Comparative Clinical Trial of Efficiency and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza

Overview[ - collapse ][ - ]

Purpose The purpose of this study is: - to assess efficiency of Ergoferon for treatment of influenza; - to assess safety of Ergoferon for treatment of influenza; - to compare efficiency of Ergoferon and Oseltamivir for treatment of influenza.
ConditionInfluenza
InterventionDrug: Ergoferon
Drug: Oseltamivir
PhasePhase 4
SponsorMateria Medica Holding
Responsible PartyMateria Medica Holding
ClinicalTrials.gov IdentifierNCT01850446
First ReceivedApril 30, 2013
Last UpdatedFebruary 27, 2014
Last verifiedMay 2013

Tracking Information[ + expand ][ + ]

First Received DateApril 30, 2013
Last Updated DateFebruary 27, 2014
Start DateMay 2013
Estimated Primary Completion DateJune 2015
Current Primary Outcome MeasuresProportion of patient demonstrating recovery/ improvement in health [Time Frame: On day 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]Based on the results of objective examination conducted by a physician;
Recovery criteria: body temperature ≤37.0° C + lack of symptoms; Improvement criteria: body temperature ≤37.2 ° C + total intensity of all symptoms (except for fever index) ≤2 scores.
Current Secondary Outcome Measures
  • Dynamics of fever [Time Frame: On day 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]Changes in body temperature on day 2, 3, 4 and 5 of the treatment in comparison with the baseline
  • Average duration of fever [Time Frame: 6 days] [Designated as safety issue: No]Criteria of no fever - body temperature lower than 37.0° C for 24 hours
  • Proportion of patients with normal body temperature (no more than 37.0ºС) [Time Frame: On day 2, 3, 4, 5 of the treatment] [Designated as safety issue: No]
  • Severity of clinical manifestations of influenza (fever, general symptoms and nasal/ throat/ chest symptoms) in scores [Time Frame: On day 1, 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]Based on the result of objective examination conducted by a physician
  • Duration of major clinical symptoms of influenza(fever, general symptoms and nasal/ throat/ chest symptoms) in days [Time Frame: 6 days] [Designated as safety issue: No]Based on the result of objective examination conducted by a physician
  • The severity of influenza course [Time Frame: On day 1, 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]Based on the data on area under curve for total index of influenza severity; based on the results of objective examination conducted by a physician
  • Quantity of antipyretics administration on day 1, 2, 3, 4 and 5 of the treatment [Time Frame: Day 1, 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]Antipyretics, which are allowed for use during clinical trial, are:
    Paracetamol;
    Metamizole sodium (if hyperthermia was not stopped by usage of paracetamol).
  • Proportion of patients, who used antipyretics [Time Frame: On day 1, 2, 3, 4 and 5 of the treatment] [Designated as safety issue: No]
  • Proportion of patients with the development of disease complications requiring antibiotics administration, and of patients with exacerbation of the disease course (the development of severe influenza) [Time Frame: 6 days] [Designated as safety issue: No]
  • Proportion of patients with negative results of virology assay [Time Frame: On day 3, 4, 5 and 6 of observation] [Designated as safety issue: No]Based on the data on PCR of nasal sample
  • Dynamics of parameters of immune status [Time Frame: On day 1, 3 and 6 of observation] [Designated as safety issue: No]Parameters of phagocytosis of peripheral blood macrophages (on day 1, 3 and 6 of observation);
    Concentration of regulators of T- cell immune response - IL2, IFN -γ, IL-18 (on day 1,3 and 6 of observation) and regulators of В-cellular antigen-specific immune response - IL-4, IL-16 (on day1, 3 and 6 of observation);
    Level of leukocytes spontaneous and induced in vitro production of IFN-α and IFN-γ (on day 1, 3 and 6 of observation);
    Absolute count of leukocytes, absolute and relative count of neutrophils, lymphocytes, monocyte, eosinophils, basophils on day 1, 3 and 6 of observation;
    The peculiarities of leukocyte phenotype in the dinamyc of the disease course - absolute and relative count of CD3, CD4, CD8, CD4/CD8; leukocyte CD16, CD119 (on day 1, 3 and 6 of observation).

Descriptive Information[ + expand ][ + ]

Brief TitleComparative Clinical Trial of Efficiency and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza
Official TitleComparative Parallel-group Randomized Clinical Trial of Efficiency and Safety of Ergoferon Versus Oseltamivir in Treatment of Influenza
Brief Summary
The purpose of this study is:

- to assess efficiency of Ergoferon for treatment of influenza;

- to assess safety of Ergoferon for treatment of influenza;

- to compare efficiency of Ergoferon and Oseltamivir for treatment of influenza.
Detailed Description
The overall duration of a patient participation in the trial is 6 days
(screening/randomization/therapy onset - day 1; study therapy period - day 1-5; follow-up
period - day 6).
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
ConditionInfluenza
InterventionDrug: Ergoferon
Safety and Efficiency
Drug: Oseltamivir
Safety and Efficiency
Other Names:
Tamiflu
Study Arm (s)
  • Experimental: Ergoferon (1 tablet 3 times a day)
  • Active Comparator: Oseltamivir (Tamiflu) - 1 capsule (75mg) two times a day

Recruitment Information[ + expand ][ + ]

Recruitment StatusActive, not recruiting
Estimated Enrollment150
Estimated Completion DateJune 2015
Estimated Primary Completion DateMarch 2015
Eligibility Criteria
Inclusion Criteria:

1. Patients aged from 18 to 70 years inclusively.

2. Patients, who were admitted to hospital within 48 hours from the onset of influenza
signs.

3. Patients with body temperature ≥37,8°C when visiting a doctor + intensity of
influenza symptoms ≥4 score (presence of at least 1 general symptom ≥2 scores and 1
nasal/ throat/ chest symptom ≥ 2 scores or greater number of symptoms with the
intensity ≥1 score).

4. Diagnosed influenza confirmed by express diagnostics (OSOM Influenza A&B Test).

5. The possibility to start therapy within 48 hours after the onset of the first
symptoms of influenza.

6. Usage of contraceptive methods by both gender patients of reproductive age during the
trial and within 30 days after ending the participation in the trial.

7. Availability of signed patient information sheet (Informed Consent form) for
participation in the clinical trial.

Exclusion Criteria:

1. Suspected pneumonia.

2. Suspected initial manifestations of diseases that have symptoms similar to influenza
symptoms (other acute respiratory and infectious diseases, influenza-like syndrome at
the onset of systemic connective tissue disorders, oncohematology and other
pathology).

3. Patients requiring competitive antiviral drugs, which are prohibited during this
trial.

4. Medical history of primary and secondary immune deficiency: a) lymphoid system
immunodeficiency (T-cell and/or B-cell immunity chain, immunodeficiency with
predominant antibody deficiency); b) phagocyte deficiency; c) complement factors
deficiency; d) combined immunodeficiency including AIDS induced by HIV infection;
toxic, autoimmune, infectious, radial panleukopenia syndrome; general lymphocytopenia
syndrome; syndrome of lymphocyte polyclonal activation; postsplenectomia syndrome;
congenital asplenia; syndrome of immune complexes pathology associated with
infectious, allergic and autoimmune diseases.

5. Medical history of sarcoidosis.

6. Oncological disease/suspected oncological disease.

7. Exacerbation or decompensation of chronic diseases affecting the patient's ability
to participate in the clinical trial.

8. Medical history of polyvalent allergy.

9. Allergy/ intolerance to any of the components of medications used in influenza
treatment.

10. Impaired glucose tolerance, type 1 and 2 diabetes mellitus.

11. Malabsorption syndrome, including congenital or acquired lactose deficiency or any
other disaccharide deficiency.

12. Exacerbation or decompensation of chronic diseases affecting patient's ability to
participate in the trial.

13. Pregnancy and breast feeding.

14. Drug addiction, alcohol usage in the amount exceeding 2 units of alcohol per day,
mental disorders.

15. Intake of medicines listed in the section "Prohibited concomitant treatment" for 1
month prior to the inclusion in the trial.

16. Patients, who from the investigator's point of view, will fail to comply with the
observation requirements of the trial or with the intake regimen of the investigated
medicines.

17. Participation in other clinical trials in the course of 1 month prior to the
inclusion in the trial.

18. Patient is related to the research personnel of the investigative site, who are
directly involved in the trial or are the immediate family member of the researcher.
The immediate family members includes husband/wife, parents, children or brothers (or
sisters), regardless of whether they are natural or adopted.

19. Patient works for OOO "NPF "Materia Medica Holding" (i.e. is the company's employee,
temporary contract worker or appointed official responsible for the carrying out the
research) or the immediate relative.

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GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesRussian Federation

Administrative Information[ + expand ][ + ]

NCT Number NCT01850446
Other Study ID NumbersMMH-ER-003
Has Data Monitoring CommitteeNo
Information Provided ByMateria Medica Holding
Study SponsorMateria Medica Holding
CollaboratorsNot Provided
Investigators Not Provided
Verification DateMay 2013

Locations[ + expand ][ + ]

Federal State Budgetary Military Educational Institution of Higher Professional Education "Military-Medicine Academy named after S. M. Kirov" of Ministry of Defence of Russian Federation
St. Petersburg, Russian Federation, 194044