Clinical Trial Results:
            A Phase 3 Randomized, Double-blind, Placebo-controlled, Multicenter Study to Evaluate the Efficacy and Safety of Pimodivir in Combination With the Standard-of-care Treatment in Adolescent, Adult, and Elderly Hospitalized Patients With Influenza A Infection
    
|     Summary | |
|     EudraCT number | 2017-002156-84 | 
|     Trial protocol | SE LV LT FR DE SK BE CZ NL ES HU BG PL GB AT IT Outside EU/EEA | 
|     Global end of trial date | 
                                    26 May 2020
                             | 
|     Results information | |
|     Results version number | v1(current) | 
|     This version publication date | 
                                    13 Mar 2021
                             | 
|     First version publication date | 
                                    13 Mar 2021
                             | 
|     Other versions | |
|     Summary report(s) | 63623872FLZ3001 (2017-002156-84)_Limited Results | 
        Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
    
    
    Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
| 
 | |||
|     Trial identification | |||
|     Sponsor protocol code | 
                                    63623872FLZ3001
                             | ||
|     Additional study identifiers | |||
|     ISRCTN number | - | ||
|     US NCT number | NCT03376321 | ||
|     WHO universal trial number (UTN) | - | ||
|     Sponsors | |||
|     Sponsor organisation name | 
                                    Janssen Research & Development, LLC
                             | ||
|     Sponsor organisation address | 
                                    920 Route 202, Raritan, United States, NJ 08869
                             | ||
|     Public contact | 
                                    Clinical Registry Group, Janssen Research & Development, LLC, ClinicalTrialsEU@its.jnj.com
                             | ||
|     Scientific contact | 
                                    Clinical Registry Group, Janssen Research & Development, LLC, ClinicalTrialsEU@its.jnj.com
                             | ||
|     Paediatric regulatory details | |||
|     Is trial part of an agreed paediatric investigation plan (PIP) | 
                                        Yes
                                 | ||
|     EMA paediatric investigation plan number(s) | EMEA-001975-PIP01-16 | ||
|     Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? | 
                                        No
                                 | ||
|     Results analysis stage | |||
|     Analysis stage | 
                                    Final
                             | ||
|     Date of interim/final analysis | 
                                    26 May 2020
                             | ||
|     Is this the analysis of the primary completion data? | 
                                        No
                                 | ||
|     Global end of trial reached? | 
                                        Yes
                                 | ||
|     Global end of trial date | 
                                    26 May 2020
                             | ||
|     Was the trial ended prematurely? | 
                                        Yes
                                 | ||
|     General information about the trial | |||
|     Main objective of the trial | 
                                    The primary objective is to evaluate superiority of pimodivir in combination with standard-of-care (SOC) treatment compared to placebo in combination with SOC treatment on Day 6, with respect to the clinical outcome on the hospital recovery scale.
                             | ||
|     Protection of trial subjects | 
                                     Safety assessments included AE, laboratory parameters, electrocardiogram [ECG], vital signs, and National Early Warning Score [NEWS2]).
                             | ||
|     Background therapy | - | ||
|     Evidence for comparator | - | ||
|     Actual start date of recruitment | 
                                    20 Dec 2017
                             | ||
|     Long term follow-up planned | 
                                        No
                                 | ||
|     Independent data monitoring committee (IDMC) involvement? | 
                                        Yes
                                 | ||
|     Population of trial subjects | |||
|     Number of subjects enrolled per country | |||
|     Country: Number of subjects enrolled | 
                                    Canada: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Netherlands: 3
                             | ||
|     Country: Number of subjects enrolled | 
                                    Poland: 24
                             | ||
|     Country: Number of subjects enrolled | 
                                    Slovakia: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Spain: 24
                             | ||
|     Country: Number of subjects enrolled | 
                                    Sweden: 16
                             | ||
|     Country: Number of subjects enrolled | 
                                    United Kingdom: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Austria: 18
                             | ||
|     Country: Number of subjects enrolled | 
                                    Belgium: 2
                             | ||
|     Country: Number of subjects enrolled | 
                                    Bulgaria: 10
                             | ||
|     Country: Number of subjects enrolled | 
                                    France: 9
                             | ||
|     Country: Number of subjects enrolled | 
                                    Germany: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Italy: 4
                             | ||
|     Country: Number of subjects enrolled | 
                                    Latvia: 3
                             | ||
|     Country: Number of subjects enrolled | 
                                    Lithuania: 4
                             | ||
|     Country: Number of subjects enrolled | 
                                    Israel: 36
                             | ||
|     Country: Number of subjects enrolled | 
                                    Brazil: 3
                             | ||
|     Country: Number of subjects enrolled | 
                                    Vietnam: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    United States: 36
                             | ||
|     Country: Number of subjects enrolled | 
                                    Malaysia: 21
                             | ||
|     Country: Number of subjects enrolled | 
                                    India: 18
                             | ||
|     Country: Number of subjects enrolled | 
                                    Ukraine: 14
                             | ||
|     Country: Number of subjects enrolled | 
                                    Russian Federation: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    South Africa: 17
                             | ||
|     Country: Number of subjects enrolled | 
                                    Australia: 2
                             | ||
|     Country: Number of subjects enrolled | 
                                    Argentina: 9
                             | ||
|     Country: Number of subjects enrolled | 
                                    Turkey: 8
                             | ||
|     Country: Number of subjects enrolled | 
                                    Mexico: 12
                             | ||
|     Country: Number of subjects enrolled | 
                                    Singapore: 2
                             | ||
|     Country: Number of subjects enrolled | 
                                    Chile: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    New Zealand: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Taiwan: 1
                             | ||
|     Country: Number of subjects enrolled | 
                                    Thailand: 22
                             | ||
|     Worldwide total number of subjects | 
                                    326
                             | ||
|     EEA total number of subjects | 
                                    119
                             | ||
|     Number of subjects enrolled per age group | |||
|     In utero | 
                                    0
                             | ||
|     Preterm newborn - gestational age < 37 wk | 
                                    0
                             | ||
|     Newborns (0-27 days) | 
                                    0
                             | ||
|     Infants and toddlers (28 days-23 months) | 
                                    0
                             | ||
|     Children (2-11 years) | 
                                    0
                             | ||
|     Adolescents (12-17 years) | 
                                    4
                             | ||
|     Adults (18-64 years) | 
                                    192
                             | ||
|     From 65 to 84 years | 
                                    130
                             | ||
|     85 years and over | 
                                    0
                             | ||
| 
 | |||||||||||||||||||||||||
|     Recruitment | |||||||||||||||||||||||||
|     Recruitment details | - | ||||||||||||||||||||||||
|     Pre-assignment | |||||||||||||||||||||||||
|     Screening details | Overall, 334 subjects were randomized, of which 326 (97.6%) subjects were treated (and included in the Safety Set). | ||||||||||||||||||||||||
| Period 1 | |||||||||||||||||||||||||
| Period 1 title | 
                                    Overall Period
                             | ||||||||||||||||||||||||
|     Is this the baseline period? | Yes | ||||||||||||||||||||||||
|     Allocation method | 
                                    Randomised - controlled
                             | ||||||||||||||||||||||||
|     Blinding used | Double blind | ||||||||||||||||||||||||
|     Roles blinded | Investigator, Subject | ||||||||||||||||||||||||
|     Arms | |||||||||||||||||||||||||
|     Are arms mutually exclusive | 
                                        Yes
                                 | ||||||||||||||||||||||||
|     Arm title | Pimodivir + SOC | ||||||||||||||||||||||||
|     Arm description | Subjects received pimodivir 600 milligram (mg) orally twice daily for 5 days (on Days 1 through 5; for subjects who received only 1 dose of pimodivir on Day 1 [evening], dosing continued until the morning of Day 6) along with SOC treatment. | ||||||||||||||||||||||||
|     Arm type | Experimental | ||||||||||||||||||||||||
|     Investigational medicinal product name | 
                                    Pimodivir
                             | ||||||||||||||||||||||||
|     Investigational medicinal product code | |||||||||||||||||||||||||
|     Other name | |||||||||||||||||||||||||
|     Pharmaceutical forms | 
                                    Tablet
                             | ||||||||||||||||||||||||
|     Routes of administration | 
                                    Oral use
                             | ||||||||||||||||||||||||
|     Dosage and administration details | 
                                    Pimodivir was administered.
                             | ||||||||||||||||||||||||
|     Arm title | Placebo + SOC | ||||||||||||||||||||||||
|     Arm description | Subjects received placebo matching to pimodivir orally twice daily for 5 days (on Days 1 through 5; for subjects who received only 1 dose of placebo on Day 1 [evening], dosing continued until morning of Day 6) along with SOC treatment. | ||||||||||||||||||||||||
|     Arm type | Placebo | ||||||||||||||||||||||||
|     Investigational medicinal product name | 
                                    Placebo
                             | ||||||||||||||||||||||||
|     Investigational medicinal product code | |||||||||||||||||||||||||
|     Other name | |||||||||||||||||||||||||
|     Pharmaceutical forms | 
                                    Tablet
                             | ||||||||||||||||||||||||
|     Routes of administration | 
                                    Oral use
                             | ||||||||||||||||||||||||
|     Dosage and administration details | 
                                    Placebo was administered.
                             | ||||||||||||||||||||||||
| 
 | |||||||||||||||||||||||||
| 
 | |||
| 
 | |||
|     End points reporting groups | |||
|     Reporting group title | 
                                    Pimodivir + SOC
                             | ||
|     Reporting group description | Subjects received pimodivir 600 milligram (mg) orally twice daily for 5 days (on Days 1 through 5; for subjects who received only 1 dose of pimodivir on Day 1 [evening], dosing continued until the morning of Day 6) along with SOC treatment. | ||
|     Reporting group title | 
                                    Placebo + SOC
                             | ||
|     Reporting group description | Subjects received placebo matching to pimodivir orally twice daily for 5 days (on Days 1 through 5; for subjects who received only 1 dose of placebo on Day 1 [evening], dosing continued until morning of Day 6) along with SOC treatment. | ||
| 
 | ||||||||||||||||||||||||||||
|     End point title | Hospital Recovery Scale on Day 6 | |||||||||||||||||||||||||||
|     End point description | 
                                    The hospital recovery scale assesses a participant's clinical status. The scale provides 6 mutually exclusive conditions ordered from best to worst: 1) not hospitalized; 2) non-ICU hospitalization, not requiring supplemental oxygen (SO); 3) non-ICU hospitalization, requiring supplemental oxygen; 4) admitted to the ICU, not requiring invasive mechanical ventilation (IMV); 5) requiring invasive mechanical ventilation; and 6) death.
                             | |||||||||||||||||||||||||||
|     End point type | 
                                    Primary
                             | |||||||||||||||||||||||||||
|     End point timeframe | 
                                    Day 6
                             | |||||||||||||||||||||||||||
| 
 | ||||||||||||||||||||||||||||
|     Statistical analysis title | Statistical Analysis | |||||||||||||||||||||||||||
|     Comparison groups | 
                                                Placebo + SOC v             Pimodivir + SOC    
                             | |||||||||||||||||||||||||||
|     Number of subjects included in analysis | 
                                    318
                             | |||||||||||||||||||||||||||
|     Analysis specification | 
                                    Pre-specified
                             | |||||||||||||||||||||||||||
|     Analysis type | other | |||||||||||||||||||||||||||
|     P-value | = 0.366 | |||||||||||||||||||||||||||
|     Method | Van Elteren test | |||||||||||||||||||||||||||
|     Confidence interval | ||||||||||||||||||||||||||||
| 
 | ||||||||||||||||
|     Adverse events information           [1]
     | ||||||||||||||||
|     Timeframe for reporting adverse events | 
                                    Up to 33 days
                             | |||||||||||||||
|     Assessment type | Systematic | |||||||||||||||
|     Dictionary used for adverse event reporting | ||||||||||||||||
|     Dictionary name | MedDRA | |||||||||||||||
|     Dictionary version | 
                                    22.1
                             | |||||||||||||||
|     Reporting groups | ||||||||||||||||
|     Reporting group title | 
                                    Pimodivir + SOC
                             | |||||||||||||||
|     Reporting group description | - | |||||||||||||||
|     Reporting group title | 
                                    Placebo+SOC
                             | |||||||||||||||
|     Reporting group description | - | |||||||||||||||
| 
 | ||||||||||||||||
| Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||
| 
 | ||||||||||||||||
| Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: No adverse events reported | ||||||||||||||||
| 
 | |||
| Substantial protocol amendments (globally) | |||
| Were there any global substantial amendments to the protocol? Yes | |||
|     Date |     Amendment | ||
| 02 Mar 2018 | The overall reason was to implement the recommendations from specific Health Authorities. | ||
| Interruptions (globally) | |||
| Were there any global interruptions to the trial? No | |||
| Limitations and caveats | |||
| Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
| The limited results for this early terminated trial are available in the attached CSR synopsis. | |||
 
				
