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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500096796 |
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最近更新日期: Date of Last Refreshed on: |
2025-02-06 17:12:18 |
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注册时间: Date of Registration: |
2025-02-06 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
一项III 期、多中心、随机、双盲研究,评价TG-1000对比安慰剂在急性流感病毒感染无并发症的成人和青少年患者中的疗效和安全性 |
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Public title: |
The Efficacy and Safety of a New Cap-dependent Endonuclease Inhibitor, TG-1000, in Adolescent and Adult Outpatients with Acute Uncomplicated Influenza: A Multicenter, Randomized, Placebo-controlled Phase III Trial |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项III 期、多中心、随机、双盲研究,评价TG-1000对比安慰剂在急性流感病毒感染无并发症的成人和青少年患者中的疗效和安全性 |
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Scientific title: |
The Efficacy and Safety of a New Cap-dependent Endonuclease Inhibitor, TG-1000, in Adolescent and Adult Outpatients with Acute Uncomplicated Influenza: A Multicenter, Randomized, Placebo-controlled Phase III Trial |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
黄娟 |
研究负责人: |
钟南山 |
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Applicant: |
Juan Huang |
Study leader: |
Nanshan ZHONG |
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申请注册联系人电话: Applicant telephone: |
+86 136 3211 5824 |
研究负责人电话: Study leader's telephone: |
+86 136 3211 5824 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
13632115824@163.com |
研究负责人电子邮件: Study leader's E-mail: |
13632115824@163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
广州呼吸药物工程技术有限公司 |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
广州市荔湾区桥中中路28号广州医科大学附属第一医院 |
研究负责人通讯地址: |
广州市荔湾区桥中中路28号广州医科大学附属第一医院 |
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Applicant address: |
The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China |
Study leader's address: |
The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
广州医科大学附属第一医院 |
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Applicant's institution: |
The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China |
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研究负责人所在单位: |
广州医科大学附属第一医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
EC-2023-006(YW)-02 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
广州医科大学附属第一医院医学伦理委员会 |
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Name of the ethic committee: |
Medical Ethics Committee of the First Affiliated Hospital of Guangzhou Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2023-08-08 00:00:00 |
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伦理委员会联系人: |
张晓露 |
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Contact Name of the ethic committee: |
Xiaolu ZHANG |
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伦理委员会联系地址: |
广州市荔湾区桥中中路28号 |
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Contact Address of the ethic committee: |
No. 28, Qiaozhong Middle Road, Liwan District, Guangzhou |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 8156 6265 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
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研究实施负责(组长)单位: |
广州医科大学附属第一医院 |
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Primary sponsor: |
No. 28, Qiaozhong Middle Road, Liwan District, Guangzhou |
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研究实施负责(组长)单位地址: |
广州市荔湾区桥中中路28号 |
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Primary sponsor's address: |
No. 28, Qiaozhong Middle Road, Liwan District, Guangzhou |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
健康元药业集团股份有限公司 |
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Source(s) of funding: |
Joincare Pharmaceutical Group Industry Co., Ltd., |
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Target disease: |
Influenza |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
III期临床试验 | ||||||||||||||||||||||
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Study phase: |
3 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
主要疗效目的: 评价TG-1000对比安慰剂在急性流感病毒感染无并发症的成人和青少年受试者的临床疗效(通过测定所有流感症状缓解的时间)。 次要疗效目的: 1、评价TG-1000对比安慰剂在急性流感病毒感染无并发症的成人和青少年受试者中的抗病毒效果。 2、评价TG-1000对比安慰剂治疗成人和青少年受试者在临床症状转归和流感相关并发症方面的差异。 其他疗效目的: 评价聚合酶酸性蛋白(PA)基因中的多态性和治疗中出现的氨基酸置换。 评价具有可评估病毒的受试者的药物敏感性。 评价TG-1000的暴露量-应答关系。 评价恢复正常健康状况时间及EQ VAS的变化。 安全性目的: 评价TG-1000对比安慰剂治疗受试者的安全性和耐受性。 药代动力学目的: 评估TG-1000(前体药物)、TG-0527(TG-1000的活性成份)和TG-0600771 (TG-0527的非活性代谢物)的药物代谢动力学(PK)特征。 |
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Objectives of Study: |
Primary Objective: To evaluate the efficacy of TG-1000 compared with placebo by measuring the time to alleviation of influenza-related symptoms in adult and adolescent subjects with acute uncomplicated influenza infection. Secondary Objective: ? To evaluate the antiviral efficacy of TG-1000 compared with placebo in adult and adolescent subjects with acute uncomplicated influenza infection. ? To evaluate the difference between TG-1000 and placebo treatment in adult and adolescent subjects regarding clinical symptom outcomes and influenza-related complications. Other Efficacy Objective: ? To evaluate the polymorphic and treatment-emergent amino acid substitutions in the polymerase acidic protein (PA). ? To evaluate the drug susceptibility in subjects with evaluable virus. ? To evaluate the exposure-response relationship of TG-1000. ? To evaluate the time to a return to pre-infection health status and changes in EQ VAS scores. Safety Objective: To compare the safety and tolerability of TG-1000 with placebo. Pharmacokinetic Objective: To evaluate the pharmacokinetic (PK) characteristics of TG-1000 (prodrug), TG-0527 (active ingredient), and TG-0600771 (metabolite). |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
筛选时的入选标准: 1. 成人受试者自愿参加并签署书面知情同意书;青少年受试者和其监护人自愿参加并签署书面知情同意书。 2. 签署知情同意书时年龄≥12岁至< 65岁。 3. 快速流感诊断检测(RIDT)或聚合酶链式反应(PCR)检测阳性;且必须同时满足下列两项的流感诊断标准[18]: (1) 筛选时或筛选前12h内发热(腋温≥38.0℃),若服用退热药,须服用退热药后> 4h时腋温≥38.0℃。 (2) 筛选时与流感相关的全身症状和呼吸系统症状至少各有一项的严重程度为中度或以上(见7.11.1.2流感症状严重程度评估): ? 全身症状:头痛,发热或寒颤/发汗,肌肉或关节酸痛,疲乏; ? 呼吸系统症状:咳嗽,咽喉痛,鼻塞。 4. 最先出现的流感症状距随机入组的时间间隔≤48h。症状出现的定义为: (1) 体温首次升高(腋温≥38.0℃)的时间,或 (2) 受试者出现至少一种全身症状或呼吸系统症状的时间:a.咳嗽、b.咽喉痛、c.鼻塞、d.头痛、e.发热或寒颤/发汗、f.疲乏、g.肌肉或关节痛。 5. 符合参与本研究入选资格要求的女性受试者必须确认: (1) 未处于妊娠、围产期及哺乳期。 (2) 无生育能力(即,曾接受子宫切除术、双侧输卵管切除、双侧卵巢切除或有医学记录的卵巢功能衰竭、或已绝经且年龄> 50岁和停经(≥12个月)的女性),或 (3) 有生育能力(即,未行子宫切除术、仅单侧输卵管切除、仅单侧卵巢切除、没有医学记录的卵巢衰竭的女性;年龄≤50岁的闭经女性将被视为有生育能力)。 筛选时,有生育能力女性的妊娠测试结果必须呈阴性。她们还必须同意从筛选至研究药物给药后30天内满足下列任意一项: ? 完全禁欲。周期性禁欲(如日历法、排卵期法、症状体温避孕法、排卵后安全期避孕法)为不可接受的避孕方法。 或 ? 从筛选至研究药物给药后30天内持续正确采取下列避孕措施中的一种且男性伴侣正确使用避孕套: a. 年失败率< 1%的宫内节育器(IUD) b. 女性屏障法:带杀精剂的子宫颈帽或隔膜 c. 输卵管绝育术 d. 男性伴侣输精管切除术或行输精管结扎术 6. 受试者必须同意从筛选至研究药物给药结束后30天内与性伴侣采取上述避孕措施中的一种。 7. 男性受试者必须同意从筛选至研究药物给药后30天内不得捐献精子。 8. 经过指导,受试者能够遵守访视安排并正确填写日记卡。 |
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Inclusion criteria |
Inclusion criteria: Subjects who fulfill all of the following criteria will be included in the study: 1. Adult subjects who provide written informed consent to participate in the study on a voluntary basis; For Adolescent subjects, written informed consent of voluntary participation should be obtained from adolescent subjects and their guardians; 2. Subjects aged >= 12 and < 65 years when signing the informed consent form; 3. Positive in rapid influenza diagnostic test (RIDT) or polymerase chain reaction (PCR), and conform to the influenza diagnosis standard all of the following: (1) Axillary temperature >= 38·0 °C during the screening or feverishness <= 12 h before the screening. Axillary temperature must >= 38·0 °C after antipyretics more than 4 h if they are taken; (2) At least one systematic symptom and at least one respiratory symptom related to influenza onset with a severity of moderate or greater. ? The systematic symptoms include headache, feverishness or chills, muscle or joint pain, fatigue. ? The respiratory symptoms include cough, sore throat, nasal congestion. 4. Theinterval between the onset of symptoms and randomization <= 48 h. The onset of symptoms is defined as either: (1) Time of the first increase in body temperature (axillary temperature >= 38·0 °C ); (2) Time when the subject experiences at least one general or respiratory symptom: a. cough, b. sore throat, c. nasal congestion, d. headache, e. feverishness or chills, f. fatigue, g. muscle or joint pain. 5. Female subjects had to be identified: (1) Not pregnant, postpartum, or breastfeeding; (2) Infertile (i.e. women with previous hysterectomy, bilateral salpingectomy, bilateral oophorectomy, or medically documented ovarian failure, or menopausal and aged > 50 years , amenorrhea ( >= 12 months), or (3) Women who are fertile (i.e. no hysterectomy, unilateral salpingectomy, unilateral oophorectomy, women with ovarian failure without medical documentation; Amenorrhea women aged <= 50 years will be considered fertile). Women must be pregnancy test negative during screening. They also had to meet one of the following criteria from screening until 30 days after the end of study drug administration: ? Complete abstinence. Periodic abstinence (e.g. calendar method, ovulation method, symptomatic temperature method, safe period method after ovulation) is not acceptable. Or ? Continued use of one of the following contraceptive methods and male partners use condoms correctly from screening until 30 days after study drug administration: a. Intrauterine device (IUD) with an annual failure rate of < 1%; b. Female barrier method: cervical cap or diaphragm with spermicide; c. Tubal sterilization; d. Vasectomy or vasectomy of the male partner. 6. Subjects have to agree to use one of these contraceptive methods with their sexual partner from screening until 30 days after the end of study drug administration. 7. Male subjects have to agree not to donate sperm from screening until 30 days after administration of the study drug. 8. Subjects are able to comply with the visit schedule and fill out the diary cards correctly after trainings. |
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排除标准: |
如果受试者符合以下任何标准,则必须排除: 1. 需要住院治疗的流感病毒感染受试者(满足下列标准任意1条): (1) 出现以下情况之一的重症病例: a. 持续高热>3天,伴有剧烈咳嗽,咳脓痰、血痰,或胸痛; b. 呼吸频率快,呼吸困难,口唇紫绀; c. 神志改变:反应迟钝、嗜睡、躁动、惊厥等; d. 严重呕吐、腹泻,出现脱水表现; e. 合并肺炎; f. 原有基础疾病明显加重; g. 需住院治疗的其他临床情况。 (2) 出现以下情况之一的危重病例: a. 呼吸衰竭; b. 急性坏死性脑病; c. 脓毒性休克; d. 多器官功能不全; e. 出现其他需进行监护治疗的严重临床情况。 2. 重症病例的高危人群(满足下列标准任意1条): (1) 伴有严重的或无法控制的基础疾病:血液病、慢性呼吸系统疾病(如慢性阻塞性肺疾病、支气管哮喘)、肝功能不全(ALT或AST >= 3ULN,总胆红 >= 5ULN)、肾功能不全(血清肌酐>177umol/L或2mg/dL)、心血管系统疾病(如先心病、冠心病、慢性充血性心力衰竭、心电图提示QTc延长(男性QTcF>450ms,女性QTcF>470ms)等,无任何心血管相关症状的高血压除外)、神经系统及神经肌肉疾病、代谢及内分泌系统疾病、精神病患者; (2) 免疫缺陷患者,如恶性肿瘤、器官或骨髓移植、HIV感染、或近3个月服用免疫抑制剂者; (3) 合并需接受含阿司匹林或水杨酸盐药物治疗的其他疾病者; (4) 肥胖者[体重指数(body mass index,BMI)>30.0]。 3. 临床医生怀疑或胸部影像学检查证实有支气管炎、肺炎、胸腔积液或间质性病变者。 4. 筛选前2周内,曾发生急性呼吸道感染、中耳炎、鼻窦炎者。 5. 需要全身性抗菌治疗的并发感染受试者或筛选时白细胞计数>10.0×109/L。 6. 咳脓痰或患有化脓性扁桃体炎者。 7. 吞咽困难或任何影响药物吸收的胃肠道疾病史(包括但不限于反流性食管炎、慢性腹泻、炎症性肠病、肠结核、胃泌素瘤、短肠综合征、胃大部切除术后等)。 8. 怀疑对研究药物的有效成分或辅料,或对乙酰氨基酚过敏者。 9. 体重< 40.0kg。 10. 筛选期新冠病毒快速抗原或核酸检测阳性者。 11. 筛选前7天内曾服用抗流感药物(包含:神经氨酸酶抑制剂、血凝素抑制剂和M2离子通道阻滞剂,例如:奥司他韦、扎那米韦、帕拉米韦、拉尼米韦、乌芬诺韦、法匹拉韦、玛巴洛沙韦、金刚乙胺、金刚烷胺、阿比多尔、或硝唑尼特)或筛选前6个月内接种过流感疫苗者。 12. 筛选前30天内曾接受针对任何适应症的研究药物或器械。 13. 经研究者判断不适于参加研究的受试者。 |
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Exclusion criteria: |
Subjects who meet any of the following criteria will be excluded from the study: 1. Subjects requiring inpatient treatment with influenza virus(meet any one of the following criteria): (1) Severe cases with one of the following conditions: a. Persistent high fever for > 3 days accompanied by severe cough, sputum purulence, bloody sputum, or chest pain; b. Rapid respiratory rate, dyspnea, cyanosis of lips; c. Mental changes: slow reaction, lethargy, restlessness, convulsion, etc. d. Severe vomiting, diarrhea, and dehydration; e. Concurrent pneumonia; f. Significant exacerbation of underlying diseases; g. Other clinical conditions requiring hospitalization. (2) Critical cases with one of the following conditions: a. Respiratory failure; b. Acute necrotizing encephalopathy; c. Septic shock; d. Multiple organ dysfunction; e. Other serious clinical conditions requiring monitoring and treatment. 2. Severe cases at high risk (meet any one of the following criteria): (1) Severe or uncontrolled underlying medical conditions: blood diseases, chronic respiratory diseases (e.g. chronic obstructive pulmonary disease, bronchial asthma), hepatic insufficiency (ALT or AST >= 3 ULN, total bilirubin >= 5 ULN), renal insufficiency (serum creatinine > 177 umol/L or 2 mg/dL), cardiovascular diseases (such as congenital heart disease, coronary heart disease, chronic congestive heart failure, electrocardiogram showed QTc prolongation (QTcF > 450ms in men and QTcF > 470ms in women), etc. Except hypertension without any cardiovascular-related symptoms), nervous system and neuromuscular diseases, metabolic and endocrine diseases, psychiatric patients; (2) Immunodeficiency, such as malignant tumors, organ or bone marrow transplantation, HIV infection, or immunosuppressant therapy in the past 3 months; (3) Other diseases requiring treatment with aspirin or salicylate; (4) Obese people [body mass index (BMI) > 30·0]. 3. Bronchitis, pneumonia, pleural effusion, or interstitial lesions were suspected by clinicians or confirmed by chest imaging. 4. Subjects with acute respiratory infection, tympanitis or nasosinusitis within 2 weeks before screening. 5. Subjects with concurrent infection requiring systemic antimicrobial therapy or white blood cell count > 10·0 × 109/L at screening. 6. Subjects with cough purulent sputum or suppurative tonsillitis. 7. Subjects with dysphagia or any gastrointestinal disease affecting drug absorption (including but not limited to reflux esophagitis, chronic diarrhea, inflammatory bowel disease, intestinal tuberculosis, gastrinoma, short bowel syndrome, subtotal gastrectomy, etc.). 8. Subjects with suspected allergic to the active ingredients or excipients of the study drugs, or to acetaminophen. 9. Body weight < 40·0 kg. 10. SARS-CoV-2 rapid antigen or nucleic acid test positive during the screening. 11. Subjects who have received anti-influenza drugs (neuraminidase inhibitors, hemagglutinin inhibitors, and M2 channel blockers, such as: oseltamivir, zanamivir, peramivir, laninamivir, umifenovir, favipiravir, baloxavir marboxil, rimantadine, amantadine, arbidol, or nitazoxanide) within 7 days before screening or influenza vaccination within 6 months before screening. 12. Subjects who have received the study drug or device for any indication within 30 days before screening. 13. Subjects who are deemed unsuitable for the study by the investigator. |
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研究实施时间: Study execute time: |
从 From 2023-10-18 00:00:00至 To 2024-03-18 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2023-10-18 00:00:00 至 To 2023-12-30 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
结束 /Completed |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
采用交互式网络应答系统(IWRS)管理受试者随机分配和治疗分配。随机分配计划表由一名统计单位非盲人员(不参与数据收集)使用软件生成。受试者按照年龄(12~18岁,≥18岁)、流感症状总分(<12,≥12)、体重(< 80 kg,≥ 80 kg)进行随机分层。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The randomization was realized by an interactive web response system (IWRS). The randomization list was generated by an unblinded statistical personnel with the software. During the randomization, patients were stratified by baseline age (12~18 years old or >= 18 years old), body weight (40~80 kg or >= 80 kg) as well as Influenza Symptom Severity Scale (< 12 or >= 12). |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
研究使用外观、标签和包装与TG-1000相匹配的安慰剂,以双盲方式进行。在数据库锁定前,所有受试者、研究者、研究人员和数据分析员均不知晓在随机分配时分配的治疗。 |
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Blinding: |
All patients, investigators, study personnel and data analysts were masked to the treatment assignment and the database was locked. To maintain masking, it is important to note that the placebo capsules contained the same non-pharmacological filler and had an identical appearance to the TG-1000 capsules. |
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是否共享原始数据: IPD sharing |
No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
国家生物信息中心 https://ngdc.cncb.ac.cn/gsub/ |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/) |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
使用EDC系统收集数据 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Electronic Data Capture |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |