Oral Favipiravir Compared to Placebo in Subjects With Mild COVID-19

Not Recruiting

Trial ID: NCT04346628


The objective of this study is to evaluate the efficacy of oral favipiravir plus standard of care treatment (SOC) compared with placebo plus SOC in reducing the duration of shedding of SARS-CoV2 virus in patients with mild or asymptomatic COVID-19.

Official Title

A Phase 2 Randomized, Double Blinded, Placebo Controlled Study of Oral Favipiravir Compared to Standard Supportive Care in Subjects With Mild or Asymptomatic COVID-19

Stanford Investigator(s)

Ami Bhatt
Ami Bhatt

Associate Professor of Medicine (Hematology) and of Genetics

Upinder Singh
Upinder Singh

Stanford Medicine Professor of Infectious Disease and Professor of Medicine (Infectious Diseases & Geographic Medicine) and of Microbiology and Immunology


Inclusion Criteria:

   - Diagnosis of COVID-19 disease:

      - If symptomatic, presence of mild to moderate symptoms without signs of
      respiratory distress, with positive for SARS-CoV-2 diagnostic assay within 72
      hours prior to.informed consent.

      - If asymptomatic, initial diagnosis obtained no more than 72 hours prior to
      informed consent

   - Subject agrees to maintain home or other quarantine as recommended by the study
   physician, except to visit the study site as required by the protocol

   - Members of the same household may participate in the study as long as the inclusion
   and exclusion criteria are met

   - Males must be sterile, OR agree not to donate semen AND agree to strictly adhere to
   contraceptive measures during the study and for seven days following the last dose of
   study medication

   - Females must be unable to bear children, OR ensure that their male partner is
   incapable of fathering a child, OR, if of childbearing potential will strictly adhere
   to contraceptive measures during the study and for seven days following the last dose
   of study medication

   - Females must agree to stop breast-feeding prior to first dose of study drug and
   through seven days after completing therapy

   - Females must have a negative pregnancy test at screening

   - Participant agrees to maintain home or other quarantine as recommended by the study
   physician, except to visit the study site as required by the protocol

Exclusion Criteria:

   - Concomitant bacterial respiratory infection documented by respiratory culture. NOTE:
   Subjects on empirical antibiotic treatment for possible but unproven bacterial
   pneumonia, but who are positive for SARS-CoV-2, are allowed in the study (will be
   randomized to the same treatment to maintain blinding).

   - History of abnormal uric acid metabolism.

   - History of hypersensitivity to an anti-viral nucleoside-analog drug targeting a viral
   RNA polymerase.

   - Abnormal laboratory test results at screening:

   - Use of adrenocorticosteroids (except topical or inhaled preparations or oral
   preparations equivalent to or less than 10 mg of oral prednisone) or immunosuppressive
   or immunomodulatory drugs (e.g., immunosuppressants, anticancer drugs, interleukins,
   interleukin antagonists or interleukin receptor blockers). NOTE: Treatment of study
   participants following institutional COVID-19 treatment policies or guidelines,
   including the use of immunomodulatory medications, is permitted. This excludes
   treatment with agents that have the potential for direct antiviral activity, including
   convalescent plasma and NO, and co-enrollment into other clinical studies that
   evaluate investigational agents for COVID-19.

   - Serious chronic disease (e.g., human immunodeficiency virus [HIV], cancer requiring
   chemotherapy within the preceding 6 months, and/or moderate or severe hepatic

   - Previously received favipiravir within the past 30 days.

   - Advanced kidney disease

   - Advanced liver disease

   - History of alcohol or drug abuse in the previous two years.

   - Psychiatric illness that is not well controlled (defined as stable on a regimen for
   more than one year).

   - Taken another investigational drug within the past 30 days.

   - Seemed by the Investigator to be ineligible for any reason.


drug: Favipiravir

other: Standard of care treatment

drug: Placebo

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Study Team