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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

tiistai 22. joulukuuta 2015 päivittänyt: 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)

Tutkimuksen yleiskatsaus

Opintotyyppi

Interventio

Ilmoittautuminen (Todellinen)

488

Vaihe

  • Vaihe 2

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

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

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta - 75 vuotta (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Kaikki

Kuvaus

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

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Hoito
  • Jako: Satunnaistettu
  • Inventiomalli: Rinnakkaistehtävä
  • Naamiointi: Ei mitään (avoin tarra)

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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
Kokeellinen: 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

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Part 1: Rapid Virological Response (RVR)
Aikaikkuna: 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)
Aikaikkuna: 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)
Aikaikkuna: 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

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Part 1: Time to Virological Response
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: up to 28 weeks
Part 3 and 4: Sustained virological response (SVR) at 4 weeks after end of treatment
up to 28 weeks

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Julkaisuja ja hyödyllisiä linkkejä

Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.

Yleiset julkaisut

Hyödyllisiä linkkejä

Opintojen ennätyspäivät

Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan ​​julkisella verkkosivustolla.

Opi tärkeimmät päivämäärät

Opiskelun aloitus

Lauantai 1. toukokuuta 2010

Ensisijainen valmistuminen (Todellinen)

Keskiviikko 1. lokakuuta 2014

Opintojen valmistuminen (Todellinen)

Keskiviikko 1. lokakuuta 2014

Opintoihin ilmoittautumispäivät

Ensimmäinen lähetetty

Maanantai 3. toukokuuta 2010

Ensimmäinen toimitettu, joka täytti QC-kriteerit

Keskiviikko 26. toukokuuta 2010

Ensimmäinen Lähetetty (Arvio)

Perjantai 28. toukokuuta 2010

Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Arvio)

Maanantai 1. helmikuuta 2016

Viimeisin lähetetty päivitys, joka täytti QC-kriteerit

Tiistai 22. joulukuuta 2015

Viimeksi vahvistettu

Tiistai 1. joulukuuta 2015

Lisää tietoa

Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .

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