Comparing standard treatment with and without Ribavirin for dengue fever

The Comparative Efficacy of Standard Treatment Plus Ribavirin vs Standard Treatment Alone in Preventing Clinically Significant Hemorrhage in Patients With Dengue Fever: A Double-blind, Randomized Control Trial

Phase 3 Interventional Khyber Medical University Peshawar · NCT06744777

This study is testing if adding Ribavirin to the usual treatment for dengue fever can help prevent serious bleeding in patients.

Quick facts

PhasePhase 3
Study typeInterventional
Enrollment284 (estimated)
Ages18 Years and up
SexAll
SponsorKhyber Medical University Peshawar Academic / other
Locations4 sites (Peshawar, Khyber Pakhtunkhwa and 3 other locations)
Trial IDNCT06744777 on ClinicalTrials.gov

What this trial studies

This study investigates the effectiveness of adding Ribavirin to standard treatment in preventing significant bleeding in patients with dengue fever. It is a double-blind, randomized controlled trial that aims to determine if Ribavirin improves clinical outcomes compared to standard treatment alone. Conducted in multiple hospitals in Khyber Pakhtunkhwa, the trial employs rigorous methodologies including block randomization and double-blinding. Key outcomes measured include changes in bleeding severity, platelet counts, and length of hospital stay, with the goal of enhancing dengue management protocols.

Who should consider this trial

Good fit: Ideal candidates include hospitalized adults aged 18 and older diagnosed with dengue fever confirmed by specific laboratory tests.

Not a fit: Patients with bleeding disorders, those on anticoagulant medications, or pregnant women are unlikely to benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly reduce the incidence of severe bleeding in dengue patients, improving their overall clinical outcomes.

How similar studies have performed: While the approach of using Ribavirin in dengue treatment is being explored, this specific comparative efficacy study is novel and has not been extensively tested in previous research.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Male and female patients aged 18 years and above.
* Hospitalized patients diagnosed with dengue fever, confirmed via:
* Positive Dengue NS1 antigen test
* Dengue IgM antibodies
* Dengue RNA PCR.
* Patients presenting with various severities of illness, as classified by the WHO dengue severity classification.

Exclusion Criteria:

* Patients taking antiplatelet or anticoagulant medications.
* Patients with known bleeding disorders (e.g., hemophilia, von Willebrand disease, end-stage renal disease, or liver cirrhosis).
* Patients with HIV undergoing antiviral therapy.
* Pregnant women.
* Patients with hypersensitivity to Ribavirin.
* Patients with WHO Grade 1 bleeding (few petechiae without clinical significance).

Where this trial is running

Peshawar, Khyber Pakhtunkhwa and 3 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Dengue FeverDengue Hemorrhagic FeverSevere DengueDengueHemorrhageRandomized Controlled TrialAntiviral Therapy
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.