Oral Favipiravir Compared to Placebo in Subjects With Mild COVID-19

Stanford University

Status and phase

Completed

Phase 2

Conditions

COVID-19

Sars-CoV2

Treatments

Other: Standard of care treatment

Drug: Placebo

Drug: Favipiravir

Study type

Interventional

Funder types

Other

Identifiers

NCT04346628

56032

Details and patient eligibility

About

The objective of this study is to evaluate the efficacy of oral favipiravir plus standard of care treatment (SOC) compared with placebo plus SOC in reducing the duration of shedding of SARS-CoV2 virus in patients with mild or asymptomatic COVID-19.

Enrollment

149 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Diagnosis of COVID-19 disease:
- If symptomatic, presence of mild to moderate symptoms without signs of respiratory distress, with positive for SARS-CoV-2 diagnostic assay within 72 hours prior to.informed consent.
- If asymptomatic, initial diagnosis obtained no more than 72 hours prior to informed consent
Subject agrees to maintain home or other quarantine as recommended by the study physician, except to visit the study site as required by the protocol
Members of the same household may participate in the study as long as the inclusion and exclusion criteria are met
Males must be sterile, OR agree not to donate semen AND agree to strictly adhere to contraceptive measures during the study and for seven days following the last dose of study medication
Females must be unable to bear children, OR ensure that their male partner is incapable of fathering a child, OR, if of childbearing potential will strictly adhere to contraceptive measures during the study and for seven days following the last dose of study medication
Females must agree to stop breast-feeding prior to first dose of study drug and through seven days after completing therapy
Females must have a negative pregnancy test at screening
Participant agrees to maintain home or other quarantine as recommended by the study physician, except to visit the study site as required by the protocol

Exclusion criteria

Concomitant bacterial respiratory infection documented by respiratory culture. NOTE: Subjects on empirical antibiotic treatment for possible but unproven bacterial pneumonia, but who are positive for SARS-CoV-2, are allowed in the study (will be randomized to the same treatment to maintain blinding).
History of abnormal uric acid metabolism.
History of hypersensitivity to an anti-viral nucleoside-analog drug targeting a viral RNA polymerase.
Abnormal laboratory test results at screening:
Use of adrenocorticosteroids (except topical or inhaled preparations or oral preparations equivalent to or less than 10 mg of oral prednisone) or immunosuppressive or immunomodulatory drugs (e.g., immunosuppressants, anticancer drugs, interleukins, interleukin antagonists or interleukin receptor blockers). NOTE: Treatment of study participants following institutional COVID-19 treatment policies or guidelines, including the use of immunomodulatory medications, is permitted. This excludes treatment with agents that have the potential for direct antiviral activity, including convalescent plasma and NO, and co-enrollment into other clinical studies that evaluate investigational agents for COVID-19.
Serious chronic disease (e.g., human immunodeficiency virus [HIV], cancer requiring chemotherapy within the preceding 6 months, and/or moderate or severe hepatic insufficiency).
Previously received favipiravir within the past 30 days.
Advanced kidney disease
Advanced liver disease
History of alcohol or drug abuse in the previous two years.
Psychiatric illness that is not well controlled (defined as stable on a regimen for more than one year).
Taken another investigational drug within the past 30 days.
Seemed by the Investigator to be ineligible for any reason.