Safety, Antiviral Activity and PK of MRD of BI 201335 in Chronic Hepatitis C Patients Both Treatment Naive and -Experienced
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Purpose
This study will investigate safety, antiviral activity, and pharmacokinetics of BI 201335 NA in HCV genotype 1 infected patients treated for 14 days monotherapy followed by BI 201335 NA combination therapy with PegIFN/RBV for an additional 14 days for treatment-naïve patients; or for 28 days as BI 201335 NA combination therapy with PegIFN/RBV for treatment-experienced patients.
A secondary objective is to investigate antiviral activity, potential drug-drug interactions and safety of combination therapy of BI 201335 NA and PegIFN/RBV up to 28 days for treatment-naïve patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C, Chronic |
Drug: BI201335 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Safety, Antiviral Activity, and Pharmacokinetics of Multiple Rising Oral Doses of BI 201335 NA in Treatment-naïve Patients With Chronic Hepatitis C Infection for 14 Days Monotherapy Followed by Combination With Pegylated Interferon and Ribavirin for an Additional 14 Days (Double-blind, Placebo Controlled), and in Treatment-experienced Patients With Chronic Hepatitis C Infection for 28 Days as Combination Therapy With Pegylated Interferon and Ribavirin (Open-label) |
- Efficacy: VR of >=2 log10 reduction in HCV RNA from baseline at any time up to Day 14 (naïve patients) or Day 28 (experienced patients) [ Time Frame: 28 Days ] [ Designated as safety issue: No ]
- Safety: occurrence of AEs, SAEs, and lab abnormalities [ Time Frame: 28 Days ] [ Designated as safety issue: No ]
- Efficacy: RVR, EVR, SVR [ Time Frame: 72 Weeks ] [ Designated as safety issue: No ]
- Pharmacokinetic: plasma concentration and drug drug interaction [ Time Frame: 72 Weeks ] [ Designated as safety issue: No ]
| Enrollment: | 96 |
| Study Start Date: | September 2007 |
| Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 20mg
patient to receive 20mg solution BI201335 qd +/- PegIFN/RBV fore 28 days
|
Drug: BI201335
patient to receive 240mg solution BI201335 qd +/- PegIFN/RBV fore 28 days
|
|
Experimental: 48mg
patient to receive 48mg solution BI201335 qd +/- PegIFN/RBV fore 28 days
|
Drug: BI201335
patient to receive rising doses of BI201335 solution qd +/- PegIFN/RBV fore 28 days
|
|
Experimental: 120mg
patient to receive 120mg solution BI201335 qd +/- PegIFN/RBV fore 28 days
|
Drug: BI201335
patient to receive rising doses of BI201335 solution qd +/- PegIFN/RBV fore 28 days
|
|
Experimental: 240mg
patient to receive 240mg solution BI201335 qd +/- PegIFN/RBV fore 28 days
|
Drug: BI201335
patient to receive rising doses of BI201335 solution qd +/- PegIFN/RBV fore 28 days
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion criteria:
1a. For treatment-naïve patients: no prior therapy with interferon, peginterferon, or ribavirin for acute or chronic hepatitis C infection
1b. For treatment-experienced patients: confirmed virological failure during or after combination treatment with an approved dose of alfa-2a or alfa-2b peginterferon combined with ribavirin; such patients must have received at least 12 weeks of therapy with a 90 day washout period prior to screening and must have documentation of medical history prior to enrolment in 1220.2 2. Age 18 years or older 3. Signed informed consent form prior to trial participation 4. Male or female with documented hysterectomy or menopausal female with last menstrual period at least 6 months prior to screening 5. Chronic hepatitis C infection of genotype 1, diagnosed by positive HCV serology test (HCV Ab positive) or detectable HCV RNA at least 6 months prior to screening 6. HCV viral load >= 100,000 IU/mL at screening 7. TSH and T4 within normal limits or adequately controlled thyroid function 8. Histological evidence within 36 months prior to study enrolment of any degree of chronic necroinflammatory activity or the presence of fibrosis (Ishak Grade 1-4 or Metavir Grade 1-3)
Exclusion criteria:
- Patients who have been previously treated with at least one dose of any protease inhibitor for acute or chronic hepatitis C infection
- Evidence of liver disease due to causes other than chronic HCV infection
- Positive ELISA for HIV-1 or HIV-2
- Hepatitis B virus (HBV) infection based on presence of Hbs Ag or HBV DNA
- Any previous liver biopsy consistent with cirrhosis
- Decompensated liver diseases as evidenced by ascites, portal hypertension, jaundice or hepatic encephalopathy
- Haemophilia
- Hemoglobinopathy (e.g., thalassemia major or sickle cell anemia)
- Severe pre-existing psychiatric disease
- Poorly controlled diabetes mellitus
- Ischaemic heart disease
- Chronic obstructive airway disease
- Autoimmune disease; including autoimmune hepatitis
- History of alcohol abuse within the past 12 months
- Hyperbilirubinemia (conjugated bilirubin) >1.5x ULN
- Alkaline phosphatase >1.5x ULN
- ALT and AST levels >= 5 x ULN
- Hemoglobin < 12.0 g/dL for women and < 13.0 g/dL for men
- White blood cell count < 2000 cells/mm3
- Absolute Neutrophil Count < 1500 cells/mm3
- Platelet count < 100,000 cells/mm3
- Prothrombin time INR (Institutional Normalized Ratio) prolonged to > 1.5 x ULN
- Usage of any investigational drug within 30 days prior to enrolment; or the planned usage of an investigational drug during the course of the current study
- Known hypersensitivity to study drugs
Contacts and Locations| United States, California | |
| 1220.2.15 Boehringer Ingelheim Investigational Site | |
| San Francisco, California, United States | |
| 1220.2.10 Boehringer Ingelheim Investigational Site | |
| San Francisco, California, United States | |
| United States, Maryland | |
| 1220.2.17 Boehringer Ingelheim Investigational Site | |
| Baltimore, Maryland, United States | |
| United States, New York | |
| 1220.2.12 Boehringer Ingelheim Investigational Site | |
| New York, New York, United States | |
| 1220.2.11 Boehringer Ingelheim Investigational Site | |
| New York, New York, United States | |
| United States, Texas | |
| 1220.2.14 Boehringer Ingelheim Investigational Site | |
| Austin, Texas, United States | |
| France | |
| 1220.2.3304A Boehringer Ingelheim Investigational Site | |
| Lyon, France | |
| 1220.2.3303A Boehringer Ingelheim Investigational Site | |
| Marseille, France | |
| 1220.2.3302A Boehringer Ingelheim Investigational Site | |
| Paris, France | |
| 1220.2.3301A Boehringer Ingelheim Investigational Site | |
| Paris, France | |
| Germany | |
| 1220.2.49002 Boehringer Ingelheim Investigational Site | |
| Berlin, Germany | |
| 1220.2.49005 Boehringer Ingelheim Investigational Site | |
| Düsseldorf, Germany | |
| 1220.2.49006 Boehringer Ingelheim Investigational Site | |
| Hannover, Germany | |
| 1220.2.49004 Boehringer Ingelheim Investigational Site | |
| Kiel, Germany | |
| 1220.2.49003 Boehringer Ingelheim Investigational Site | |
| Mainz, Germany | |
| Spain | |
| 1220.2.34001 Boehringer Ingelheim Investigational Site | |
| Madrid, Spain | |
| Study Chair: | Boehringer Ingelheim | Boehringer Ingelheim Pharmaceuticals |
More Information
No publications provided by Boehringer Ingelheim Pharmaceuticals
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Boehringer Ingelheim, Study Chair, Boehringer Ingelheim |
| ClinicalTrials.gov Identifier: | NCT00793793 History of Changes |
| Other Study ID Numbers: | 1220.2, 2007-001158-19 |
| Study First Received: | September 23, 2008 |
| Last Updated: | May 4, 2011 |
| Health Authority: | France: AFSSAPS Germany: BfArM-Bundesinstitut fuer Arzneimittel und Medizinprodukte (Federal Authoriteis for Drugs and Medical Devices) Spain: Spanish Agency for Medicines and Health Products United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis, Chronic Hepatitis C Hepatitis C, Chronic Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases |
Enterovirus Infections Picornaviridae Infections RNA Virus Infections Flaviviridae Infections Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013