Clinical trial NCT05544916: A Study to Evaluate the Safety and Efficacy of XC221 in Patients With Uncomplicated Influenza or Other Acute Viral Upper Respiratory Infections
Official title: A Double-blind, Randomized, Placebo-controlled, Comparative, Multicenter Phase III Clinical Trial to Study the Clinical Efficacy and Safety of XC221, Tablets, 100 mg in Patients With Uncomplicated Influenza or Other Acute Respiratory Viral Infections
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Influenza
Respiratory Viral Infection
Lead sponsor: Valenta Pharm JSC
Sponsor class: INDUSTRY
First posted: 2022-09-19
Enrollment: 260
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The main purpose of the study was to evaluate the effectiveness of XC221, tablets, at a dose of 200 mg/day compared to placebo in patients with uncomplicated influenza or other acute respiratory viral infections (ARIs).

An additional purpose of the study was to evaluate the safety of XC221, tablets, at a dose of 200 mg/day compared to placebo in patients with uncomplicated influenza or other ARIs.


Eligibility criteria: Inclusion Criteria:

1. Men and women between the ages of 18 and 65 years inclusive;
2. Presence of written consent to participate in the study in accordance with applicable law;
3. Clinical signs of mild to moderate influenza or other acute respiratory infections (ARIs): an increase in body temperature, measured at the axilla, with a value between 38.0 °C and 39.5 °C, inclusive, during the current illness and without taking antipyretics within the last 8 h at the time of screening; at least one respiratory manifestation of influenza or other ARI (cough, runny nose/ stuffy nose, sore throat) of at least 2 points on a 4-point scale; at least one systemic manifestation of influenza or other ARI (headache, muscle pain, chills/sweating, fatigue) of at least 2 points on a 4-point scale.
4. No indication for hospitalization at the time of enrollment in the study;
5. Duration of illness from manifestation of symptoms to the first dose of study drug/placebo not more than 48 hours;
6. Negative pregnancy test for women of preserved reproductive potential;
7. Consent to use adequate contraceptive methods throughout the study and for 30 days after study completion;
8. Ability to understand the requirements for study participants, to give written consent to participate in the study (including the use and communication of patient health information relevant to the study) and to comply with the procedures of the study protocol.

Exclusion Criteria:

1. Pregnant and breastfeeding women;
2. Known hypersensitivity to the study drug, including the active and/or excipients.
3. Lactase deficiency, lactose intolerance, glucose-galactose malabsorption, galactose intolerance;
4. Diagnosis of COVID-19 established or probable at present (based on examination and analysis of epidemiological history);
5. Positive result of rapid test for SARS-CoV-2;
6. Blood oxygen saturation (SpO2) ≤ 95%, respiratory rate ≥ 22/min.
7. Complicated course of influenza or other acute respiratory infections;
8. Participation in any other clinical trial within 90 days prior to the screening period;
9. Known (based on medical history) or suspected alcohol abuse, psychotropic drugs, drug dependence, drug addiction;
10. Presence of mental illness, including a history of mental illness;
11. Clinical suspicion of pneumonia or other bacterial infections (including sinusitis, otitis media, urinary tract infection, meningitis, sepsis, etc.) requiring prescription of antibacterial drugs;
12. Taking antibiotics, antivirals, or immunomodulatory drugs for \< 48 h before the study and/or plans to use these groups of drugs (other than the study drug) during the study;
13. Use of systemic, inhaled, or nasal glucocorticosteroids within 30 days prior to the study and/or plans to use glucocorticosteroids (except topical cutaneous agents) during the study;
14. Failure to withdraw for the duration of the study other medications that may affect the outcome of this study, such as antiviral medications, or medications that are incompatible with the study therapy;
15. Any cardiovascular, renal, hepatic, gastrointestinal, endocrine or nervous system diseases, severe decompensated chronic (including chronic kidney disease and chronic liver disease) or acute diseases or any other condition/disease that, in the opinion of the investigator, would make it unsafe for the patient to participate in the study;
16. Any vaccination of the patient within 90 days prior to inclusion in the study;
17. Diabetes mellitus in decompensation;
18. Obesity of 2-3 degrees (body mass index of 35 kg/m2 or more).
19. Patients who have undergone surgery within 30 days prior to the Screening Visit and patients who are scheduled to undergo surgery, including diagnostic procedures, or a hospital stay during the study;
20. The presence of cancer, including a history of cancer (with the exception of a cured tumor with sustained remission for more than 5 years);
21. The presence of HIV infection, tuberculosis, including in the anamnesis;
22. Meningeal syndrome;
23. Disturbance of consciousness (in the form of stunting, soporus, delirium, delirium, etc.).
24. Symptoms of pneumonia and possible acute respiratory distress syndrome (ARDS): cough with foaming sputum with blood, shortening of the pulmonary sound on percussion, a large number of different-caliber wet rales and abundant crepitation on auscultation, a sharp drop in blood pressure, deafness of heart tones and arrhythmia;
25. Patient's refusal to use approved contraception or to completely abstain from sexual intercourse for the duration of study participation, beginning at Visit 1, and for 30 days after completion of study participation;
26. Other reasons that, in the opinion of the investigator, prevent the patient from participating in the study or create an unreasonable risk.

Withdrawal Criteria:

1. Patient's desire to stop participating in the study (withdrawal of informed consent). Each patient has the right to stop participating in the study at any time without giving a reason. Withdrawal from the study will not affect the medical care provided to the patient in the future.
2. The decision by the research physician that the patient should be excluded is in the patient's own interest;
3. The need to prescribe etiotropic or any other treatment prohibited in the study, as determined by the investigating physician.
4. Patient refuses to cooperate with the investigator or is undisciplined;
5. Causes/occurrence during the study of situations that threaten patient safety (e.g., hypersensitivity reactions, serious adverse events, etc.);
6. Inclusion of a patient in the study with inclusion/inclusion criteria not met (prior to randomization);
7. Significant treatment failure; Significant failure is defined as a) skipping study drug/placebo for 2 consecutive days or more or b) taking, in total, \< 80% or \> 120% of the full course (full course = 10 pills).
8. Positive pregnancy test;
9. A confirmed diagnosis of COVID-19;
10. Occurrence in the course of the study of other reasons that prevent the study according to the protocol.
11. Death of a patient.

Primary outcomes:
measure: Time (in hours) from the first dose of the drug to the resolution of all of the ARI symptoms/events
timeFrame: Day 1 - Day 10
Secondary outcomes:
measure: Time to decrease in 24-hour body temperature to ≤ 37.0°C without using antipyretics (number of hours from the first dose of the study treatment to a decrease in 24-hour body temperature to ≤ 37.0°C)
timeFrame: Day 1 - Day 10
measure: Time to nasal congestion/runny nose resolution (number of hours from the first dose of the drug to runny nose/congestion resolution, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point)
timeFrame: Day 1 - Day 10
measure: Patient rate with reported nasal congestion/runny nose resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 10
measure: Time to sore throat resolution (number of hours from the first dose of the drug to sore throat resolution, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 10
measure: Patient rate with reported sore throat resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Time to cough resolution (number of hours from the first dose of the drug to cough resolution, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point.
timeFrame: Day 1 - Day 10
measure: Patient rate with reported cough resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Time to muscle ache resolution (number of hours from the first dose of the drug to the resolution of muscle aches, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point
timeFrame: Day 1 - Day 10
measure: Patient rate with reported muscle ache resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Time to headache resolution (number of hours from the first dose of the drug to headache resolution, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 10
measure: Patient rate with reported headache resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Time to fatigue resolution (number of hours from the first dose of the drug to fatigue resolution, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 10
measure: Patient rate with reported fatigue resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Time to chills/sweats resolution (number of hours from the first dose of the drug to the resolution of chills/sweats, i.e. the time when the subject rates the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 10
measure: Patient rate with reported chills/sweats resolution by day 4 and day 6 from treatment initiation (i.e. patient rate who assessed the 24-hour severity of this symptom at 0-1 point).
timeFrame: Day 1 - Day 6
measure: Frequency complications of influenza or other viral upper respiratory tract infections (URIs)
timeFrame: Day 1 - Day 10
measure: Time till elimination viruses based on qualitative polymerase chain reaction (PCR) test
timeFrame: Day 1 - Day 10
measure: The need for paracetamol or ibuprofen: daily dose on days 1-10
timeFrame: Day 1 - Day 10
measure: Safety and Tolerability: adverse event (AE) rate
timeFrame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 20 for each participant
measure: Safety and Tolerability: AEs associated with the study drug
timeFrame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 20 for each participant
measure: Safety and Tolerability: treatment discontinuation
timeFrame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 20 for each participant
measure: Safety and Tolerability: hospitalization rate
timeFrame: From the date of screening (and signing informed consent form) to the end of the study or to an early termination visit, whichever came first, assessed up to day 20 for each participant
measure: Safety and Tolerability: vital signs - systolic blood pressure (SBP)
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: vital signs - diastolic blood pressure (DBP)
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: vital signs - respiratory rate (RR)
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: vital signs - heart rate (HR)
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: vital signs - body temperature
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: physical examination results
timeFrame: Screening, day 4, day 6, day 10, and day 20 of the study or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval (QTc)
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - hemoglobin
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - red blood cells
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - hematocrit
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - platelets
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - white blood cells
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - erythrocyte sedimentation rate
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - lymphocytes
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - eosinophils
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - monocytes
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - basophils
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: complete blood count - neutrophils
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - glucose
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - total cholesterol
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - triglycerides
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - total bilirubin
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - total protein
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - creatinine
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - urea
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - aspartate transaminase (AST)
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - alanine transaminase (ALT)
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - alkaline phosphatase (ALP)
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: blood test results - creatine kinase (CK)
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - specific gravity
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - color
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - transparency
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - pH
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - protein
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis - glucose
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - red blood cells
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - white blood cells
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - epithelial cells
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - cylinders
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - bacteria
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
measure: Safety and Tolerability: urinalysis (microscopy) - mucus
timeFrame: Screening, day 6, or on the early termination visit, whichever came first, within 20 days of study participation
Other outcomes:
Locations:
city: Engels
country: Russian Federation
facility: State autonomous health care institution "Engels City Clinical Hospital No. 1"
city: Engels
country: Russian Federation
facility: Medical Diagnostic Center "Medexpert", LLC
city: Moscow
country: Russian Federation
facility: Unimed-C Jsc
city: Perm
country: Russian Federation
facility: Professors' Clinic LLC.
city: Saint Petersburg
country: Russian Federation
facility: Limited Liability Company "Health Energy"
city: Saint Petersburg
country: Russian Federation
facility: St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 117"
city: Saint Petersburg
country: Russian Federation
facility: Saint Petersburg State Budgetary Healthcare Institution "City polyclinic No. 112"
city: Saint Petersburg
country: Russian Federation
facility: Limited Liability Company "Research Center Eco-Security"
city: Saint Petersburg
country: Russian Federation
facility: Saint Petersburg State Budgetary Institution of Healthcare "City Pokrovskaya Hospital"
city: Saint Petersburg
country: Russian Federation
facility: St. Petersburg State Budgetary Healthcare Institution "City Polyclinic No. 4"
city: Saint Petersburg
country: Russian Federation
facility: Limited Liability Company "Meili"
city: Saint Petersburg
country: Russian Federation
facility: "Medical Clinic" Ltd.
city: Yaroslavl
country: Russian Federation
facility: State budgetary institution of health care of the Yaroslavl region "Clinical Hospital No. 2"
Study officials:
References: