About this trial
This trial will use a previously validated platform, to quantitatively assess antiviral effects in low-risk patients with high viral burdens and uncomplicated influenza, to determine in-vivo antiviral activity. In this randomised, open-label, controlled, group sequential, adaptive, platform trial, we will compare the performance of available influenza antivirals, and those with potential activity, relative to the control (no treatment) and each other.
AD ASTRA study is supported by the Wellcome Trust Grant ref: 223195/Z/21/Z through the COVID-19 Therapeutics Accelerator
Eligibility criteria
Qualifiers
Patient understands the procedures and requirements and is willing and able to give informed consent for full participation in the study
Adults, male or female, aged 18 to 60 years at time of consent.
Early symptomatic Influenza (A or B); at least one reported symptom of influenza (including fever, history of fever, myalgias, headache, cough, fatigue, nasal congestion, rhinorrhoea and sore throat) within 4 days (96 hours)
Influenza positive by rapid antigen test OR a positive RT-PCR test for influenza viruses within the last 24hrs with a Ct value of <30
Disqualifiers
Taking any concomitant medications or drugs which could interact with the study medications or have antiviral activity
Presence of any chronic illness/condition requiring long term treatment or other significant comorbidity
BMI ≥35 Kg/m2
Clinically relevant laboratory abnormalities discovered at screening
Trial design
Treatments tested in this trial
- Oseltamivir
- Favipiravir
- Zanamivir
- Baloxavir
- Molnupiravir
- Peramivir
- Laninamivir
- Oseltamivir and Baloxavir
- Oseltamivir and Favipiravir
- Favipiravir and Baloxavir
Treatment groups
11
Treatment groupsSee each treatment group below.