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CTRI Number  CTRI/2020/11/029263 [Registered on: 20/11/2020] Trial Registered Prospectively
Last Modified On: 08/06/2022
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A clinical study on Favipiravir in mild to moderate COVID-19 patients 
Scientific Title of Study   Prospective, Open label, Multicentre, Single Arm, Post Marketing study for evaluation of safety and efficacy of Favipiravir in Adult Indian Patients with Mild to Moderate COVID-19 disease 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GPL/CT/2020/007/IV Version 2.0 dated 26-Jun-20   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Saiprasad Patil 
Designation  DGM- Global Medical Affairs 
Affiliation  Glenmark Pharmaceuticals Ltd.  
Address  Glenmark Corporate Enclave, B D Sawant Marg, Off Western Express Highway, Chakala, Andheri East, Mumbai- 400099

Mumbai (Suburban)
MAHARASHTRA
400099
India 
Phone    
Fax    
Email  Saiprasad.Patil@glenmarkpharma.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Saiprasad Patil 
Designation  DGM- Global Medical Affairs 
Affiliation  Glenmark Pharmaceuticals Ltd.  
Address  Glenmark Corporate Enclave, B D Sawant Marg, Off Western Express Highway, Chakala, Andheri East, Mumbai- 400099

Nashik
MAHARASHTRA
400099
India 
Phone    
Fax    
Email  Saiprasad.Patil@glenmarkpharma.com  
 
Details of Contact Person
Public Query
 
Name  Rajesh Gaikwad 
Designation  Senior Manager- Clinical Research Operations 
Affiliation  Glenmark Pharmaceuticals Ltd.  
Address  Glenmark Research Centre, A-607, MIDC Mahape, Navi Mumbai

Mumbai
MAHARASHTRA
400709
India 
Phone    
Fax    
Email  Rajesh.Gaikwad@glenmarkpharma.com  
 
Source of Monetary or Material Support  
Glenmark Pharmaceuticals Ltd. B D Sawant Marg, Off WE highway, Andheri East, Mumbai- 400099 
 
Primary Sponsor  
Name  Glenmark Pharmaceuticals Ltd 
Address  Glenmark House, BD Sawant Marg, Chakala, Andheri East, Mumbai 400 099 INDIA 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nagaraju Boyilla  Aster Prime Hospital  Aster Prime Hospital, Opp. Passport Seva Kendra, Ameerpet, Hyderabad- 500038, Telangana, India
Hyderabad
TELANGANA 
9848883444

nagaraj.boyilla@gmail.com 
Dr Pavan Kumar Reddy  Care Hospital  Room No. 217, Department of Critical Care medicine, Care Hospital, Road no. 1, Banjara Hills, Hyderabad-500034.
Hyderabad
TELANGANA 
9490480182

pakure@gmail.com 
Dr Ravindra Shinde  Dr Vasantrao Pawar Medical College, Hospital and Research Center  Dr Vasantrao Pawar Medical College, Hospital and Research Center, Mumbai-Agra National Highway, Vasantdada Nagar, Adgaon, Nashik, Maharashtra 422003
Nashik
MAHARASHTRA 
9422769516

drravi.shinde42@gmail.com 
Dr Mrunalini Kalikar  Government Medical College and Hospital  Department Of Pharmacology , Government Medical College and Hospital, Medical Square Road, Nagpur-440003, Maharashtra, India
Nagpur
MAHARASHTRA 
9850045375

mrunalinikalikar@yahoo.com 
Dr Pradeep DCosta  KEM Hospital Research Center  KEM Hospital Research Center, Sardar Moodliar Road, Rasta peth, Pune-411011, Maharashtra, India
Pune
MAHARASHTRA 
09822632812

pradeepdcosta@yahoo.co.in 
Dr Niteen Karnik  Lokmanya Tilak Muncipal Medical College and General Hospital  Professor and Head, Department of Medicine, LTM Medical College and LTMG Hospital, Sion (West), Mumbai-400022.
Mumbai
MAHARASHTRA 
9821483404

drndkarnik@hotmail.com 
Dr Girish Rajadhyaksha  N Medical College and B.Y.L Nair Ch. Hospital  Room no. 104, 1st Floor, Medicine Department, College Building, T.N Medical College and B.Y.L Nair Ch. Hospital, Mumbai Central, Mumbai-400008.
Mumbai
MAHARASHTRA 
9821695349

girishraj63@hotmail.com 
Dr Aneesh Raj  NIMS, Thiruvananthapuram  NIMS Medicity, Aralummoodu, P.O.,Neyyattinkara, Thiruvananthpuram-695123, Kerala, India
Thiruvananthapuram
KERALA 
09539688684

draneeshraj@gmail.com 
Dr Raghvendra Reddy  Renova Neelima Hospital  Renova Neelima Hospital, Czech Colony, Opp, Voltas company Sanath Nagar, Hyderabad 500018
Hyderabad
TELANGANA 
07799992266

raghav4u5@gmail.com 
Dr Sandhya Kamat  Seth GS Medical College and KEM Hospital  GSMC 101-C, Department of Pharmacology and Therapeutics, 1st Floor, College Building, Seth GS medical college and KEM Hospital, Acharya Donde Road, Parel, Mumbai-400012.
Mumbai
MAHARASHTRA 
9820165681

drsandhyakamat@gmail.com 
Dr Akash Balki  Shree Hospital and critical care centre, Nagpur  Shree Hospital and critical care centre, 799, Omnagar, opp. Tajshree Building, Sakkardara Sq. Nagpur-440009, Maharashtra, India
Nagpur
MAHARASHTRA 
9890812215

akashbalki49@gmail.com 
Dr Abhinandan Mutha  Siddhi Hospital  Siddhi Hospital Consultant pulmonologist Siddhi Hospital, P-67, MIDC, Satpur, Behind ITI, Trimbak Road, Nashik 422007, Maharashtra-India
Nashik
MAHARASHTRA 
9850767069

abhimutha@gmail.com 
Dr Akash Khobragade  St. George’s Hospital  1st Floor, Medical Superintendent office, St. George Hospital, P DMello Road, Behind GPO, Fort, Mumbai-400001.
Mumbai
MAHARASHTRA 
9702658822

drakashk.research@gmail.com 
Dr Jayanthi CR  Victoria Hospital  Victoria Hospital, Department of Pharmacology, K R Road Fort Bangalore 560002, Karnataka, India
Belgaum
KARNATAKA 
9448292424

bmccrj@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Ethics Committee of Bangalore Medical College and Research Institute  Approved 
IEC NIMS  Approved 
IEC, Dr Vasantrao Pawar Medical College, Nashik  Approved 
Institutional Ethics Committee (IEC) - I Seth GS Medical College and KEM hospital, Mumbai  Approved 
Institutional Ethics Committee - Care Hospital  Approved 
Institutional Ethics Committee Human Research Lokmanya Tilak Muncipal Medical College and General Hospital  Approved 
Institutional Ethics Committee Topiwala National College and BYL Nair CH. Hospital  Approved 
Institutional Ethics Committee, GGMC, Mumbai  Approved 
Institutional Ethics Committee, Govt Medical College, Nagpur  Approved 
Institutional Ethics Committee, Neelima Hospitals  Approved 
Institutional Ethics Committee, Neelima Hospitals  Approved 
KEM Hospital Research Centre Ethics Committee  Approved 
Shree Hospital Ethics Committee  Approved 
Siddhi Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Favipiravir 200 mg / 400 mg  3600 mg (1800 mg orally twice daily) on 1st day followed by 800 mg orally twice daily, up to maximum of 14 days 
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Adult patients aged 18 years and above with mild to moderate COVID-19.
2. Patients who receive a prescription of favipiravir according to the indication stated in the approved prescribing information in India
3. Pyrexia (defined as axillary temperature more than or equal to 99 F or oral temperature more than or equal to 100 F) AND at least one of the following: Cough, fatigue, dyspnoea, expectoration, myalgia, rhinorrhoea, sore throat, diarrhoea, new loss of taste or smell, myalgia, headache or fatigue on admission.
4. Respiratory rate less than or equal to 30/min.
5. SpO2 more than or equal to 90% on room air.
6. Agree to follow effective contraceptive methods during and for 7 days after the end of the treatment with favipiravir for male and female patients in the reproductive age group.
7. For female patients of child-bearing age: evidence of negative pre-treatment urine pregnancy test
8. Voluntarily participating in the study; fully understanding and being fully informed of the study and having signed written Informed Consent Form (ICF). Also if a pregnancy is reported, consent should be given for follow up of pregnancy until outcome. 
 
ExclusionCriteria 
Details  1. Refusal to participation expressed by patient or legally authorized representative.
2. Requiring NIV, Mechanical Ventilation or ECMO at baseline.
3. Severe hepatic or renal impairment
4. Pregnant or lactating women.
5. History of known hypersensitivity to Favipiravir.
6. Requires ICU care for management of ongoing clinical status (respiratory failure, septic shock, and/or multiple organ dysfunction or failure)
7. Patients who have participated in any clinical trial within 30 days prior to enrolment and would not be participating in clinical study during the period of study participation.
8. Any other COVID-19 antiviral treatment. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the safety of favipiravir prescribed in treatment of patients with mild to moderate COVID-19 disease in India.
1. Number of AEs
2. Number of SAEs
3. Number of treatment related AEs and SAEs as assessed by the treating physician
4. Number of AEs leading to dose modification/ discontinuation of treatment 
Upto 28 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. Time to clinical cure
Defined as resolution of baseline clinical signs and symptoms of COVID-19 infection based on clinical assessment by the investigator.
2. Rate of clinical cure.
3. Time to resolution of Pyrexia
4. Percentage of patients requiring AOT/NIV/MV/ECMO support.
5. Time to hospital discharge for hospitalized patients.
6. All-cause mortality rate. 
1. Upto 14 days
2. At Day 7 and 14
3. Upto 14 days
4. At Day 7 and 14
5. Upto 14 days
6. At Day 7, 14 and 28 
 
Target Sample Size   Total Sample Size="1200"
Sample Size from India="1200" 
Final Enrollment numbers achieved (Total)= "1000"
Final Enrollment numbers achieved (India)="1000" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   30/11/2020 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This is a prospective, open label, multicenter, single arm, post marketing study for evaluation of safety and efficacy of Favipiravir in Adult Indian Patients with Mild to Moderate COVID-19 disease. Primary objective of the study is to evaluate safety and secondary objective is to evaluate efficacy of Favipiravir in mild to moderate cases of COVID-19. 1200 adult patients will be enrolled in the study. The anticipated maximum total study duration for each patient is approximately 30 days (maximum) which includes screening of up to 2 days, enrolment of 1 day, actual treatment period as per treating physician’s prescription (up to 14 days maximum), and an on-site/centre follow-up visit/telephonic follow-up after completion of treatment which would be a routine follow up visit per normal clinical practice.  
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