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Phase 2 Completed N=161 Randomized Treatment

A Study to Evaluate the Safety, Pharmacokinetics and Efficacy of the Combination of AL-335, Odalasvir, and Simeprevir

Source: ClinicalTrials.gov NCT02569710 ↗
Enrolled (actual)
161
Serious AEs
4.4%
Results posted
Jul 2019
Primary outcomePrimary: Number of Participants With Treatment Emergent Adverse Event (TEAE) — 17; 19; 14; 13 Participants

Summary

The purpose of this study is to evaluate the safety and tolerability of AL-335 in combination with odalasvir (ODV) with or without simeprevir (SMV) in participants with genotype (GT)1 or GT2 or GT3 chronic hepatitis C (CHC) infection.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Treatment Emergent Adverse Event (TEAE)
17; 19; 14; 13; 7; 4
PRIMARY
Body Weight at End of Treatment
76.02; 84.58; 80.19; 74.07; 73.09; 81.30
PRIMARY
Body Mass Index (BMI) at End of Treatment
25.89; 28.43; 26.45; 25.46; 25.60; 25.60
PRIMARY
Percentage of Participants With Worst Post-Baseline Values of Vital Signs
0; 0; 0; 0; 0; 0
PRIMARY
Percentage of Participants With Maximum Decrease From Baseline in Mean Ejection Fraction
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
PRIMARY
Percentage of Participants by Treatment Emergent Toxicity Grade - Hematology Parameters
5.0; 0.0; 0.0; 5.0; 0.0; 0.0
PRIMARY
Percentage of Participants by Treatment Emergent Toxicity Grade - Blood Chemistry Parameters
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
PRIMARY
Percentage of Participants by Treatment Emergent Toxicity Grade - Prothrombin International Normalized Ratio (INR)
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
PRIMARY
Percentage of Participants by Treatment Emergent Toxicity Grade - Urinalysis Parameter (Protein)
0.0; 4.0; 0.0; 0.0; 0.0; 0.0
PRIMARY
Percentage of Participants With Worst Treatment Emergent Abnormalities of Electrocardiogram (ECG) Parameters
5.0; 0.0; 5.0; 0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Sustained Virologic Response (SVR) at Week 4, 12 and 24 After End of Treatment
100; 96.0; 100; 100; 87.5; 0
SECONDARY
Minimum Observed Plasma Concentration (Cmin) of AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
0.0; 0.0; 0.0; 0.0; 0.0; 0.000
SECONDARY
Maximum Observed Plasma Concentration (Cmax) of AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
414.79; 547.36; 563.04; 529.17; 677.59; 103.57
SECONDARY
Trough Plasma Concentration (Ctrough) for AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
4.640; 4.570; 4.400; 42.74; 36.77; 61.82
SECONDARY
Time to Reach the Maximum Plasma Concentration (Tmax) of AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
2.000; 2.000; 1.500; 1.000; 2.000; 3.0
SECONDARY
Area Under the Plasma Concentration-Time Curve From Time 0 to Last Measurable Plasma Concentration (AUC [0-last]) of AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
1049.3; 1185.8; 1526.3; 1178.5; 1774.8; 469.3
SECONDARY
Area Under the Plasma Concentration Time-Curve at 24 Hours (AUC0-24) for AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
1058.0; 1197.2; 1532.7; 1187.3; 1792.2; 500.5
SECONDARY
Last Measurable Plasma Concentration (Clast) of AL-335 and Its Metabolite (ALS-022399 and ALS-022227)
5.931; 7.077; 4.983; 5.698; 5.811; 5.995
SECONDARY
Time Corresponding to Last Measurable Plasma Concentration (Tlast) for AL-335 and Its Metabolites (ALS-022399 and ALS-022227)
6.000; 6.000; 6.000; 6.025; 8.670; 12.000
SECONDARY
Average Plasma Concentration at Steady State (Css,Avg) of ALS-022227
121.49; 135.20; 218.88; 217.17; 227.37
SECONDARY
Cmin of Simeprevir
379.75; 452.65; 517.00; 561.19
SECONDARY
Cmax of Simeprevir
1927.7; 1537.6; 1769.3; 1925.1
SECONDARY
Ctrough of Simeprevir
475.42; 570.64; 669.00; 636.88
SECONDARY
Tmax of Simeprevir
6.000; 6.000; 6.000; 6.000
SECONDARY
AUC (0-last) of Simeprevir
25018.2; 23061.3; 25266.7; 27070.7
SECONDARY
AUC (0-24) of Simeprevir
25018.2; 23061.3; 25266.7; 27070.7
SECONDARY
Clast of Simeprevir
402.55; 481.76; 538.67; 602.60
SECONDARY
Tlast of Simeprevir
24.00; 24.00; 24.00; 23.90
SECONDARY
Average Plasma Concentration at Steady State (Css,Avg) of Simeprevir
1042.8; 960.5; 1053.8; 1134.6
SECONDARY
Cmin of Odalasvir
322.45; 97.21; 107.90; 102.73; 131.31
SECONDARY
Cmax of Odalasvir
634.27; 363.36; 322.46; 232.85; 298.67
SECONDARY
Ctrough of Odalasvir
335.18; 100.98; 112.44; 119.82; 141.56
SECONDARY
Tmax of Odalasvir
6.000; 6.000; 6.000; 4.500; 6.000
SECONDARY
AUC (0-last) of Odalasvir
11805.5; 8635.5; 8648.1; 7050.0; 8422.2
SECONDARY
AUC (0-24) for Odalasvir
11805.5; 5530.0; 5393.8; 4048.3; 4924.1
SECONDARY
Clast of Odalasvir
384.09; 162.65; 163.54; 131.92; 152.47
SECONDARY
Tlast of Odalasvir
24.00; 47.60; 47.50; 47.80; 47.50
SECONDARY
Average Plasma Concentration at Steady State (Css,Avg) of Odalasvir
491.55; 181.60; 181.58; 147.40; 176.86
SECONDARY
Percentage of Participants With Virologic Relapse During the Follow-up Period
0; 16.0; 0; 0; 0; 100.0
SECONDARY
Percentage of Participants With On-treatment Failure
0; 0; 0; 0; 12.5; 0
SECONDARY
Percentage of Participants Who Achieved HCV RNA Less Then (<) LLOQ Undetectable
0; 0; 0; 0; 0; 0
SECONDARY
Percentage of Participants Who Achieved HCV RNA <LLOQ
0; 0; 0; 0; 0; 0
SECONDARY
Time to Achieve Undetectable HCV RNA or < LLOQ HCV RNA
SECONDARY
Number of Participants With HCV Nonstructural Protein NS5A, NS5B, and NS3/4A Sequence in Participants With Virologic Failure
4; 1; 0; 2; 1

Eligibility Criteria

Inclusion Criteria

  • Participant has provided written consent
  • In the Investigator's opinion, the participant is able to understand and comply with protocol requirements, instructions, and protocol stated restrictions and is likely to complete the study as planned
  • Male or female, 18-70 years of age
  • Body mass index (BMI) 18-35 kilogram per meter square (kg/m^2), inclusive
  • A woman of childbearing potential must have a negative serum (beta-human chorionic gonadotropin) pregnancy test at screening
  • Female participants must either:
  • not be of childbearing potential defined as: i. Postmenopausal for at least 12 months (that is [i.e.], 2 years of amenorrhea without an alternative medical cause) and a serum follicle stimulating hormone (FSH) level in the postmenopausal range (per reference laboratory), OR ii. Surgically sterile (example [e.g.], underwent total hysterectomy, bilateral oophorectomy, or bilateral tubal ligation/bilateral tubal clips without reversal operation), or otherwise incapable of becoming pregnant, OR
  • be of childbearing potential AND
  • not heterosexually active (e.g., abstinent or homosexual) from screening until 6 months after study drug administration (or longer, if dictated by local regulations), OR
  • if heterosexually active
  • have a vasectomized partner (confirmed sterile per verbal account of the participant), OR
  • using an acceptable method of birth control from screening and agree to continue to use the same method of contraception throughout the study and for 6 months after study drug administration (or longer, if dictated by local regulations). Oral hormone based contraceptives are not allowed from 14 days before the planned study drug administration until 6 months after the last dose of treatment due to the potential for drug-drug interactions which might undermine their efficacy. An intrauterine device (IUD), being either hormonal (i.e., Intra-Uterine System [IUS*]) or non-hormonal, is considered highly effective and reliable; therefore participants using an IUD/IUS are not required to use additional contraceptive methods (no double-barrier method is required). Other non-oral hormone-based contraception methods (e.g., injectable, implants, transdermal system, vaginal ring) may be continued, but as the interaction of the study drug with hormone-based contraception is unknown, these methods are not considered to be reliable and therefore participants should use a double-barrier method (e.g., male condom+either diaphragm or cervical cap with or without spermicide).
  • An IUS does not rely on systemic plasma concentrations and is therefore not expected to be impacted by a potential drug-drug interaction (DDI)

Note 1: Sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study drug. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the study and the preferred and usual lifestyle of the participant.

Note 2: A male and female condom should not be used together due to risk of breakage or damage caused by latex friction

  • A post-menopausal female who is receiving hormone replacement therapy and is willing to discontinue hormone therapy 30 days before study drug dosing and agrees to remain off hormone replacement therapy for the duration of the study may be eligible for study participation.
  • Male participants must either:
  • be surgically sterile (had a vasectomy), or otherwise incapable of fathering a child, OR
  • not be heterosexually active (e.g., abstinent or homosexual) from enrollment (Day 1) in the study until at least 6 months after study drug administration, OR
  • if heterosexually active:
  • have a partner who is postmenopausal (2 years amenorrhea), surgically sterile (e.g., has had a total hysterectomy, bilateral oophorectomy, or bilateral tubal ligation/bilateral tubal clips without reversal operation), or otherwise incapab
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02569710). 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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