Tecovirimat: The experimental intervention is tecovirimat, available as immediate-release capsules containing tecovirimat monohydrate, equivalent to 200 mg of tecovirimat. The route of administration of tecovirimat is oral. Tecovirimat treatment will be initiated as soon as possible after diagnosis. The international recommended doses will be followed: * 25 kg to less than 40 kg: 400 mg (two tecovirimat 200 mg capsules) every 12 hours for 14 consecutive days. * 40 kg and above: 600 mg (three tecovirimat 200 mg capsules) every 12 hours for 14 consecutive days.
Placebo: The control intervention is a placebo and its route of administration will be identical to the experimental intervention administration to allow treatment arm blinding.
The overall purpose of this study is to evaluate whether tecovirimat is an efficient and safe antiviral in the treatment of monkeypox in adults and adolescents (14 years old and older).
The primary objective is to evaluate the clinical efficacy, as assessed by time to all visible lesion(s) resolution, of tecovirimat treatment + Standard of Care (SOC) compared to placebo + SOC for patients with monkeypox.
The secondary objective is to evaluate the clinical efficacy, as assessed by mortality, hospitalization, complications, duration of symptoms and virological shedding, and the safety of tecovirimat treatment + SOC compared to placebo + SOC in patients with monkeypox.
| Facility | City | Region | Status |
|---|---|---|---|
| Fundación Huésped | Buenos Aires | Argentina | |
| Faculty of Medicine, Federal University of Minas Gerais | Belo Horizonte | Brazil | |
| Evandro Chagas National Institute of Infectious Diseases-Oswaldo Cruz Foundation-FIOCRUZ | Rio de Janeiro | Brazil | |
| Federal Hospital for State Employees | Rio de Janeiro | Brazil | |
| Nova Iguaçu General Hospital | Rio de Janeiro | Brazil | |
| University Hospital Prof. Edgard Santos | Salvador | Brazil | |
| Emílio Ribas Institute of Infectious Diseases | São Paulo | Brazil | |
| STD/AIDS Reference and Training Center | São Paulo | Brazil | |
| Hôpitaux Universitaires de Genève | Geneva | Canton of Geneva | |
| Pr Alexandra Calmy | Geneva | Canton of Geneva | |
| CHUV | Lausanne | Canton of Vaud | |
| Zürich checkpoint | Zurich | Canton of Zurich |
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT05597735 on ClinicalTrials.gov ↗ ← All trials in Brazil