UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059938
Receipt number R000068553
Scientific Title Longitudinal Study aimed at elucidating the relationship between viral load and mucosal antibody in influenza
Date of disclosure of the study information 2025/12/10
Last modified on 2025/12/02 04:14:58

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Study of Short-term Correlation Between Influenza Virus and Antibodies in Nasal Swabs

Acronym

Short-term Correlation in Nasal Swab Influenza Study

Scientific Title

Longitudinal Study aimed at elucidating the relationship between viral load and mucosal antibody in influenza

Scientific Title:Acronym

Influenza Longitudinal Study

Region

Japan


Condition

Condition

Influenza

Classification by specialty

Pneumology Infectious disease Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to clarify the threshold value of mucosal antibody titer required to suppress virus shedding.

Basic objectives2

Others

Basic objectives -Others

the relationship between viral load and mucosal antibody

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Threshold value based on logistic regression and ROC analysis using specific antibody titer against influenza virus antigen and success/failure of virus isolation test

Key secondary outcomes

- Regression analysis using the number of days from symptom onset until virus isolation test negativity and viral RNA negativity and specific antibody (IgG, IgA, secretory IgA) responses to influenza antigens
- Analysis of the relationship between host RNA and influenza virus viral load and mucosal antibody titers


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

Nasopharyngeal swab collection

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) Individuals who have completed junior high school or are aged 16 to 80 years at the time of consent.
2) Individuals who have a positive influenza rapid diagnostic test (RAT) using a nasal or nasopharyngeal swab on the day of consent.
3) Individuals who are within four days of the onset of symptoms, counting the first day as the first day. The onset date is defined as any of the following:
a. The day on which the body temperature first rose (a rise of 1 oC or more above normal).
b. The day on which the patient experienced at least one systemic symptom (fever or chills, muscle or joint pain, fatigue) or respiratory symptom (cough, sore throat, headache, runny nose/stuffy nose).
4) Individuals who have received a thorough explanation of this study and provided their own voluntary written consent with a full understanding.

Key exclusion criteria

Persons who fall under any of the following
1) Patients who have used excluded or discontinued medications, such as antiviral drugs, within the past seven days.
2) Patients who are using excluded or discontinued medications, such as antiviral drugs, during their treatment with influenza during study participation.
3) Patients diagnosed with COVID-19.
4) Other individuals deemed inappropriate by the principal investigator.

The following medications will be excluded or discontinued:
I. Drugs that directly inhibit influenza virus replication
1) Neuraminidase inhibitor
Oseltamivir, Zanamivir, Laninamivir, Peramivir
2) Cap-dependent endonuclease inhibitors
Baloxavir marboxil
3) M2 ion channel inhibitors
Amantadine
4) RNA-dependent RNA polymerase inhibitors
Favipiravir

II. Drugs with immunosuppressive effects
1) Injectable, oral, inhaled, and nasal corticosteroids (steroids)
Prednisolone, Methylprednisolone, Dexamethasone, Hydrocortisone, Fluticasone propionate, and other corticosteroids
2) Injectable and oral calcineurin inhibitors
Cyclosporine, Tacrolimus
3) mTOR inhibitors Sirolimus
Everolimus
4) Antimetabolites/Antimetabolites
Azathioprine, Mycophenolate mofetil, Methotrexate
5) Alkylating agents
Cyclophosphamide
6) Immunosuppressive biologics
Rituximab, Belimumab, Abatacept, Basiliximab
7) Molecularly targeted drugs such as JAK inhibitors
Tofacitinib, Baricitinib, Upadacitinib

Target sample size

120


Research contact person

Name of lead principal investigator

1st name Kohtaro
Middle name
Last name Fujihashi

Organization

Chiba University Hospital

Division name

Department of Human Mucosal Vaccines

Zip code

260-8677

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba

TEL

043-222-7171

Email

kfujihashi@chiba-u.jp


Public contact

Name of contact person

1st name Morio
Middle name
Last name Nagira

Organization

Chiba University Hospital

Division name

Department of Human Mucosal Vaccines

Zip code

260-8677

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba

TEL

043-222-7171

Homepage URL


Email

morio.nagira@shionogi.co.jp


Sponsor or person

Institute

Chiba University Hospital

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development (AMED)

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Shionogi Co. Ltd.
Japan Institute for Health Security

Name of secondary funder(s)

Shionogi Co. Ltd.


IRB Contact (For public release)

Organization

Chiba University Hospital Observational Research Ethics Review Committee

Address

1-8-1, Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8677 Japan

Tel

043-222-7171

Email

hsp-kansaturinri@chiba-u.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

かめざわクリニック(愛知県)、医療法人社団 三友会 彩のクリニック(埼玉県) など
Kamezawa Clinic(Aichi Pref.)、Saino Clinic(Saitama Pref.) etc.


Other administrative information

Date of disclosure of the study information

2025 Year 12 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 11 Month 07 Day

Date of IRB


Anticipated trial start date

2025 Year 12 Month 10 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 12 Month 02 Day

Last modified on

2025 Year 12 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068553