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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 dezembro de 2015 atualizado 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)

Visão geral do estudo

Tipo de estudo

Intervencional

Inscrição (Real)

488

Estágio

  • Fase 2

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

      • Berlin, Alemanha
        • 1241.21.49002 Boehringer Ingelheim Investigational Site
      • Berlin, Alemanha
        • 1241.21.49003 Boehringer Ingelheim Investigational Site
      • Düsseldorf, Alemanha
        • 1241.21.49007 Boehringer Ingelheim Investigational Site
      • Esslingen, Alemanha
        • 1241.21.49005 Boehringer Ingelheim Investigational Site
      • Frankfurt am Main, Alemanha
        • 1241.21.49001 Boehringer Ingelheim Investigational Site
      • Hamburg, Alemanha
        • 1241.21.49006 Boehringer Ingelheim Investigational Site
      • Hannover, Alemanha
        • 1241.21.49009 Boehringer Ingelheim Investigational Site
      • Leipzig, Alemanha
        • 1241.21.49004 Boehringer Ingelheim Investigational Site
      • Mainz, Alemanha
        • 1241.21.49008 Boehringer Ingelheim Investigational Site
    • Victoria
      • Heidelberg, Victoria, Austrália
        • 1241.21.61002 Boehringer Ingelheim Investigational Site
      • Melbourne, Victoria, Austrália
        • 1241.21.61001 Boehringer Ingelheim Investigational Site
      • Barcelona, Espanha
        • 1241.21.34002 Boehringer Ingelheim Investigational Site
      • Barcelona, Espanha
        • 1241.21.34005 Boehringer Ingelheim Investigational Site
      • Madrid, Espanha
        • 1241.21.34003 Boehringer Ingelheim Investigational Site
      • Madrid, Espanha
        • 1241.21.34004 Boehringer Ingelheim Investigational Site
      • Majadahonda-Madrid, Espanha
        • 1241.21.34001 Boehringer Ingelheim Investigational Site
      • Valencia, Espanha
        • 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, França
        • 1241.21.33005 Boehringer Ingelheim Investigational Site
      • Grenoble cédex 9, França
        • 1241.21.33007 Boehringer Ingelheim Investigational Site
      • Lyon, França
        • 1241.21.33003 Boehringer Ingelheim Investigational Site
      • Marseille, França
        • 1241.21.33001 Boehringer Ingelheim Investigational Site
      • Montpellier, França
        • 1241.21.33002 Boehringer Ingelheim Investigational Site
      • Paris, França
        • 1241.21.33004 Boehringer Ingelheim Investigational Site
      • Paris, França
        • 1241.21.33008 Boehringer Ingelheim Investigational Site
      • Vandoeuvre Cedex, França
        • 1241.21.33006 Boehringer Ingelheim Investigational Site
      • Auckland NZ, Nova Zelândia
        • 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, Romênia
        • 1241.21.40001 Boehringer Ingelheim Investigational Site
      • Bucharest, Romênia
        • 1241.21.40002 Boehringer Ingelheim Investigational Site
      • Bucharest, Romênia
        • 1241.21.40003 Boehringer Ingelheim Investigational Site
      • Basel, Suíça
        • 1241.21.41003 Boehringer Ingelheim Investigational Site
      • Bern, Suíça
        • 1241.21.41006 Boehringer Ingelheim Investigational Site
      • St. Gallen, Suíça
        • 1241.21.41001 Boehringer Ingelheim Investigational Site
      • Zürich, Suíça
        • 1241.21.41002 Boehringer Ingelheim Investigational Site
      • Linz, Áustria
        • 1241.21.43003 Boehringer Ingelheim Investigational Site
      • Wien, Áustria
        • 1241.21.43001 Boehringer Ingelheim Investigational Site
      • Wien, Áustria
        • 1241.21.43002 Boehringer Ingelheim Investigational Site

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

18 anos a 75 anos (Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

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

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
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

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Descrição da medida
Prazo
Part 1: Rapid Virological Response (RVR)
Prazo: 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)
Prazo: 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)
Prazo: 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 resultados secundários

Medida de resultado
Descrição da medida
Prazo
Part 1: Time to Virological Response
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Publicações e links úteis

A pessoa responsável por inserir informações sobre o estudo fornece voluntariamente essas publicações. Estes podem ser sobre qualquer coisa relacionada ao estudo.

Publicações Gerais

Links úteis

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de maio de 2010

Conclusão Primária (Real)

1 de outubro de 2014

Conclusão do estudo (Real)

1 de outubro de 2014

Datas de inscrição no estudo

Enviado pela primeira vez

3 de maio de 2010

Enviado pela primeira vez que atendeu aos critérios de CQ

26 de maio de 2010

Primeira postagem (Estimativa)

28 de maio de 2010

Atualizações de registro de estudo

Última Atualização Postada (Estimativa)

1 de fevereiro de 2016

Última atualização enviada que atendeu aos critérios de controle de qualidade

22 de dezembro de 2015

Última verificação

1 de dezembro de 2015

Mais Informações

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

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