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The primary objective of this study is to evaluate the efficacy of a single, oral dose of baloxavir marboxil compared with placebo by measuring the time to alleviation of symptoms in patients with uncomplicated influenza virus infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adults: Baloxavir Marboxil | Experimental | Participants aged 20 to 64 years will receive two or four 20 mg baloxavir marboxil tablets orally on Day 1 and one oseltamivir placebo capsule orally twice a day (BID) on Days 1 to 5. |
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| Adults: Oseltamivir | Active Comparator | Participants aged 20 to 64 years will receive 75 mg oseltamivir twice a day on Days 1 to 5 and two or four baloxavir marboxil placebo tablets on Day 1. |
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| Adults: Placebo | Placebo Comparator | Participants aged 20 to 64 years will receive two or four baloxavir marboxil placebo tablets on Day 1 and one oseltamivir placebo capsule orally twice a day on Days 1 to 5. |
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| Adolescents: Baloxavir Marboxil | Experimental | Participants aged 12 to 19 years will receive two or four baloxavir marboxil 20 mg tablets on Day 1. |
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| Adolescents: Placebo | Placebo Comparator | Participants aged 12 to 19 years will receive two or four baloxavir marboxil placebo tablets on Day 1. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baloxavir Marboxil | Drug | 2 to4 X 20-mg tablets taken orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to Alleviation of Symptoms in Participants Randomized to Baloxavir or Placebo | 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 seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier (KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Time to Alleviation of Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier(KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or Placebo | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. Positive influenza virus titer was defined as virus titer not less than the lower limit of quantification (0.7 log₁₀ of the 50% tissue culture infective dose (TCID₅₀/mL) among those assessed for virus titer on Days 2, 3, 4, 5, 6 and 9. |
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Inclusion Criteria:
Patients who are able to understand the study and comply with all study procedures, and willing to provide written informed consent/assent prior to the predose examinations appropriately. As for adolescent patients, informed consent/assent of voluntary participation should be obtained in accordance with local requirements
Male or female patients aged ≥ 12 to ≤ 64 years at the time of signing the informed consent/assent form.
Patients with a diagnosis of influenza virus infection confirmed by all of the following:
Fever ≥ 38ºC (axillary) in the predose examinations or > 4 hours after dosing of antipyretics if they were taken
At least one of the following general systemic symptoms associated with influenza are present with a severity of moderate or greater
At least one of the following respiratory symptoms associated with influenza are present with a severity of moderate or greater
The time interval between the onset of symptoms and the predose examinations is 48 hours or less. The onset of symptoms is defined as either:
Women of childbearing potential who agree to use a highly effective method of contraception for 3 months after the first dose of study drug
Exclusion Criteria:
Patients with severe influenza virus infection requiring inpatient treatment.
Patients aged ≥ 20 years with known allergy to oseltamivir (Tamiflu®).
Patients with any of the following risk factors
Patients unable to swallow tablets or capsules.
Patients who have previously received Baloxavir Marboxil.
Patients weighing < 40 kg
Patients who have been exposed to an investigational drug within 30 days prior to the predose examinations.
Women who are breastfeeding or have a positive pregnancy test in the predose examinations. The following female patients who have documentation of either a or b below do not need to undergo a pregnancy test in the predose examinations:
Patients with concurrent infections requiring systemic antimicrobial and/or antiviral therapy at the predose examinations.
Patients who have received peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir, or amantadine within 30 days prior to the predose examinations.
Patients who have received an investigational monoclonal antibody for a viral disease in the last year.
Patients with severe underlying diseases.
Patients with known creatinine clearance ≤ 60 mL/min.
Patients who, in the opinion of the investigator, would be unlikely to comply with required study visits, self-assessments, and interventions
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Support Help Line Shionogi Clinical Trials Administrator | Shionogi | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30184455 | Result | Hayden FG, Sugaya N, Hirotsu N, Lee N, de Jong MD, Hurt AC, Ishida T, Sekino H, Yamada K, Portsmouth S, Kawaguchi K, Shishido T, Arai M, Tsuchiya K, Uehara T, Watanabe A; Baloxavir Marboxil Investigators Group. Baloxavir Marboxil for Uncomplicated Influenza in Adults and Adolescents. N Engl J Med. 2018 Sep 6;379(10):913-923. doi: 10.1056/NEJMoa1716197. | |
| 35585696 |
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Participants 20 to 64 years of age were randomly assigned in a 2:2:1 ratio to receive a single oral dose of baloxavir, 75 mg oseltamivir twice daily for 5 days, or matching placebos.
Participants 12 to 19 years of age were randomly assigned in a 2:1 ratio to receive a single dose of either baloxavir or placebo.
This study was conducted at 297 sites, consisting of 141 sites in Japan, 149 sites in the United States, and 7 sites in Canada. Participants were enrolled from December 2016 to April 2017.
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| ID | Title | Description |
|---|---|---|
| FG000 | Baloxavir | Participants aged 20 to 64 years received 40 mg or 80 mg baloxavir (depending on weight) orally on Day 1 and placebo to oseltamivir orally twice a day (BID) on Days 1 to 5. Participants aged 12 to 19 years received 40 mg or 80 mg baloxavir (depending on weight) on Day 1. |
| FG001 | Placebo | Participants aged 20 to 64 years received placebo to baloxavir on Day 1 and placebo to oseltamivir orally twice a day on Days 1 to 5. Participants aged 12 to 19 years received placebo to baloxavir on Day 1. |
| FG002 | Oseltamivir | Participants aged 20 to 64 years received 75 mg oseltamivir orally BID on Days 1 to 5 and placebo to baloxavir on Day 1. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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Intention-to-treat infection (ITTI) population consisting of participants who received study drug with a confirmed diagnosis of influenza. Confirmation of influenza was based on the results of reverse transcription polymerase chain reaction (RT-PCR) on Day 1.
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| ID | Title | Description |
|---|---|---|
| BG000 | Baloxavir | Participants aged 20 to 64 years received 40 mg or 80 mg baloxavir (depending on weight) orally on Day 1 and placebo to oseltamivir orally twice a day (BID) on Days 1 to 5. Participants aged 12 to 19 years received 40 mg or 80 mg baloxavir (depending on weight) on Day 1. |
| BG001 |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Note that the baloxavir and placebo groups included participants from 12 to 64 years of age whereas the oseltamivir group only included participants from 20 to 64 years of age. |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Time to Alleviation of Symptoms in Participants Randomized to Baloxavir or Placebo | 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 seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier (KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available time to alleviation of symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
|
From first dose of treatment to Day 22
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Baloxavir | Participants aged 20 to 64 years received 40 mg or 80 mg baloxavir (depending on weight) orally on Day 1 and placebo to oseltamivir orally twice a day (BID) on Days 1 to 5. Participants aged 12 to 19 years received 40 mg or 80 mg baloxavir (depending on weight) on Day 1. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Meningitis viral | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Shionogi Clinical Trials Administrator | Shionogi Inc. | 800-849-9707 | Shionogiclintrials-admin@shionogi.co.jp |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 31, 2016 | Nov 19, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 6, 2017 | Nov 19, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
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| ID | Term |
|---|---|
| C000628402 | baloxavir |
| D053139 | Oseltamivir |
| ID | Term |
|---|---|
| D000081 | Acetamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D053138 | Cyclohexenes |
| D003510 |
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| Placebo to Baloxavir Marboxil | Drug | 2 to4 X 20-mg tablets taken orally |
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| Oseltamivir | Drug | 75 mg capsules taken orally |
|
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| Placebo to Oseltamivir | Drug | Placebo capsules matching oseltamivir 75 mg capsules |
|
| Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. Positive influenza virus titer was defined as virus titer not less than the lower limit of quantification (0.7 log₁₀ of the 50% tissue culture infective dose (TCID₅₀/mL) among those assessed for virus titer on Days 2, 3, 4, 5, 6 and 9. | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Percentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Participants Randomized to Baloxavir or Placebo | Influenza virus ribonucleic acid (RNA) was quantified from nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible). The percentage of participants with detectable virus RNA (2.05 for flu A and 2.83 for flu B log₁₀ virus particles/mL) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9. | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Percentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Influenza virus RNA was quantified from nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible). The percentage of participants with detectable virus RNA (2.05 for flu A and 2.83 for flu B log₁₀ virus particles/mL) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9. | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Change From Baseline in Virus Titer at Each Time Point in Participants Randomized to Baloxavir or Placebo | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. If virus titer was less than the lower limit of quantification, the virus titer was imputed 0.7 (TCID₅₀/mL). | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Change From Baseline in Virus Titer at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. If virus titer was less than the lower limit of quantification, the virus titer was imputed 0.7 (TCID₅₀/mL). | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Change From Baseline in Virus RNA (RT-PCR) at Each Time Point in Participants Randomized to Baloxavir or Placebo | Nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible) were obtained for viral quantitation. Virus RNA is measured by reverse transcription polymerase chain reaction (RT-PCR). | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Change From Baseline in Virus RNA (RT-PCR) at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible) were obtained for viral quantitation. Virus RNA was measured by reverse transcription polymerase chain reaction (RT-PCR). | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
| Area Under the Curve (AUC) Adjusted by Baseline in Influenza Virus Titer in Participants Randomized to Baloxavir or Placebo | This endpoint was defined as AUC of change from Baseline in virus titer from Day 1 to Day 9. AUC was calculated using the trapezoidal method. | Day 1 to Day 9 |
| Area Under the Curve (AUC) Adjusted by Baseline in Influenza Virus Titer in Adults Randomized to Baloxavir or Oseltamivir | This endpoint was defined as AUC of change from Baseline in virus titer from Day 1 to Day 9. AUC was calculated using the trapezoidal method. | Day 1 to Day 9 |
| Area Under the Curve (AUC) Adjusted by Baseline of Influenza Virus RNA in Participants Randomized to Baloxavir or Placebo | This endpoint was defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 9. The AUC was calculated using the trapezoidal method. | Day 1 to Day 9 |
| Area Under the Curve (AUC) Adjusted by Baseline of Influenza Virus RNA in Adults Randomized to Baloxavir or Oseltamivir | This endpoint was defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 9. The AUC was calculated using the trapezoidal method. | Day 1 to Day 9 |
| Time to Cessation of Viral Shedding Determined by Virus Titer in Participants Randomized to Baloxavir or Placebo | Time to cessation of viral shedding by virus titer was defined as the time between the initiation of the study treatment and first time when the virus titer was below the limit of detection (0.7 log₁₀[TCID₅₀/mL]). The median and 95% confidence interval (CI) for time to cessation of viral shedding determined by virus titer was analyzed using the Kaplan-Meier (KM) method; participants whose virus titer had not reached cessation by the last observation time point were treated as censored at that time point. | Day 1 to Day 9 |
| Time to Cessation of Viral Shedding Determined by Virus Titer in Adults Randomized to Baloxavir or Oseltamivir | Time to cessation of viral shedding by virus titer was defined as the time between the initiation of the study treatment and first time when the virus titer was below the limit of detection (0.7 log₁₀[TCID₅₀/mL]). The time to cessation of viral shedding determined by virus titer was analyzed using the Kaplan-Meier (KM) method; participants whose virus titer had not reached cessation by the last observation time point were treated as censored at that time point. | Day 1 to Day 9 |
| Time to Cessation of Viral Shedding Determined by Virus RNA in Participants Randomized to Baloxavir or Placebo | Time to cessation of viral shedding by RT-PCR was defined as the time between the initiation of the study treatment and first time when the virus RNA was below the limit of detection measured by RT-PCR. Time to cessation of viral shedding by RT-PCR was analyzed using the KM method; participants whose virus RNA had not reached cessation by the last observation time point were treated as censored at that time point. | Day 1 to Day 9 |
| Time to Cessation of Viral Shedding Determined by Virus RNA in Adults Randomized to Baloxavir or Oseltamivir | Time to cessation of viral shedding by RT-PCR was defined as the time between the initiation of the study treatment and first time when the virus RNA was below the limit of detection measured by RT-PCR. Time to cessation of viral shedding by RT-PCR was analyzed using the KM method; participants whose virus RNA had not reached cessation by the last observation time point were treated as censored at that time point. | Day 1 to Day 9 |
| Percentage of Participants Whose Symptoms Were Alleviated at Each Time Point in Participants Randomized to Baloxavir or Placebo | 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). Alleviation of symptoms was defined as all seven influenza-related symptoms assessed by the participant as absent (0) or mild (1) . | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
| Percentage of Participants Whose Symptoms Were Alleviated at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | 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). Alleviation of symptoms was defined as all seven influenza-related symptoms assessed by the participant as absent (0) or mild (1) . | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
| Time to Alleviation of the Four Systemic Symptoms in Participants Randomized to Baloxavir or Placebo | 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 the 4 systemic symptoms was defined as the time between the initiation of the study treatment to the time when all 4 systemic symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue) were assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours. Time to alleviation of the 4 systemic symptoms was analyzed using KM methods; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Time to Alleviation of the Four Systemic Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 the 4 systemic symptoms was defined as the time between the initiation of the study treatment to the time when all 4 systemic symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue) were assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours. Time to alleviation of the 4 systemic symptoms was analyzed using KM methods; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Time to Alleviation of the Three Respiratory Symptoms in Participants Randomized to Baloxavir or Placebo | 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 the 3 respiratory symptoms was defined as the time from the start of study treatment to the time when all 3 respiratory symptoms (cough, sore throat and nasal congestion) were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of the 3 respiratory symptoms was analyzed using the KM method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Time to Alleviation of the Three Respiratory Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 the 3 respiratory symptoms was defined as the time from the start of study treatment to the time when all 3 respiratory symptoms (cough, sore throat and nasal congestion) were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of the 3 respiratory symptoms was analyzed using the KM method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Initiation of study treatment up to Day 14 |
| Change From Baseline in Composite Symptom Score at Each Time Point in Participants Randomized to Baloxavir or Placebo | 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 as assessed by the participant, and ranges from 0 to 21. | Day 1 pretreatment (Baseline) and 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatment. |
| Change From Baseline in Composite Symptom Score at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | 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 as assessed by the participant, and ranges from 0 to 21. | Day 1 pretreatment (Baseline) and 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatment. |
| Time to Resolution of Fever in Participants Randomized to Baloxavir or Placebo | 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. Time to resolution of fever was analyzed using KM methods; participants who did not experience resolution of fever by the last observation time point were censored at that time point. | Initiation of study treatment up to Day 14 |
| Time to Resolution of Fever in Adults Randomized to Baloxavir or Oseltamivir | 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. Time to resolution of fever was analyzed using KM methods; participants who did not experience resolution of fever by the last observation time point were censored at that time point. | Initiation of study treatment up to Day 14 |
| Percentage of Participants Reporting Normal Temperature at Each Time Point in Participants Randomized to Baloxavir or Placebo | Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment. | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
| Percentage of Participants Reporting Normal Temperature at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment. | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
| Body Temperature at Each Time Point in Participants Randomized to Baloxavir or Placebo | Participant's self-measured axillary temperature using an electronic thermometer. | 12, 24, 36, 48, 72, 96 and 120 hours after the initial dose of study treatment |
| Body Temperature at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Participant's self-measured axillary temperature using an electronic thermometer. | 12, 24, 36, 48, 72, 96 and 120 hours after the initial dose of study treatment |
| Time to Alleviation of Individual Symptoms in Participants Randomized to Baloxavir or Placebo | 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. | Initiation of study treatment up to Day 14 |
| Time to Alleviation of Individual Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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. | Initiation of study treatment up to Day 14 |
| Time to Return to Preinfluenza Health Status in Participants Randomized to Baloxavir or Placebo | Participants were asked to record their preinfluenza health status on a scale from 0 (worst possible health) to 10 (normal health [for someone your age and your health condition]), and their health status every day after initiation of study treatment on the same scale. Return to preinfluenza health status was defined as time from the initiation of the study treatment to the first time when the health status score was equal to or higher than the preinfluenza health status score. Time to return to preinfluenza health status was analyzed using KM methods; participants with a smaller number on the scale for health status by the last observation time point were censored at that time point. | Initiation of study treatment up to Day 14 |
| Time to Return to Preinfluenza Health Status in Adults Randomized to Baloxavir or Oseltamivir | Participants were asked to record their preinfluenza health status on a scale from 0 (worst possible health) to 10 (normal health [for someone your age and your health condition]), and their health status every day after initiation of study treatment on the same scale. Return to preinfluenza health status was defined as time from the initiation of the study treatment to the first time when the health status score was equal to or higher than the preinfluenza health status score. Time to return to preinfluenza health status was analyzed using KM methods; participants with a smaller number on the scale for health status by the last observation time point were censored at that time point. | Initiation of study treatment up to Day 14 |
| Percentage of Participants With Influenza-related Complications in Participants Randomized to Baloxavir or Placebo | The percentage of participants who experienced each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically confirmed pneumonia) as an adverse event after the initiation of the study treatment. | Initiation of study treatment up to Day 14 |
| Percentage of Participants With Influenza-related Complications in Adults Randomized to Baloxavir or Oseltamivir | The percentage of participants who experienced each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically confirmed pneumonia) as an adverse event after the initiation of the study treatment. | Initiation of study treatment up to Day 14 |
| Percentage of Participants With Adverse Events (AEs) | From first dose of study drug to Day 22 |
| Retout S, De Buck S, Jolivet S, Duval V, Cosson V. A Pharmacokinetics-Time to Alleviation of Symptoms Model to Support Extrapolation of Baloxavir Marboxil Clinical Efficacy in Different Ethnic Groups with Influenza A or B. Clin Pharmacol Ther. 2022 Aug;112(2):372-381. doi: 10.1002/cpt.2648. Epub 2022 Jun 10. |
| 31309975 | Derived | Uehara T, Hayden FG, Kawaguchi K, Omoto S, Hurt AC, De Jong MD, Hirotsu N, Sugaya N, Lee N, Baba K, Shishido T, Tsuchiya K, Portsmouth S, Kida H. Treatment-Emergent Influenza Variant Viruses With Reduced Baloxavir Susceptibility: Impact on Clinical and Virologic Outcomes in Uncomplicated Influenza. J Infect Dis. 2020 Jan 14;221(3):346-355. doi: 10.1093/infdis/jiz244. |
| Lack of Efficacy |
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| Withdrawal by Subject |
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| Lost to Follow-up |
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| Miscellaneous |
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| Placebo |
Participants aged 20 to 64 years received placebo to baloxavir on Day 1 and placebo to oseltamivir orally twice a day on Days 1 to 5. Participants aged 12 to 19 years received placebo to baloxavir on Day 1. |
| BG002 | Oseltamivir | Participants aged 20 to 64 years received 75 mg oseltamivir orally BID on Days 1 to 5 and placebo to baloxavir on Day 1. |
| BG003 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| Years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Time From Symptom Onset to Initiation of the Trial Regimen | Count of Participants | Participants |
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| Influenza Virus Type or Subtype on RT-PCR Assay at Enrollment | Count of Participants | Participants |
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| Region | Count of Participants | Participants |
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| Composite Symptom Score | 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 as assessed by the participant, and ranges from 0 to 21. | Count of Participants | Participants |
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| OG000 |
| Baloxavir |
Participants aged 20 to 64 years received 40 mg or 80 mg baloxavir (depending on weight) orally on Day 1 and placebo to oseltamivir orally twice a day (BID) on Days 1 to 5. Participants aged 12 to 19 years received 40 mg or 80 mg baloxavir (depending on weight) on Day 1. |
| OG001 | Placebo | Participants aged 20 to 64 years received placebo to baloxavir on Day 1 and placebo to oseltamivir orally twice a day on Days 1 to 5. Participants aged 12 to 19 years received placebo to baloxavir on Day 1. |
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| Primary | Time to Alleviation of Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier(KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, and with available time to alleviation of symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or Placebo | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. Positive influenza virus titer was defined as virus titer not less than the lower limit of quantification (0.7 log₁₀ of the 50% tissue culture infective dose (TCID₅₀/mL) among those assessed for virus titer on Days 2, 3, 4, 5, 6 and 9. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus titer on Day 1 and with available virus titer data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. Positive influenza virus titer was defined as virus titer not less than the lower limit of quantification (0.7 log₁₀ of the 50% tissue culture infective dose (TCID₅₀/mL) among those assessed for virus titer on Days 2, 3, 4, 5, 6 and 9. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus titer on Day 1 and with available virus titer data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Percentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Participants Randomized to Baloxavir or Placebo | Influenza virus ribonucleic acid (RNA) was quantified from nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible). The percentage of participants with detectable virus RNA (2.05 for flu A and 2.83 for flu B log₁₀ virus particles/mL) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus RNA determined by RT-PCR on Day 1 and with available data at each time point were included in the analysis. | Posted | Number | 95% Confidence Interval | percentage of participants | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Percentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Influenza virus RNA was quantified from nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible). The percentage of participants with detectable virus RNA (2.05 for flu A and 2.83 for flu B log₁₀ virus particles/mL) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus RNA determined by RT-PCR on Day 1, and with available data at each time point were included in the analysis. | Posted | Number | 95% Confidence Interval | percentage of participants | Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Change From Baseline in Virus Titer at Each Time Point in Participants Randomized to Baloxavir or Placebo | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. If virus titer was less than the lower limit of quantification, the virus titer was imputed 0.7 (TCID₅₀/mL). | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus titer on Day 1 and with available virus titer data at each time point. | Posted | Mean | Standard Deviation | log₁₀[TCID₅₀/mL] | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Change From Baseline in Virus Titer at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. If virus titer was less than the lower limit of quantification, the virus titer was imputed 0.7 (TCID₅₀/mL). | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus titer on Day 1 and with available virus titer data at each time point. | Posted | Mean | Standard Deviation | log₁₀[TCID₅₀/mL] | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Change From Baseline in Virus RNA (RT-PCR) at Each Time Point in Participants Randomized to Baloxavir or Placebo | Nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible) were obtained for viral quantitation. Virus RNA is measured by reverse transcription polymerase chain reaction (RT-PCR). | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus titer on Day 1 and with available virus RNA data at each time point. | Posted | Mean | Standard Deviation | log₁₀ virus particles/mL | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Change From Baseline in Virus RNA (RT-PCR) at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible) were obtained for viral quantitation. Virus RNA was measured by reverse transcription polymerase chain reaction (RT-PCR). | Participants in the intention-to-treat infection population ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus titer on Day 1 and with available virus RNA data at each time point. | Posted | Mean | Standard Deviation | log₁₀ virus particles/mL | Day 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9 |
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| Secondary | Area Under the Curve (AUC) Adjusted by Baseline in Influenza Virus Titer in Participants Randomized to Baloxavir or Placebo | This endpoint was defined as AUC of change from Baseline in virus titer from Day 1 to Day 9. AUC was calculated using the trapezoidal method. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with a positive virus titer on Day 1 and available sample on Day 9. | Posted | Mean | Standard Deviation | log₁₀[TCID₅₀/mL]*hours | Day 1 to Day 9 |
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| Secondary | Area Under the Curve (AUC) Adjusted by Baseline in Influenza Virus Titer in Adults Randomized to Baloxavir or Oseltamivir | This endpoint was defined as AUC of change from Baseline in virus titer from Day 1 to Day 9. AUC was calculated using the trapezoidal method. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with a positive virus titer on Day 1 and available sample on Day 9. | Posted | Mean | Standard Deviation | log₁₀[TCID₅₀/mL]*hours | Day 1 to Day 9 |
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| Secondary | Area Under the Curve (AUC) Adjusted by Baseline of Influenza Virus RNA in Participants Randomized to Baloxavir or Placebo | This endpoint was defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 9. The AUC was calculated using the trapezoidal method. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with a positive virus RNA determined by RT-PCR at baseline and available sample on Day 9. | Posted | Mean | Standard Deviation | log₁₀ virus particles/mL*hours | Day 1 to Day 9 |
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| Secondary | Area Under the Curve (AUC) Adjusted by Baseline of Influenza Virus RNA in Adults Randomized to Baloxavir or Oseltamivir | This endpoint was defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 9. The AUC was calculated using the trapezoidal method. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with a positive virus RNA determined by RT-PCR at baseline and available sample on Day 9. | Posted | Mean | Standard Deviation | log₁₀ virus particles/mL*hours | Day 1 to Day 9 |
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| Secondary | Time to Cessation of Viral Shedding Determined by Virus Titer in Participants Randomized to Baloxavir or Placebo | Time to cessation of viral shedding by virus titer was defined as the time between the initiation of the study treatment and first time when the virus titer was below the limit of detection (0.7 log₁₀[TCID₅₀/mL]). The median and 95% confidence interval (CI) for time to cessation of viral shedding determined by virus titer was analyzed using the Kaplan-Meier (KM) method; participants whose virus titer had not reached cessation by the last observation time point were treated as censored at that time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with a positive virus titer on Day 1 whose time to cessation of viral shedding by virus titer was not missing were included in this analysis. | Posted | Median | 95% Confidence Interval | hours | Day 1 to Day 9 |
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| Secondary | Time to Cessation of Viral Shedding Determined by Virus Titer in Adults Randomized to Baloxavir or Oseltamivir | Time to cessation of viral shedding by virus titer was defined as the time between the initiation of the study treatment and first time when the virus titer was below the limit of detection (0.7 log₁₀[TCID₅₀/mL]). The time to cessation of viral shedding determined by virus titer was analyzed using the Kaplan-Meier (KM) method; participants whose virus titer had not reached cessation by the last observation time point were treated as censored at that time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with a positive virus titer on Day 1 whose time to cessation of viral shedding by virus titer was not missing.. | Posted | Median | 95% Confidence Interval | hours | Day 1 to Day 9 |
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| Secondary | Time to Cessation of Viral Shedding Determined by Virus RNA in Participants Randomized to Baloxavir or Placebo | Time to cessation of viral shedding by RT-PCR was defined as the time between the initiation of the study treatment and first time when the virus RNA was below the limit of detection measured by RT-PCR. Time to cessation of viral shedding by RT-PCR was analyzed using the KM method; participants whose virus RNA had not reached cessation by the last observation time point were treated as censored at that time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus RNA determined by RT-PCR on Day 1 whose time to cessation of viral shedding by RTPCR was not missing were included in this analysis. | Posted | Median | 95% Confidence Interval | hours | Day 1 to Day 9 |
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| Secondary | Time to Cessation of Viral Shedding Determined by Virus RNA in Adults Randomized to Baloxavir or Oseltamivir | Time to cessation of viral shedding by RT-PCR was defined as the time between the initiation of the study treatment and first time when the virus RNA was below the limit of detection measured by RT-PCR. Time to cessation of viral shedding by RT-PCR was analyzed using the KM method; participants whose virus RNA had not reached cessation by the last observation time point were treated as censored at that time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus RNA determined by RT-PCR on Day 1 whose time to cessation of viral shedding by RTPCR was not missing were included in this analysis. | Posted | Median | 95% Confidence Interval | hours | Day 1 to Day 9 |
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| Secondary | Percentage of Participants Whose Symptoms Were Alleviated at Each Time Point in Participants Randomized to Baloxavir or Placebo | 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). Alleviation of symptoms was defined as all seven influenza-related symptoms assessed by the participant as absent (0) or mild (1) . | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available alleviation of symptoms data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
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| Secondary | Percentage of Participants Whose Symptoms Were Alleviated at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | 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). Alleviation of symptoms was defined as all seven influenza-related symptoms assessed by the participant as absent (0) or mild (1) . | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with available alleviation of symptoms data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
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| Secondary | Time to Alleviation of the Four Systemic Symptoms in Participants Randomized to Baloxavir or Placebo | 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 the 4 systemic symptoms was defined as the time between the initiation of the study treatment to the time when all 4 systemic symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue) were assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours. Time to alleviation of the 4 systemic symptoms was analyzed using KM methods; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available time to alleviation of the 4 systemic symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Alleviation of the Four Systemic Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 the 4 systemic symptoms was defined as the time between the initiation of the study treatment to the time when all 4 systemic symptoms (headache, feverishness or chills, muscle or joint pain, and fatigue) were assessed by the participant as 0 (None) or 1 (Mild) for a duration of at least 21.5 hours. Time to alleviation of the 4 systemic symptoms was analyzed using KM methods; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with available time to alleviation of the 4 systemic symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Alleviation of the Three Respiratory Symptoms in Participants Randomized to Baloxavir or Placebo | 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 the 3 respiratory symptoms was defined as the time from the start of study treatment to the time when all 3 respiratory symptoms (cough, sore throat and nasal congestion) were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of the 3 respiratory symptoms was analyzed using the KM method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available time to alleviation of the 3 respiratory symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Alleviation of the Three Respiratory Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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 the 3 respiratory symptoms was defined as the time from the start of study treatment to the time when all 3 respiratory symptoms (cough, sore throat and nasal congestion) were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of the 3 respiratory symptoms was analyzed using the KM method; participants who did not experience alleviation of symptoms were censored at the last observation time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with available time to alleviation of the 3 respiratory symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Change From Baseline in Composite Symptom Score at Each Time Point in Participants Randomized to Baloxavir or Placebo | 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 as assessed by the participant, and ranges from 0 to 21. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available composite symptom scores at Baseline and each time point. | Posted | Least Squares Mean | Standard Error | scores on a scale | Day 1 pretreatment (Baseline) and 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatment. |
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| Secondary | Change From Baseline in Composite Symptom Score at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | 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 as assessed by the participant, and ranges from 0 to 21. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with available composite symptom scores at Baseline and each time point. | Posted | Least Squares Mean | Standard Error | scores on a scale | Day 1 pretreatment (Baseline) and 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatment. |
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| Secondary | Time to Resolution of Fever in Participants Randomized to Baloxavir or Placebo | 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. Time to resolution of fever was analyzed using KM methods; participants who did not experience resolution of fever by the last observation time point were censored at that time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo whose body temperature at baseline was more than 37°C and time to resolution of fever was not missing. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Resolution of Fever in Adults Randomized to Baloxavir or Oseltamivir | 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. Time to resolution of fever was analyzed using KM methods; participants who did not experience resolution of fever by the last observation time point were censored at that time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, whose body temperature at baseline was more than 37°C and time to resolution of fever was not missing. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Percentage of Participants Reporting Normal Temperature at Each Time Point in Participants Randomized to Baloxavir or Placebo | Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo whose body temperature at baseline was more than 37°C with available body temperature data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
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| Secondary | Percentage of Participants Reporting Normal Temperature at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Defined as the percentage of patients whose axillary temperature dropped to less than 37ºC after the initiation of study treatment. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, whose body temperature at baseline was more than 37°C with available body temperature data at each time point. | Posted | Number | 95% Confidence Interval | percentage of participants | 12, 24, 36, 48, 72, 96, 120, 144, 168, 192 and 216 hours after the initial dose of study treatment |
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| Secondary | Body Temperature at Each Time Point in Participants Randomized to Baloxavir or Placebo | Participant's self-measured axillary temperature using an electronic thermometer. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available temperature data at each time point. | Posted | Least Squares Mean | Standard Error | °C | 12, 24, 36, 48, 72, 96 and 120 hours after the initial dose of study treatment |
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| Secondary | Body Temperature at Each Time Point in Adults Randomized to Baloxavir or Oseltamivir | Participant's self-measured axillary temperature using an electronic thermometer. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with available temperature data at each time point. | Posted | Least Squares Mean | Standard Error | °C | 12, 24, 36, 48, 72, 96 and 120 hours after the initial dose of study treatment |
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| Secondary | Time to Alleviation of Individual Symptoms in Participants Randomized to Baloxavir or Placebo | 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. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo whose symptom score at baseline was moderate (2) or severe (3) with available time to alleviation of symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Alleviation of Individual Symptoms in Adults Randomized to Baloxavir or Oseltamivir | 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. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, whose symptom score at baseline was moderate (2) or severe (3) with available time to alleviation of symptoms data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Return to Preinfluenza Health Status in Participants Randomized to Baloxavir or Placebo | Participants were asked to record their preinfluenza health status on a scale from 0 (worst possible health) to 10 (normal health [for someone your age and your health condition]), and their health status every day after initiation of study treatment on the same scale. Return to preinfluenza health status was defined as time from the initiation of the study treatment to the first time when the health status score was equal to or higher than the preinfluenza health status score. Time to return to preinfluenza health status was analyzed using KM methods; participants with a smaller number on the scale for health status by the last observation time point were censored at that time point. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo whose health status score at baseline was lower than the preinfluenza health status score and with available time to return to preinfluenza health status data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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| Secondary | Time to Return to Preinfluenza Health Status in Adults Randomized to Baloxavir or Oseltamivir | Participants were asked to record their preinfluenza health status on a scale from 0 (worst possible health) to 10 (normal health [for someone your age and your health condition]), and their health status every day after initiation of study treatment on the same scale. Return to preinfluenza health status was defined as time from the initiation of the study treatment to the first time when the health status score was equal to or higher than the preinfluenza health status score. Time to return to preinfluenza health status was analyzed using KM methods; participants with a smaller number on the scale for health status by the last observation time point were censored at that time point. | Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, whose health status score at baseline was lower than the preinfluenza health status score and with available time to return to preinfluenza health status data. | Posted | Median | 95% Confidence Interval | hours | Initiation of study treatment up to Day 14 |
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|
| Secondary | Percentage of Participants With Influenza-related Complications in Participants Randomized to Baloxavir or Placebo | The percentage of participants who experienced each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically confirmed pneumonia) as an adverse event after the initiation of the study treatment. | Participants in the intention-to-treat infection population assigned to baloxavir or placebo | Posted | Number | 95% Confidence Interval | percentage of participants | Initiation of study treatment up to Day 14 |
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|
|
| Secondary | Percentage of Participants With Influenza-related Complications in Adults Randomized to Baloxavir or Oseltamivir | The percentage of participants who experienced each influenza-related complication (hospitalization, death, sinusitis, otitis media, bronchitis, and radiologically confirmed pneumonia) as an adverse event after the initiation of the study treatment. | Participants in the intention-to-treat infection population ≥ 20 years of age and assigned to baloxavir or oseltamivir. | Posted | Number | 95% Confidence Interval | percentage of participants | Initiation of study treatment up to Day 14 |
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|
|
| Secondary | Percentage of Participants With Adverse Events (AEs) | All participants who received at least 1 dose of study drug | Posted | Number | percentage of participants | From first dose of study drug to Day 22 |
|
|
|
| 0 |
| 610 |
| 2 |
| 610 |
| 47 |
| 610 |
| EG001 | Placebo | Participants aged 20 to 64 years received placebo to baloxavir on Day 1 and placebo to oseltamivir orally twice a day on Days 1 to 5. Participants aged 12 to 19 years received placebo to baloxavir on Day 1. | 0 | 309 | 0 | 309 | 40 | 309 |
| EG002 | Oseltamivir | Participants aged 20 to 64 years received 75 mg oseltamivir orally BID on Days 1 to 5 and placebo to baloxavir on Day 1. | 0 | 513 | 0 | 513 | 45 | 513 |
| Incarcerated inguinal hernia | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA 19.1 | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 19.1 | Systematic Assessment |
|
The sponsor can embargo results from a PI's center until the combined results from the completed study have been published in full or the sponsor confirms there will be no multicenter study publication. Results communications must be provided to the sponsor for review at least 60 days before submission for publication. By written request, the sponsor can extend the embargo up to an additional 60 days. The sponsor cannot require changes to scientific content and cannot further extend the embargo.
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
| Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| Analysis using the stratified log rank test was performed as a sensitivity analysis. | Log Rank | Log rank test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.3761 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4767 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.3353 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0852 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0063 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.6187 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | Mantel Haenszel | 0.8637 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.2505 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4190 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0095 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.7393 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0049 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.1379 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.5479 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0241 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0898 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.2548 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| van Elteren test |
Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0008 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0132 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9307 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.1677 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| van Elteren test |
Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8010 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9451 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.2256 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.3332 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| van Elteren test |
Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0010 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0002 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 3 |
|
|
| Day 4 |
|
|
| Day 5 |
|
|
| Day 6 |
|
|
| Day 9 |
|
|
Day 3 |
| van Elteren test |
Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| Day 4 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4148 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 5 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0338 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 6 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9619 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| Day 9 | van Elteren test | Van Elteren test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8491 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
24 hours |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.0010 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| 36 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 48 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 72 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 96 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0115 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 120 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.1298 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 144 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.1170 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 168 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0757 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 192 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9453 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 216 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8657 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
24 hours |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.7565 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| 36 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.3297 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 48 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4442 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 72 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.6029 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 96 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9881 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 120 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9257 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 144 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.5317 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 168 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.2144 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 192 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0413 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 216 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0409 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
| 24 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.0009 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -1.1 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -1.7 | -0.4 | Superiority |
| 36 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -1.8 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -2.4 | -1.1 | Superiority |
| 48 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -1.8 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -2.4 | -1.2 | Superiority |
| 72 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -1.4 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -2.0 | -0.9 | Superiority |
| 96 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -1.0 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -1.5 | -0.5 | Superiority |
| 120 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.1979 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.3 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.8 | 0.2 | Superiority |
| 144 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.1079 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.4 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.8 | 0.1 | Superiority |
| 168 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.5805 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.6 | 0.3 | Superiority |
| 192 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.8057 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.4 | 0.5 | Superiority |
| 216 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.9525 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.0 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -0.6 | 0.6 | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
| 24 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.3073 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.3 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -0.3 | 0.8 | Superiority |
| 36 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.3465 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.3 | Standard Error of the Mean | 0.3 | 2-Sided | 95 | -0.8 | 0.3 | Superiority |
| 48 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.4285 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.2 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.3 | 0.7 | Superiority |
| 72 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.6703 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.4 | 0.6 | Superiority |
| 96 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.7187 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.3 | 0.5 | Superiority |
| 120 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.1350 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.3 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.1 | 0.7 | Superiority |
| 144 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.7046 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.3 | 0.5 | Superiority |
| 168 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.2765 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.2 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.2 | 0.6 | Superiority |
| 192 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.0274 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.4 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | 0.0 | 0.8 | Superiority |
| 216 hours | ANCOVA | Analysis of covariance (ANCOVA) with baseline composite symptom score baseline (≤ 11 or ≥ 12)and region (Japan/Asia, Rest of the world) as covariates. | 0.6001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.1 | Standard Error of the Mean | 0.2 | 2-Sided | 95 | -0.3 | 0.6 | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
24 hours |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| <0.0001 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| 36 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 48 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 72 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 96 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.7044 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 120 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8512 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 144 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8783 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 168 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8291 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 192 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8644 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 216 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9312 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 144 hours |
|
|
| 168 hours |
|
|
| 192 hours |
|
|
| 216 hours |
|
|
24 hours |
| Mantel Haenszel |
Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.5414 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Superiority |
| 36 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.2079 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 48 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world) | 0.7771 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 72 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0215 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 96 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world) | 0.8033 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 120 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4157 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 144 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world) | 0.5908 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 168 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.2975 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 192 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.8644 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Superiority |
| 216 hours | Mantel Haenszel | Mantel-Haenszel test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.5573 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05.m | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 24 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.34 | Standard Error of the Mean | 0.06 | 2-Sided | 95 | -0.46 | -0.22 | Superiority |
| 36 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.41 | Standard Error of the Mean | 0.06 | 2-Sided | 95 | -0.52 | -0.29 | Superiority |
| 48 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.37 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.48 | -0.27 | Superiority |
| 72 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | <0.0001 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.22 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.31 | -0.13 | Superiority |
| 96 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.4484 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Dfference | -0.04 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.13 | 0.06 | Superiority |
| ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.5963 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.02 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.07 | 0.11 | Superiority |
| 24 hours |
|
|
| 36 hours |
|
|
| 48 hours |
|
|
| 72 hours |
|
|
| 96 hours |
|
|
| 120 hours |
|
|
| 24 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.3343 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.05 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.05 | 0.16 | Superiority |
| 36 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.9258 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.00 | Standard Error of the Mean | 0.05 | 2-Sided | 95 | -0.09 | 0.10 | Superiority |
| 48 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.6574 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.02 | Standard Error of the Mean | 0.04 | 2-Sided | 95 | -0.10 | 0.06 | Superiority |
| 72 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.8520 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | -0.01 | Standard Error of the Mean | 0.04 | 2-Sided | 95 | -0.09 | 0.07 | Superiority |
| 96 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.4532 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.03 | Standard Error of the Mean | 0.04 | 2-Sided | 95 | -0.05 | 0.11 | Superiority |
| 120 hours | ANCOVA | ANCOVA with baseline composite symptom score and region (Japan/Asia, Rest of the world) and body temperature at baseline as covariates. | 0.1570 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | LS Mean Difference | 0.05 | Standard Error of the Mean | 0.04 | 2-Sided | 95 | -0.02 | 0.13 | Superiority |
| Sore Throat |
|
|
| Headache |
|
|
| Nasal Congestion |
|
|
| Feverishness or chills |
|
|
| Muscle or joint pain |
|
|
| Fatigue |
|
|
Sore throat |
| Generalized Wilcoxon test |
Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.0298 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Difference |
| -9.0 |
| Superiority |
| Headache | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0297 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -11.8 | Superiority |
| Nasal Congestion | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0027 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -20.7 | Superiority |
| Feverishness or chills | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world) | 0.0003 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -4.9 | Superiority |
| Muscle or joint pain | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0094 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -8.1 | Superiority |
| Fatigue | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.0007 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -15.3 | Superiority |
| Sore Throat |
|
|
| Headache |
|
|
| Nasal Congestion |
|
|
| Feverishness or chills |
|
|
| Muscle or joint pain |
|
|
| Fatigue |
|
|
Sore throat |
| Generalized Wilcoxon test |
Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). |
| 0.8184 |
The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. |
| Difference |
| 1.8 |
| Superiority |
| Headache | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9989 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | 1.3 | Superiority |
| Nasal congestion | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.3706 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | 1.7 | Superiority |
| Feverishness or chills | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.9973 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -0.1 | Superiority |
| Muscle or joint pain | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.6760 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | -0.7 | Superiority |
| Fatigue | Generalized Wilcoxon test | Generalized Wilcoxon test stratified by composite symptom scores at baseline (≤ 11 or ≥ 12) and region (Japan/Asia or Rest of the world). | 0.4241 | The p-value was not adjusted for multiplicity, testing was conducted at the two-sided significance level of 0.05. | Difference | 2.2 | Superiority |
| Hospitalization |
|
| Sinusitis |
|
| Otitis media |
|
| Bronchitis |
|
| Pneumonia |
|
| Hospitalization |
|
| Sinusitis |
|
| Otitis media |
|
| Bronchitis |
|
| Pneumonia |
|
|
| AEs leading to withdrawal of study drug |
|
| Treatment-related adverse events (TRAEs) |
|
| Treatment-related serious adverse events |
|
| TRAEs leading to withdrawal of study drug |
|