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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02135614
Registration number
NCT02135614
Ethics application status
Date submitted
8/05/2014
Date registered
12/05/2014
Date last updated
24/09/2018
Titles & IDs
Public title
Efficacy, Pharmacokinetics, and Safety of Presatovir in Hospitalized Adults With Respiratory Syncytial Virus (RSV) Infection
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Scientific title
A Phase 2b, Randomized, Double-Blind, Placebo-Controlled Multi-Center Study Evaluating Antiviral Effects, Pharmacokinetics, Safety, and Tolerability of GS-5806 in Hospitalized Adults With Respiratory Syncytial Virus (RSV) Infection
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Secondary ID [1]
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2014-002137-58
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Secondary ID [2]
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GS-US-218-1227
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Respiratory Syncytial Virus Infection
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Condition category
Condition code
Infection
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Studies of infection and infectious agents
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Infection
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Other infectious diseases
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Infection
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Sexually transmitted infections
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Presatovir
Treatment: Drugs - Presatovir placebo
Experimental: Presatovir - Participants will receive a single dose of presatovir.
Placebo comparator: Presatovir placebo - Participants will receive a single dose of presatovir placebo.
Treatment: Drugs: Presatovir
Presatovir 200 mg (4 x 50 mg tablets) administered orally
Treatment: Drugs: Presatovir placebo
Presatovir placebo tablets administered orally
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Time-Weighted Average Change in Respiratory Syncytial Viral (RSV) Load From Baseline to Day 5
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Assessment method [1]
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The time-weighted average change, often referred to as the DAVG, provides the average viral burden change from baseline. The mean values presented were calculated using the ANCOVA model and are adjusted for baseline value and stratification factor.
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Timepoint [1]
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Baseline to Day 5
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Secondary outcome [1]
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Time-weighted Average Change in the Flu-PRO Score From Baseline to Day 5
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Assessment method [1]
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The Flu-PRO is a patient-reported outcome questionnaire utilized as a standardized method for evaluating symptoms of influenza. Flu-PRO Score was calculated as the mean of 38 individual scores. Individual scores ranged from 0 (no symptoms) to 4 (worst symptoms). The mean values presented were calculated using the ANCOVA model and are adjusted for baseline value and stratification factor.
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Timepoint [1]
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Baseline to Day 5
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Secondary outcome [2]
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Number of Hospitalization-Free Days Following Presatovir Administration
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Assessment method [2]
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Timepoint [2]
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Up to Day 28
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Secondary outcome [3]
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Rate of Unplanned Medical Encounters
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Assessment method [3]
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The adjusted rate of unplanned medical encounters (clinic visits, emergency room visits, urgent care visits, and rehospitalizations) related to a respiratory illness after initial hospital discharge through Day 28 will be assessed. Event rate was calculated as the total number of unplanned medical encounters divided by the total number of participants. The mean values presented were adjusted for stratification factor.
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Timepoint [3]
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Up to Day 28
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Eligibility
Key inclusion criteria
Key
* Current inpatient
* New onset of acute respiratory infectious symptoms, or acute worsening of chronic symptoms related to ongoing respiratory disease for = 5 days prior to screening:
* Upper respiratory tract symptoms: nasal congestion, runny nose, sore throat, or earache
* Lower respiratory tract symptoms: cough, sputum production, wheezing, dyspnea, or chest tightness
* Documented to be RSV-positive at the current admission within 72 hours of screening, or as evaluated at screening
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Related to concomitant or previous medication use:
* Use of oral prednisone or other corticosteroid equivalent to:
* > 20 mg/day for > 14 days prior to screening is not permitted.
* > 20 mg/day for = 14 days, including corticosteroids received during current hospitalization (ie, bolus doses), is permitted.
* = 20 mg/day, regardless of duration, is permitted.
* Individuals taking a moderate or strong cytochrome P450 enzyme (CYP) inducer including but not limited to rifampin, St John's Wort, carbamazepine, phenytoin, efavirenz, bosentan, etracirine, modafinil, and nafcillin within 2 weeks prior to the first dose of study drug
* Related to medical history:
* Pregnant, breastfeeding, or lactating females
* Individuals requiring > 50% supplemental oxygen (while the individual is awake) at screening
* Individuals with a Clinical Frailty Scale (CFS) > 7 at Baseline
* Known significant abnormality altering the anatomy of the nose or nasopharynx that in, the opinion of the investigator, will preclude obtaining adequate nasal swab sampling in either nasal passage
* Waiting for or recently (within the past 12 months) received a bone marrow, stem cell, or solid organ transplant, or who have received radiation or chemotherapy within 12 months prior to Screening
* Individuals with HIV/AIDS and a known CD4 count < 200 cells/uL
* History of severe dementia or Alzheimer's disease
* History of drug and/or alcohol abuse that, in the opinion of the investigator, may prevent adherence to study activities
* Related to medical condition at screening:
* Influenza-positive as determined by local diagnostic test
* Known Middle East Respiratory Syndrome coronavirus (MERS-CoV) infection or known coinfection with other coronavirus
* Use of mechanical ventilation during the current admission, not including noninvasive ventilation
* Clinically significant bacteremia or fungemia that has not been adequately treated prior to Screening, as determined by the investigator
* Inadequate treatment of confirmed bacterial, fungal, or non-RSV pneumonia, as determined by the investigator
* Excessive nausea/vomiting at admission, as determined by the investigator, that precludes administration of an orally administered study drug
* Related to allergies:
* Known allergy to components of the study drug (microcrystalline cellulose, mannitol, croscarmellose sodium, magnesium stearate, polyvinyl alcohol, titanium dioxide, polyethylene glycol and talc)
* Documented history of acute (anaphylaxis) or delayed (Stevens-Johnson syndrome or epidermal necrolysis) allergy to sulfa drugs
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/06/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/04/2017
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Sample size
Target
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Accrual to date
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Final
189
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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John Hunter Hospital - New Lambton
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Westmead Hospital - Westmead
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Redcliffe Hospital - Redcliffe
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Gold Coast Hospital - Southport
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Monash Medical Center - Clayton
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Frankston Hospital - Frankston
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Recruitment postcode(s) [1]
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- New Lambton
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Recruitment postcode(s) [2]
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- Westmead
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Recruitment postcode(s) [3]
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- Redcliffe
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Recruitment postcode(s) [4]
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- Southport
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Recruitment postcode(s) [5]
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- Clayton
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Recruitment postcode(s) [6]
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- Frankston
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Recruitment outside Australia
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United States of America
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Illinois
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United States of America
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Maryland
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United States of America
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Michigan
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United States of America
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New York
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Tennessee
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Washington
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United States of America
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Wisconsin
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Belgium
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Anderlecht
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France
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Hauts-de-Seine
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France
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Brest
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France
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Clamart
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France
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Colombes
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France
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Paris
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Israel
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Beer Sheva
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Israel
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Holon
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Israel
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Jerusalem
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Israel
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Kefar-Sava
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Israel
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Nahariya
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Israel
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Nazareth
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Israel
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Petah Tikva
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Israel
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Ramat Gan
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Israel
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Tel Aviv
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Italy
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Milano
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Korea, Republic of
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Bucheon
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Korea, Republic of
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Incheon
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Seoul
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Netherlands
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Zutphen
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New Zealand
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Bay Of Plenty
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New Zealand
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Auckland
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New Zealand
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Hamilton
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Poland
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Wroclaw
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United Kingdom
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Southampton
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United Kingdom
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Telford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Gilead Sciences
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to evaluate the effects of presatovir on respiratory syncytial virus (RSV) viral load in RSV-positive adults who have been hospitalized with acute respiratory infectious symptoms. Participants will receive 1 dose of presatovir on Day 1 and followed for 27 days postdose. Nasal swabs will be collected at each study visit (excluding Day 28) and assayed for change in viral load as the primary endpoint.
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Trial website
https://clinicaltrials.gov/study/NCT02135614
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Gilead Study Director
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Address
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Gilead Sciences
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol: Original
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/Prot_006.pdf
Study protocol
Study Protocol: Amendment 1
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/Prot_007.pdf
Study protocol
Study Protocol: Amendment 2
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/Prot_008.pdf
Study protocol
Study Protocol: Amendment 3
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/Prot_009.pdf
Study protocol
Study Protocol: Amendment 4
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/Prot_010.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/14/NCT02135614/SAP_011.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT02135614
Download to PDF