A Surveillance Study of Susceptibility to Baloxavir Marboxil in Pediatric Participants With Influenza and Transmission of Influenza to Household Contacts

Purpose

This study consists of two parts: Part A Surveillance and Part B Transmission. The main purpose of Part A is to evaluate the prevalence of pre-dose and treatment-emergent amino acid substitutions in pediatric participants' susceptibility <12 years with influenza treated with baloxavir marboxil. Part B will include a subset of Part A participants who have household contacts (HHCs) recruited to the study. Part B will evaluate the incidence of onward influenza transmission from pediatric index participants (IPs) under 5 years of age and those aged 5 to under 12 years, treated with baloxavir marboxil, to their HHCs.

Condition

  • Influenza

Eligibility

Eligible Ages
Between 3 Weeks and 11 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

(Part A): - Participants with symptoms suggestive of influenza based on investigator's judgement with diagnosis confirmed by a positive local influenza test within 24 hours before full study screening - Participants with a negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) test within 48 hours before full study screening - Time interval between onset of influenza symptoms and the pre-dose examinations at screening is 48 hours or less Inclusion Criteria (Part B): [A] IP: - Eligible to take part in Part A - Lives in a household with a HHC willing to be recruited as full household contact [B] HHCs: - Each HHC living in the home of an IP at the time of IP treatment must be screened for partial or full-study HHC eligibility [C] Partial HHC: - Starts screening within 1 calendar day after IP treatment - Negative influenza and SARS-CoV-2 test at screening after IP's treatment with baloxavir marboxil - HHC lives in a household where 1 or more HHCs meet the full-study HHC requirements AND at least 1 full-study HHC has not received the influenza vaccine within 6 months prior to screening - HHC lives in a household where 1 or more HHCs meet the full-study HHC requirements AND at least 1 full-study HHC has not received the influenza vaccine within 6 months prior to screening. - HHC lives with other HHCs (if applicable) who fulfill all the "Partial household contact" criteria [D] Full-study HHC: - Fulfills the "Partial household contact" criteria - Agrees to participate in the full study - Will reside in the IP's house for at least 12 of the next 15 days and will be present for scheduled study visits - No influenza symptoms within 7 days prior to screening - Does not have a moderate or worse active infections OR infections requiring systemic or otherwise internally administered or otherwise internally administered antibiotic/antiviral/antifungal therapy

Exclusion Criteria

(Part A): - Participants with severe influenza virus infection requiring inpatient treatment - Severely immunocompromised participants [including participants receiving immunosuppressant therapy, or those with cancer or human immunodeficiency virus (HIV) infection] as defined by the investigator - Participants with concurrent (non-influenza) infections requiring systemic anti-microbial and/or anti-viral therapy at the pre-dose examinations - Treatment with baloxavir marboxil, peramivir, laninamivir, oseltamivir, zanamivir, rimantadine, umifenovir or amantadine within 30 days prior to screening - Treatment with an investigational influenza-specific monoclonal antibody within 6 months or 5 half-lives, whichever is longer, prior to screening - Treatment with an investigational therapy within 30 days or 5 half-lives, whichever is longer, prior to screening - Known hypersensitivity to baloxavir marboxil or the drug product excipients - Females who have commenced menarche (i.e., child-bearing potential) Exclusion Criteria (Part B): - IPs who fulfill an exclusion criterion for Part A - HHCs deemed to require influenza post-exposure prophylaxis with influenza antiviral treatment due to their risk of developing influenza-related complications in accordance with local guidelines or clinical practice - HHCs diagnosed with influenza by health care professional in the past 4 weeks

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Baloxavir Marboxil
Participants will receive a single oral dose of baloxavir marboxil on Day 1 (based on body weight and age). HHCs related to IPs will be enrolled but will not receive treatment.
  • Drug: Baloxavir Marboxil
    Baloxavir marboxil will be administered as an oral suspension per body weight (≥80 kilograms (kg): 80 milligrams (mg); ≥20 kg to < 80 kg: 40 mg; <20 kg: 2 mg/kg).

Recruiting Locations

Central Alabama Research
Birmingham 4049979, Alabama 4829764 35209

Harrisburg Family Medical Center
Harrisburg 4113951, Arkansas 4099753 72432

Kendall South Medical Center Inc.
Miami 4164138, Florida 4155751 33185

Avanza Medical Research Center
Pensacola 4168228, Florida 4155751 32503

Clinical Research Prime
Idaho Falls 5596475, Idaho 5596512 83404

Mishawaka Osteopathic Clinic
Mishawaka 4923670, Indiana 4921868 46544

Kentucky Pediatric Research Center
Bardstown 4283133, Kentucky 6254925 40004

Velocity Clinical Research Lafayette
Lafayette 4330145, Louisiana 4331987 70508

Velocity Clinical Research, Grand Island
Grand Island 5069297, Nebraska 5073708 68803

Machuca Family Medicine
Las Vegas 5506956, Nevada 5509151 89104

Ohio Pediatric Research Association
Dayton 4509884, Ohio 5165418 45414

Helios Clinical Research, Inc (former Ventavia Research Group)
Middleburg Heights 5162851, Ohio 5165418 44130-3643

Frontier Clinical Research
Smithfield 4561301, Pennsylvania 6254927 15478

Coastal Pediatric Research
Charleston 4574324, South Carolina 4597040 29414

Tekton Research - Beaumont
Beaumont 4672989, Texas 4736286 77706

Mercury Clinical Research
Houston 4699066, Texas 4736286 77087

Pioneer Research Solutions
Houston 4699066, Texas 4736286 77099

Oak Cliff Research Company, LLC
Richardson 4722625, Texas 4736286 75287

Siena Research Network
Sugar Land 4734825, Texas 4736286 77479

Velocity Clinical Research, Salt Lake City
West Jordan 5784549, Utah 5549030 84088

More Details

NCT ID
NCT06094010
Status
Recruiting
Sponsor
Hoffmann-La Roche

Study Contact

Reference Study ID Number: CV44536 https://forpatients.roche.com/
888-662-6728 (U.S. Only)
global-roche-genentech-trials@gene.com