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Trial · NCT03969212

Study to Assess the Efficacy of Baloxavir Marboxil Versus Placebo to Reduce Onward Transmission of Influenza A or B in Households

NCT03969212, Phase 3, Completed, Hoffmann-La Roche; results first posted 2025-04-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Assess the Efficacy of Baloxavir Marboxil Versus Placebo to Reduce Onward Transmission of Influenza A or B in Households. Trials, record NCT03969212. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03969212

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Trial

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

Title
Study to Assess the Efficacy of Baloxavir Marboxil Versus Placebo to Reduce Onward Transmission of Influenza A or B in Households
NCT number
NCT03969212
Status
Completed
Phases
Phase 3
Enrollment
4,138 participants, actual
Lead sponsor
Hoffmann-La Roche
Conditions
Influenza
Interventions
Baloxavir Marboxil, Placebo
First posted
2019-05-31
Last updated
2025-07-04
Other registries' IDs
eudract:2018-004056-37
Results first posted
2025-04-24

Source ClinicalTrials.gov

Registered outcomes12

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

ListOutcomeTime frameDescription
PrimaryPercentage of HHCs With Virological Influenza Transmission by Day 5Baseline (Day 1) to Day 5
The virological transmission was determined based on Polymerase Chain Reaction Positive (PCR+) influenza test results. The adjusted incidence (cumulative proportion of events by Day 5) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 5 post IP randomization with virus subtype matching with that of the respective IP, irrespective of being symptomatic or asymptomatic. The adjusted incidence rates presented were estimated using a generalized estimating equations (GEE) approach.
SecondaryPercentage of HHCs With Symptomatic Influenza Transmission by Day 5Baseline (Day 1) to Day 5
The adjusted incidence (cumulative proportion of events by Day 5) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 5 post IP randomization with virus subtype matching with that of respective IP, \& developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years old were symptomatic if 1. Presence of temperature ≥38.0 Celsius (C) and 1 respiratory symptom (cough, sore throat, nasal congestion) or 2. Presence of 1 respiratory symptom and 1 general systemic symptom (headache, feverishness or chills, muscle or joint pain, fatigue), with/without a fever. HHCs ≥2 and \<12 years old were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory tract infection signs or symptoms (cough, nasal congestion, or rhinorrhea). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.
SecondaryPercentage of Households (HHs) With Virological Influenza Transmission at Household Level by Day 5Baseline (Day 1) to Day 5
Percentage of households with at least one HHC who met the primary endpoint of virological transmission by Day 5 are reported here. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.
SecondaryPercentage of HHs With Symptomatic Influenza Transmission at Household Level by Day 5Baseline (Day 1) to Day 5Percentage of HHs with at least one HHC who meets the symptomatic transmission by Day 5 endpoint are reported here. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.
SecondaryPercentage of HHCs With Virological Influenza Transmission by Day 9Baseline (Day 1) to Day 9
The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 9 post IP randomization with virus subtype matching with the respective IP, irrespective of being symptomatic or asymptomatic including: 1. all HHC meeting primary endpoint, AND 2. all HHC cases detected after Day 5 meeting the following criteria: 2a. included HHC case was in an HH where another HHC had already met the primary endpoint OR 2b. included HHC case was PCR+ bearing an amino acid substitution of isoleucine for another amino acid at position 38 (I38X) in the polymerase acidic (PA) protein (PA/I38X substitution) or amino acid substitution of threonine to lysine at position 20 in the PA protein for influenza B only (PA/T20K). The adjusted incidence rates presented were estimated using a GEE approach.
SecondaryPercentage of HHCs With Symptomatic Influenza Transmission by Day 9Baseline (Day 1) to Day 9
The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who met the virological transmission by Day 9 endpoint and developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years were symptomatic if they had 1. temperature ≥38.0°C and one respiratory symptom (cough, sore throat, nasal congestion) or 2. one respiratory and one general systemic symptom (headache, feverishness or chills, muscle or joint pain, fatigue), with or without fever. HHCs ≥2 and \<12 years were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory symptoms (headache, feverishness or chills, muscle or joint pain, fatigue). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.
SecondaryPercentage of HHCs With Any Virological Infection by Day 9Baseline (Day 1) to Day 9
Virological infection was defined as HHCs who tested PCR+ for influenza by Day 9 post IP randomization based on PCR influenza test results. The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who met the virological infection by Day 9 endpoint. The adjusted incidence rates presented were estimated using a GEE approach.
SecondaryPercentage of HHs With Any Virological Infection at HH Level by Day 9Baseline (Day 1) to Day 9
Virological infection at the HH level was defined as the HHs with at least one HHC who met the endpoint of any virological infection by Day 9. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.
SecondaryPercentage of HHCs With Any Symptomatic Infection by Day 9Baseline (Day 1) to Day 9
The adjusted incidence (cumulative proportion of events by Day 9) rate is reported here. This is defined as percentage of HHCs who tested PCR+ for influenza by Day 9 post IP randomization and developed symptoms at any time during the study. The adjusted incidence rates presented were estimated using a GEE approach. HHCs ≥12 years were symptomatic if they had (1) a temperature ≥38.0°C and one respiratory symptom (cough, sore throat, nasal congestion) or (2) one respiratory and one systemic symptom (headache, chills, muscle/joint pain, fatigue), with or without fever. HHCs ≥2 and \<12 years were symptomatic if the presence of temperature was ≥38.0°C and had upper respiratory symptoms (cough, nasal congestion, rhinorrhea). Symptoms must be either new or have worsened versus baseline in HHC with baseline symptoms due to a preexisting comorbidity.
SecondaryPercentage of HHs With Any Symptomatic Infection at HH Level by Day 9Baseline (Day 1) to Day 9
Percentage of HHs with at least one HHC who meets the endpoint of any symptomatic infection by Day 9 are reported here. HHCs ≥12 years were symptomatic if they had 1. a temperature ≥38.0°C \&1 respiratory symptom (cough, sore throat, nasal congestion) or 2. 1 respiratory \& 1 systemic symptom (headache, chills, muscle/joint pain, fatigue), with/without fever. HHCs ≥2 \& \<12 years were symptomatic if the temperature was ≥38.0°C \& had upper respiratory symptoms (cough, nasal congestion, rhinorrhea). Symptoms must be new or have worsened versus baseline in HHC with baseline symptoms due to preexisting comorbidity. 'Number of participants analyzed' is the number of IPs in the PAS-IP set.

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of HHCs With Virological Influenza Transmission by Day 5Baseline (Day 1) to Day 5
The primary household contacts analysis set (PAS-HC) included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline.
percentage of HHCsNUMBER
SECONDARYPercentage of HHCs With Symptomatic Influenza Transmission by Day 5Baseline (Day 1) to Day 5PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline.percentage of HHCsNUMBER
SECONDARYPercentage of Households (HHs) With Virological Influenza Transmission at Household Level by Day 5Baseline (Day 1) to Day 5
Primary Households Analysis Set (PAS-HH) included all households of randomized IPs that were PCR+ at screening and with at least one HHC enrolled for the full study. IPs should be a part of the Primary Index Patients Analysis Set (PAS-IP) which includes all randomized IPs with at least 1 HHC in the PAS-HC. PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A/B, received study drug, and where all contacts were PCR negative at baseline.
percentage of HHsNUMBER
SECONDARYPercentage of HHs With Symptomatic Influenza Transmission at Household Level by Day 5Baseline (Day 1) to Day 5
PAS-HH included all households of randomized IPs that were PCR+ at screening and with at least one HHC enrolled for the full study. The IPs should be a part of the PAS-IP which includes all randomized IPs with at least one HHC in the PAS-HC. PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline.
percentage of HHsNUMBER
SECONDARYPercentage of HHCs With Virological Influenza Transmission by Day 9Baseline (Day 1) to Day 9
PAS-HC analysis set included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline. Overall number analyzed included number of HHCs with data available for analysis.
percentage of HHCsNUMBER
SECONDARYPercentage of HHCs With Symptomatic Influenza Transmission by Day 9Baseline (Day 1) to Day 9
PAS-HC included unvaccinated HHCs who were linked to households where IP was baseline PCR+ for influenza A or B, received study drug, and where all contacts were PCR negative at baseline. Overall number analyzed is the number of participants with data available for analysis.
percentage of HHCsNUMBER
SECONDARYPercentage of HHCs With Any Virological Infection by Day 9Baseline (Day 1) to Day 9
PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B and received study drug and where all contacts were PCR negative at baseline. Overall number analyzed is the number of participants with data available for analysis.
percentage of HHCsNUMBER
SECONDARYPercentage of HHs With Any Virological Infection at HH Level by Day 9Baseline (Day 1) to Day 9
PAS-HH included all households of randomized IPs that were PCR+ at screening and with at least one HHC enrolled for the full study. The IPs should be a part of the PAS-IP which includes all randomized IPs with at least one HHC in the PAS-HC. PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline.
percentage of HHsNUMBER
SECONDARYPercentage of HHCs With Any Symptomatic Infection by Day 9Baseline (Day 1) to Day 9
PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B and received study drug and where all contacts were PCR negative at baseline. Overall number analyzed is the number of participants with data available for analysis.
percentage of HHCsNUMBER
SECONDARYPercentage of HHs With Any Symptomatic Infection at HH Level by Day 9Baseline (Day 1) to Day 9
PAS-HH included all households of randomized IPs that were PCR+ at screening and with at least one HHC enrolled for the full study. The IPs should be a part of the PAS-IP which includes all randomized IPs with at least one HHC in the PAS-HC. PAS-HC included unvaccinated HHCs who were linked to households where the IP was baseline PCR+ for influenza A or B, received the study drug, and where all contacts were PCR negative at baseline.
percentage of HHsNUMBER

Results by group24

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of HHCs With Virological Influenza Transmission by Day 5Placebo: HHCs13.4295.38% Confidence Interval 10.66 to 16.76percentage of HHCs
Percentage of HHCs With Virological Influenza Transmission by Day 5Baloxavir Marboxil: HHCs9.5095.38% Confidence Interval 7.40 to 12.13percentage of HHCs
Percentage of HHCs With Symptomatic Influenza Transmission by Day 5Placebo: HHCs7.6195.38% Confidence Interval 5.66percentage of HHCs
Percentage of HHCs With Symptomatic Influenza Transmission by Day 5Baloxavir Marboxil: HHCs5.8095.38% Confidence Interval 4.10percentage of HHCs
Percentage of Households (HHs) With Virological Influenza Transmission at Household Level by Day 5Placebo: IPs19.5percentage of HHs
Percentage of Households (HHs) With Virological Influenza Transmission at Household Level by Day 5Baloxavir Marboxil: IPs15.5percentage of HHs
Percentage of HHs With Symptomatic Influenza Transmission at Household Level by Day 5Placebo: IPs11.9percentage of HHs
Percentage of HHs With Symptomatic Influenza Transmission at Household Level by Day 5Baloxavir Marboxil: IPs8.6percentage of HHs
Percentage of HHCs With Virological Influenza Transmission by Day 9Placebo: HHCs15.4095.38% Confidence Interval 12.20percentage of HHCs
Percentage of HHCs With Virological Influenza Transmission by Day 9Baloxavir Marboxil: HHCs10.7795.38% Confidence Interval 8.41percentage of HHCs

Participant flow16

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo: IPs731
Overall StudySTARTEDBaloxavir Marboxil: IPs726
Overall StudySTARTEDPlacebo: HHCs1,336
Overall StudySTARTEDBaloxavir Marboxil: HHCs1,345
Overall StudyTreatedPlacebo: IPs726
Overall StudyTreatedBaloxavir Marboxil: IPs723
Overall StudyTreatedPlacebo: HHCs0
Overall StudyTreatedBaloxavir Marboxil: HHCs0
Overall StudyCOMPLETEDPlacebo: IPs699
Overall StudyCOMPLETEDBaloxavir Marboxil: IPs688

Adverse events8

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

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousBronchitisInfections and infestationsPlacebo: IPs17261
seriousBronchitisInfections and infestationsBaloxavir Marboxil: IPs07230
seriousPneumoniaInfections and infestationsPlacebo: IPs17261
seriousPneumoniaInfections and infestationsBaloxavir Marboxil: IPs07230
seriousHyponatraemiaMetabolism and nutrition disordersPlacebo: IPs17261
seriousHyponatraemiaMetabolism and nutrition disordersBaloxavir Marboxil: IPs07230
seriousAbortion spontaneousPregnancy, puerperium and perinatal conditionsPlacebo: IPs07260
seriousAbortion spontaneousPregnancy, puerperium and perinatal conditionsBaloxavir Marboxil: IPs17231

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo: IPs0726
Total, all-cause mortalityBaloxavir Marboxil: IPs0723
Total, other adverse eventsPlacebo: IPs0726
Total, other adverse eventsBaloxavir Marboxil: IPs0723
Total, serious adverse eventsPlacebo: IPs2726
Total, serious adverse eventsBaloxavir Marboxil: IPs1723

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33103200DERIVEDPubMed
40267424DERIVEDPubMed

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 comparisons4

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

ComparisonSource
Placebo: IPs vs Baloxavir Marboxil: IPs: Number of IPs With Serious Adverse Events (SAEs)Trial comparisons
Placebo: IPs vs Baloxavir Marboxil: IPs: Number of IPs With Adverse Events (AEs)Trial comparisons
Placebo: IPs vs Baloxavir Marboxil: IPs: deaths from any causeTrial comparisons
Placebo: IPs vs Baloxavir Marboxil: IPs: serious adverse eventsTrial comparisons

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/NCT03969212

GET https://conductscience.org/api/trials/v1/NCT03969212/results?page=2