A Study to Evaluate the Safety, Tolerability, and Effectiveness of a 12-Week Combination Therapy of TMC647055 and TMC435 With and Without GSK23336805 With a Pharmacokinetic Enhancer With and Without Ribavirin in Patients Infected With Chronic Genotype 1 Hepatitis C Virus
A Phase IIa, Open-label Trial to Evaluate the Safety, Tolerability and Efficacy of a 12 Weeks Combination Therapy of TMC647055 and TMC435 With and Without GSK23336805 With a Pharmacokinetic Enhancer With and Without Ribavirin in Chronic Genotype 1 Hepatitis C Infected Patients
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Documented chronic genotype 1a or genotype 1b hepatitis C virus (HCV) infection with HCV ribonucleic acid (RNA) level >100,000 IU/mL at screening
- Treatment-naive or documented prior relapser to previous treatment regimens and has stopped treatment at least 3 months before screening
- Liver biopsy within 3 years before the screening visit or elastography results available prior to first study drug dosing
- Medically stable based on physical examination, medical history, vital signs, and electrocardiogram performed at screening
- Body mass index of 18.0 to 32.0 kg/m2 and body weight more than 50 kg
Exclusion Criteria:
- Evidence of liver cirrhosis by liver biopsy or the presence of esophageal varices or a transient elastography result of >14.6 kPa within 2 years prior to first dosing
- Evidence of decompensated liver disease defined as prior history or current evidence of ascites, hepatic encephalopathy, bleeding oesophageal or gastric varices
- Evidence of any significant liver disease in addition to hepatitis C (including but not limited to hepatitis B, drug- or alcohol-related cirrhosis, autoimmune hepatitis, hemochromatosis, Wilson's disease, non-alcoholic steatohepatitis, or primary biliary cirrhosis)
- Receiving or has received any HCV-specific direct antiviral agent (HCV protease inhibitors, HCV nucleoside polymerase inhibitors, HCV non-nucleoside polymerase inhibitors, HCV NS5a inhibitors or any other HCV inhibitor targeting an HCV protein or a target involved in the HCV replication cycle
- Co-infected with human immunovirus (HIV)-1 or HIV-2, with non-genotype 1a/1b HCV, or hepatitis A or B virus infection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Panel 1
10 chronic HCV genotype 1a (GT1a) infected treatment-naive patients/prior relapsers who will receive 12 weeks of treatment with TMC435 + TMC647055 + low-dose ritonavir and ribavirin.
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=200, form=tablet, route=oral.
5 to 6 (1000 or 1200 mg) tablets will be administered once daily, divided in 2 daily doses.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment 5 or 6 (depending on bodyweight) tablets of ribavirin (equivalent to 200 mg/tablet) per day, divided in 2 daily doses for an additional 12 or 36 weeks.
Type=exact number, unit=mcg, number=180, form=solution, route=subcutaneous injection.
PegIFN 0.5 mL prefilled syringe equivalent to 180 mcg will be administered as a subcutaneous (under the skin) injection as follow-up (FU) treatment for 12 or 36 weeks based on follow-up treatment principles as described in the protocol.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment with Pegylated interferon alpha-2a (PegIFN) 0.5 mL prefilled syringe equivalent to 180 mcg administered as a subcutaneous (under the skin) injection for an additional 12 or 36 weeks.
|
|
Experimental: Panel 2 Arm 1
10 chronic HCV GT1b infected treatment-naive patients/ prior relapsers will receive TMC435 + TMC647055 + low-dose ritonavir and ribavirin.
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=200, form=tablet, route=oral.
5 to 6 (1000 or 1200 mg) tablets will be administered once daily, divided in 2 daily doses.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment 5 or 6 (depending on bodyweight) tablets of ribavirin (equivalent to 200 mg/tablet) per day, divided in 2 daily doses for an additional 12 or 36 weeks.
Type=exact number, unit=mcg, number=180, form=solution, route=subcutaneous injection.
PegIFN 0.5 mL prefilled syringe equivalent to 180 mcg will be administered as a subcutaneous (under the skin) injection as follow-up (FU) treatment for 12 or 36 weeks based on follow-up treatment principles as described in the protocol.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment with Pegylated interferon alpha-2a (PegIFN) 0.5 mL prefilled syringe equivalent to 180 mcg administered as a subcutaneous (under the skin) injection for an additional 12 or 36 weeks.
|
|
Experimental: Panel 2 Arm 2
10 chronic HCV GT1b infected treatment-naive patients/ prior relapsers will receive TMC435 + TMC647055 + low-dose ritonavir.
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=200, form=tablet, route=oral.
5 to 6 (1000 or 1200 mg) tablets will be administered once daily, divided in 2 daily doses.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment 5 or 6 (depending on bodyweight) tablets of ribavirin (equivalent to 200 mg/tablet) per day, divided in 2 daily doses for an additional 12 or 36 weeks.
Type=exact number, unit=mcg, number=180, form=solution, route=subcutaneous injection.
PegIFN 0.5 mL prefilled syringe equivalent to 180 mcg will be administered as a subcutaneous (under the skin) injection as follow-up (FU) treatment for 12 or 36 weeks based on follow-up treatment principles as described in the protocol.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment with Pegylated interferon alpha-2a (PegIFN) 0.5 mL prefilled syringe equivalent to 180 mcg administered as a subcutaneous (under the skin) injection for an additional 12 or 36 weeks.
|
|
Experimental: Panel 3 - Arm 1
8 chronic HCV GT1a infected treatment naïve patients/prior relapsers will receive TMC435 + TMC647055 + low-dose ritonavir + ribavirin.
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=200, form=tablet, route=oral.
5 to 6 (1000 or 1200 mg) tablets will be administered once daily, divided in 2 daily doses.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment 5 or 6 (depending on bodyweight) tablets of ribavirin (equivalent to 200 mg/tablet) per day, divided in 2 daily doses for an additional 12 or 36 weeks.
Type=exact number, unit=mcg, number=180, form=solution, route=subcutaneous injection.
PegIFN 0.5 mL prefilled syringe equivalent to 180 mcg will be administered as a subcutaneous (under the skin) injection as follow-up (FU) treatment for 12 or 36 weeks based on follow-up treatment principles as described in the protocol.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment with Pegylated interferon alpha-2a (PegIFN) 0.5 mL prefilled syringe equivalent to 180 mcg administered as a subcutaneous (under the skin) injection for an additional 12 or 36 weeks.
|
|
Experimental: Panel 3 - Arm 2
8 chronically HCV GT1b infected treatment naïve patients/prior relapsers will receive TMC435 + TMC647055 + low-dose ritonavir.
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mcg, number=180, form=solution, route=subcutaneous injection.
PegIFN 0.5 mL prefilled syringe equivalent to 180 mcg will be administered as a subcutaneous (under the skin) injection as follow-up (FU) treatment for 12 or 36 weeks based on follow-up treatment principles as described in the protocol.
Patients meeting the Follow-UP (FU) treatment criteria specified in the protocol will receive treatment with Pegylated interferon alpha-2a (PegIFN) 0.5 mL prefilled syringe equivalent to 180 mcg administered as a subcutaneous (under the skin) injection for an additional 12 or 36 weeks.
|
|
Experimental: Panel 4 - Arm 1
20 chronic HCV GT1a or GT1b infected treatment-naive patients/ prior relapsers will receive 12 weeks of treatment with TMC435 + TMC647055 + low-dose RTV + GSK2336805 (30 mg once daily)
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=30 or 60, form=tablet, route=subcutaneous injection.
GSK2336805 one or two 30 mg tablet(s) taken orally (by mouth) once daily for 12 weeks.
|
|
Experimental: Panel 4 - Arm 2
20 chronic HCV GT1a or GT1b infected treatment-naive patients/ prior relapsers will receive 12 weeks of treatment with TMC435 + TMC647055 + low-dose RTV + GSK2336805 (60 mg once daily)
|
Type=exact number, unit=mg, number=150, form=capsule, route=oral.
3 or 4 capsules of 150 mg will be administered once daily.
Other Names:
Type=exact number, unit=mg, number=75, form=capsule, route=oral. 1 capsule of 75 mg will be administered once daily.
Type=exact number, unit=mg, number=30 or 50, form=tablet or solution, route=oral.
0.375 mL or 0.625 ml (80 mg/mL) solution will be administered once daily.
Type=exact number, unit=mg, number=30 or 60, form=tablet, route=subcutaneous injection.
GSK2336805 one or two 30 mg tablet(s) taken orally (by mouth) once daily for 12 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of patients with a sustained virologic response (SVR) 12 Weeks after the actual end of treatment
Time Frame: Week 24 (Up to 12 weeks after end-of treatment visit)
|
SVR12 is defined as undetectable HCV RNA at the actual end of treatment and HCV RNA less than 25 IU/mL at 12 Weeks after the actual end of treatment.
|
Week 24 (Up to 12 weeks after end-of treatment visit)
|
|
Number of patients with adverse events
Time Frame: Up to Week 48 (24 weeks after end of treatment)
|
Number of patients with adverse events, serious adverse events, abnormal changes in safety related laboratory values, abnormal changes in vital signs and physical examination, and abnormal echocardiogram.
|
Up to Week 48 (24 weeks after end of treatment)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of patients with a sustained virological response (SVR at 4 and/or 24 Weeks after the actual end of treatment)
Time Frame: Up to 24 weeks after end of treatment
|
Up to 24 weeks after end of treatment
|
|
HCV RNA levels over time
Time Frame: Up to 24 weeks after end of treatment
|
Up to 24 weeks after end of treatment
|
|
Number of patients with undetectable hepatitis C virus (HCV) RNA (less than 25 IU/mL undetectable) and/or HCV RNA levels less than 25 IU/mL at all time points
Time Frame: Up to 24 weeks after end of treatment
|
Up to 24 weeks after end of treatment
|
|
Number of patients with on-treatment virologic failure
Time Frame: End of treatment (Week 48)
|
End of treatment (Week 48)
|
|
Number of patients with viral relapse
Time Frame: Up to 24 weeks after end of treatment
|
Up to 24 weeks after end of treatment
|
|
Number of patients with presence of HCV variants associated with reduced susceptibility to investigational treatment
Time Frame: Up to 24 weeks after end of treatment
|
Up to 24 weeks after end of treatment
|
|
Maximum plasma analyte concentration of TMC435
Time Frame: Week 4
|
Week 4
|
|
Minimum plasma analyte concentration of TMC435
Time Frame: Week 4
|
Week 4
|
|
Area under the plasma concentration-time curve of TMC435
Time Frame: Week 4
|
Week 4
|
|
Maximum plasma analyte concentration of TMC647055
Time Frame: Week 4
|
Week 4
|
|
Minimum plasma analyte concentration of TMC647055
Time Frame: Week 4
|
Week 4
|
|
Area under the plasma concentration-time curve of TMC647055
Time Frame: Week 4
|
Week 4
|
|
Maximum plasma analyte concentration of ritonavir (RTV)
Time Frame: Week 4
|
Week 4
|
|
Minimum plasma analyte concentration of RTV
Time Frame: Week 4
|
Week 4
|
|
Area under the plasma concentration-time curve of RTV
Time Frame: Week 4
|
Week 4
|
|
Minimum and maximum plasma concentrations of GSK233680k
Time Frame: Week 4
|
Week 4
|
|
Area under the plasma concentration-time curve of GSK233680k
Time Frame: Week 4
|
Week 4
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis, Chronic
- Hepatitis C, Chronic
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Antimetabolites
- Antineoplastic Agents
- Immunologic Factors
- Protease Inhibitors
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- HIV Protease Inhibitors
- Viral Protease Inhibitors
- Interferons
- Interferon-alpha
- Ribavirin
- Peginterferon alfa-2a
- Interferon alpha-2
- Ritonavir
- Simeprevir
Other Study ID Numbers
Other Study ID Numbers
- CR100882
- TMC647055HPC2001 (Other Identifier: Janssen R&D Ireland)
- 2012-002555-42 (EudraCT Number)
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