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A multicenter double-blinded, randomized, placebo-controlled, parallel-group comparative Phase II clinical study to assess safety, tolerability, efficacy and optimal dose of XC221 vs. placebo in patients with uncomplicated influenza or other ARVI during a 3-day treatment.
The primary objective of the study is to demonstrate the difference in time before the onset of a sustained improvement in clinical symptoms according to the Modified Jackson Scale for ARVI and to determine the optimal dose of XC221 in the treatment of influenza and other ARVI.
11 Russian centers were planned for participation in this study. The study consists of three periods: screening, treatment and follow-up.
All eligible patients will be randomized into 3 groups (groups A, B and C) in a 1:1:1 ratio:
Group A - XC221 100 mg daily (40 patients); Group B - XC221 200 mg daily (40 patients); Group C - Placebo (40 patients).
During the treatment period (3 days), patients will receive XC221 / placebo daily on a background of standard symptomatic therapy. The follow-up period lasts for 11 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| XC221 100 mg | Experimental | XC221 100 mg orally. 1 tablet of XC221 100 mg +1 tablet of Placebo 100 mg (in total 2 tablets) once daily during 3 days of treatment period |
|
| XC221 200 mg | Experimental | XC221 200 mg orally. 2 tablets of XC221 100 mg once daily during 3 days of treatment period |
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| Placebo | Placebo Comparator | Placebo orally. 2 tablets of Placebo 100 mg once daily during 3 days of treatment period |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XC221 100 mg | Drug | once daily during 3 days. |
| |
| XC221 200 mg |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Sustained Improvement in Clinical Symptoms Based on Modified Jackson Scale for ARVI | The time before the onset of sustained improvement in clinical symptoms according to the Modified Jackson Scale (no more than 1 point for each symptom), measured in hours from the moment of the first dose of the drug. Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom. | From the time of randomization up to Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Body Temperature Normalization | Time to body temperature normalization since treatment initiation, measured in hours (normalization is regarded as setting of body temperature below 37°C without elevation above these values) | From the time of randomization assessed up to Day 14 |
| Percentage of Patients With Complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City Clinical Hospital №9 | Izhevsk | 426063 | Russia | |||
| Kuban State Medical University |
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A total of 121 patients were screened to participate in the trial; one patient was withdrawn at screening.
120 patients were randomly assigned into 3 groups.
Patients receiving both in- and outpatient treatment could be enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Group A | XC221 100 mg orally. 1 tablet of XC221 100 mg +1 tablet of Placebo 100 mg (in total 2 tablets) once daily during 3 days of treatment period XC221 100 mg: once daily during 3 days. |
| FG001 | Group B |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jan 25, 2018 |
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Blinding will carried out by using Placebo equivalent to XC221 tablets without active substance and the corresponding labeling of the study drug.
| Drug |
once daily during 3 days. |
|
| Placebo | Drug | once daily during 3 days. |
|
The percentage of patients with complications of influenza/acute viral URI |
| From the time of randomization up to Day 14 |
| The Area Under the Curve "Modified Jackson Scale Score" During 3-day Therapy | Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom. | From randomization up to 3 days of treatment |
| Krasnodar |
| 350063 |
| Russia |
| City Clinical Hospital №1 n.a. Semashko | Rostov-on-Don | 344000 | Russia |
| Ryazan State Medical University n.a. Pavlov | Ryazan | 390026 | Russia |
| The Center for Prevention and Fight about AIDS and Infectious Diseases | Saint Petersburg | 190103 | Russia |
| The Consulting and Diagnostic Center with out-patient help of the Administration of the President of the Russian Federation | Saint Petersburg | 197110 | Russia |
| Research Institute of Influenza | Saint Petersburg | 197376 | Russia |
| City Clinical Hospital №40 of Kurortny District | Saint Petersburg | 197706 | Russia |
| Mordovia State Medical University n.a. N.P.Ogarev, Clinical site - Republic Infectious Clinical Hospital | Saransk | 430024 | Russia |
| Volgograd State Medical University, Clinical site - Infectious Regional Clinical Hospital № 1 | Volgograd | 400131 | Russia |
| Сlinical Hospital №3 | Yaroslavl | 150007 | Russia |
XC221 200 mg orally. 2 tablets of XC221 100 mg once daily during 3 days of treatment period
XC221 200 mg: once daily during 3 days.
| FG002 | Group C | Placebo orally. 2 tablets of Placebo 100 mg once daily during 3 days of treatment period Placebo: once daily during 3 days. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Group A | XC221 100 mg orally. 1 tablet of XC221 100 mg +1 tablet of Placebo 100 mg (in total 2 tablets) once daily during 3 days of treatment period XC221 100 mg: once daily during 3 days. |
| BG001 | Group B | XC221 200 mg orally. 2 tablets of XC221 100 mg once daily during 3 days of treatment period XC221 200 mg: once daily during 3 days. |
| BG002 | Group C | Placebo orally. 2 tablets of Placebo 100 mg once daily during 3 days of treatment period Placebo: once daily during 3 days. |
| BG003 | Total | Total of all reporting groups |
| 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 | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Presence of confirmed viral infection by PCR | Count of Participants | Participants |
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| 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 Sustained Improvement in Clinical Symptoms Based on Modified Jackson Scale for ARVI | The time before the onset of sustained improvement in clinical symptoms according to the Modified Jackson Scale (no more than 1 point for each symptom), measured in hours from the moment of the first dose of the drug. Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom. | Full Analysis Set (FAS) population | Posted | Median | 95% Confidence Interval | hours | From the time of randomization up to Day 14 |
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| Secondary | Time to Body Temperature Normalization | Time to body temperature normalization since treatment initiation, measured in hours (normalization is regarded as setting of body temperature below 37°C without elevation above these values) | FAS population | Posted | Mean | Standard Deviation | hours | From the time of randomization assessed up to Day 14 |
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| Secondary | Percentage of Patients With Complications | The percentage of patients with complications of influenza/acute viral URI | FAS population | Posted | Count of Participants | Participants | From the time of randomization up to Day 14 |
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| Secondary | The Area Under the Curve "Modified Jackson Scale Score" During 3-day Therapy | Modified Jackson Scale measures individuals' subjective ratings the severity of 12 respiratory symptoms. Ranges for each symptom: 0 points (no symptoms) - 3 points (the most severe). Total score (ranges from 0 to 32 points) is a sum of the point for each symptom. | FAS population | Posted | Mean | Standard Deviation | Ln(units_on_a_scale*sec) | From randomization up to 3 days of treatment |
|
16 days
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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 | Group A | XC221 100 mg orally. 1 tablet of XC221 100 mg +1 tablet of Placebo 100 mg (in total 2 tablets) once daily during 3 days of treatment period XC221 100 mg: once daily during 3 days. | 0 | 40 | 0 | 40 | 16 | 40 |
| EG001 | Group B | XC221 200 mg orally. 2 tablets of XC221 100 mg once daily during 3 days of treatment period XC221 200 mg: once daily during 3 days. | 0 | 40 | 0 | 40 | 13 | 40 |
| EG002 | Group C | Placebo orally. 2 tablets of Placebo 100 mg once daily during 3 days of treatment period Placebo: once daily during 3 days. | 0 | 40 | 0 | 40 | 14 | 40 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Strengthening cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Epigastric pain | Gastrointestinal disorders | Systematic Assessment |
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| Loose stools | Gastrointestinal disorders | Systematic Assessment |
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| Bacterial tonsillitis | Infections and infestations | Systematic Assessment |
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| Labial herpes | Infections and infestations | Systematic Assessment |
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| Basophilia | Blood and lymphatic system disorders | Systematic Assessment |
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| Eosinophilia | Blood and lymphatic system disorders | Systematic Assessment |
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| Nasal congestion | Ear and labyrinth disorders | Systematic Assessment |
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| Hoarseness | Ear and labyrinth disorders | Systematic Assessment |
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| Tickling | Ear and labyrinth disorders | Systematic Assessment |
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| Rhinorrhea | Ear and labyrinth disorders | Systematic Assessment |
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| Increased nasal congestion | Ear and labyrinth disorders | Systematic Assessment |
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| Increased hoarseness | Ear and labyrinth disorders | Systematic Assessment |
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| Tickering | Ear and labyrinth disorders | Systematic Assessment |
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| Strengthening rhinorrhea | Ear and labyrinth disorders | Systematic Assessment |
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| Increased sneezing | Ear and labyrinth disorders | Systematic Assessment |
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| Sneezing | Ear and labyrinth disorders | Systematic Assessment |
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| Headache | Nervous system disorders | Systematic Assessment |
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| Strengthening headache | Nervous system disorders | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Strengthening myalgia | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Tearing | Eye disorders | Systematic Assessment |
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| Hypothermia | General disorders | Systematic Assessment |
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| Fever | General disorders | Systematic Assessment |
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| Chill increase | General disorders | Systematic Assessment |
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| Malaise | General disorders | Systematic Assessment |
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| Chills | General disorders | Systematic Assessment |
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| Periodic temperature rise | General disorders | Systematic Assessment |
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| Fever increase | General disorders | Systematic Assessment |
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| Strengthening ailments | General disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| CEO Vladimir Nebolsin | PHARMENTERPRISES LLC | +7 (985) 728-75-72 | ph@pharmenterprises.ru |
| Jun 1, 2019 |
| Prot_SAP_000.pdf |
| ID | Term |
|---|---|
| D007251 | Influenza, Human |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D009976 | Orthomyxoviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000718222 | XC221 |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| No viral infection confirmed by PCR |
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| Participants |
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