Study of Combination Treatment With IMO-2125 and Ribavirin in Naïve Hepatitis C-infected, Genotype 1 Patients
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Purpose
Phase 1, randomized, double-blind, placebo-controlled, dose-escalation study with 3 dose levels of IMO-2125 in combination with standard weight based ribavirin (investigational treatment arm) or placebo in combination with ribavirin (RBV). Each cohort of 15 patients will be randomized 4:1 to receive the investigational treatment arm (12 patients) or placebo and RBV arm (3 patients).
| Condition | Intervention | Phase |
|---|---|---|
|
Hepatitis C, Treatment Naïve, Genotype 1 Patients |
Drug: IMO-2125 Drug: Saline |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase 1, Multi-center, Randomized, Double-Blind, Placebo-controlled, Dose-escalation Safety Assessment Study of Combination Treatment With IMO-2125 and Ribavirin in Naïve Hepatitis C-infected, Genotype 1 Patients |
- Safety and tolerability of 3 different dosages of IMO-2125 in combination with standard ribavirin compared to placebo and ribavirin. [ Time Frame: 4 weeks ] [ Designated as safety issue: Yes ]
- Assess rapid viral response (RVR) rate, defined as undetectable HCV-RNA at week 4 [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
- Assess the effects of 3 different dosages of IMO-2125 in combination with standard ribavirin on viral load [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
- Characterize the pharmacodynamics in combination with ribavirin in HCV-infected patients [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
- Describe the viral kinetics per individual patient [ Time Frame: 4 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 50 |
| Study Start Date: | September 2009 |
| Study Completion Date: | January 2011 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: Saline
If randomized to placebo the patient will receive a subcutaneous injection once per week for 4 weeks
|
Drug: Saline
Subcutaneous injection once per week for four weeks
|
|
Experimental: IMO-2125
If randomized to receive the experimental treatment, IMO-2125, the patient will receive a subcutaneous injection once per week for 4 weeks
|
Drug: IMO-2125
IMO 2125 is a synthetic DNA-based agonist of Toll-like receptor 9, which is expressed in humans in plasmacytoid dendritic cells and B cells of the immune system.
|
Detailed Description:
This is a phase 1, randomized, double-blind, placebo-controlled, dose-escalation study with 3 dose levels of IMO-2125 in combination with standard ribavirin or placebo plus ribavirin. Each cohort will be randomized 4:1 to receive the investigational treatment arm or placebo and ribavirin. Three varying dose levels of IMO-2125 will be included. In both arms, ribavirin will be dosed based on patient weight.
Approximately 50 patients will be enrolled in France and Russia. Patients will provide informed consent prior to any screening procedures being performed. Screening will occur within 21 days prior to randomization. Enrolled patients who qualify and proceed successfully through the screening period will be randomized to receive 4 weeks of either the investigational treatment arm (IMO-2125 and ribavirin) or placebo and ribavirin, with a 4 week follow-up period.
Patients who are randomized to the investigational treatment arm will receive one of 3 dose levels of IMO 2125 SC once weekly; each patient will receive the same dose throughout the 4 weeks of treatment. In addition to IMO-2125 treatment they will also receive daily ribavirin, which will be given based on the patients weight and will be taken twice daily for a total of 4 weeks.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Documented genotype 1
- HCV-positive with documented detectable plasma viral concentration > 10,000 IU/mL
Exclusion Criteria:
- Positive test for HIV or HbsAg
- Inadequate bone marrow, liver, and renal function
- Treatment with any IFN-based or other experimental or antiviral therapies - prior or current
- Other significant medical disease
- Concurrent or planned treatment during the study
Contacts and Locations
More Information
Additional Information:
No publications provided
| Responsible Party: | Idera Pharmaceuticals, Inc. |
| ClinicalTrials.gov Identifier: | NCT00990938 History of Changes |
| Other Study ID Numbers: | IMO-2125-201 |
| Study First Received: | October 6, 2009 |
| Last Updated: | May 15, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) Russia: Ministry of Health of the Russian Federation |
Additional relevant MeSH terms:
|
Hepatitis Hepatitis A Hepatitis C Liver Diseases Digestive System Diseases Hepatitis, Viral, Human Virus Diseases Enterovirus Infections Picornaviridae Infections |
RNA Virus Infections Flaviviridae Infections Ribavirin Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Antimetabolites Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013