Adaptive Platform Trial of Treatments for Respiratory Infections in Community Settings (TreatResp)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUnity Health Toronto

About this trial

TreatResp is a double-blind, individually randomized, multi-centre adaptive platform trial. TreatResp aims to establish an adaptive platform trial aimed at evaluating the clinical- and cost-effectiveness, practical challenges, and outcomes of therapeutics for respiratory pathogens in non-hospitalized patients. Participants will be randomized to receive usual care (i.e., supportive care and symptom relief) or a study therapeutic, which will be determined by the TreatResp Therapeutics Committee. The primary outcomes being evaluated is time to recovery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 years or older

A positive test (PCR or RAT) for one of the pathogens included in the trial's domains (influenza A/B, or other future specified respiratory pathogens),

Enrolled within 5 days of symptoms onset. However, this window may vary depending on the domain or specific interventions within each domain (for example 72 hours for Baloxavir).

rhinitis

Disqualifiers

Admitted to hospital or in an ED for more than 24 hours

Previously randomized to TreatResp within the past 12 months

Currently participating in a clinical trial of a therapeutic agent for acute respiratory pathogen infection that is not/suspected not compatible with the study therapeutics

Already taking a study therapeutic or contraindication to a study therapeutic

Trial design

Design model

Parallel

Treatments tested in this trial

  • Baloxavir

    Drug

    This is a sub-protocol within the TreatResp adaptive platform trial to compare the clinical and cost-effectiveness of Baloxavir, a single 40mg or 80 mg tablet based on patient weight, to a matching placebo among non-hospitalized patients with mild to moderate influenza A/B. This sub-protocol is part of the influenza domain within TreatResp.

  • Placebo Control

    Drug

    Matching placebo for Baloxavir

Treatment groups

264 Participants
are divided into 2 treatment groups
Group A: Acute Influenza A/B - Matched placebo for BaloxavirPlacebo comparator 1 intervention
Group B: Acute Influenza A/B - BaloxavirExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

time to recovery (defined as the first instance that a participant report feeling fully recovered)

The primary outcome is time to recovery (defined as the first instance that a participant report feeling fully recovered)

Time frame
Day 1 to Day 28

Secondary outcomes

1

All-cause emergency department (ED) visits

All-cause emergency department (ED) visits from randomization to 28 days, captured during participant daily diaries and corroborated with administrative data where possible, using administrative data holdings.

Time frame
Day 1 to Day 28
2

All-cause hospitalization visits

All-cause hospitalization visits from randomization to 28 days, captured during participant daily diaries and corroborated with administrative data where possible, using administrative data holdings.

Time frame
Day 1 to Day 28
3

All-cause death

All-cause death at 28 days from randomization to 28 days, captured during participant daily diaries and corroborated with administrative data where possible, using administrative data holdings.

Time frame
Day 1 to Day 28
4

Symptom severity obtained through daily diaries questionnaire

Symptom severity obtained through daily diaries questionnaire using the questions: "How is your general health? where 0 is poor and 5 is excellent and by rating symptoms, if present, as "No symptoms, mild, moderate, severe or very severe."

Time frame
Day 1 to Day 28

Other outcomes

Sponsors and contacts

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Unity Health Toronto

Lead sponsor

Canadian Institutes of Health Research (CIHR)

Collaborator

Health Canada

Collaborator