;
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  • Respiratory symptoms:Cough,Sore throat,Nasal congestion.
  • The time interval between the onset of symptoms and the enrollment is≤48 hours. The onset of symptoms is defined as:
  • Time of the first increase in body temperature(axillary temperature≥38.0ºC),or
  • Time when the patient experiences at least one general or respiratory symptom.
  • Subjects who agree to use an appropriate method of contraception during the study and up to 6 months after drug withdrawal.
  • Signature of a dated Informed Consent Form (ICF) indicating that the subject has been informed of all the relevant aspects(including adverse events) of the trial prior to enrollment.

Who cannot join

  • Known hypersensitivity and/or allergy to some drugs and food,especially for the composition that is similar to ZSP1273;
  • Dysphagia or any medical history in gastrointestinal that interferes with the absorption of drugs.
  • Use of the following medications within 7 days prior to screening:
  • Influenza antiviral medication:oseltamivir,peramivir,famivir,abidol,amantadine or rimantadine.
  • Chinese patent medicine or herbal medicine with antiviral effect.
  • Patients who have received influenza vaccine within 6 months prior to enrollment.
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  • Presence of clinically significant abnormalities in ECG .
  • Chest X - ray examination confirmed bronchitis,pneumonia,pleural effusion or pulmonary interstitial lesions.
  • Patients who have experienced respiratory tract infection,Otitis media,nasosinusitis.
  • White blood cells(WBC)>10.0×109/L at screening.
  • Subject who produces purulent sputum or has suppurative tonsillitis.
  • Patients with severe or uncontrollable underlying diseases:blood disorders,severe chronic obstructive pulmonary disease(COPD),liver disorders(ALT or AST≥3 ULN,total bilirubin≥1.5 ULN),kidney disorders(serum creatinine>177μmol/L or 2mg/dL),chronic congestive heart failure(NYHA III-IV),mental disorders.
  • Immunodeficiency,including malignant tumor,organ or marrow transplant,human immunodeficiency virus [HIV] infection,or patients receiving immunosuppressant therapy 3 months prior to enrollment.
  • Concomitant therapy with aspirin or salicylic acid.
  • Morbid obesity(Body mass index [BMI]≥30kg/m2).
  • Known history of alcohol abuse or drug abuse.
  • Pregnancy or breastfeeding at screening and during the study.All female subjects of childbearing potential must have a negative urine pregnancy test at screening and during the trial.
  • Have received any other investigational products within 3 months prior to dosing.
  • Subjects who should not be included in the study in the opinion of the Investigator.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

China26 sites
  • Beijing Ditan Hospital Capital Medical University

    Beijing, Beijing Municipality

  • Beijing Luhe Hospital,Capital Medical University

    Beijing, Beijing Municipality

  • Peking University Third Hospital

    Beijing, Beijing Municipality

  • Chengdu Fifth People's Hospital

    Chengdu, Sichuan

  • Dongguan people's Hospital

    Dongguan, Guangdong

  • Nanfang Hospital,South Medical Hospital

    Guangzhou, Guangdong

  • The First Affiliated Hospital Of Guangzhou Medical University

    Guangzhou, Guangdong

  • Traditional Chinese Medicine Hospital of Guangdong Province

    Guangzhou, Guangdong

  • The First Affiliated Hospital,Zhejiang University

    Hangzhou, Zhejiang

  • Zhejiang Provincial People's Hospital

    Hangzhou, Zhejiang

  • The Second Hospital Of Anhui Medical University

    Hefei, Anhui

  • Huizhou Municipal Central Hospital

    Huizhou, Guangdong

  • Jieyang People's Hospital

    Jieyang, Guangdong

  • Jiujiang University Hospital

    Jiujiang, Jiangxi

  • Linyi People's Hospital

    Linyi, Shandong

  • The First Affiliated Hospital Of Nanchang University

    Nanchang, Jiangxi

  • Sir Run Run Hospital Nanjing Medical University

    Nanjing, Jiangsu

  • Qingdao Municipal Hospital

    Qingdao, Shandong

  • Shengjing Hospital of China Medical University

    Shenyang, Liaoning

  • Shenzhen People's Hospital

    Shenzhen, Guangdong

  • First Hospital of Shanxi Medical University

    Taiyuan, Shanxi

  • General Hospital, Tianjin Medical University

    Tianjin, Tianjin Municipality

  • Zhongshan Hospital Xiamen University

    Xiamen, Fujian

  • Affiliated Hospital Of Guangdong Medical University

    Zhanjiang, Guangdong

  • Henan Provincial People's Hospital

    Zhengzhou, Henan

  • The Sixth People's Hospital Of Zhengzhou

    Zhengzhou, Henan

Other trials in China

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Phase 2 Study of ZSP1273 in Adults With Acute Uncomplicated Influenza A

The purpose of this study is to evaluate the antiviral effect, as measured by the time to alleviation of influenza symptoms and viral titer in nasopharyngeal secretions in adults with acute uncomplicated influenza A following administration of ZSP1273.

Conditions
Influenza A
Being tested
ZSP1273 200 mg, Placebo, ZSP1273-400 mg, ZSP1273-600 mg

What participants receive

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

  • ZSP1273 200 mgDrug

    1 X 200-mg tablet taken orally

  • PlaceboDrug

    2 tablets taken orally

  • ZSP1273-400 mgDrug

    2 X 200-mg tablet taken orally

  • PlaceboDrug

    1 tablet taken orally

  • ZSP1273-600 mgDrug

    3 X 200-mg tablet taken orally

  • PlaceboDrug

    3 tablets taken orally

  • PlaceboDrug

    Subjects will receive matching placebo of ZSP1273

Study groups in NCT04024137
Study groupRoleWhat they receive
ZSP1273-200 mg BIDExperimentalSubjects will receive 10 doses of ZSP1273 200mg along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Receives: Drug: ZSP1273 200 mg; Drug: Placebo
ZSP1273-400 mg BIDExperimentalSubjects will receive 10 doses of ZSP1273 400mg(200mg*2) along with placebo twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Receives: Drug: ZSP1273-400 mg; Drug: Placebo
ZSP1273-600 mg QDExperimentalSubjects will receive 5 doses of ZSP1273 600mg (200mg *3) and 5 doses of placebo respectively for 5 days.The interval between ZSP1273 and placebo is approximately 12 hour (+/- 2) .
Receives: Drug: ZSP1273-600 mg; Drug: Placebo
PlaceboPlacebo comparatorSubjects will receive 10 doses of matching placebo of ZSP1273 twice daily (BID) with approximately 12 hour (+/- 2) intervals, over 5 days.
Receives: Drug: Placebo

What is being measured

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

  1. Time to alleviation of influenza symptoms in participants

    Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all 7 influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours

    Measured: Initiation of study treatment (Day 1) up to Day 15

Secondary outcomes (14)
  1. AUC of the log10 pharyngeal viral load

    Area under the curve (AUC) of the log10 pharyngeal viral load is measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

    Measured: Days 6

  2. Change in the total score of 7 influenza symptoms

    Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    The composite symptom score is the total score of the 7 influenza symptoms(Sum of symptom scores) as assessed by the participant, and ranges from 0 to 21.

    Measured: Up to Day15

  3. Time to alleviation of each influenza symptom.

    Participants assessed the severity of seven influenza-associated symptoms(cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms).

    Time to alleviation of each symptom was defined as the time from the start of treatment to the start of the time period when the individual symptom was assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours.

    Measured: Up to Day15

  4. Time to Resolution of Fever

    Time to resolution of fever was defined as the time between the initiation of the study treatment and the resolution of fever. The resolution of fever was defined as the time when the participant's self-measured axillary temperature became less than 37ºC and was maintained at less than 37ºC for a duration of at least 12 hours.

    Measured: Up to Day15

  5. Proportion of patients reporting normal temperature

    Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment.

    Measured: Up to Day15

  6. Percentage of subjects with virus titer detected

    Influenza virus RNA was quantified from throat swabs.Proportion of patients positive for influenza virus titer is defined as the percentage of patients whose virus titer is not less than the lower limit of quantification among those assessed for virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2,4, 6.

    Measured: Days 2,4, 6

  7. Duration of detectable virus

    Defined as the time from the start of treatment to the time when the titer is less than the lower limit of quantification measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

    Measured: Days 2,4, 6

  8. Change in virus titer

    Defined as the change from baseline in virus titer measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR).

    Measured: Days 2,4, 6

  9. Change in viral RNA load

    Defined as the change from baseline in viral RNA load measured by viral culture and quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) on Days 2, 4, 6.

    Measured: Days 2,4, 6

  10. Incidence of influenza-related complications

    Defined as the percentage of subjects in the analysis population who experience each influenza-related complication (sinusitis, otitis media, bronchitis, and pneumonia) as an adverse event after the initiation of the study treatment.

    Measured: Up to Day21

  11. Time to return to normal activities of daily life

    Participants were asked to record their activities of daily life on a scale from 0 (worst possible health) to 10 (normal activities of daily life).

    Time to return to normal activities of daily life defined as the time between the initiation of the study treatment and the return to normal activities of daily life. The return to normal activities of daily life is defined as the time when the subject assesses his/her activities as 10.Subjects with a baseline self-rated daily activity score of 10 are not included in this analysis.

    Measured: Up to Day15

  12. Proportion of patients with the Serological conversion of neutralizing antibody titer relative to that in Visit 1 ≥4

    Defined as the protprtion of patients with a ratio of 4 or more at Visit 5 antibody titer relative to Visit 1 titer

    Measured: Baseline and Day 21

  13. Proportion of patients and frequency in combination use of acetaminophen.

    The proportion of patients who use acetaminophen in the duration of the study

    Measured: Up to 21 days post-dose

  14. Change in EQ-5D-5L

    Defined as the change from baseline in the index value and that in EQ VAS score as calculated from the EQ-5D-5L questionnaire.

    Measured: Baseline up to Day 15

Timeline

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

  1. First posted18 Jul 2019
  2. Study start7 Dec 2019
  3. Primary completion18 May 2020
  4. Study completion18 May 2020

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
172 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04024137
Sponsor's protocol ID
ZSP1273-18-02
Status last verified
Dec 2019
First submitted
10 Jul 2019
Last updated
4 Jun 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Yang Z, Li Z, Zhan Y, Lin Z, Fang Z, Xu X, Lin L, Li H, Lin Z, Kang C, Liang J, Liang S, Li Y, Li S, Yang X, Ye F, Zhong N; Onradivir Trial Recruitment and Medical Monitoring Group. Safety and efficacy of onradivir in adults with acute uncomplicated influenza A infection: a multicentre, double-blind, randomised, placebo-controlled, phase 2 trial. Lancet Infect Dis. 2024 May;24(5):535-545. doi: 10.1016/S1473-3099(23)00743-0. Epub 2024 Feb 5.

    PubMed 38330975

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ZSP1273 200 mg, ZSP1273-400 mg and ZSP1273-600 mg in people with Influenza A, run by Guangdong Raynovent Biotech Co., Ltd at 26 sites in China.

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 12 inclusion and 19 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 4 Jun 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in China. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

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?

Time to alleviation of influenza symptoms in participants (time frame: Initiation of study treatment (Day 1) up to Day 15). 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 NCT04024137, which also lists 1 linked publication.

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 4 Jun 2020.

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