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NCT04529499

Clinical Trial Evaluating the Efficacy and Safety of Favipiravir in Moderate to Severe COVID-19 Patients

Terminated Phase 3 Results posted Last updated 21 March 2022
What this trial tests

Phase 3 trial testing AVIGAN in Covid19 in 353 participants. Terminated before completion.

Timeline
22 August 2020
Primary endpoint
22 January 2021
27 January 2021

Quick facts

Lead sponsorDr. Reddy's Laboratories Limited
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment353
Start date22 August 2020
Primary completion22 January 2021
Estimated completion27 January 2021
Sites2 locations across Kuwait

Drugs / interventions tested

Conditions studied

Sponsor

Dr. Reddy's Laboratories Limited

Who can join

Adults 21 to 80, any sex, with Covid19. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Primary Efficacy Endpoint: Time to Resolution of Hypoxia (Stage I) Primary · 1-28 days

This endpoint will be considered to have been met when the patient has attained a score of 4 or lower on the 10-point ordinal scale of clinical status used by WHO in the SOLIDARITY trial (maintaining a blood oxygen saturation of ≥ 95% at rest on room air at sea level) when evaluated over a period of 24 hours.

GroupValue95% CI
Favipiravir + Supportive Care74 – 11
Placebo + Supportive Care85 – 12
Percentage of Patients Dying (All Cause (Stage I) Secondary · 1-28 days

Percentage of Patients dying from any cause over an assessment period from randomization until Day 28 or discharge from hospital (if discharge happens earlier)

GroupValue95% CI
Favipiravir + Supportive Care11
Placebo + Supportive Care7

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline ( Day 1) to Day 28 or discharge or study discontinuation ( whichever was earlier). Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Favipiravir + Supportive Care
Serious: 19/168 (11%)
Deaths: 14/175
Placebo + Supportive Care
Serious: 14/166 (8%)
Deaths: 11/178

Serious adverse events (12 terms)

ReactionSystemFavipiravir + Supportive C…Placebo + Supportive Care
Acute Respiratory Distress SyndromeRespiratory, thoracic and mediastinal disorders
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Acute Respiratory FailureRespiratory, thoracic and mediastinal disorders
Acute Kidney InjuryRenal and urinary disorders
Renal ImpairmentRenal and urinary disorders
Hepatic Enzymes IncreasedInvestigations
COVID-19 pneumoniaInfections and infestations
Chest PainGeneral disorders
Septic shockInfections and infestations
Cardio-respiratory arrestCardiac disorders
Cardiopulmonary failureCardiac disorders
Myocardial InfarctionCardiac disorders
Other adverse events (11 terms — click to expand)

ReactionSystemFavipiravir + Supportive C…Placebo + Supportive Care
HyperuricemiaInvestigations
Hepatic Enzymes IncreasedInvestigations
Alanine aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Blood triglycerides increasedInvestigations
Blood uric acid increasedInvestigations
Hemoglobin decreasedInvestigations
Lipids abnormalInvestigations
Liver function test increasedInvestigations
GoutMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Acute Respiratory Distress Syndrome, Respiratory Failure, Acute Respiratory Failure, Acute Kidney Injury, Renal Impairment, Hepatic Enzymes Increased, COVID-19 pneumonia, Chest Pain.

Data from ClinicalTrials.gov NCT04529499 adverse events section.

Sponsor's own description

This is a prospective, interventional, multi-centre, phase III, randomized, double blind, placebo-controlled, parallel design trial to evaluate the efficacy, safety and tolerability of favipiravir as adjunct ('add on') to supportive care, in comparison to placebo with supportive care, in the acute treatment of patients who have tested positive for SARS-CoV-2 and presenting with moderate to severe COVID-19. This study will be conducted in two parts; Stage I - Main study and Stage II - Extended Follow up.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. An update on drugs with therapeutic potential for SARS-CoV-2 (COVID-19) treatment.
    Drożdżal S, Rosik J, Lechowicz K, Machaj F, et al · · 2021 · cited 186× · PMID 34991982 · DOI 10.1016/j.drup.2021.100794
  2. Races of small molecule clinical trials for the treatment of COVID-19: An up-to-date comprehensive review.
    Hu S, Jiang S, Qi X, Bai R, et al · · 2022 · cited 68× · PMID 34762760 · DOI 10.1002/ddr.21895
  3. The mechanism underlying extrapulmonary complications of the coronavirus disease 2019 and its therapeutic implication.
    Ning Q, Wu D, Wang X, Xi D, et al · · 2022 · cited 64× · PMID 35197452 · DOI 10.1038/s41392-022-00907-1
  4. Favipiravir in Patients With Early Mild-to-moderate Coronavirus Disease 2019 (COVID-19): A Randomized Controlled Trial.
    Golan Y, Campos JAS, Woolson R, Cilla D, et al · · 2023 · cited 29× · PMID 36065065 · DOI 10.1093/cid/ciac712
  5. Molnupiravir: A Versatile Prodrug against SARS-CoV-2 Variants.
    Teli D, Balar P, Patel K, Sharma A, et al · · 2023 · cited 23× · PMID 36837928 · DOI 10.3390/metabo13020309
  6. Therapeutic dilemmas in addressing SARS-CoV-2 infection: Favipiravir versus Remdesivir.
    Negru PA, Radu AF, Vesa CM, Behl T, et al · · 2022 · cited 18× · PMID 35131656 · DOI 10.1016/j.biopha.2022.112700
  7. Potential Anti-SARS-CoV-2 Prodrugs Activated by Phosphorylation and Their Role in the Aged Population.
    Chavda VP, Teli D, Balar PC, Vaghela D, et al · · 2023 · cited 3× · PMID 36903575 · DOI 10.3390/molecules28052332
  8. Favipiravir In Adults with Moderate to Severe COVID-19: A Phase 3 Multicentre, Randomized, Double-Blinded, Placebo-Controlled Trial
    Shenoy S, Munjal S, Youha SA, Alghounaim M, et al · · 2021 · cited 2× · DOI 10.1101/2021.11.08.21265884

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Other recruiting trials for Covid19

Currently open trials in the same condition.

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