RecruitingPhase 3NCT06528444

Clinical Trial Evaluating the Efficacy and Safety of Dexamethasone Compared to Placebo in Patients With Severe Influenza

Randomized, Double-blind, Multicenter, Phase III Clinical Trial Evaluating the Efficacy and Safety of Dexamethasone Compared to Placebo in Patients With Severe Influenza


Sponsor

Instituto de Investigación Sanitaria y Biomédica de Alicante

Enrollment

42 participants

Start Date

Oct 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Clinical trial with an active ingredient of a pharmaceutical specialty marketed in Spain vs. placebo. Randomized, double-blind, multicenter phase III clinical trial that evaluates the efficacy and safety of dexamethasone compared to placebo in patients with severe influenza.


Eligibility

Min Age: 18 YearsMax Age: 100 Years

Inclusion Criteria6

  • Aged ≥ 18 years.
  • Diagnosis of influenza A or B virus infection by antigen or RT-PCR (local laboratory) at the time of entry or at 48 hours prior to randomization in respiratory specimens (nasopharyngeal swab or bronchoalveolar lavage).
  • Hospitalized patients with an estimated hospital stay of more than 24 hours.
  • In previous treatment or concomitant start of treatment with oseltamivir.
  • For women of childbearing age, use of contraceptive methods until day 30 after completion of treatment.
  • Signed informed consent.

Exclusion Criteria5

  • \. Patients with bronchial hyperresponsiveness that requires systemic corticosteroids for more than 24 hours.
  • \. Pre-inclusion treatment with corticosteroids for more than 24 hours at a dose equal to or higher than 1 mg/kg methyl-prednisolone (0.2 mg/kg dexamethasone or 1.25 mg/kg prednisone).
  • \. Inability to administer oral oseltamivir. 4. Patients on ECMO (extracorporeal membrane oxygenation). 5. Pre-existing condition or use of medication that, in the opinion of the local investigator, may pose a risk for the administration of corticosteroids.
  • \. Patients with severe comorbidity with life expectancy of less than six months in the opinion of the investigator.
  • \. Patients co-infected with SARS-CoV-2 or RSV.

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Interventions

DRUGGrup 1 placebo

placebo 1 capsule (6 mg) /day for 7 days.

DRUGGrup 2 dexametasona

dexamethasone 1 capsule (6 mg)/day for 7 days


Locations(2)

Hospital General Universitario Dr. Balmis de Alicante (centro coordinador)

Alicante, Spain

Hospital General Universitario de Elche

Elche, Spain

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NCT06528444


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