Phase 2
Completed N=111
Dose Ranging of GSK2336805 in Combination Therapy
Hepatitis C, Chronic
Source: ClinicalTrials.gov NCT01648140 ↗
Enrolled (actual)
111
Serious AEs
7.2%
Results posted
Jun 2017
Primary outcomePrimary: Number of Participants Achieving eRVR — 23; 21; 9; 9 Participants
Summary
GSK2336805 is a novel hepatitis C virus (HCV) non-structural 5A (NS5A) inhibitor being developed for the treatment of chronic HCV infection. This Phase II, multicenter, parallel-group, randomized, dose-ranging study will assess the safety and tolerability, antiviral activity, and pharmacokinetics of GSK2336805 at 2 dose levels (40 and 60 mg) in combination with pegylated interferon alfa-2a (PEG) and ribavirin (RIBA) in approximately 100 treatment-naïve subjects with chronic genotype 1 HCV infection.
In a separate nonrandomized single-arm cohort, up to 15 treatment-naïve subjects with genotype 4 chronic HCV infection will be enrolled in parallel at the dose level of 60 mg of GSK2336805.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Achieving eRVR |
23; 21; 9; 9 | — |
| PRIMARY Number of Participants With Any Adverse Events (AEs) and Any Serious Adverse Events (SAEs) up to Week 12 |
39; 37; 17; 13; 0; 2 | — |
| PRIMARY Mean Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at the Indicated Time Points up to Week 12 |
-1.2; -1; -3; -1.5; -0.4; -2.2 | — |
| PRIMARY Mean Change From Baseline in Heart Rate at the Indicated Time Points up to Week 12 |
6.5; 5.4; 9.3; 3.8; 1.5; 3.1 | — |
| PRIMARY Mean Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils, Platelet Count and White Blood Cell Count at the Indicated Time Points up to Week 12 |
-0.011; -0.011; -0.012; -0.013; -0.014; -0.01 | — |
| PRIMARY Mean Change From Baseline in Red Blood Cell Count at the Indicated Time Points up to Week 12 |
-0.15; -0.04; -0.18; -0.13; -0.48; -0.44 | — |
| PRIMARY Mean Change From Baseline in Hemoglobin at the Indicated Time Points up to Week 12 |
-5.2; -2.3; -6.6; -5.3; -16.7; -14.9 | — |
| PRIMARY Mean Change From Baseline in Hematocrit at the Indicated Time Points up to Week 12 |
-0.0196; -0.0069; -0.0201; -0.0166; -0.0539; -0.0465 | — |
| PRIMARY Mean Change From Baseline in Mean Corpuscle Volume at the Indicated Time Points up to Week 12 |
-1.1; -0.8; -0.4; -0.7; -2; -1.4 | — |
| PRIMARY Mean Change From Baseline in Albumin at the Indicated Time Points up to Week 12 |
-0.6; -0.3; -1.1; -1; -1.3; -1.5 | — |
| PRIMARY Mean Change From Baseline in Alkaline Phosphatase (ALP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST), Creatine Kinase (CK) and Gamma Glutamyl Transferase (GGT) at the Indicated Time Points up to Week 12 |
0; 1.5; 3.9; -0.2; 4.6; 3.8 | — |
| PRIMARY Mean Change From Baseline in Direct Bilirubin, Total Bilirubin and Creatinine at the Indicated Time Points up to Week 12 |
6.9; 6.7; 8.1; 4.2; 5.8; 5.5 | — |
| PRIMARY Mean Change From Baseline in Chloride, Bicarbonate, Glucose, Potassium, Sodium, Inorganic Phosphorus and Urea/Blood Urea Nitrogen (BUN) at the Indicated Time Points up to Week 12 |
0.5; -0.4; 0.6; -0.2; 0.7; 0.1 | — |
| PRIMARY Mean Change From Baseline in Creatinine Clearance at the Indicated Time Points up to Week 12 |
1.5; -2.1; -9.5; 5.7; 3.3; 4.7 | — |
| PRIMARY Number of Participants With Shift From Baseline in Urinalysis Data up to Week 12 |
1; 0; 0; 0; 37; 34 | — |
| PRIMARY Mean Change From Baseline in Electrocardiographic (ECG) Heart Rate Values at the Indicated Time Points up to Week 12 |
3.3; 0.8; 4.1; 4.8; 8.3; 5.1 | — |
| PRIMARY Mean Change From Baseline in PR Interval, QRS Duration, Uncorrected QT Interval and QT Interval Corrected Bazett's Formula (QTcB), QT Interval Corrected Using Fridericia's Formula (QTcF) Values at the Indicated Time Points up to Week 12 |
0.5; 1.2; 2.7; -1.6; 2.9; 3.2 | — |
| SECONDARY Number of Participants With Any AEs and Any SAEs After Week 12 |
21; 22; 8; 9; 2; 1 | — |
| SECONDARY Number of Participants Achieving Very Rapid Virologic Response (vRVR), Rapid Virologic Response (RVR), Complete Early Virologic Response (cEVR), Sustained Virologic Response 12 and 24 (SVR12 and SVR24) With Response Guided Treatment (RGT) |
8; 12; 8; 6; 23; 23 | — |
| SECONDARY Mean GSK2336805 Plasma Concentrations on Day 1, Day 2, Week 4, and Week 12 |
NA; 604; 290.39; 445.18; NA; 221.33 | — |
| SECONDARY Maximum Plasma Concentration (Cmax) and Concentration at the End of the Dosing Interval (Ctau) of GSK2336805 at Week 4 |
335.35; 618.75; 31.37; 49.31 | — |
| SECONDARY Time of Maximal Plasma Concentration (Tmax) of GSK2336805 at Week 4 |
2; 2 | — |
| SECONDARY Area Under the Concentration-time Curve Over the Dosing Interval (AUC[0-tau]) at Week 4 |
2733.34; 4948.23 | — |
| SECONDARY Apparent Clearance (CL/F) at Week 4 |
14.63; 12.13 | — |
| SECONDARY Apparent Volume of Distribution (Vz/F) at Week 4 |
172.81; 125.09 | — |
| SECONDARY Mean Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils, Platelet Count and White Blood Cell Count at the Indicated Time Points After Week 12 |
-0.019; -0.01; -0.014; -0.012; -0.018; -0.01 | — |
| SECONDARY Mean Change From Baseline in Red Blood Cell Count at the Indicated Time Points After Week 12 |
-1.13; -0.88; -1.19; -0.99; -1.13; -0.94 | — |
| SECONDARY Mean Change From Baseline in Hemoglobin at the Indicated Time Points After Week 12 |
-33.6; -26.7; -35; -29; -33.4; -28 | — |
| SECONDARY Mean Change From Baseline in Hematocrit at the Indicated Time Points After Week 12 |
-0.083; -0.0622; -0.0776; -0.0699; -0.0782; -0.0635 | — |
| SECONDARY Mean Change From Baseline in Mean Corpuscle Volume at the Indicated Time Points After Week 12 |
7.5; 6.2; 8.5; 5.3; 8.5; 7.5 | — |
| SECONDARY Mean Change From Baseline in Albumin at the Indicated Time Points After Week 12 |
-2.3; -1.4; -1.8; -1; -2.1; -1.6 | — |
| SECONDARY Mean Change From Baseline in ALP, ALT, AST, CK and GGT at the Indicated Time Points After Week 12 |
2.5; 1.1; 2.2; 6.4; 0.8; 3.3 | — |
| SECONDARY Mean Change From Baseline in Total Bilirubin and Creatinine at the Indicated Time Points After Week 12 |
0.5; 1.7; -1.4; 0.6; -0.1; 1 | — |
| SECONDARY Mean Change From Baseline in SBP and DBP at the Indicated Time Points After Week 12 |
— | — |
| SECONDARY Mean Change From Baseline in Heart Rate at the Indicated Time Points After Week 12 |
— | — |
| SECONDARY Mean Change From Baseline in ECG Heart Rate Values at the Indicated Time Points After Week 12 |
— | — |
| SECONDARY Mean Change From Baseline in PR Interval, QRS Duration, Uncorrected QT Interval, QTcB, QTcF Values at the Indicated Time Points After Week 12 |
— | — |
| SECONDARY Mean Change From Baseline in Chloride, Bicarbonate, Glucose, Potassium, Sodium, Inorganic Phosphorus and Urea/BUN at the Indicated Time Points After Week 12 |
1.9; 1; 1.8; 0.5; 2; 0.7 | — |
| SECONDARY Mean Change From Baseline in Creatinine Clearance at the Indicated Time Points After Week 12 |
-0.1; -1.1; -2.5; -4.3; -1.9; -1 | — |
| SECONDARY Correlation of Individual GSK2336805 Dose With Week 4 Plasma AUC(0-tau) Versus eRVR Status |
— | — |
| SECONDARY Correlation of Individual GSK2336805 Dose With Week 4 Plasma Cmax, Ctau, C0 Versus eRVR Status |
— | — |
| SECONDARY Correlation of Individual GSK2336805 Dose With Week 4 Plasma AUC(0-tau) Versus RVR Status |
— | — |
| SECONDARY Correlation of Individual GSK2336805 Dose With Week 4 Plasma Cmax, Ctau, C0 Versus RVR Status |
— | — |
| SECONDARY Correlation of Individual GSK2336805 Dose With Pre-dose Plasma Concentration at Week 4 and Week 12 Versus eRVR Status |
— | — |
| SECONDARY Correlation GSK2336805 Pre-dose Plasma Concentration on Day 2 Versus Reduction in HCV RNA on Day 2 |
— | — |
Eligibility Criteria
Inclusion Criteria
- Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
- Male or female aged 18 to 70 years of age, inclusive, at Screening.
- Genotype 1 or genotype 4 hepatitis C virus (HCV) infection as assessed by Versant HCV Genotype assay 2.0 (LiPA).
- Chronic HCV infection documented by at least 1 measurement of serum HCV RNA greater than or equal to 100,000 IU/mL measured during Screening by the COBAS High Pure/COBAS TaqMan HCV Test v2.0 and at least one of the following:
- A positive anti-HCV antibody, HCV RNA, or HCV genotype test at least 6 months prior to Baseline (Day 1) together with positive HCV RNA and anti-HCV antibody tests at the time of Screening; or
- A positive HCV RNA test and anti-HCV antibody test at the time of Screening together with either a liver biopsy consistent with chronic HCV infection (or a liver biopsy performed before enrollment with evidence of chronic hepatitis C disease, such as the presence of fibrosis).
- Naïve to all HCV antiviral treatment(s), including, but not limited to, immunomodulatory and nucleoside/nucleotide treatments for chronic HCV infection.
- Agree to interleukin 28B (IL28B) genotyping.
- A subject, who, in the opinion of the investigator, is an appropriate candidate for pegylated interferon alpha-2a (PEG)/ribavirin (RIBA)/protease inhibitor combination therapy for genotype 1 subjects and PEG/RIBA combination therapy for genotype 4 subjects.
- Body mass index >18 kg/m2 but not exceeding 36 kg/m2.
- A liver biopsy obtained within 3 years (36 calendar months) prior to the Day 1 visit, with a fibrosis classification of noncirrhotic as judged by a local pathologist (defined as Knodell less than or equal to 3, Metavir less than or equal to 2, Ishak less than or equal to 4, or Batts and Ludwig less than or equal to 2). Both incomplete and transition to cirrhosis (e.g., Metavir score 3) are considered as cirrhosis. If no recent ( Grade 1 nonalcoholic steatohepatitis, and toxin exposures). Subjects with Gilbert's syndrome who otherwise meet all inclusion/exclusion criteria are eligible.
- History of ascites, variceal hemorrhage, hepatic encephalopathy, or conditions consistent with decompensated liver disease
- Positive results on urine screen for drugs of abuse test at Screening (unless used as medical treatment, e.g., with a prescription)
- History of alcohol/drug abuse or dependence within 6 months of the study start (unless participating in a controlled rehabilitation program)
- Screening visit electrocardiogram corrected QT (QTc) interval value >450 ms and/or clinically significant electrocardiogram findings
- Personal or family history of Torsade de Pointes findings
- Pregnant or nursing
- Male with a female partner who is pregnant
- Abnormal hematological and biochemical parameters, including:
- Neutrophil count 10 mg/day and radiation) within 6 months of the baseline visit or expects that such treatment will be needed at any time during the study.
- Participated in a clinical study with an investigational drug, biologic, or device within 3 months prior to the first dose administration.
- History of a known allergy to antiviral medications, including telaprevir, pegylated interferon alpha-2a (PEG), ribavirin (RIBA), or any excipient in the investigational product or history of drug or other allergy that, in the opinion of the investigator, contradicts participation.
- Requires prohibited medications
Data sourced from ClinicalTrials.gov (NCT01648140). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.