Monkeypox drug trial: can tecovirimat speed up healing?
NCT ID NCT05559099
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether the drug tecovirimat is safe and effective for treating monkeypox (mpox). About 600 adults and children with confirmed mpox and active skin lesions took either tecovirimat or a placebo for 14 days, along with standard care. The main goal was to see how quickly their lesions healed. The trial is now complete.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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597 people
The number who actually took part.
- Started
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Oct 2022
- Finished
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Sep 2024
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
This study has no age restriction. Inclusion Criteria: * Laboratory-confirmed monkeypox virus infection as determined by PCR obtained from blood, oropharynx, or skin lesion within 48 hours of screening * Monkeypox illness of any duration provided that the patient has at least one active, not yet scabbed, lesion * Weight ≥3 kg * Men and non-pregnant women of reproductive potential must agree to use effective means of contraception when engaging in sexual activities that can result in pregnancy, from the time of enrollment through the end of study participation. Acceptable methods of contraception include the following: * Hormonal contraception * Male or female condom * Diaphragm or cervical cap with a spermicide * Intrauterine device * Stated willingness to comply with all study procedures (including required inpatient stay) and availability for the duration of the study * Ability to provide informed consent personally or by a legally or culturally acceptable representative if the patient is unable to do so Exclusion Criteria: * Current or planned use of a meglitinide (repaglinide, nateglinide) * Planned use of midazolam while on study drug * Severe anemia, defined as hemoglobin \<7 g/dL * Current or planned use of another investigational drug at any point during study participation * Patients who, in the judgement of the investigator, will be at significantly increased risk as a result of participation in the study * Participants who are unable to safely swallow oral medications, such as those who are at risk of aspiration
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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L'Hôpital Général de Référence de Kole
Kole, Democratic Republic of the Congo
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L'Hôpital Général de Référence de Tunda
Tunda, Democratic Republic of the Congo
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can we better understand mpox in young people?
- Can a smallpox vaccine stop mpox in its tracks?
- Experimental drug targets smallpox and monkeypox after exposure
- Monkeypox vaccine immune response under the microscope
- Can a pill speed up monkeypox recovery? major trial underway
- Scientists investigate mpox in severely weakened immune systems