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Phase 1 Completed N=75 Randomized Double-blind Treatment

Multiple Oral Doses of BI 207127 NA in Treatment naïve and Treatment-experienced Hepatitis C Virus (HCV)-Infected Patients

Hepatitis C, Chronic
Source: ClinicalTrials.gov NCT02176525 ↗
Enrolled (actual)
75
Serious AEs
1.4%
Results posted
Jun 2016
Primary outcomePrimary: Virologic Response (VR) — 14.3; 22.2; 55.6; 88.9 percentage of participants

Summary

The purpose of this study was to investigate antiviral activity, safety and pharmacokinetics of 5 days of monotherapy with BI 207127 in HCV genotype 1 (GT1) infected patients. Both treatment-naïve patients and patients previously treated with peginterferon and ribavirin were included. In addition, the effect of study medication was examined in a group of patients with liver cirrhosis.

Outcome Measures

OutcomeResultp-value
PRIMARY
Virologic Response (VR)
14.3; 22.2; 55.6; 88.9; 87.5; 100
SECONDARY
Time Dependent Change From Baseline in Viral Load (VL)
-0.01; -0.03; -0.06; -0.13; 0.09; -0.01
SECONDARY
Cmax
320; 656; 3500; 4060; 6760; 5730
SECONDARY
Cmin
105; 210; 1190; 1520; 3470; 1800
SECONDARY
Tmax
3.00; 3.03; 3.00; 4.00; 6.00; 4.00
SECONDARY
AUC0-τ
1410; 2820; 15900; 18600; 29500; 23600
SECONDARY
Cmax,ss
391; 910; 3780; 6780; 15400; 9030
SECONDARY
Cmin,ss
109; 201; 1150; 2340; 6920; 2100
SECONDARY
Tmax,ss
2.02; 4.00; 2.52; 4.00; 4.00; 4.00
SECONDARY
AUCτ,ss
1930; 4130; 17900; 36800; 86400; 43500
SECONDARY
AUC0-∞,ss
2560; 5420; 22800; 54300; 153000; 51700
SECONDARY
λz,ss
0.189; 0.180; 0.131; 0.117; 0.117; 0.155
SECONDARY
t1/2,ss
3.67; 3.84; 5.31; 5.90; 5.95; 4.48
SECONDARY
CL/F,ss
865; 806; 372; 181; 116; 319
SECONDARY
Vz/F,ss
279; 254; 164; 83.9; 59.7; 110
SECONDARY
Plasma Concentration Time Profiles
54.6; 15.1; 163; 45.4; NA; NA
SECONDARY
Number of Patients With Clinically Significant Changes in Vital Signs (Pulse Rate, Systolic and Diastolic Blood Pressure).
1; 1; 0; 0; 0; 0
SECONDARY
Number of Patients With Abnormal Findings in 12-lead ECG (Electrocardiogram)
13; 9; 9; 12; 5; 8
SECONDARY
Number of Patients With Abnormal Changes in Laboratory Tests
0; 0; 0; 0; 0; 0
SECONDARY
Number of Patients With Adverse Events
4; 2; 3; 7; 5; 4
SECONDARY
Number of Patients With Abnormal Findings in Physical Examination
4; 2; 3; 7; 5; 4
SECONDARY
Assessment of Global Tolerability on a 4-point Scale
11; 9; 8; 12; 4; 8
SECONDARY
Body Temperature
36.429; 36.780; 36.513; 36.550; 35.760; 36.686

Eligibility Criteria

Inclusion Criteria

  • Adults from 18 - 70 years
  • Male OR female with documented hysterectomy OR menopausal female with last menstrual period at least 12 months prior to screening
  • Written informed consent consistent with International Conference on Harmonization/Good Clinical Practice and local legislation given prior to any study procedures
  • Chronic HCV infection demonstrated by positive HCV immunoglobulin G Antibody
  • HCV genotype 1 which has to be confirmed by central laboratory test before Visit 2
  • For non-cirrhotic cohorts: Liver biopsy obtained within the last 36 months consistent with HCV infection showing minimal to mild liver fibrosis and without cirrhosis (Ishak or Metavir grade ≤ 2). For cirrhotic cohorts, previous liver biopsy or Fibroscan consistent with liver cirrhosis performed at any time before screening
  • HCV RNA load > 100, 000 IU RNA per ml serum at screening

Exclusion Criteria

  • All fertile males not willing to use an adequate form of contraception (condom, sterilisation at least 6 months post operation) in case their partner is of childbearing potential and is not using an adequate form of contraception (hormonal contraceptives, oral or injectable/ implantable, intra-uterine device)
  • Patients who have been treated with at least one dose of any HCV-polymerase inhibitor for acute or chronic hepatitis C infection
  • Any other or additional plausible cause for chronic liver disease, including the presence of other viruses known or suspected to cause hepatitis
  • Decompensated liver disease within past 12 months, as indicated by variceal bleeding, ascites, encephalopathy, Prothrombin or International Normalized Ratio (INR) prolonged to >1.7 x upper limit of normal (ULN), serum bilirubin > 2 mg/dl or albumin 7)
  • For non-cirrhotic cohorts: Any previous liver biopsy consistent with cirrhosis. For cirrhotic cohorts: Any liver biopsy or fibroscan result from last 2 years excluding liver cirrhosis.
  • Positive test for human immunodeficiency virus (HIV) or hepatitis B antigen at screening
  • Current alcohol or drug abuse, or history of the same, within the past six (6) months. Exception: Occasional use of cannabis is not an exclusion criterion. The investigator must however instruct the patient that consumption of cannabis is not allowed during the treatment period.
  • Any concurrent disease (cardiovascular, pulmonary, renal, haematological, neurological, psychiatric, immunologic, metabolic or endocrine dysfunction) if clinically significant based on the investigator's medical assessment at screening. A clinically significant disease is defined as one which in the opinion of the investigator may either put the patient at risk because of participation in the study or may influence the results of the study or the patient's ability to participate in the study. Exclusion is also necessary for any pre-existing cardiac abnormality by history.
  • Clinically significant abnormalities at screening ECG, including but not limited to a QTc longer than 435 msec, Pulse Rate > 240 msec at baseline and any bundle branch block pattern, but not necessarily non-specific T wave abnormalities
  • History of malignancy (except for previously cured squamous cell or basal cell carcinoma)
  • Patients treated with any interferon (IFN) (approved or investigational) or Peg-IFN and/or Ribavirin within 3 months prior to screening
  • Planned or concurrent usage of any other pharmacological therapy including any antiviral therapy or vaccination from 7 days before treatment and during treatment
  • Usage of any investigational drug within thirty (30) days prior to enrolment or 5 halflives, whichever is longer; or the planned usage of an investigational drug during the course of the current study
  • Known hypersensitivity to drugs or excipients
  • Patients with any one of the following laboratory values at screening:
  • Alanine transaminase (ALT) > 3x ULN, local lab
  • Aspartate aminotransferase (AST) > 3x ULN, local lab
  • Total bilirubin > 1.5x ULN, loca
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02176525). 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.

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