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Trial · NCT02954354

A Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Otherwise Healthy Patients With Influenza

NCT02954354, Phase 3, Completed, Shionogi; results first posted 2018-12-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Otherwise Healthy Patients With Influenza. Trials, record NCT02954354. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02954354

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Trial

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

Title
A Study of S-033188 (Baloxavir Marboxil) Compared With Placebo or Oseltamivir in Otherwise Healthy Patients With Influenza
NCT number
NCT02954354
Status
Completed
Phases
Phase 3
Enrollment
1,436 participants, actual
Lead sponsor
Shionogi
Conditions
Influenza
Interventions
Baloxavir Marboxil, Placebo to Baloxavir Marboxil, Oseltamivir, Placebo to Oseltamivir
First posted
2016-11-03
Last updated
2019-05-08
Results first posted
2018-12-14

Source ClinicalTrials.gov

Registered outcomes39

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

ListOutcomeTime frameDescription
PrimaryTime to Alleviation of Symptoms in Participants Randomized to Baloxavir or PlaceboInitiation of study treatment up to Day 14
Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier (KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point.
PrimaryTime to Alleviation of Symptoms in Adults Randomized to Baloxavir or OseltamivirInitiation of study treatment up to Day 14
Participants assessed the severity of seven influenza-associated symptoms (cough, sore throat, headache, nasal congestion, feverishness or chills, muscle or joint pain, and fatigue) on a 4-point scale (with 0 indicating no symptoms, 1 mild symptoms, 2 moderate symptoms, and 3 severe symptoms). Time to alleviation of symptoms was defined as the time from the start of the study treatment to the time when all seven influenza-related symptoms were assessed by the participant as absent (0) or mild (1) for at least 21.5 hours. Time to alleviation of symptoms was analyzed using the Kaplan-Meier(KM) method; participants who did not experience alleviation of symptoms were censored at the last observation time point.
SecondaryPercentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboDays 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. 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 Titer at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDays 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. 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 Point in Participants Randomized to Baloxavir or PlaceboDays 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) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9.
SecondaryPercentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDays 2, 3, 4 (optional), 5, 6 (optional), and 9
Influenza virus 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) among those assessed measured by reverse transcription polymerase chain reaction (RT-PCR) on Days 2, 3, 4, 5, 6 and 9.
SecondaryChange From Baseline in Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboDay 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 Titer at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDay 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 Point in Participants Randomized to Baloxavir or PlaceboDay 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 is measured by reverse transcription polymerase chain reaction (RT-PCR).
SecondaryChange From Baseline in Virus RNA (RT-PCR) at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDay 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).

Outcomes39

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime to Alleviation of Symptoms in Participants Randomized to Baloxavir or PlaceboInitiation of study treatment up to Day 14Participants in the intention-to-treat infection population assigned to baloxavir or placebo with available time to alleviation of symptoms data.hoursMEDIAN
PRIMARYTime to Alleviation of Symptoms in Adults Randomized to Baloxavir or OseltamivirInitiation of study treatment up to Day 14Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, and with available time to alleviation of symptoms data.hoursMEDIAN
SECONDARYPercentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboDays 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with 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 Titer at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDays 2, 3, 4 (optional), 5, 6 (optional), and 9
Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with 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 Point in Participants Randomized to Baloxavir or PlaceboDays 2, 3, 4 (optional), 5, 6 (optional), and 9
Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus RNA determined by RT-PCR on Day 1 and with available data at each time point were included in the analysis.
percentage of participantsNUMBER
SECONDARYPercentage of Participants With Positive Influenza Virus by RT-PCR at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDays 2, 3, 4 (optional), 5, 6 (optional), and 9
Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus RNA determined by RT-PCR on Day 1, and with available data at each time point were included in the analysis.
percentage of participantsNUMBER
SECONDARYChange From Baseline in Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infection population assigned to baloxavir or placebo, 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 Titer at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9
Participants in the intention-to-treat infection population, ≥ 20 years of age and assigned to baloxavir or oseltamivir, 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 Point in Participants Randomized to Baloxavir or PlaceboDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9Participants in the intention-to-treat infection population assigned to baloxavir or placebo, with positive influenza virus titer on Day 1 and with available virus RNA data at each time point.log₁₀ virus particles/mLMEAN
SECONDARYChange From Baseline in Virus RNA (RT-PCR) at Each Time Point in Adults Randomized to Baloxavir or OseltamivirDay 1 pretreatment (Baseline) and Days 2, 3, 4 (optional), 5, 6 (optional), and 9
Participants in the intention-to-treat infection population ≥ 20 years of age and assigned to baloxavir or oseltamivir, with positive influenza virus titer on Day 1 and with available virus RNA data at each time point.
log₁₀ virus particles/mLMEAN

Results by group366

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

OutcomeGroupCategoryValueSpreadUnits
Time to Alleviation of Symptoms in Participants Randomized to Baloxavir or PlaceboBaloxavir53.795% Confidence Interval 49.5 to 58.5hours
Time to Alleviation of Symptoms in Participants Randomized to Baloxavir or PlaceboPlacebo80.295% Confidence Interval 72.6 to 87.1hours
Time to Alleviation of Symptoms in Adults Randomized to Baloxavir or OseltamivirBaloxavir53.595% Confidence Interval 48.0 to 58.5hours
Time to Alleviation of Symptoms in Adults Randomized to Baloxavir or OseltamivirOseltamivir53.895% Confidence Interval 50.2 to 56.4hours
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboBaloxavirDay 247.695% Confidence Interval 42.7 to 52.5percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboPlaceboDay 296.095% Confidence Interval 92.3 to 98.3percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboBaloxavirDay 321.795% Confidence Interval 17.8 to 26.0percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboPlaceboDay 370.595% Confidence Interval 63.5 to 76.8percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboBaloxavirDay 416.795% Confidence Interval 10.3 to 24.8percentage of participants
Percentage of Participants With Positive Influenza Virus Titer at Each Time Point in Participants Randomized to Baloxavir or PlaceboPlaceboDay 456.195% Confidence Interval 42.4 to 69.3percentage of participants

Participant flow15

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDBaloxavir612
Overall StudySTARTEDPlacebo310
Overall StudySTARTEDOseltamivir514
Overall StudyReceived Study DrugBaloxavir610
Overall StudyReceived Study DrugPlacebo309
Overall StudyReceived Study DrugOseltamivir513
Overall StudyIntention to Treat Infected PopulationBaloxavir456
Overall StudyIntention to Treat Infected PopulationPlacebo231
Overall StudyIntention to Treat Infected PopulationOseltamivir377
Overall StudyCOMPLETEDBaloxavir578

Adverse events18

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBronchitisInfections and infestationsBaloxavir16610
otherBronchitisInfections and infestationsPlacebo17309
otherBronchitisInfections and infestationsOseltamivir18513
otherSinusitisInfections and infestationsBaloxavir7610
otherSinusitisInfections and infestationsPlacebo8309
otherSinusitisInfections and infestationsOseltamivir5513
otherDiarrhoeaGastrointestinal disordersBaloxavir18610
otherDiarrhoeaGastrointestinal disordersPlacebo14309
otherDiarrhoeaGastrointestinal disordersOseltamivir11513
otherNauseaGastrointestinal disordersBaloxavir8610

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBaloxavir0610
Total, all-cause mortalityPlacebo0309
Total, all-cause mortalityOseltamivir0513
Total, other adverse eventsBaloxavir47610
Total, other adverse eventsPlacebo40309
Total, other adverse eventsOseltamivir45513
Total, serious adverse eventsBaloxavir2610
Total, serious adverse eventsPlacebo0309
Total, serious adverse eventsOseltamivir0513

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30184455RESULTPubMed
31309975DERIVEDPubMed
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.

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