Infectious disease ranking

Top 10 infectious disease clinical trial failure signals

A data-led ranking of infectious disease interventions with repeated stopped-trial records and source-linked stop language.

Infectious disease records1,704

Stopped records in this disease-area slice.

Biological signals145

9% of infectious disease stopped trials.

Efficacy / safety87 / 58

Likely scientific stop-signal categories.

Infectious disease trials can stop for many reasons that do not mean a drug or vaccine failed scientifically. Some records are shaped by outbreaks, changing standard of care, recruitment windows, funding, public-health logistics, or regulatory pauses. That makes a source-linked ranking more useful than a simple list of stopped trials.

This page focuses on interventions that appear repeatedly in infectious disease stopped-trial records. The table separates likely biological signals, such as efficacy/futility or safety, from the broader stopped-trial count so that one operational stop does not get overread.

Use the ranking as a starting point for review. The most important step is still opening the linked NCT record and reading the sponsor's exact stop language in context.

Top infectious disease interventions by stopped-trial signals

Ranked by likely biological failure signals first, then total stopped-trial records in the infectious disease slice.

RankNameTotal stoppedLikely biologicalEfficacy / safetyExample record
1Hydroxychloroquine21% biological-signal share3374 efficacy/futility · 3 safetyNCT04345692Phase III · Queen's Medical Center
2Azithromycin29% biological-signal share721 efficacy/futility · 1 safetyNCT04332107Phase III · Thomas M. Lietman
3Tocilizumab29% biological-signal share722 efficacy/futility · 0 safetyNCT04377659Phase II · Memorial Sloan Kettering Cancer Center
4Maraviroc67% biological-signal share321 efficacy/futility · 1 safetyNCT01345630Phase III · ViiV Healthcare
5851B100% biological-signal share222 efficacy/futility · 0 safetyNCT00312286Phase II · Takeda
6Leronlimab100% biological-signal share220 efficacy/futility · 2 safetyNCT04901676Phase III · Hospital Israelita Albert Einstein
7Pimodivir 600 mg100% biological-signal share222 efficacy/futility · 0 safetyNCT03381196Phase III · Janssen Research & Development, LLC
8Nitazoxanide10% biological-signal share1011 efficacy/futility · 0 safetyNCT04523090Phase II · University of Cape Town
9Colchicine17% biological-signal share610 efficacy/futility · 1 safetyNCT04367168Phase II · Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran
10Hydroxychloroquine Sulfate17% biological-signal share610 efficacy/futility · 1 safetyNCT04371926Unknown · Texas Cardiac Arrhythmia Research Foundation

How to read this ranking

The page groups infectious disease records by listed intervention name and excludes obvious placebo/control-only labels from the ranking.

Likely biological signals include efficacy/futility and safety buckets. Operational, enrollment, funding, regulatory, strategic, and other/unknown stops remain visible in total counts but are not treated as biological failure signals.

In infectious disease, timing and epidemiology matter. A trial can stop because an outbreak changes, enrollment becomes impossible, or the clinical question becomes less relevant. Always verify the primary ClinicalTrials.gov record before drawing a scientific conclusion.

Example source record

NCT04345692: A Randomized Controlled Clinical Trial: Hydroxychloroquine for the Treatment of COVID-19 in Hospitalized Patients

EFFICACY/FUTILITY signal in Phase III, sponsored by Queen's Medical Center.

RECOVERY Trial results - no efficacy

Open trial detail →

Example source record

NCT04332107: Azithromycin for COVID-19 Treatment in Outpatients Nationwide

EFFICACY/FUTILITY signal in Phase III, sponsored by Thomas M. Lietman.

Futility

Open trial detail →

Example source record

NCT04377659: Tocilizumab for Prevention of Respiratory Failure in Patients With Severe COVID-19 Infection

EFFICACY/FUTILITY signal in Phase II, sponsored by Memorial Sloan Kettering Cancer Center.

Based on two large, multicenter, randomized trials showed no benefit to tocilizumab in this setting and study has been closed.

Open trial detail →

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