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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 december 2015 bijgewerkt door: 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)

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

488

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Victoria
      • Heidelberg, Victoria, Australië
        • 1241.21.61002 Boehringer Ingelheim Investigational Site
      • Melbourne, Victoria, Australië
        • 1241.21.61001 Boehringer Ingelheim Investigational Site
      • Berlin, Duitsland
        • 1241.21.49002 Boehringer Ingelheim Investigational Site
      • Berlin, Duitsland
        • 1241.21.49003 Boehringer Ingelheim Investigational Site
      • Düsseldorf, Duitsland
        • 1241.21.49007 Boehringer Ingelheim Investigational Site
      • Esslingen, Duitsland
        • 1241.21.49005 Boehringer Ingelheim Investigational Site
      • Frankfurt am Main, Duitsland
        • 1241.21.49001 Boehringer Ingelheim Investigational Site
      • Hamburg, Duitsland
        • 1241.21.49006 Boehringer Ingelheim Investigational Site
      • Hannover, Duitsland
        • 1241.21.49009 Boehringer Ingelheim Investigational Site
      • Leipzig, Duitsland
        • 1241.21.49004 Boehringer Ingelheim Investigational Site
      • Mainz, Duitsland
        • 1241.21.49008 Boehringer Ingelheim Investigational Site
      • Clichy, Frankrijk
        • 1241.21.33005 Boehringer Ingelheim Investigational Site
      • Grenoble cédex 9, Frankrijk
        • 1241.21.33007 Boehringer Ingelheim Investigational Site
      • Lyon, Frankrijk
        • 1241.21.33003 Boehringer Ingelheim Investigational Site
      • Marseille, Frankrijk
        • 1241.21.33001 Boehringer Ingelheim Investigational Site
      • Montpellier, Frankrijk
        • 1241.21.33002 Boehringer Ingelheim Investigational Site
      • Paris, Frankrijk
        • 1241.21.33004 Boehringer Ingelheim Investigational Site
      • Paris, Frankrijk
        • 1241.21.33008 Boehringer Ingelheim Investigational Site
      • Vandoeuvre Cedex, Frankrijk
        • 1241.21.33006 Boehringer Ingelheim Investigational Site
      • Auckland NZ, Nieuw-Zeeland
        • 1241.21.64001 Boehringer Ingelheim Investigational Site
      • Linz, Oostenrijk
        • 1241.21.43003 Boehringer Ingelheim Investigational Site
      • Wien, Oostenrijk
        • 1241.21.43001 Boehringer Ingelheim Investigational Site
      • Wien, Oostenrijk
        • 1241.21.43002 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, Roemenië
        • 1241.21.40001 Boehringer Ingelheim Investigational Site
      • Bucharest, Roemenië
        • 1241.21.40002 Boehringer Ingelheim Investigational Site
      • Bucharest, Roemenië
        • 1241.21.40003 Boehringer Ingelheim Investigational Site
      • Barcelona, Spanje
        • 1241.21.34002 Boehringer Ingelheim Investigational Site
      • Barcelona, Spanje
        • 1241.21.34005 Boehringer Ingelheim Investigational Site
      • Madrid, Spanje
        • 1241.21.34003 Boehringer Ingelheim Investigational Site
      • Madrid, Spanje
        • 1241.21.34004 Boehringer Ingelheim Investigational Site
      • Majadahonda-Madrid, Spanje
        • 1241.21.34001 Boehringer Ingelheim Investigational Site
      • Valencia, Spanje
        • 1241.21.34006 Boehringer Ingelheim Investigational Site
    • California
      • La Jolla, California, Verenigde Staten
        • 1241.21.0003 Boehringer Ingelheim Investigational Site
      • San Diego, California, Verenigde Staten
        • 1241.21.0006 Boehringer Ingelheim Investigational Site
      • San Francisco, California, Verenigde Staten
        • 1241.21.0004 Boehringer Ingelheim Investigational Site
    • Florida
      • Palm Harbor, Florida, Verenigde Staten
        • 1241.21.0011 Boehringer Ingelheim Investigational Site
    • Indiana
      • Valparaiso, Indiana, Verenigde Staten
        • 1241.21.0013 Boehringer Ingelheim Investigational Site
    • Massachusetts
      • Springfield, Massachusetts, Verenigde Staten
        • 1241.21.0008 Boehringer Ingelheim Investigational Site
    • North Carolina
      • Fayetteville, North Carolina, Verenigde Staten
        • 1241.21.0019 Boehringer Ingelheim Investigational Site
    • Texas
      • Arlington, Texas, Verenigde Staten
        • 1241.21.0012 Boehringer Ingelheim Investigational Site
      • Austin, Texas, Verenigde Staten
        • 1241.21.0005 Boehringer Ingelheim Investigational Site
      • Dallas, Texas, Verenigde Staten
        • 1241.21.0007 Boehringer Ingelheim Investigational Site
      • Houston, Texas, Verenigde Staten
        • 1241.21.0010 Boehringer Ingelheim Investigational Site
    • Washington
      • Seattle, Washington, Verenigde Staten
        • 1241.21.0017 Boehringer Ingelheim Investigational Site
      • Basel, Zwitserland
        • 1241.21.41003 Boehringer Ingelheim Investigational Site
      • Bern, Zwitserland
        • 1241.21.41006 Boehringer Ingelheim Investigational Site
      • St. Gallen, Zwitserland
        • 1241.21.41001 Boehringer Ingelheim Investigational Site
      • Zürich, Zwitserland
        • 1241.21.41002 Boehringer Ingelheim Investigational Site

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 75 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

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

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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
Experimenteel: 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

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Part 1: Rapid Virological Response (RVR)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Part 1: Time to Virological Response
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: up to 28 weeks
Part 3 and 4: Sustained virological response (SVR) at 4 weeks after end of treatment
up to 28 weeks

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Nuttige links

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start

1 mei 2010

Primaire voltooiing (Werkelijk)

1 oktober 2014

Studie voltooiing (Werkelijk)

1 oktober 2014

Studieregistratiedata

Eerst ingediend

3 mei 2010

Eerst ingediend dat voldeed aan de QC-criteria

26 mei 2010

Eerst geplaatst (Schatting)

28 mei 2010

Updates van studierecords

Laatste update geplaatst (Schatting)

1 februari 2016

Laatste update ingediend die voldeed aan QC-criteria

22 december 2015

Laatst geverifieerd

1 december 2015

Meer informatie

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Abonneren