A Study of Oseltamivir (Tamiflu) for Treatment of Influenza in Immunocompromised Participants.

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT00545532
Collaborator
(none)
228
208
2
110.9
1.1
0

Study Details

Study Description

Brief Summary

This 2-arm study will investigate the safety and tolerability of oseltamivir for the treatment of influenza in immunocompromised participants and characterize the effects of oseltamivir in immunocompromised participants on the development of resistant influenza virus. Eligible immunocompromised participants with laboratory-confirmed influenza will be randomized to receive either conventional dose (30 milligrams [mg] to 75 mg twice daily orally [po], depending on age and weight) or double dose (60 mg-150 mg twice daily po depending on age and weight) olseltamivir for 10 days. Nasal and throat swabs will be taken, and safety evaluations made, at intervals during the study. The anticipated time on study medication is 10 days and the anticipated time on study is 40 days.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
228 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Double-Blind, Randomized, Stratified Multi-Center Trial Evaluating Conventional and Double Dose Oseltamivir in the Treatment of Immunocompromised Patients With Influenza
Actual Study Start Date :
Feb 4, 2008
Actual Primary Completion Date :
May 2, 2017
Actual Study Completion Date :
May 2, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Conventional dose

Immunocompromised participants will receive oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days.

Drug: oseltamivir
Dose ranging between 30 to 150 mg orally administered as syrup or capsules (depending on participant's age and weight) po twice daily for 10 days
Other Names:
  • Tamiflu
  • Other: placebo
    Placebo matched to oseltamivir po twice daily for 10 days

    Experimental: Double dose

    Immunocompromised participants will receive oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.

    Drug: oseltamivir
    Dose ranging between 30 to 150 mg orally administered as syrup or capsules (depending on participant's age and weight) po twice daily for 10 days
    Other Names:
  • Tamiflu
  • Other: placebo
    Placebo matched to oseltamivir po twice daily for 10 days

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Adverse Events [Baseline up to Day 40]

      An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

    2. Percentage of Participants Who Developed Viral Resistance to Oseltamivir [Baseline up to Day 40]

      Resistance was defined as the presence of oseltamivir resistance mutations in viruses isolated from nasopharyngeal swab samples, identified by sequencing of the neuraminidase (NA) and hemagglutinin (HA) genes (genotypic resistance) and/or determination of the oseltamivir concentration at which the response is reduced by half (IC50) in an NA inhibition assay (phenotypic resistance). Reported are post-baseline phenotypic and genotypic resistance in adults >/= 18 years and children and adolescents <18 years in the modified Intent-to-Treat infected (mITTi) population.

    3. Percentage of Participants With Tissue Rejection or Graft Versus Host Disease (GVHD) [Baseline up to Day 40]

      The percentage of transplant patients in the safety population who experienced tissue rejection and/or GvHD is reported.

    Secondary Outcome Measures

    1. Time to Resolution (TTR) of All Clinical Influenza Symptoms [Baseline up to Day 40]

      TTR of all clinical influenza symptoms was defined as the time from treatment initiation to the start of the 24-hour period in which all 7 influenza symptoms had scores </= 1 (mild) and remained </=1 for at least 21.5 hours. . Reported are TTRs in adults >/= 18 years, adults and adolescents >/= 13 years and children <13 years in the mITTi population.

    2. Total Symptom Score Area Under the Efficacy Curve (AUE) [Baseline up to Day 40]

      The overall extent and severity of illness was quantified by the AUE of the total symptom scores over the duration of illness, i.e., from the start of treatment to the time symptoms first alleviated. Total symptom scores were calculated from the sum of seven individual symptom scores with each individual symptom scored from 0 (healthy) to 3 (worst sickness) and a maximum total symptom score of 21. The AUE of these average scores was then calculated for each participant using the trapezoidal rule (the trapezoidal rule calculates the area under any curve by adding up all trapezoids under such a curve). A larger area indicates more severe disease. In this study participants were treated for 10 days. If a participant had scored 21 on every visit then AUE would have been 21 score x 10 days x 24 hours/day =5040 score x hours units, which is the highest possible score. The lowest possible score is 0. Reported are results for adults >/= 18 years in the mITTi population.

    3. Time to Resolution of Fever [Baseline up to Day 40]

      Fever was defined as temperature >/= 37.8 degrees Celsius at any time point during the study. TTR of fever was determined in Adults >/= 18 years, Adults and adolescents >/= 13 years and Children < 13 years of the mITTi population.

    4. Change From Baseline in Viral Load Assessed by Culture [Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.]

      Nasopharyngeal swab samples were cultured in Madin-Darby Canine Kidney cells. Culture supernatants were harvested after 2 weeks, or after a full-blown cytopathic effect was observed. Presence of infectious viruses in the cell culture supernatants (viral titer), expressed as log10 50% Tissue Culture Infectious Dose/milliliter (TCID50/mL), was determined by hemagglutination assay using turkey erythrocytes for H1 and B viruses or by detection of the virus nucleoprotein (NP) using ELISA for H3 viruses. A value of < 0.5 log10 TCID50/mL was interpreted as negative. Data are reported for adults >/= 18 years and adolescents and children < 18 years.

    5. Percentage of Participants With Viral Shedding Assessed by Culture Over Time [Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.]

      Viral shedding was determined through measurement of the viral titer after viral culture in Madin-Darby Canine Kidney cells by hemagglutination assay (for Flu A/H1N1 and Flu B) and NP-ELISA (for Flu A/H3N2) and expressed in log10 TCID50/mL. Reported is the percentage of participants with viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.

    6. Time to Cessation of Viral Shedding by Cell Culture [Baseline up to Day 40]

      Viral shedding was determined through measurement of the viral titer after viral culture in Madin-Darby Canine Kidney cells by hemagglutination assay (for Flu A/H1N1 and Flu B) and NP-ELISA (for Flu A/H3N2) and expressed in log10 TCID50/mL. Reported is the time to cessation of viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.

    7. Change From Baseline in Viral Load Assessed by Reverse Transcription Polymerase Chain Reaction (RT-PCR) [Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.]

      Nasopharyngeal swab samples were tested for influenza A and B RNA using semi-quantitative RT-PCR specific for influenza A and B matrix gene, respectively, after viral RNA isolation. Cycle threshold (Ct) value was determined for each sample. Conversion of Ct values into viral load, expressed as log10 virus particles/mL (vp/mL), was obtained using external standard curves ran in parallel in all RT-PCR experiments. A value of < 2.6 log10 vp/mL for Flu A strains and < 3.0 log10 vp/mL for Flu B strains was interpreted as a negative result. Data are reported for adults >/= 18 years and adolescents and children < 18 years.

    8. Percentage of Participants With Viral Shedding Assessed by RT-PCR Over Time [Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.]

      Viral shedding was determined by direct viral load measurement from nasopharyngeal swabs by RT-PCR assay and expressed in log10 vp/mL. Reported is the percentage of subjects with viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.

    9. Time to Cessation of Viral Shedding by RT-PCR [Baseline up to Day 40]

      Viral shedding was determined by direct viral load measurement from nasopharyngeal swabs by RT-PCR assay and expressed in log10 vp/mL. Reported is the time to cessation of viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.

    10. Percentage of Participants With Persistent Viral Shedding [Baseline to Day 11 (EOT)]

      Persistent shedding was defined as a viral load reduction <1 log10 vp/mL at end of treatment compared with baseline. Reported is the percentage of participants with persistent viral shedding at end of treatment in adults >/= 18 years and adolescents and children < 18 years.

    11. Percentage of Participants Who Developed Secondary Illness [Baseline up to Day 40]

      Secondary illness included bronchitis, pneumonia, acute sinusitis, sinusitis, lower respiratory infection or otitis media. Reported is the percentage of participants with at least one event in adults >/= 18 years and adolescents and children < 18 years.

    12. Percentage of Participants Who Initiated Antibiotic Treatment [Baseline up to Day 40]

      Secondary illness included bronchitis, pneumonia, acute sinusitis, sinusitis, lower respiratory infection or otitis media. Reported is the percentage of participants with secondary illness, who initiated antibiotic treatment, in adults >/= 18 years and adolescents and children < 18 years.

    13. Percentage of Participants Hospitalized [Baseline up to Day 40]

      Reported is the percentage of participants, who required hospitalization at any time between treatment initiation and the end of the study period, in adults >/= 18 years and adolescents and children < 18 years.

    14. Duration of Hospitalization [Baseline up to Day 40]

      Reported is the duration of hospitalization at any time between treatment initiation and the end of the study period, in adults >/= 18 years and adolescents and children < 18 years.

    15. Pharmacokinetics: Maximum Plasma Concentration (Cmax) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Cmax data for adults >/= 18 years.

    16. Pharmacokinetics: Trough Plasma Concentration (Ctrough) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Ctrough data for adults >/= 18 years.

    17. Pharmacokinetics : Area Under the Concentration-Time Curve From 0 to 12 Hours (AUC0-12) at Steady State of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose]

      AUC0-12 was reported at steady state as nanograms per hour per milliliter. (ng*hr/mL). Reported here are oseltamivir AUC0-12 data for adults >/= 18 years.

    18. Pharmacokinetics: Time to Maximum Concentration (Tmax) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir tmax data for adults >/= 18 years.

    19. Pharmacokinetics: Elimination Constant (ke) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir ke data for adults >/= 18 years.

    20. Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir CL/F data for adults >/= 18 years.

    21. Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Vc/F data for adults >/= 18 years.

    22. Pharmacokinetics: Cmax of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Cmax data for adults >/= 18 years.

    23. Pharmacokinetics: Ctrough of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Ctrough data for adults >/= 18 years.

    24. Pharmacokinetics : AUC0-12 at Steady State of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate AUC0-12 data for adults >/= 18 years.

    25. Pharmacokinetics: Tmax of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate tmax data for adults >/= 18 years.

    26. Pharmacokinetics: Elimination Constant (ke) of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oxeltamivir carboxylate ke data for adults >/= 18 years.

    27. Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate CL/F data for adults >/= 18 years.

    28. Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir Carboxylate in Adults [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Vc/F data for adults >/= 18 years.

    29. Pharmacokinetics: Cmax of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Cmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    30. Pharmacokinetics: Ctrough of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Ctrough data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    31. Pharmacokinetics: AUC0-12 at Steady State of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose]

      AUC0-12 will be reported at steady state as ng*hr/mL. Reported here are oseltamivir AUC0-12 data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    32. Pharmacokinetics: Tmax of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    33. Pharmacokinetics: Cmax of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Cmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    34. Pharmacokinetics: Ctrough of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Ctrough data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    35. Pharmacokinetics: AUC0-12 at Steady State of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose]

      AUC0-12 will be reported at steady state as ng*hr/mL. Reported here are oseltamivir carboxylate AUC0-12 data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    36. Pharmacokinetics: Tmax of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate tmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    37. Pharmacokinetics: Elimination Constant (ke) of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir ke data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    38. Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir CL/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    39. Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir Vc/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    40. Pharmacokinetics: Elimination Constant (ke) of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate ke data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    41. Pharmacokinetics: Apparent Clearance (CL/F), of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate CL/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    42. Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir Carboxylate in Adolescents and Children [Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose]

      Reported here are oseltamivir carboxylate Vc/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    1 Year and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Rapid diagnostic test, PCR, or viral culture positive for influenza in the 96 hours prior to first dose

    • Immunocompromised participants with primary or secondary immunodeficiency

    • Symptoms suggestive of influenza-like illness

    • Use of an effective contraceptive, as specified by protocol; women of childbearing potential cannot be pregnant or breastfeeding

    Exclusion Criteria:
    • Influenza vaccination with live attenuated vaccine in the 2 weeks prior to randomization

    • Antiviral treatment for influenza in 2 weeks prior to randomization

    • Severe hepatic impairment

    • Any current renal replacement therapy

    • Any gastrointestinal disorders which may interfere with the absorption of oseltamivir

    • Participation in a study with an investigational drug from 4 weeks prior to study start until study end

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Uni of Alabama At Birmingham; Division of Nephrology Birmingham Alabama United States 35233
    2 University of Alabama at Birmingham; Pediatric Nephrology Birmingham Alabama United States 35233
    3 Pacific Oaks Medical Group Beverly Hills California United States 90211
    4 Providence Clinical Research Burbank California United States 91505
    5 AIDS Research Alliance Los Angeles California United States 90015
    6 UCLA Medical center Medicine/Nephrology Los Angeles California United States 90095
    7 University of California Davis Health System Sacramento California United States 95817
    8 CALIFORNIA PACIFIC MEDICAL CENTER; Office of Dr. Venkat Peddi San Francisco California United States 94115
    9 University of Colorado; Kidney Transplant Center Office of Dr. Laurence Chan Aurora Colorado United States 80045
    10 New England Research Associates Trumbull Connecticut United States 06611
    11 Christiana Care Health System Newark Delaware United States 19713
    12 Omega Research Consultants Orlando Florida United States 32810
    13 All Children'S Hospital; Pediatric Blood & Marrow Transplant Program Saint Petersburg Florida United States 33701
    14 Kendall South Medical Center Inc. South Miami Florida United States 33143
    15 Vita Research Solutions, Inc Tamarac Florida United States 33319
    16 University of South Florida Tampa Florida United States 33612
    17 Piedmont Hospital; Transplant Services Atlanta Georgia United States 30309
    18 EMORY UNIVERSITY; Bone Marrow & Stem Cell Transplant Center Atlanta Georgia United States 30322
    19 Medical College of Georgia; Medicine/ Nephrology Augusta Georgia United States 30912
    20 Northwestern Memorial Hospital; Divison of Infectious Diseases/ Dept of Medicine Chicago Illinois United States 60611
    21 Rush Uni Medical Center; Medicine/ Section of Infectious Diseases Chicago Illinois United States 60612
    22 University of Chicago; Infectious Disease Chicago Illinois United States 60655
    23 Tulane University Medical Center New Orleans Louisiana United States 70112
    24 University of Maryland School of Medicine Baltimore Maryland United States 21201
    25 Brigham & Women'S Hospital Boston Massachusetts United States 02115
    26 Western New England Renal & Transplant Associates, P.C. Springfield Massachusetts United States 01107
    27 Uni of Michigan Medical Center; Internal Medicine/ Infectious Disease Ann Arbor Michigan United States 48109-0378
    28 Karmanos Cancer Inst. ; Hudson Webber; Cancer Research Building Detroit Michigan United States 48201
    29 Henry Ford Health System; Gastroenterology Detroit Michigan United States 48202-2689
    30 Wayne State University School of Medicine Detroit Michigan United States 48210
    31 Beals Institute PC Lansing Michigan United States 48917
    32 Washington University; Wash Uni. Sch. Of Med Saint Louis Missouri United States 63110
    33 Our Lady of Lourdes Medical Center; Transplant Dept Camden New Jersey United States 08103
    34 Hackensack University Medical Center Hackensack New Jersey United States 07601
    35 Long Island Jewish/North Shore Hospital New Hyde Park New York United States 11042
    36 Mount Sinai Medical Center; Division of Liver Diseases New York New York United States 10029
    37 DJL Clinical Research PLLC Charlotte North Carolina United States 28210
    38 Novant Health Pulmonary and Critical Care Matthews North Carolina United States 28105
    39 Duke University Health Systems Raleigh North Carolina United States 27609
    40 Wake Forest University Baptist Medical Center Winston-Salem North Carolina United States 27157
    41 Uni of Cincinnati Medical Center; Nephrology & Hypertension Cincinnati Ohio United States 45267
    42 Cleveland Clinic Foundation; Infectious Disease Cleveland Ohio United States 44195
    43 Toledo Hospital Toledo Ohio United States 43606
    44 Nazih Zuhdi Transplant Inst. ; Integris Baptist Medical Center Oklahoma City Oklahoma United States 73112-4481
    45 Penn State Milton S. Hershey Medical Center Hershey Pennsylvania United States 17033
    46 Drexel University; College of Medicine Philadelphia Pennsylvania United States 19102
    47 Uni of Pennsylvania; Infectious Diseases Philadelphia Pennsylvania United States 19104
    48 University of Pennsylvania Health System Philadelphia Pennsylvania United States 19104
    49 Children'S Hospital of Pittsburgh; Infectious Disease Pittsburgh Pennsylvania United States 15213
    50 Medical University of South Carolina; Pediatric Cardiology Charleston South Carolina United States 29425
    51 Children'S Medical Center of Dallas Dallas Texas United States 75235
    52 Baylor University Medical Center Transplant Administration Dallas Texas United States 75246
    53 UT Southwestern Medical Center; Pediatrics Dept. Dallas Texas United States 75390
    54 Sammons Cancer Center-Baylor University; Blood & Marrow Transplantation Dallas Texas United States TX 75246
    55 The Methodist Hospital Houston Texas United States 77005
    56 M.D Anderson Cancer Center; Infectious Diseases, Infection Control, and Employee Health Houston Texas United States 77030
    57 Texas Tech University Health Sciences Center; Department of Urology Lubbock Texas United States 79430
    58 University of Texas Health Science Center Transplant center San Antonio Texas United States 78229
    59 Scott and White Division of Nephrology Dept of Medicine Temple Texas United States 76508
    60 University of Utah Health Science Center Gastroenterology Salt Lake City Utah United States 84132
    61 Hospital General de Agudos Juan Antonio Fernandez; infectología Buenos Aires Argentina 1202
    62 Instituto Medico Platense Buenos Aires Argentina
    63 Instituto Medico Especializado Alexander Fleming Ciudad Autonoma Buenos Aires Argentina 1426
    64 Hospital General de Agudos Dr. Ignacio Pirovano Ciudad Autonoma Buenos Aires Argentina 1430
    65 Hospital Italiano de La Plata La Plata Argentina 1725
    66 Hospital de Niños Dr. Orlando Alassia Santa Fe Argentina S3000CII
    67 Onze Lieve Vrouwziekenhuis Aalst Aalst Belgium 9300
    68 UZ Brussel Brussel Belgium 1090
    69 Institut Jules Bordet Bruxelles Belgium 1000
    70 Hospital Erasme; Neurologie Bruxelles Belgium 1070
    71 Fiocruz - Fundação Oswaldo Cruz Rio de Janeiro RJ Brazil 21040-360
    72 Hospital Alemao Oswaldo Cruz; Oncologia Sao Paulo SP Brazil 01323-020
    73 Iop - Graacc - Unifesp Sao Paulo SP Brazil 04023-062
    74 Hospital do Rim e Hipertensão - Fundação Oswaldo Ramos Sao Paulo SP Brazil 04038-002
    75 Hospital das Clinicas - FMUSP Sao Paulo SP Brazil 05403-000
    76 UMHA - Sv. Georgi; Clinic of Nephrology & Haemodialysis Plovdiv Bulgaria 4002
    77 UMHAT Sv. Georgi, EAD; Clinic of Infectious Diseases Plovdiv Bulgaria 4002
    78 Mhat Alexandrovska Ead ; Clinic of Nephrology & Transplantation, Uni Hospital Sofia Bulgaria 1431
    79 Specialized Hospital for children with oncohaematologica Diseases; Dept. Of Transplantations Sofia Bulgaria 1527
    80 Uni of Manitoba; Faculty of Medicine Winnipeg Manitoba Canada R3E 6518
    81 St Paul'S Saskatoon Saskatchewan Canada S7M 0Z9
    82 Hospital Luis Calvo Mackenna; Unidad de Investigacion Santiago Chile 7500539
    83 Hospital Dr. Sotero del Rio Santiago Chile 8207257
    84 Centro de Investigaciones Clinicas Viña del Mar Viña Del Mar Valparaiso Chile 2520000
    85 Infectologos Asociados Barranquilla Colombia
    86 Simedics Ips Bogota Colombia
    87 Centro de Investigaciones Clinicas S.A.S Cali Colombia
    88 Fundacion Cardiovascular de Colombia - Instituto del Corazón Floridablanca Colombia
    89 Fakultni nemocnice Brno; Interni hematologicka a onkologicka klinika Brno Czechia 625 00
    90 Fakultni Nemocnice; Hemato-Oncology Plzen Czechia 300 00
    91 Fakultni nemocnice v Motole; Klinika detske hematologie a onkologie UK 2.LF Praha 5 Czechia 150 06
    92 The Institute of Hematology and Blood Transfusion Transplantation Unit; Hematology and Blood Transf Praha Czechia 12820
    93 KASMED, s.r.o.; Alergologie a klinicka imunologie Tabor Czechia 390 01
    94 Revmatologicka Ambulance-Terezin Terezin Czechia 411 55
    95 Revmatologicka ambulance Zlin Czechia 760 01
    96 West Tallinn Central Hospital; Nephrology Tallinn Estonia 10617
    97 North Estonia medical Centre; Hematology Tallinn Estonia 13419
    98 Tartu Uni Clinics; Clinic of Surgery & Internal Medicine Dept of Nephrology Tartu Estonia 51014
    99 Tartu Uni Hospital; Hematology - Oncology Clinic Tartu Estonia 51014
    100 Tartu University Hospital; Department of Infectious Diseases Tartu Estonia 51014
    101 Centre Hospitalier de la Croix Rousse Lyon France 69317
    102 Hopital Robert Debre; Pediatric Hematology Dept Paris France 75019
    103 Hopital Saint Louis; Service de Nephrologie - Transplantation Paris France 75475
    104 Hopital Europeen Georges Pompidou; Service de Nephrologie Paris France 75908
    105 Hopital Rangueil; Nephrologie Toulouse France 31059
    106 CHRU Bretonneau Tours France 37044
    107 Uniklinik RWTH Aachen; Med. Klinik II; Klinik für Nephrologie und klinische Immunologie Aachen Germany 52057
    108 Charite - Campus Virchow Klinikum; Abteilung fuer Chirurgie Berlin Germany 13353
    109 Universitätsklinikum Essen; Innere Klinik und Poliklinik für Tumorforschung Essen Germany 45122
    110 Universitätsklinikum Hamburg-Eppendorf Hamburg Germany 20246
    111 UNI-Klinikum Heidelberg Chirurgische Klinik Heidelberg Germany 69120
    112 Ludwig-Maximilian-Universitaetsklinik; Med. Poliklinik/Infektiologie Muenchen Germany 80336
    113 Ludwig-Maximilians-Universitaet; Medizinische Klinik und Poliklinik IV Muenchen Germany 80336
    114 Universitaetsklinikum Muenster; Paedriatrische Haematologie und Onkologie Muenster Germany 48149
    115 Clinica Familiar Luis Angel Garcia Ciudad de Guatemala Guatemala 01001
    116 CERICAP Ciudad de Guatemala Guatemala 01009
    117 Centro de Investigaciones Pediatricas Guatemala City Guatemala 1015
    118 Hospital Roosevelt Guatemala; Clinica de Infecciosas Guatemala City Guatemala
    119 Unidad Nacional de Oncologia Pediatrica Guatemala Guatemala
    120 Fov.Onk.Egyesitett Szt. Istvan es Szt Laszlo Korh.-Rend.Int. Budapest Hungary 1096
    121 Debreceni Egyetem, Orvos- és Egészségtudományi Centrum; Debrecen Hungary 4032
    122 Petz Aladar Megyei Korhaz; Hematologia Gyor Hungary 9024
    123 Bekes Megyei Kepviselotestulet Pandy Kalman Korhaza Gyula Hungary 5700
    124 Békés Megyei Pándy Kálmán Kórház; Onkologiai tanszek Gyula Hungary 5703
    125 Pecsi Tudomanyegyetem Pecs Hungary 7624
    126 University of Szeged; Transplantation Department Szeged Hungary 6720
    127 Fejer Megyei Szent Gyorgy Korhaz Szekesfehervar Hungary 8000
    128 Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rend.Int. Szolnok Hungary 5000
    129 Veszprem Megyei Csolnoky Ferenc Korhaz Nonprofit Zrt. Veszprem Hungary 8200
    130 Rambam Health Care Campus; Hematology Haifa Israel 31096
    131 Hadassah University Hospital - Ein Kerem; BMT & Cancer Immunotherapy Dept. Jerusalem Israel 91120
    132 Rabin MC- Belinson campus Petach Tikva Israel 49100
    133 Rabin Medical Center-Golda Campus - Hasharon; Department of Transplantation Petach Tikva Israel 49100
    134 Rabin Medical Center; Liver Inst. Petach Tikva Israel 49100
    135 Chaim Sheba Medical Center; Hematology BMT & CBB Ramat Gan Israel 52662
    136 Sourasky MC; Transplant Unit Tel Aviv Israel 64239
    137 Chaim Sheba MC; Pediatric Hematology Oncology Tel Hashomer Israel 52621
    138 Azienda Ospedaliera; Divisione Malattie Infettive E Tropicali Parma Emilia-Romagna Italy 43100
    139 POLICLINICO Universitatio A.Gemelli, Div. Chirurgia Generale e Trapianti d'Organo Roma Lazio Italy 00168
    140 I.N.M.I. L. Spallanzani IRCCS Roma Lazio Italy RM 00149
    141 ASST DEGLI SPEDALI CIVILI DI BRESCIA; Dipartimento Malattie Infettive Brescia Lombardia Italy 25126
    142 ASST DI MONZA; Divisione Malattie Infettive Monza Lombardia Italy 20052
    143 Fondazione IRCCS Policlinico San Matteo Pavia Lombardia Italy 27100
    144 Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico; Clinica Pediatica De Macchi Milano Molise Italy 20122
    145 Latvia Transplantation Center P. Stradina Hospital; Transplantation Riga Latvia LV-1002
    146 Children's Clinical University Hospital Riga Latvia LV-1004
    147 Kaunas Clinics Public Institution; Clinic of Nephrology Kaunas Lithuania 50009
    148 Klaipeda University Hospital; Public Institution Klaipeda Lithuania 92288
    149 Siauliai Republican Hospital Public Institution Siauliai Lithuania 76231
    150 Vilnius University Hospital Santariskiu Clinic, Hematology, Oncology and Tranfusion Medicine Center Vilnius Lithuania 08661
    151 Vilnius University Hospital Santariskiu Clinic Vilnius Lithuania 08661
    152 Republican Tuberculosis and Infectious Diseases University H Vilnius Lithuania 8117
    153 Phylaxis Clinical Research S de RL de CV Cuautitlan Izcalli Mexico 54769
    154 Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde; Infectología piso 7 Guadalajara Mexico 44280
    155 Centro de Investigacion Clínica GRAMEL S.C Mexico Mexico 03720
    156 Instituto Nacional de Ciencias Medicas y Nutricion Salvador; Infectologia Mexico Mexico 14000
    157 INER- Instituto Nacional de Enfermedades Respiratorias"Ismae Mexico Mexico 14080
    158 Hospital Universitario de Monterrey; Infectologia Monterrey Mexico 64040
    159 Hospital de Especialidades del Centro Medico Puerta de Hierr Zapopan Mexico 45116
    160 Wojewodzki Szp.Specjalistyczny im.K.Dluskiego w Bialymstoku Bialystok Poland 15-540
    161 NZOZ Vitamed Bydgoszcz Poland 85-079
    162 Uniwersyteckie Centrum Kliniczne Gdansk Poland 80-214
    163 SPZOZ Szpital Uniw W Krakowie Krakow Poland 31-501
    164 SPZOZ Uniwersytecki Szp Klin; nr1 im.N.Barlickiego UM Lodz Poland 90-153
    165 SPSK nr 2 Pomorskiej Akademii Medycznej w Szczecinie Szczecin Poland 70-111
    166 Szpital Dzieciatka Jezus-Centrum Lecezenia Obrazen; Dpt of Transplantation Medicine & Nephrology Warszawa Poland 02-006
    167 Instytut Pomnik-Centrum Zdrowia Dziecka, Klinika Nefrologii, Transp. Nerek i Nadcisnienia Tetniczego Warszawa Poland 04-730
    168 SP Szpital Kliniczny Nr 1 we Wroclawiu Wroclaw Poland 50-367
    169 ALL-MED Specjalistyczna Opieka Medyczna Wroclaw Poland 50-445
    170 Institutul de Urologie Si Transplant Renal Fundeni Bucharest Romania 022328
    171 Josha Research Bloemfontein South Africa 9301
    172 Londisizwe Research Centre Durban South Africa 4001
    173 Sebastian Peter Durban South Africa 4001
    174 Dr V Naidoo Private Practice Durban South Africa 4092
    175 Govind U Durban South Africa 4096
    176 Soweto CTC - Dr Phoshoko site Johannesburg South Africa 1818
    177 Soweto CTC - Dr Mushwana site Johannesburg South Africa 1983
    178 Newtown Clinical Research Johannesburg South Africa 2113
    179 Mzansi Ethical Research Centre Middelburg South Africa 1055
    180 Be Part Yoluntu Centre Paarl South Africa 7626
    181 Global Clinical Trials Port Elizabeth Port Elizabeth South Africa 6020
    182 Kalafong Hospital; Pathology Pretoria South Africa 0002
    183 Emmed Research Pretoria South Africa 0084
    184 Synexus Clinical Research Centres SA Stanza Bopape Pretoria South Africa 0112
    185 Soweto Clinical Trial Centre Soweto South Africa 1818
    186 Tygerberg Hospital Pediatrics and Child Health Tygerberg; Cape Town South Africa 7505
    187 Welkom Clinical Trial Centre Welkom South Africa 9460
    188 Hospital Universitari de Bellvitge; Servicio de Nefrologia Hospitalet de Llobregat Barcelona Spain 08907
    189 Hospital Clinico Universitario de Santiago Santiago de Compostela LA Coruña Spain 15706
    190 Hospital Universitari Vall d'Hebron; Departamento de Enfermedades Infecciosas Barcelona Spain 08035
    191 Hospital Universitari Vall d'Hebron Barcelona Spain 08035
    192 Hospital Clínic i Provincial; Servicio de Hematología y Oncología Barcelona Spain 08036
    193 Hospital General Universitario Gregorio Marañon Madrid Spain 28007
    194 Hospital Infantil Universitario Nino Jesus Madrid Spain 28009
    195 Hospital Clinico San Carlos; Servicio de Nefrologia Madrid Spain 28040
    196 Hospital Universitario Clínico San Carlos; Servicio de Enfermedades Infecciosas Madrid Spain 28040
    197 Hospital Universitario 12 de Octubre; HIV Unit Madrid Spain 28041
    198 Hospital Universitario 12 de Octubre; Servicio de Pediatria Madrid Spain 28041
    199 Hospital Universitario La Paz; Hepatología y Trasplantes Madrid Spain 28046
    200 Hospital Universitario la Paz; Servicio de Enfermedades Infecciosas - HIV unit Madrid Spain 28046
    201 Universitätsspital Zürich; Klinik für Nephrologie Zürich Switzerland 8091
    202 Ukrainian Pediatric Specialized Hospital of Ministry of Health of Ukraine Dept of BMT Kiev Ukraine 01135
    203 Institute of Nephrology AMS; Dept of Nephrology & dialysis Kiev Ukraine 04050
    204 Lugansk Regional Clinical Hospital; Chair of Therapy Faculty of Postgr.Ed Lugnansk Ukraine 91045
    205 Zaporozhye State Medical University; Dept of Transplantology Zaporozhye Ukraine 69600
    206 University Hospitals Bristol NHS Foundation Trust Bristol United Kingdom BS2 8BJ
    207 Manchester Royal Infirmary; Renal Transplant Unit Manchester United Kingdom M13 9WL
    208 Nottingham City Hospital; Transplant Unit Nottingham United Kingdom NG5 1PB

    Sponsors and Collaborators

    • Hoffmann-La Roche

    Investigators

    • Study Director: Clinical Trials, Hoffmann-La Roche

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT00545532
    Other Study ID Numbers:
    • NV20234
    • 2006-002468-24
    First Posted:
    Oct 17, 2007
    Last Update Posted:
    Jul 12, 2018
    Last Verified:
    Jun 1, 2018
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Participant flow is provided for the safety analysis population, which was the primary analysis population for evaluation of safety. Safety population included all participants who received at least one dose of study drug and had a safety assessment performed post randomization. Participants were reported under the actual treatment received.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Period Title: Overall Study
    STARTED 105 110
    COMPLETED 99 100
    NOT COMPLETED 6 10

    Baseline Characteristics

    Arm/Group Title Conventional Dose Double Dose Total
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days. Total of all reporting groups
    Overall Participants 105 110 215
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    43.0
    (15.5)
    43.9
    (16.5)
    43.5
    (16.0)
    Sex: Female, Male (Count of Participants)
    Female
    57
    54.3%
    62
    56.4%
    119
    55.3%
    Male
    48
    45.7%
    48
    43.6%
    96
    44.7%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    15
    14.3%
    21
    19.1%
    36
    16.7%
    Not Hispanic or Latino
    90
    85.7%
    89
    80.9%
    179
    83.3%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    6
    5.7%
    3
    2.7%
    9
    4.2%
    Asian
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    27
    25.7%
    33
    30%
    60
    27.9%
    White
    72
    68.6%
    72
    65.5%
    144
    67%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    2
    1.8%
    2
    0.9%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Adverse Events
    Description An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    The safety population included all participants who received at least one dose of study drug and had a safety assessment performed post randomization.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 105 110
    On Treatment
    40.0
    38.1%
    47.3
    43%
    Off Treatment
    25.7
    24.5%
    29.1
    26.5%
    2. Primary Outcome
    Title Percentage of Participants Who Developed Viral Resistance to Oseltamivir
    Description Resistance was defined as the presence of oseltamivir resistance mutations in viruses isolated from nasopharyngeal swab samples, identified by sequencing of the neuraminidase (NA) and hemagglutinin (HA) genes (genotypic resistance) and/or determination of the oseltamivir concentration at which the response is reduced by half (IC50) in an NA inhibition assay (phenotypic resistance). Reported are post-baseline phenotypic and genotypic resistance in adults >/= 18 years and children and adolescents <18 years in the modified Intent-to-Treat infected (mITTi) population.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    Post-BL Phenotypic Resist, >/= 18 years
    8.2
    7.8%
    1.3
    1.2%
    Post-BL Genotypic Resist, >/= 18 years
    9.6
    9.1%
    2.6
    2.4%
    Post-BL Phenotypic Resist, < 18 years
    25.0
    23.8%
    0
    0%
    Post-BL Genotypic Resist, < 18 years
    25.0
    23.8%
    12.5
    11.4%
    3. Primary Outcome
    Title Percentage of Participants With Tissue Rejection or Graft Versus Host Disease (GVHD)
    Description The percentage of transplant patients in the safety population who experienced tissue rejection and/or GvHD is reported.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    The safety population included all participants who received at least one dose of study drug and had a safety assessment performed post randomization.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 105 110
    Number [percentage of participants]
    0
    0%
    0
    0%
    4. Secondary Outcome
    Title Time to Resolution (TTR) of All Clinical Influenza Symptoms
    Description TTR of all clinical influenza symptoms was defined as the time from treatment initiation to the start of the 24-hour period in which all 7 influenza symptoms had scores </= 1 (mild) and remained </=1 for at least 21.5 hours. . Reported are TTRs in adults >/= 18 years, adults and adolescents >/= 13 years and children <13 years in the mITTi population.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline, and for whom data were available.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 82 86
    Adults >/= 18 years
    103.3
    103.6
    Adults and adolescents >/= 13 years
    103.4
    107.2
    Children < 13 years
    32.1
    115.9
    5. Secondary Outcome
    Title Total Symptom Score Area Under the Efficacy Curve (AUE)
    Description The overall extent and severity of illness was quantified by the AUE of the total symptom scores over the duration of illness, i.e., from the start of treatment to the time symptoms first alleviated. Total symptom scores were calculated from the sum of seven individual symptom scores with each individual symptom scored from 0 (healthy) to 3 (worst sickness) and a maximum total symptom score of 21. The AUE of these average scores was then calculated for each participant using the trapezoidal rule (the trapezoidal rule calculates the area under any curve by adding up all trapezoids under such a curve). A larger area indicates more severe disease. In this study participants were treated for 10 days. If a participant had scored 21 on every visit then AUE would have been 21 score x 10 days x 24 hours/day =5040 score x hours units, which is the highest possible score. The lowest possible score is 0. Reported are results for adults >/= 18 years in the mITTi population.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 59 67
    Median (Full Range) [score * hour]
    774.7
    811.5
    6. Secondary Outcome
    Title Time to Resolution of Fever
    Description Fever was defined as temperature >/= 37.8 degrees Celsius at any time point during the study. TTR of fever was determined in Adults >/= 18 years, Adults and adolescents >/= 13 years and Children < 13 years of the mITTi population.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 38 35
    Adults >/= 18 years
    11.0
    0.5
    Adults and adolescents >/= 13 years
    11.0
    0.5
    Children < 13 years
    NA
    26.0
    7. Secondary Outcome
    Title Change From Baseline in Viral Load Assessed by Culture
    Description Nasopharyngeal swab samples were cultured in Madin-Darby Canine Kidney cells. Culture supernatants were harvested after 2 weeks, or after a full-blown cytopathic effect was observed. Presence of infectious viruses in the cell culture supernatants (viral titer), expressed as log10 50% Tissue Culture Infectious Dose/milliliter (TCID50/mL), was determined by hemagglutination assay using turkey erythrocytes for H1 and B viruses or by detection of the virus nucleoprotein (NP) using ELISA for H3 viruses. A value of < 0.5 log10 TCID50/mL was interpreted as negative. Data are reported for adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years, Baseline (BL)
    3.38
    3.75
    >/= 18 years, Change from BL on Day 2/3
    -1.50
    -1.50
    >/= 18 years, Change from BL on Day 6
    -2.50
    -3.00
    >/= 18 years, Change from BL on Day 8
    -2.75
    -3.25
    >/= 18 years, Change from BL on Day 11
    -2.88
    -3.25
    >/= 18 years, Change from BL on Day 15
    -3.00
    -3.25
    >/= 18 years, Change from BL on Day 40
    -3.00
    -3.25
    < 18 years, BL
    3.13
    4.00
    < 18 years, Change from BL on Day 2/3
    -1.00
    -2.00
    < 18 years, Change from BL on Day 6
    -2.00
    -3.50
    < 18 years, Change from BL on Day 8
    -2.50
    -3.50
    < 18 years, Change from BL on Day 11
    -2.50
    -3.50
    < 18 years, Change from BL on Day 15
    -2.50
    -3.50
    < 18 years, Change from BL on Day 40
    -2.50
    -3.50
    8. Secondary Outcome
    Title Percentage of Participants With Viral Shedding Assessed by Culture Over Time
    Description Viral shedding was determined through measurement of the viral titer after viral culture in Madin-Darby Canine Kidney cells by hemagglutination assay (for Flu A/H1N1 and Flu B) and NP-ELISA (for Flu A/H3N2) and expressed in log10 TCID50/mL. Reported is the percentage of participants with viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years, Baseline
    91.4
    87%
    84.2
    76.5%
    >/= 18 years, Day 2/3
    67.2
    64%
    58.9
    53.5%
    >/= 18 years, Day 6
    15.4
    14.7%
    18.3
    16.6%
    >/= 18 years, Day 8
    3.2
    3%
    4.8
    4.4%
    >/= 18 years, Day 11
    1.5
    1.4%
    4.2
    3.8%
    >/= 18 years, Day 15
    7.9
    7.5%
    1.5
    1.4%
    >/= 18 years, Day 40
    0.0
    0%
    0.0
    0%
    < 18 years, Baseline
    100.0
    95.2%
    100.0
    90.9%
    < 18 years, Day 2/3
    71.4
    68%
    75.0
    68.2%
    < 18 years, Day 6
    42.9
    40.9%
    0.0
    0%
    < 18 years, Day 8
    0.0
    0%
    0.0
    0%
    < 18 years, Day 11
    14.3
    13.6%
    0.0
    0%
    < 18 years, Day 15
    28.6
    27.2%
    0.0
    0%
    < 18 years, Day 40
    0.0
    0%
    0.0
    0%
    9. Secondary Outcome
    Title Time to Cessation of Viral Shedding by Cell Culture
    Description Viral shedding was determined through measurement of the viral titer after viral culture in Madin-Darby Canine Kidney cells by hemagglutination assay (for Flu A/H1N1 and Flu B) and NP-ELISA (for Flu A/H3N2) and expressed in log10 TCID50/mL. Reported is the time to cessation of viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years
    105.0
    105.4
    < 18 years
    150.3
    94.9
    10. Secondary Outcome
    Title Change From Baseline in Viral Load Assessed by Reverse Transcription Polymerase Chain Reaction (RT-PCR)
    Description Nasopharyngeal swab samples were tested for influenza A and B RNA using semi-quantitative RT-PCR specific for influenza A and B matrix gene, respectively, after viral RNA isolation. Cycle threshold (Ct) value was determined for each sample. Conversion of Ct values into viral load, expressed as log10 virus particles/mL (vp/mL), was obtained using external standard curves ran in parallel in all RT-PCR experiments. A value of < 2.6 log10 vp/mL for Flu A strains and < 3.0 log10 vp/mL for Flu B strains was interpreted as a negative result. Data are reported for adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years, Baseline (BL)
    6.47
    6.52
    >/= 18 years, Change from BL on Day 2/3
    -1.20
    -1.35
    >/= 18 years, Change from BL on Day 6
    -2.36
    -2.34
    >/= 18 years, Change from BL on Day 8
    -2.66
    -2.62
    >/= 18 years, Change from BL on Day 11
    -3.51
    -2.96
    >/= 18 years, Change from BL on Day 15
    -3.63
    -2.60
    >/= 18 years, Change from BL on Day 40
    -4.80
    -7.71
    < 18 years, BL
    5.88
    5.96
    < 18 years, Change from BL on Day 2/3
    -0.66
    -0.71
    < 18 years, Change from BL on Day 6
    -1.97
    -1.73
    < 18 years, Change from BL on Day 8
    1.56
    -2.26
    < 18 years, Change from BL on Day 11
    -0.89
    -2.41
    < 18 years, Change from BL on Day 15
    1.26
    11. Secondary Outcome
    Title Percentage of Participants With Viral Shedding Assessed by RT-PCR Over Time
    Description Viral shedding was determined by direct viral load measurement from nasopharyngeal swabs by RT-PCR assay and expressed in log10 vp/mL. Reported is the percentage of subjects with viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline (Day 1), Day 2/3, Day 6, Day 8, Day 11 end of treatment (EOT), follow-up (FU) Day 15 and FU Day 40.

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years, Baseline
    100.0
    95.2%
    97.4
    88.5%
    >/= 18 years, Day 2/3
    92.8
    88.4%
    88.0
    80%
    >/= 18 years, Day 6
    56.7
    54%
    49.3
    44.8%
    >/= 18 years, Day 8
    41.5
    39.5%
    23.4
    21.3%
    >/= 18 years, Day 11
    25.4
    24.2%
    21.9
    19.9%
    >/= 18 years, Day 15
    10.6
    10.1%
    9.0
    8.2%
    >/= 18 years, Day 40
    1.5
    1.4%
    1.5
    1.4%
    < 18 years, Baseline
    100.0
    95.2%
    100.0
    90.9%
    < 18 years, Day 2/3
    85.7
    81.6%
    75.0
    68.2%
    < 18 years, Day 6
    85.7
    81.6%
    57.1
    51.9%
    < 18 years, Day 8
    20.0
    19%
    42.9
    39%
    < 18 years, Day 11
    28.6
    27.2%
    14.3
    13%
    < 18 years, Day 15
    42.9
    40.9%
    0.0
    0%
    < 18 years, Day 40
    0.0
    0%
    0.0
    0%
    12. Secondary Outcome
    Title Time to Cessation of Viral Shedding by RT-PCR
    Description Viral shedding was determined by direct viral load measurement from nasopharyngeal swabs by RT-PCR assay and expressed in log10 vp/mL. Reported is the time to cessation of viral shedding over time in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/= 18 years
    178.0
    154.1
    < 18 years
    181.0
    180.5
    13. Secondary Outcome
    Title Percentage of Participants With Persistent Viral Shedding
    Description Persistent shedding was defined as a viral load reduction <1 log10 vp/mL at end of treatment compared with baseline. Reported is the percentage of participants with persistent viral shedding at end of treatment in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline to Day 11 (EOT)

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    Number [percentage of participants]
    1.2
    1.1%
    4.7
    4.3%
    14. Secondary Outcome
    Title Percentage of Participants Who Developed Secondary Illness
    Description Secondary illness included bronchitis, pneumonia, acute sinusitis, sinusitis, lower respiratory infection or otitis media. Reported is the percentage of participants with at least one event in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    mITTi population: all participants randomized to a particular treatment, regardless of whether they received that treatment or not, who received at least one dose of study drug and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 81 86
    >/=18 years
    8.2
    7.8%
    5.1
    4.6%
    < 18 years
    12.5
    11.9%
    0.0
    0%
    15. Secondary Outcome
    Title Percentage of Participants Who Initiated Antibiotic Treatment
    Description Secondary illness included bronchitis, pneumonia, acute sinusitis, sinusitis, lower respiratory infection or otitis media. Reported is the percentage of participants with secondary illness, who initiated antibiotic treatment, in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    The safety population included all participants who received at least one dose of study drug and had a safety assessment performed post randomization.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 105 110
    >/= 18 years
    8.2
    7.8%
    5.0
    4.5%
    < 18 years
    14.3
    13.6%
    0.0
    0%
    16. Secondary Outcome
    Title Percentage of Participants Hospitalized
    Description Reported is the percentage of participants, who required hospitalization at any time between treatment initiation and the end of the study period, in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    The ITTi population included all participants randomized and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 83 86
    >/= 18 years
    6.8
    6.5%
    7.7
    7%
    < 18 years
    11.1
    10.6%
    0.0
    0%
    17. Secondary Outcome
    Title Duration of Hospitalization
    Description Reported is the duration of hospitalization at any time between treatment initiation and the end of the study period, in adults >/= 18 years and adolescents and children < 18 years.
    Time Frame Baseline up to Day 40

    Outcome Measure Data

    Analysis Population Description
    The ITTi population included all participants randomized and with central laboratory confirmation of influenza infection, excluding participants infected with oseltamivir-resistant influenza at baseline.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 83 86
    >/= 18 years
    7.0
    6.50
    < 18 years
    5.0
    NA
    18. Secondary Outcome
    Title Pharmacokinetics: Maximum Plasma Concentration (Cmax) of Oseltamivir in Adults
    Description Reported here are oseltamivir Cmax data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The pharmacokinetic evaluable patient (PKEP) population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [nanograms per milliliter (ng/mL)]
    65.5
    (26.8)
    149
    (80.7)
    19. Secondary Outcome
    Title Pharmacokinetics: Trough Plasma Concentration (Ctrough) of Oseltamivir in Adults
    Description Reported here are oseltamivir Ctrough data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [ng/mL]
    2.33
    (0.641)
    6.98
    (5.1)
    20. Secondary Outcome
    Title Pharmacokinetics : Area Under the Concentration-Time Curve From 0 to 12 Hours (AUC0-12) at Steady State of Oseltamivir in Adults
    Description AUC0-12 was reported at steady state as nanograms per hour per milliliter. (ng*hr/mL). Reported here are oseltamivir AUC0-12 data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [ng*hr/mL]
    197
    (49.7)
    501
    (320)
    21. Secondary Outcome
    Title Pharmacokinetics: Time to Maximum Concentration (Tmax) of Oseltamivir in Adults
    Description Reported here are oseltamivir tmax data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [hour]
    1.08
    (0.484)
    1.08
    (0.504)
    22. Secondary Outcome
    Title Pharmacokinetics: Elimination Constant (ke) of Oseltamivir in Adults
    Description Reported here are oseltamivir ke data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [1/hr]
    5.15
    (0.497)
    4.79
    (1.25)
    23. Secondary Outcome
    Title Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir in Adults
    Description Reported here are oseltamivir CL/F data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [liter/hour (L/hr)]
    402
    (96.0)
    367
    (126)
    24. Secondary Outcome
    Title Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir in Adults
    Description Reported here are oseltamivir Vc/F data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [liter (L)]
    77.5
    (13.6)
    75.4
    (17.5)
    25. Secondary Outcome
    Title Pharmacokinetics: Cmax of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate Cmax data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [ng/mL]
    655
    (276)
    1420
    (574)
    26. Secondary Outcome
    Title Pharmacokinetics: Ctrough of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate Ctrough data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [ng/mL]
    363
    (167)
    831
    (358)
    27. Secondary Outcome
    Title Pharmacokinetics : AUC0-12 at Steady State of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate AUC0-12 data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all particiants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [ng*hr/mL]
    6240
    (2710)
    13800
    (5670)
    28. Secondary Outcome
    Title Pharmacokinetics: Tmax of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate tmax data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [hour]
    3.83
    (1.08)
    3.96
    (0.841)
    29. Secondary Outcome
    Title Pharmacokinetics: Elimination Constant (ke) of Oseltamivir Carboxylate in Adults
    Description Reported here are oxeltamivir carboxylate ke data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [1/hr]
    1.67
    (0.681)
    1.61
    (0.915)
    30. Secondary Outcome
    Title Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate CL/F data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [L/hr]
    14.0
    (5.72)
    13.5
    (7.66)
    31. Secondary Outcome
    Title Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir Carboxylate in Adults
    Description Reported here are oseltamivir carboxylate Vc/F data for adults >/= 18 years.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    Measure Participants 9 13
    Mean (Standard Deviation) [liter (L)]
    8.39
    (0.00)
    8.39
    (0.00)
    32. Secondary Outcome
    Title Pharmacokinetics: Cmax of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir Cmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adolescents (>/=13 years old) over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    61.9
    Conventional Dose: 75 mg
    45.9
    Double Dose: 90 mg
    107
    Double Dose: 150 mg
    86.6
    33. Secondary Outcome
    Title Pharmacokinetics: Ctrough of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir Ctrough data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    2.84
    Conventional Dose: 75 mg
    3.37
    Double Dose: 90 mg
    6.65
    Double Dose: 150 mg
    3.88
    34. Secondary Outcome
    Title Pharmacokinetics: AUC0-12 at Steady State of Oseltamivir in Adolescents and Children
    Description AUC0-12 will be reported at steady state as ng*hr/mL. Reported here are oseltamivir AUC0-12 data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all subjects in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    229
    Conventional Dose: 75 mg
    171
    Double Dose: 90 mg
    425
    Double Dose: 150 mg
    339
    35. Secondary Outcome
    Title Pharmacokinetics: Tmax of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    1
    Conventional Dose: 75 mg
    1
    Double Dose: 90 mg
    1
    Double Dose: 150 mg
    1.25
    36. Secondary Outcome
    Title Pharmacokinetics: Cmax of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate Cmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    363
    Conventional Dose: 75 mg
    848
    Double Dose: 90 mg
    770
    Double Dose: 150 mg
    906
    37. Secondary Outcome
    Title Pharmacokinetics: Ctrough of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate Ctrough data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    215
    Conventional Dose: 75 mg
    459
    Double Dose: 90 mg
    445
    Double Dose: 150 mg
    464
    38. Secondary Outcome
    Title Pharmacokinetics: AUC0-12 at Steady State of Oseltamivir Carboxylate in Adolescents and Children
    Description AUC0-12 will be reported at steady state as ng*hr/mL. Reported here are oseltamivir carboxylate AUC0-12 data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    3550
    Conventional Dose: 75 mg
    8010
    Double Dose: 90 mg
    7460
    Double Dose: 150 mg
    8420
    39. Secondary Outcome
    Title Pharmacokinetics: Tmax of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate tmax data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    3.75
    Conventional Dose: 75 mg
    4
    Double Dose: 90 mg
    4
    Double Dose: 150 mg
    4
    40. Secondary Outcome
    Title Pharmacokinetics: Elimination Constant (ke) of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir ke data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    4.22
    Conventional Dose: 75 mg
    4.56
    Double Dose: 90 mg
    3.40
    Double Dose: 150 mg
    5.74
    41. Secondary Outcome
    Title Pharmacokinetics: Apparent Clearance (CL/F) of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir CL/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    263
    Conventional Dose: 75 mg
    439
    Double Dose: 90 mg
    212
    Double Dose: 150 mg
    442
    42. Secondary Outcome
    Title Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir in Adolescents and Children
    Description Reported here are oseltamivir Vc/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    62.3
    Conventional Dose: 75 mg
    96.4
    Double Dose: 90 mg
    62.3
    Double Dose: 150 mg
    76.9
    43. Secondary Outcome
    Title Pharmacokinetics: Elimination Constant (ke) of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate ke data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    2.01
    Conventional Dose: 75 mg
    1.12
    Double Dose: 90 mg
    1.44
    Double Dose: 150 mg
    2.12
    44. Secondary Outcome
    Title Pharmacokinetics: Apparent Clearance (CL/F), of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate CL/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    16.9
    Conventional Dose: 75 mg
    9.36
    Double Dose: 90 mg
    12.1
    Double Dose: 150 mg
    17.8
    45. Secondary Outcome
    Title Pharmacokinetics: Apparent Volume of Distribution (Vc/F) of Oseltamivir Carboxylate in Adolescents and Children
    Description Reported here are oseltamivir carboxylate Vc/F data for adolescents and children < 18 years. Individual data are provided as participants received different drug doses. Drug dose is indicated in the row title for each participant.
    Time Frame Pre-dose (30 minutes), 1.5, 4, 8 hours postdose on Day 6 or any day after the 11th dose

    Outcome Measure Data

    Analysis Population Description
    The PKEP population comprised all participants in the ITT population who had at least one valid post-dose drug concentration measurement at a scheduled visit time point.
    Arm/Group Title Adolescents and Children With Pharmacokinetic Evaluation
    Arm/Group Description This analysis set comprises participants < 18 years from both arms in the study who underwent pharmacokinetic evaluation. Immunocompromised participants in the Conventional dose arm received oseltamivir syrup at doses ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Participants in the Double dose arm received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily over 10 days.
    Measure Participants 4
    Conventional Dose: 60 mg
    8.39
    Conventional Dose: 75 mg
    8.39
    Double Dose: 90 mg
    8.39
    Double Dose: 150 mg
    8.39

    Adverse Events

    Time Frame Baseline up to Day 40
    Adverse Event Reporting Description The safety population included all participants who received at least one treatment with study medication.
    Arm/Group Title Conventional Dose Double Dose
    Arm/Group Description Immunocompromised participants received oseltamivir syrup at a dose ranging from 30 to 75 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 75 mg twice daily for adults/adolescents greater than or equal to (>/=) 13 years old or placebo-matched to oseltamivir twice daily over 10 days. Immunocompromised participants received oseltamivir syrup at a dose ranging from 60 to 150 mg based on body weight, twice daily for children (1 to 12 years old) and oseltamivir capsules 150 mg twice daily for adults/adolescents (>/=13 years old) or placebo matched to oseltamivir twice daily over 10 days.
    All Cause Mortality
    Conventional Dose Double Dose
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/105 (0%) 1/110 (0.9%)
    Serious Adverse Events
    Conventional Dose Double Dose
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/105 (7.6%) 10/110 (9.1%)
    Blood and lymphatic system disorders
    Febrile neutropenia 1/105 (1%) 1/110 (0.9%)
    Anaemia 1/105 (1%) 0/110 (0%)
    Thrombocytopenia 0/105 (0%) 1/110 (0.9%)
    Gastrointestinal disorders
    Diarrhoea 0/105 (0%) 1/110 (0.9%)
    General disorders
    Asthenia 0/105 (0%) 1/110 (0.9%)
    Pyrexia 0/105 (0%) 1/110 (0.9%)
    Infections and infestations
    Pneumonia 2/105 (1.9%) 1/110 (0.9%)
    Bronchopulmonary aspergillosis 0/105 (0%) 2/110 (1.8%)
    Lower respiratory tract infection 0/105 (0%) 1/110 (0.9%)
    Oral herpes 1/105 (1%) 0/110 (0%)
    Pulmonary tuberculosis 0/105 (0%) 1/110 (0.9%)
    Pyelonephritis 1/105 (1%) 0/110 (0%)
    Sepsis 0/105 (0%) 1/110 (0.9%)
    Septic shock 1/105 (1%) 0/110 (0%)
    Sinusitis 0/105 (0%) 1/110 (0.9%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Leukaemia recurrent 0/105 (0%) 1/110 (0.9%)
    Metastases to meninges 1/105 (1%) 0/110 (0%)
    Other (Not Including Serious) Adverse Events
    Conventional Dose Double Dose
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 23/105 (21.9%) 35/110 (31.8%)
    Gastrointestinal disorders
    Diarrhoea 10/105 (9.5%) 11/110 (10%)
    Nausea 10/105 (9.5%) 14/110 (12.7%)
    Vomiting 10/105 (9.5%) 12/110 (10.9%)
    Nervous system disorders
    Headache 5/105 (4.8%) 12/110 (10.9%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.

    Results Point of Contact

    Name/Title Medical Communications
    Organization Hoffmann-La Roche
    Phone 800 821-8590
    Email genentech@druginfo.com
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT00545532
    Other Study ID Numbers:
    • NV20234
    • 2006-002468-24
    First Posted:
    Oct 17, 2007
    Last Update Posted:
    Jul 12, 2018
    Last Verified:
    Jun 1, 2018