Evaluate the Efficacy and Safety of TG-2349 in Subjects With Hepatitis C Infection
Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Proportion of Subjects Achieving Sustained Viral Response at 12 Weeks After the End of Treatment. |
11; 10 | — |
| SECONDARY Proportion of Subjects Achieving Sustained Viral Response at 4, 8, and 24 Weeks After the End of Treatment (SVR4, SVR8, and SVR24) |
12; 10; 11; 10; 11; 10 | — |
| SECONDARY Proportion of Subjects Achieving HCV RNA < Lower Limit of Quantification, Target Detected or Target Not Detected (< LLOQ, TD or TND) |
0; 0; 1; 0; 3; 4 | — |
| SECONDARY Proportion of Subjects Achieving HCV RNA < LLOQ, TND |
0; 0; 0; 0; 1; 1 | — |
| SECONDARY Mean Absolute Values in HCV RNA (log10 IU/mL) |
5.8; 5.9; 1.9; 2.0; 1.4; 1.4 | — |
| SECONDARY Proportion of Subjects Experiencing Virologic Failure During Treatment and Viral Relapse After the End of Treatment. |
1; 2; 0; 1; 1; 1 | — |
| SECONDARY Proportion of Subjects With Abnormal Alanine Aminotransferase (ALT) Levels at Baseline Who Achieved Normal Limit of ALT at Final Treatment Visit. |
7; 7; 2; 5 | — |
| SECONDARY Change From Baseline in HCV RNA (log10 IU/mL) |
-3.8; -3.9; -4.4; -4.5; -4.6; -4.8 | — |
Eligibility Criteria
Inclusion Criteria
- Willing and able to provide written informed consent.
- East Asian subjects, male or female, and age between 18 (or legal adult age) and 70 years, inclusive, at Baseline/Day 1.
- Body mass index (BMI) in the range of 18.0 to 35.0 kg/m2 (inclusive) and body weight ≥ 40 kg.
- Presence of chronic hepatitis C (CHC) as documented below:
(1) A positive anti-HCV antibody test or positive HCV RNA or positive HCV genotyping test at least 6 months prior to the Baseline/Day 1 visit or (2) A liver biopsy or FibroTest performed prior to the Baseline/Day 1 visit with evidence of chronic HCV infection, such as the presence of fibrosis and/or inflammation.
- Positive for anti-HCV antibody at Screening. 6. Presence of an HCV RNA level ≥ 1 x 10000 IU/mL at Screening as determined by the Central Laboratory.
- Presence of genotype 1b HCV-infection at Screening as determined by the Central Laboratory. Any non-definitive results will exclude the subject from study participation.
- HCV treatment naïve defined as no prior therapy with any interferon (IFN), ribavirin (RBV), or other approved or investigational HCV-specific agent.
- Absence of cirrhosis
Cirrhosis as defined as any one of the following:
- Liver biopsy showing cirrhosis (e.g., Metavir score = 4 or Ishak score ≥ 5).
- FibroScan showing cirrhosis or results > 12.5 kPa.
- FibroTest fibrosis score of > 0.58 and APRI (AST: platelet ratio index) of > 2 during Screening.
If no definitive diagnosis of cirrhosis by the above criteria, a liver biopsy is required; liver biopsy results will supersede non-invasive testing results and be considered definitive.
- Screening ECG without clinically significant abnormalities. 11. Subjects must have the following laboratory parameters at Screening:
- ALT ≤ 10 × the upper limit of normal (ULN)
- AST ≤ 10 × ULN
- Total bilirubin ≤ 1.5 × ULN except history of Gilbert's syndrome. If Gilbert's syndrome is the proposed etiology, the total bilirubin must ≤ 2 × ULN.
- Absolute neutrophil count (ANC) ≥ 1, 500 cells/mm3
- Platelet count ≥ 90,000 cells/mm3
- HbA1c ≤ 8.5%
- Thyroid stimulating hormone (TSH) and free T4 ≤ ULN
- Creatinine clearance (CLcr) ≥ 60 mL /min, as calculated by the Cockcroft-Gault equation
- Serum creatinine ≤ 1.5 × ULN
- Hemoglobin ≥ 11 g/dL for female subjects; ≥ 12 g/dL for male subjects
- Albumin ≥ 3.5 g/dL
- INR (International Normalized Ratio for Prothrombin Time) ≤ 1.5 x ULN unless subject is stable on an anticoagulant regimen affecting INR
- Anti-nuclear antibodies (ANA) ≤ 1: 320. 12. Subject must be of generally good health, with the exception of chronic HCV infection, as determined by Investigator.
- Subject must be able to comply with the dosing instructions for study drug administration and able to complete the study schedule of assessments, including all required Post-Treatment visits.
- A female subject is eligible to enter the study if it is confirmed that she is:
(1) Not pregnant or nursing. (2) Of non-childbearing potential (i.e., women who have had a hysterectomy, have both ovaries removed or medically documented ovarian failure, or are postmenopausal - women > 50 years of age with cessation (for ≥12 months) of previously occurring menses), or (3) Of childbearing potential (i.e., women who have not had a hysterectomy, have not had both ovaries removed, and have not had medically documented ovarian failure).
Women ≤ 50 years of age with amenorrhea will be considered to be of childbearing potential. These women must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at the Baseline/Day 1 visit prior to randomization. They must also agree to one of the following from Screening until 6 months after the last dose of study drug(s):
- Complete abstinence from intercourse. Periodic abstinence from intercourse (e.g., calendar, ovulation, symptothermal, post-ovulation methods) is not permitted.
Or - Consistent and correct use of 1 of
Data sourced from ClinicalTrials.gov (NCT02340962). 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.