Evaluate the Safety and Efficacy of Xiyanping in Pediatric Participants With Severe Influenza-Like Symptoms

Study Overview
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Brief Summary
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This is a multicenter, randomized, open Label, add-on study.

Detailed Description
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This is an add-on study of efficacy and safety of intravenous injection of Xiyanping injection in pediatric subjects with severe Influenza-Like Symptoms. The purpose to determine the efficacy and safety of Oseltamivir Phosphate combined with or without Xiyanping injection in the treatment of severe Influenza-Like Symptoms. The study will enroll 72 Pediatric severe Influenza-Like Symptoms volunteers, who will be randomized into 2 groups (1:1 ratio): volunteers from the first group will receive Oseltamivir Phosphate and Xiyanping injection for severe Influenza; volunteers from the second group will receive Oseltamivir Phosphate for severe Influenza. Xiyanping injection will be administration as intravenous injection of 0.4mL/kg/day once daily for 7-10 days concomitantly with Oseltamivir Phosphate for severe Influenza-Like Symptoms.

Official Title
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A Multicenter, Randomized, Open Label, Add-on Study to Assess Efficacy and Safety of Xiyanping Injection in Pediatric Participants With Severe Influenza-Like Symptoms

Conditions
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Severe Influenza

Intervention / Treatment
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* Drug: Oseltamivir Phosphate
* Drug: Xiyanping injection+Oseltamivir Phosphate


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 3 and 6 years old; Clinical diagnosis of Severe Influenza with hospital treatment needed; Patients did not accept oseltamivir phosphate treatment or symptoms persisted for more than 3 days treatment; （1)Fever ≥ 39°C (tympanic temperature) for at least 3 days with Severe cough,sputum, blood stasis, or chest pain; （2）Combined pneumonia; The rapid viral antigen test of throat swab and nose swab results were positive; Guardians understood and assigned the informed consent; Exclusion Criteria: Participants allergenic to XiYanPing injection, Andrographolide or Oseltamivir Phosphate; Creatinine clearance <80ml/min or received continuous renal replacement therapy (CRRT) test; Need extracorporeal membrane oxygenation (ECMO) at baseline; Glasgow Coma Rating Scale (GCS) score ≤ 9 points when dyspnea, altered consciousness, severe vomiting, or coma appeared at baseline; Crisis influenza Symptoms, such as respiratory failure, acute necrotizing encephalopathy, septic shock, multiple organ dysfunction and other serious clinical conditions requiring monitoring; Use of systemic steroids or other immunosuppressants; Participants with the following underlying diseases, including: heart disease (such as New York Heart Function Classification II-IV) or clinically significant arrhythmia (such as QTc ≥ 480ms), malignant tumor or other malignant diseases, autoimmune diseases; liver and kidney diseases ( ALT and AST ≥ 1.5 × ULN; Cr and BUN > 1.2 × ULN), blood diseases, nervous system diseases, immune system diseases and endocrine diseases, consciousness, speech, behavioral abnormalities caused by encephalitis / encephalopathy or limb paralysis, severe malnutrition, etc. Participants used Influenza virus vaccine within 3 months; Participants with drug dependence or with mental disorders within 1 year; Participants participated in other clinical research in the last 30 days; Any condition which would make the subject, in the opinion of the investigator or designee, not suitable for the study for any reason.

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Oseltamivir Phosphate+Xiyanping injection<br>Oseltamivir Phosphate+Xiyanping injection treatment for 7-10 days | Drug: Xiyanping injection+Oseltamivir Phosphate<br>* Take the dosage of Oseltamivir Phosphate recommended according to the instructions.Xiyanping injection intravenous administration of 0.4mL/kg/day ,QD for 7-10 days.support treatment such as antiasthmatic, expectorant and antipyretic use only in need.<br>|
| Active Comparator: Oseltamivir Phosphate treatment only<br>Oseltamivir Phosphate treatment for 7-10 days | Drug: Oseltamivir Phosphate<br>* Take the dosage of Oseltamivir Phosphate recommended according to the instructions.support treatment such as antiasthmatic, expectorant and antipyretic use only in need.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 signs and symptoms are alleviation or recovery. | Up to Day 12 | 
| Duration of Fever | Length of time taken by participants to return to afebrile state | Up to Day 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Signs and Symptoms Score from baseline | (1) recovery: symptom score reduction rate ≥ 95%; (2) markedly effective: symptom score reduction rate ≥ 70%; (3) progress: symptom score reduction rate ≥ 30%; (4) invalid: Symptom score reduction rate <30%. | Up to Day 12 | 
| Usage of antibiotic,hormone and incidence of critical cases |  | Up to Day 12 | 
| Time to Cessation of Viral Shedding by RT-PCR |  | Up to Day 12 | 
| Relief time of individual symptom such as:expectoration, cough |  | Up to Day 12 | 
| Disease efficacy criteria | (1) Healing: The body temperature is normal within 48 hours of treatment, the symptoms disappeared without repetition. (2) markedly effective: the body temperature is normal within 48 hours of treatment, and the symptom score is reduced by more than 2/3. (3) Effective: The body temperature is normal within 72 hours of treatment, and the remaining symptom scores are reduced by 2/3-1/3. (4) Invalid: The condition did not improve or worsened after 72 hours of treatment. | Up to Day 12 | 
| Imaging improvement rate: number of people with normal or baseline imaging |  | Up to Day 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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severe Influenza