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Safety, Antiviral Effect and PK of BI 207127 + BI 201335 +/- RBV for 4 up to 40 Weeks in Patients With Chronic HCV Genotype 1 Infection

22 de diciembre de 2015 actualizado por: Boehringer Ingelheim

Safety, Antiviral Effect and Pharmacokinetics of BI 207127 in Combination With BI 201335 and With or Without Ribavirin for 4, 16, 24, 28 or 40 Weeks in Patients With Chronic HCV Genotype 1 Infection (Randomized Phase Ib/II)

The substances BI 201335 and BI 207127 are being developed for the treatment of chronic hepatitis C virus infection. BI 201335 and BI 207127 work by preventing the virus from replicating.

The currently available medications pegylated interferon alfa and ribavirin for hepatitis C ca have considerable adverse events in patients and in many cases are not sufficiently effective. This is particularly the case in treatment of patients infected with genotype 1 of HCV.

A combination therapy of these new substances without pegylated interferon alfa may be associated with fewer adverse events that currently available (pegylated interferon-alfa-based) medication and may also provide a treatment option to the large number of patients with contraindications or intolerance to pegylated interferon alfa.

This clinical trial (1241.21) currently consists of 3 distinct studies: Part 1, Part 2 and Part 3.

Part 1 (SOUND-C1) is a 2 armed study as described in experimental arms 1 and 2 below (actual enrollment: 56 patients; randomized and treated: 32) Part 2 (SOUND-C2) is a 5 armed study as described in experimental arms 3 to 7 below (actual enrollment: 465; randomized and treated: 362) Part 3 (SOUND-C3) includes 3 arms as described in experimental arms 8 to 10 below (83 patients randomized and treated)

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Actual)

488

Fase

  • Fase 2

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Berlin, Alemania
        • 1241.21.49002 Boehringer Ingelheim Investigational Site
      • Berlin, Alemania
        • 1241.21.49003 Boehringer Ingelheim Investigational Site
      • Düsseldorf, Alemania
        • 1241.21.49007 Boehringer Ingelheim Investigational Site
      • Esslingen, Alemania
        • 1241.21.49005 Boehringer Ingelheim Investigational Site
      • Frankfurt am Main, Alemania
        • 1241.21.49001 Boehringer Ingelheim Investigational Site
      • Hamburg, Alemania
        • 1241.21.49006 Boehringer Ingelheim Investigational Site
      • Hannover, Alemania
        • 1241.21.49009 Boehringer Ingelheim Investigational Site
      • Leipzig, Alemania
        • 1241.21.49004 Boehringer Ingelheim Investigational Site
      • Mainz, Alemania
        • 1241.21.49008 Boehringer Ingelheim Investigational Site
    • Victoria
      • Heidelberg, Victoria, Australia
        • 1241.21.61002 Boehringer Ingelheim Investigational Site
      • Melbourne, Victoria, Australia
        • 1241.21.61001 Boehringer Ingelheim Investigational Site
      • Linz, Austria
        • 1241.21.43003 Boehringer Ingelheim Investigational Site
      • Wien, Austria
        • 1241.21.43001 Boehringer Ingelheim Investigational Site
      • Wien, Austria
        • 1241.21.43002 Boehringer Ingelheim Investigational Site
      • Barcelona, España
        • 1241.21.34002 Boehringer Ingelheim Investigational Site
      • Barcelona, España
        • 1241.21.34005 Boehringer Ingelheim Investigational Site
      • Madrid, España
        • 1241.21.34003 Boehringer Ingelheim Investigational Site
      • Madrid, España
        • 1241.21.34004 Boehringer Ingelheim Investigational Site
      • Majadahonda-Madrid, España
        • 1241.21.34001 Boehringer Ingelheim Investigational Site
      • Valencia, España
        • 1241.21.34006 Boehringer Ingelheim Investigational Site
    • California
      • La Jolla, California, Estados Unidos
        • 1241.21.0003 Boehringer Ingelheim Investigational Site
      • San Diego, California, Estados Unidos
        • 1241.21.0006 Boehringer Ingelheim Investigational Site
      • San Francisco, California, Estados Unidos
        • 1241.21.0004 Boehringer Ingelheim Investigational Site
    • Florida
      • Palm Harbor, Florida, Estados Unidos
        • 1241.21.0011 Boehringer Ingelheim Investigational Site
    • Indiana
      • Valparaiso, Indiana, Estados Unidos
        • 1241.21.0013 Boehringer Ingelheim Investigational Site
    • Massachusetts
      • Springfield, Massachusetts, Estados Unidos
        • 1241.21.0008 Boehringer Ingelheim Investigational Site
    • North Carolina
      • Fayetteville, North Carolina, Estados Unidos
        • 1241.21.0019 Boehringer Ingelheim Investigational Site
    • Texas
      • Arlington, Texas, Estados Unidos
        • 1241.21.0012 Boehringer Ingelheim Investigational Site
      • Austin, Texas, Estados Unidos
        • 1241.21.0005 Boehringer Ingelheim Investigational Site
      • Dallas, Texas, Estados Unidos
        • 1241.21.0007 Boehringer Ingelheim Investigational Site
      • Houston, Texas, Estados Unidos
        • 1241.21.0010 Boehringer Ingelheim Investigational Site
    • Washington
      • Seattle, Washington, Estados Unidos
        • 1241.21.0017 Boehringer Ingelheim Investigational Site
      • Clichy, Francia
        • 1241.21.33005 Boehringer Ingelheim Investigational Site
      • Grenoble cédex 9, Francia
        • 1241.21.33007 Boehringer Ingelheim Investigational Site
      • Lyon, Francia
        • 1241.21.33003 Boehringer Ingelheim Investigational Site
      • Marseille, Francia
        • 1241.21.33001 Boehringer Ingelheim Investigational Site
      • Montpellier, Francia
        • 1241.21.33002 Boehringer Ingelheim Investigational Site
      • Paris, Francia
        • 1241.21.33004 Boehringer Ingelheim Investigational Site
      • Paris, Francia
        • 1241.21.33008 Boehringer Ingelheim Investigational Site
      • Vandoeuvre Cedex, Francia
        • 1241.21.33006 Boehringer Ingelheim Investigational Site
      • Auckland NZ, Nueva Zelanda
        • 1241.21.64001 Boehringer Ingelheim Investigational Site
      • Aveiro, Portugal
        • 1241.21.35103 Boehringer Ingelheim Investigational Site
      • Coimbra, Portugal
        • 1241.21.35104 Boehringer Ingelheim Investigational Site
      • Lisboa, Portugal
        • 1241.21.35101 Boehringer Ingelheim Investigational Site
      • Lisboa, Portugal
        • 1241.21.35105 Boehringer Ingelheim Investigational Site
      • Porto, Portugal
        • 1241.21.35102 Boehringer Ingelheim Investigational Site
      • Bucharest, Rumania
        • 1241.21.40001 Boehringer Ingelheim Investigational Site
      • Bucharest, Rumania
        • 1241.21.40002 Boehringer Ingelheim Investigational Site
      • Bucharest, Rumania
        • 1241.21.40003 Boehringer Ingelheim Investigational Site
      • Basel, Suiza
        • 1241.21.41003 Boehringer Ingelheim Investigational Site
      • Bern, Suiza
        • 1241.21.41006 Boehringer Ingelheim Investigational Site
      • St. Gallen, Suiza
        • 1241.21.41001 Boehringer Ingelheim Investigational Site
      • Zürich, Suiza
        • 1241.21.41002 Boehringer Ingelheim Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 75 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion criteria:

  • Chronic hepatitis C virus (HCV) infection of genotype (GT) 1
  • Parts 1-3:Treatment naive to Interferon -alfa (IFN), Pegylated interferon -alfa (PegIFN), ribavirin (RBV), and any direct acting antiviral agent for chronic hepatitis C
  • Part 4: Treatment experienced with confirmed prior virological failure to an approved dose of PegIFN/RBV (null-response)
  • HCV RNA >=10,000 IU/mL at screening
  • Liver biopsy within two years or fibroscan within six months prior to baseline
  • Liver biopsy within two years or fibroscan within 6 months prior to screening
  • Age 18-75 years

Exclusion criteria:

  • Hepatitis C virus (HCV) infection of mixed genotype
  • Evidence of liver disease due to causes other than chronic HCV infection
  • Positive ELISA for human immunodeficiency virus (HIV)
  • Hepatitis B virus (HBV) infection
  • Decompensated liver disease or history of decompensated liver disease
  • Active or suspected malignancy within the last 5 years
  • Ongoing or historical photosensitivity or recurrent rash
  • History of alcohol or drug abuse (except cannabis) within the past 12 months
  • Body mass index (BMI)I <18 or > 35 kg/m2
  • Usage of any investigational drugs within 30 days prior to enrolment, or 5 half-lives, whichever is longer; o the planned usage of an investigational drug during the course of the current study
  • Known hypersensitivity to any ingredient of the study drugs
  • A condition that is defined as one which in the opinion of the investigator may interfere with the patient's capability for participation in the trial or may influence the results of the trial
  • Alpha fetoprotein >100ng/mL at screening; if >20ng/mL and <=100ng/mL, patients can be included if there is no evidence of liver cancer in an appropriate imaging study within 6 months prior to randomisation
  • Total bilirubin > 2 mg/dL with ratio of direct/indirect > 1
  • AST or ALT >5xULN
  • INR prolonged to >1.7xULN
  • Requirement for chronic systemic corticosteroids
  • Received concomitant systemic antiviral, hematopoietic growth factor, or immunomodulatory treatment within 30 days prior to enrolment or 5 half-lives, whichever is longer
  • Received silymarin or glycyrrhizin or Sho-saiko-to within 30 days prior to enrolment
  • Contraindications pertaining to PegIFN or RBV

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: 2
4 weeks of high dose TID BI 207127 and QD BI 201335 in combination with RBV, Part 1
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 1
4 weeks of low dose three times per day (TID) BI 207127 and once daily (QD) BI 201335 in combination with RBV, Part 1
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 3
16 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 4
28 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 5
40 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 6
28 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 2
40 weeks, QD
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
48 weeks, according to label
40 weeks, according to label
28 weeks, QD
16 weeks, QD
24 weeks, according to label
28 weeks, high dose BID
Experimental: 7
28 weeks of TID BI 207127 and QD BI 201335 without RBV, Part 2
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 8
16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 9
24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 10
24 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 3
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 11
16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID
Experimental: 12
24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4
28 weeks, high dose, TID
40 weeks, QD
4 weeks, low dose TID
24 weeks, QD
16 weeks, according to label
28 weeks, according to label
40 weeks, high dose, TID
24 weeks, very high dose, BID
16 weeks, standard dose, BID
48 weeks, according to label
40 weeks, according to label
16 weeks, high dose, TID
28 weeks, QD
16 weeks, QD
24 weeks, according to label
24 weeks, standard dose, BID
16 weeks, high dose, BID
24 weeks, high dose, TID
4 weeks, high dose, TID

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Part 1: Rapid Virological Response (RVR)
Periodo de tiempo: 4 weeks
Part 1: Rapid virological response (RVR), defined as Hepatitis C Virus Ribonucleic acid (HCV RNA) <25IU/mL at Week 4 of treatment
4 weeks
Part 2: Sustained Virological Response (SVR)
Periodo de tiempo: From drug administration until 12 weeks after end of treatment, up to 52 weeks
Part 2: Sustained virological response (SVR), defined as HCV RNA <25 IU/mL and undetectable at 12 weeks after end of treatment
From drug administration until 12 weeks after end of treatment, up to 52 weeks
Part 3 and 4: Sustained Virological Response (SVR)
Periodo de tiempo: From drug administration until 12 weeks after end of treatment, up to 36 weeks
Part 3 and 4: Sustained virological response (SVR) defined as HCV RNA <25IU/mL and undetectable at 12 weeks after end of treatment
From drug administration until 12 weeks after end of treatment, up to 36 weeks

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Part 1: Time to Virological Response
Periodo de tiempo: From drug administration until end of drug administration, up to 4 weeks
Part 1: Time to virological response, defined as the timepoint of the first measurement of plasma HCV RNA level <25 IU/mL. The percentage of participants who achieved virological response within each time period are displayed for this outcome measure.
From drug administration until end of drug administration, up to 4 weeks
Part 2: Time to Virological Response
Periodo de tiempo: From drug administration until end of drug administration, up to 40 weeks
Part 2: Time to virological response, defined as the timepoint of the first measurement of plasma HCV RNA level <25 IU/mL. The percentage of participants who achieved virological response within each time period are displayed for this outcome measure.
From drug administration until end of drug administration, up to 40 weeks
Part 1 and 2: Plasma HCV RNA Level Not Detectable at Week 4
Periodo de tiempo: 4 weeks
Part 1 and 2: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level not detectable at Week 4
4 weeks
Part 2: Sustained Virological Response at 4 and 24 Weeks After End of Treatment
Periodo de tiempo: 4 weeks and 24 weeks after the end of treatment, up to 64 weeks
Part 2: Sustained virological response at 4 and 24 weeks after end of treatment
4 weeks and 24 weeks after the end of treatment, up to 64 weeks
Part 3 and 4: Plasma HCV RNA Level <25 IU/mL at Week 4 and 12 of Treatment
Periodo de tiempo: Week 4 and 12
Part 3 and 4: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level <25 IU/mL at week 4 and 12 of treatment
Week 4 and 12
Part 3 and 4: Sustained Virological Response (SVR) at 4 Weeks After End of Treatment
Periodo de tiempo: up to 28 weeks
Part 3 and 4: Sustained virological response (SVR) at 4 weeks after end of treatment
up to 28 weeks

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Enlaces Útiles

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de mayo de 2010

Finalización primaria (Actual)

1 de octubre de 2014

Finalización del estudio (Actual)

1 de octubre de 2014

Fechas de registro del estudio

Enviado por primera vez

3 de mayo de 2010

Primero enviado que cumplió con los criterios de control de calidad

26 de mayo de 2010

Publicado por primera vez (Estimar)

28 de mayo de 2010

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

1 de febrero de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

22 de diciembre de 2015

Última verificación

1 de diciembre de 2015

Más información

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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