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Trial · NCT02949011

Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Patients With Influenza at High Risk of Influenza Complications

NCT02949011, Phase 3, Completed, Shionogi; results first posted 2019-11-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Patients With Influenza at High Risk of Influenza Complications. Trials, record NCT02949011. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02949011

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Patients With Influenza at High Risk of Influenza Complications
NCT number
NCT02949011
Status
Completed
Phases
Phase 3
Enrollment
2,184 participants, actual
Lead sponsor
Shionogi
Conditions
Influenza
Interventions
Baloxavir Marboxil, Placebo to Baloxavir Marboxil, Oseltamivir, Placebo to Oseltamivir
First posted
2016-10-31
Last updated
2019-11-19
Other registries' IDs
eudract:2016-002688-32
Results first posted
2019-11-06

Source ClinicalTrials.gov

Registered outcomes21

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime to Improvement of Influenza SymptomsFrom Day 1 pretreatment up to Day 14
Participants assessed the severity of 7 influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness/chills, muscle/joint pain, and fatigue) on a 4-point scale (0 = no symptoms, 1= mild, 2 = moderate, and 3 = severe). Time to improvement of symptoms was defined as the time from the start of treatment to the time when all influenza symptoms were alleviated, maintained, or improved, as defined below, for a duration of at least 21.5 hours: * Preexisting symptoms (cough, fatigue, or muscle/joint pain that existed prior to influenza) that were worse at baseline must have improved at least 1 point from baseline * Preexisting symptoms not worse at baseline must have maintained baseline severity * New symptoms must have alleviated, defined as a symptom score of none (0) or mild (1). Time to improvement of symptoms was analyzed using Kaplan-Meier (KM) methods; participants who did not experience improvement of symptom s were censored at the last observation.
SecondaryPercentage of Participants With Positive Influenza Virus Titer at Each Time PointDays 2, 3, 4 (optional), 5, 6 (optional), and 9
Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) using tissue culture methods. Positive influenza virus titer was defined as virus titer not less than the lower limit of quantification (0.7 log₁₀ of the 50% tissue culture infective dose (TCID₅₀/mL) among those assessed for virus titer on Days 2, 3, 4, 5, 6, and 9.
SecondaryPercentage of Participants With Positive Influenza Virus by RT-PCR at Each Time PointDays 2, 3, 4 (optional), 5, 6 (optional), and 9.
Influenza virus ribonucleic acid (RNA) was quantified from nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible). The percentage of participants with detectable virus RNA (2.05 for flu A and 2.83 for flu B log₁₀ virus particles/mL) measured by reverse transcription polymerase chain reaction (RT-PCR) among those assessed on Days 2, 3, 4, 5, 6 and 9.
SecondaryChange From Baseline in Virus Titer at Each Time PointDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9
Virus titer was quantified from nasopharyngeal swabs (or throat swabs if nasopharyngeal swabbing was not feasible) by tissue culture methods. If virus titer was less than the lower limit of quantification, the virus titer was imputed 0.7 (TCID₅₀/mL).
SecondaryChange From Baseline in Virus RNA (RT-PCR) at Each Time PointDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9
Nasopharyngeal swabs (or throat swabs, if nasopharyngeal swabbing was not feasible) were obtained for viral quantitation. Virus RNA was measured by reverse transcription polymerase chain reaction (RT-PCR).
SecondaryArea Under the Curve (AUC) Adjusted by Baseline in Influenza Virus TiterDay 1 to Day 9This endpoint was defined as AUC of change from Baseline in virus titer from Day 1 to Day 9. AUC was calculated using the trapezoidal method.
SecondaryArea Under the Curve (AUC) Adjusted by Baseline in Viral RNADay 1 to Day 9This endpoint was defined as AUC of change from baseline in the amount of virus RNA (RT-PCR) from Day 1 to Day 9. The AUC was calculated using the trapezoidal method.
SecondaryTime to Cessation of Viral Shedding Determined by Virus TiterDay 1 to Day 9
Time to cessation of viral shedding by virus titer was defined as the time between the initiation of the study treatment and first time when the virus titer was below the limit of detection (0.7 log₁₀\[TCID₅₀/mL\]). The median and 95% confidence interval (CI) for time to cessation of viral shedding determined by virus titer was analyzed using the Kaplan-Meier (KM) method; participants whose virus titer had not reached cessation by the last observation time point were treated as censored at that time point.
SecondaryTime to Cessation of Viral Shedding Determined by Virus RNADay 1 to Day 9
Time to cessation of viral shedding by RT-PCR was defined as the time between the initiation of the study treatment and first time when the virus RNA was below the limit of detection measured by RT-PCR. Time to cessation of viral shedding by RT-PCR was analyzed using the KM method; participants whose virus RNA had not reached cessation by the last observation time point were treated as censored at that time point.
SecondaryPercentage of Participants Whose Symptoms Were Improved at Each Time Point12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatment
Participants assessed the severity of 7 influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (0 = no symptoms, 1= mild, 2 = moderate, and 3 = severe). Improvement of symptoms was defined as all influenza symptoms alleviated, maintained, or improved, as defined below, for a duration of at least 21.5 hours: * Preexisting symptoms (cough, fatigue, or muscle/joint pain that existed prior to influenza) judged to be worse at baseline must have improved at least 1 point from baseline severity * Preexisting symptoms judged not to be worse at baseline must have maintained baseline severity * New symptoms at baseline must have alleviated, defined as a symptom score of none (0) or mild (1).

Outcomes21

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Improvement of Influenza SymptomsFrom Day 1 pretreatment up to Day 14Participants in the intention-to-treat infected population with available time to improvement of symptoms data.hoursMEDIAN
SECONDARYPercentage of Participants With Positive Influenza Virus Titer at Each Time PointDays 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infected population with a positive influenza virus titer on Day 1 and with available virus titer data at each time point.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Positive Influenza Virus by RT-PCR at Each Time PointDays 2, 3, 4 (optional), 5, 6 (optional), and 9.Participants in the intention-to-treat infected population with positive influenza virus RNA determined by RT-PCR on Day 1 and with available data at each time point.percentage of participantsNUMBER
SECONDARYChange From Baseline in Virus Titer at Each Time PointDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infected population with positive influenza virus titer on Day 1 and with available virus titer data at each time point.log₁₀[TCID₅₀/mL]MEAN
SECONDARYChange From Baseline in Virus RNA (RT-PCR) at Each Time PointDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infected population with positive RT-PCR on Day 1 and with available virus RNA data at each time point.log₁₀ virus particles/mLMEAN
SECONDARYArea Under the Curve (AUC) Adjusted by Baseline in Influenza Virus TiterDay 1 to Day 9Participants in the intention-to-treat infected population with a positive virus titer on Day 1 and available sample on Day 9.log₁₀[TCID₅₀/mL]*hoursMEAN
SECONDARYArea Under the Curve (AUC) Adjusted by Baseline in Viral RNADay 1 to Day 9Participants in the intention-to-treat infected population with a positive virus RNA determined by RT-PCR at baseline and available sample on Day 9.log₁₀ virus particles/mL*hoursMEAN
SECONDARYTime to Cessation of Viral Shedding Determined by Virus TiterDay 1 to Day 9Participants in the intention-to-treat infected population with a positive virus titer on Day 1 whose time to cessation of viral shedding by virus titer was not missing.hoursMEDIAN
SECONDARYTime to Cessation of Viral Shedding Determined by Virus RNADay 1 to Day 9Participants in the intention-to-treat infected population with positive influenza virus RNA determined by RT-PCR on Day 1 whose time to cessation of viral shedding by RT-PCR.hoursMEDIAN
SECONDARYPercentage of Participants Whose Symptoms Were Improved at Each Time Point12, 24, 36, 48, 72, 96, 120, 144, 168, 192, and 216 hours after the initial dose of study treatmentParticipants in the intention-to-treat infected population with available symptoms data at each time point.percentage of participantsNUMBER

Results by group258

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time to Improvement of Influenza SymptomsBaloxavir Marboxil73.295% Confidence Interval 67.2 to 85.1hours
Time to Improvement of Influenza SymptomsPlacebo102.395% Confidence Interval 92.7 to 113.1hours
Time to Improvement of Influenza SymptomsOseltamivir81.095% Confidence Interval 69.4 to 91.5hours
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointBaloxavir MarboxilDay 258.695% Confidence Interval 53.2 to 63.9percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointPlaceboDay 286.995% Confidence Interval 82.9 to 90.3percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointOseltamivirDay 286.995% Confidence Interval 82.9 to 90.3percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointBaloxavir MarboxilDay 331.795% Confidence Interval 26.7 to 36.9percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointPlaceboDay 372.795% Confidence Interval 67.6 to 77.4percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointOseltamivirDay 360.095% Confidence Interval 54.6 to 65.2percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time PointBaloxavir MarboxilDay 418.595% Confidence Interval 12.2 to 26.2percentage of participants

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBaloxavir Marboxil730
Overall StudySTARTEDPlacebo729
Overall StudySTARTEDOseltamivir725
Overall StudyReceived Study DrugBaloxavir Marboxil728
Overall StudyReceived Study DrugPlacebo728
Overall StudyReceived Study DrugOseltamivir722
Overall StudyIntention to Treat Infected PopulationBaloxavir Marboxil388
Overall StudyIntention to Treat Infected PopulationPlacebo386
Overall StudyIntention to Treat Infected PopulationOseltamivir389
Overall StudyCOMPLETEDBaloxavir Marboxil697

Adverse events93

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBronchitisInfections and infestationsBaloxavir Marboxil21730
otherBronchitisInfections and infestationsPlacebo33727
otherBronchitisInfections and infestationsOseltamivir30721
otherSinusitisInfections and infestationsBaloxavir Marboxil14730
otherSinusitisInfections and infestationsPlacebo21727
otherSinusitisInfections and infestationsOseltamivir22721
otherDiarrhoeaGastrointestinal disordersBaloxavir Marboxil20730
otherDiarrhoeaGastrointestinal disordersPlacebo21727
otherDiarrhoeaGastrointestinal disordersOseltamivir23721
otherNauseaGastrointestinal disordersBaloxavir Marboxil20730

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBaloxavir Marboxil1730
Total, all-cause mortalityPlacebo0727
Total, all-cause mortalityOseltamivir1721
Total, other adverse eventsBaloxavir Marboxil70730
Total, other adverse eventsPlacebo92727
Total, other adverse eventsOseltamivir90721
Total, serious adverse eventsBaloxavir Marboxil5730
Total, serious adverse eventsPlacebo9727
Total, serious adverse eventsOseltamivir8721

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32526195DERIVEDPubMed
35585696DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02949011

GET https://conductscience.org/api/trials/v1/NCT02949011/registered?page=2