Pebblestone: A Surveillance Study of Susceptibility to Baloxavir Marboxil in Participants With Influenza

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT06094010
Collaborator
(none)
600
1
43.8

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the pre-treatment and single-dose post treatment susceptibility of baloxavir marboxil in participants aged 1 to <12 years with influenza.

Condition or Disease Intervention/Treatment Phase
  • Drug: Baloxavir Marboxil
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
600 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase IIIb Multicenter, Single-Arm, Open-Label Surveillance Study of Susceptibility to Baloxavir Marboxil in Patients With Influenza
Anticipated Study Start Date :
Nov 5, 2023
Anticipated Primary Completion Date :
May 11, 2027
Anticipated Study Completion Date :
Jun 30, 2027

Arms and Interventions

Arm Intervention/Treatment
Experimental: Baloxavir Marboxil

Participants will receive a single oral dose of baloxavir marboxil on Day 1 (based on body weight and age).

Drug: Baloxavir Marboxil
Baloxavir marboxil will be administered as oral suspension either as 2 milligrams per kilograms (mg/kg) (if weight less than 20 kg), or 40 mg (if weight more than or equal to 20 kg to less than 80 kg) or 80 mg (if weight more than or equal to 80 kg).

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants with Resistance-Associated Pre-Treatment Substitutions [Day 1 (Baseline)]

  2. Percentage of Participants with Resistance-Associated Treatment-Emergent Substitutions [Days 4, 6 and 10]

Secondary Outcome Measures

  1. Percentage of Participants with Resistance-Associated Treatment-Emergent Substitutions by Age Groups (<5 years versus ≥ 5 years) [Days 4, 6 and 10]

  2. Percentage of Participants with Novel Treatment-Emergent Mutations in Polymerase Acidic Protein (PA) [Days 4, 6 and 10]

  3. Percentage of Participants with Resistance-Associated Treatment-Emergent Substitutions by Baseline Vaccination Status [Days 4, 6 and 10]

  4. Percentage of Participants with Influenza Virus Type (A or B) and Subtype (A/H1 or A/H3) [Day 1 (Baseline)]

  5. Change from Baseline in Viral Titers by Quantitative Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) [Baseline (Day 1); Days 4, 6 and 10]

  6. Susceptibility to Baloxavir Marboxil by Phenotyping Post-Baseline Samples with Novel Genotypic PA Substitutions [Days 4, 6 and 10]

  7. Number of Participants with Adverse Events and Serious Adverse Events [Up to Day 29]

    Adverse events were reported according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0).

Eligibility Criteria

Criteria

Ages Eligible for Study:
1 Year to 11 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Participants with symptoms suggestive of influenza with diagnosis confirmed by a positive local influenza test within 24 hours before full study screening.

  • Participants with a negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test within 48 hours before full study screening.

  • The time interval between the onset of influenza symptoms and the pre-dose examinations at screening is 48 hours or less

Exclusion Criteria:
  • Participants with severe influenza virus infection requiring inpatient treatment.

  • Severely immunocompromised participants [including participants receiving immunosuppressant therapy, or those with cancer or human immunodeficiency virus (HIV) infection] as defined by the investigator.

  • Participants with concurrent (non-influenza) infections requiring systemic anti-microbial and/or anti-viral therapy at the pre-dose examinations.

  • Treatment with baloxavir marboxil, peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir or amantadine within 30 days prior to screening.

  • Treatment with an investigational influenza-specific monoclonal antibody within 6 months or 5 half-lives, whichever is longer, prior to screening.

  • Treatment with an investigational therapy within 30 days or 5 half-lives, whichever is longer, prior to screening.

  • Known hypersensitivity to baloxavir marboxil or the drug product excipients.

  • Females who have commenced menarche (i.e., child-bearing potential).

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Hoffmann-La Roche

Investigators

  • Study Director: Clinical Trials, Hoffmann-La Roche

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Hoffmann-La Roche
ClinicalTrials.gov Identifier:
NCT06094010
Other Study ID Numbers:
  • CV44536
First Posted:
Oct 23, 2023
Last Update Posted:
Oct 23, 2023
Last Verified:
Oct 1, 2023
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Oct 23, 2023