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Pharmacokinetics of the antiviral drug ribavirin in Lassa fever treatment

Prospective observational study on the pharmacokinetic properties of the Irrua ribavirin regimen used in routine clinical practice in Lassa fever patients in Nigeria

Status
Active, not recruiting
Phases
Phase 4
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN11104750
Enrollment
20
Registered
2020-02-06
Start date
2020-02-03
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lassa fever Infections and Infestations

Interventions

Pharmacokinetic analysis of ribavirin treatment Blood samples will be collected at 0.5, 1, 3, 5, 8, 12 and 24 hours after doses on day 1, day 4 and day 10 of ribavirin treatment using

Sponsors

Bernhard Nocht Institute for Tropical Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Age = 18 years 2. Lassa fever confirmed by RT-PCR 3. Written informed consent 4. Anticipated treatment with intravenous ribavirin

Exclusion criteria

Exclusion criteria: 1. Inability to give consent (e.g. unconscious patients/ cognitively impaired patients) 2. Critical illness (based on investigator’s clinical evaluation) 3. Severe malnutrition 4. Hemodialysis 5. History of hemophilia / bleeding disorder 6. Hematocrit <30 % 7. History of hemoglobinopathies (i.e., sickle-cell anaemia or thalassemia major) 8. Known intolerance to ribavirin 9. Known pregnancy 10. Women who plan to get pregnant within the upcoming 3 months 11. Patients who already received ribavirin within the last 7 days

Design outcomes

Primary

MeasureTime frame
Pharmacokinetic parameters (maximum concentration (Cmax), maximum time (Tmax), area under the curve (AUC), half-life time (T1/2), volume of distribution) using blood samples will be collected at 0.5, 1, 3, 5, 8, 12 and 24 hours after doses on day 1, day 4 and day 10 of ribavirin treatment using the Irrua dosing regimen

Secondary

MeasureTime frame
1. Safety and tolerability of the Irrua Ribavirin regimen measured using clinical, hematological, and biochemical parameters: 1.1. Clinical: every day from day 0 to day 10 1.2. Haematology: standarad full blood count (hb; wbc; pla; diff) every 48 hours 1.3. Biochemistry: creatinine; alt; ast; bun; ldh every 48 hours 2. Viral kinetics in patients measured using at day 0, 5, 10 3. LASV genome changes under the Irrua ribavirin regimen measured at day 0, 5, 10

Countries

Nigeria

Contacts

Public ContactMirjam Groger
groger@bnitm.de+49 4042818511

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 18, 2026