Chronic Hepatitis C Virus InfectionPhase 2NCT00570336
Study of CTS-1027 in Hepatitis C Patients
A Phase 2 study testing CTS-1027 in people with Chronic Hepatitis C Virus Infection, run by Conatus Pharmaceuticals Inc. at 19 sites in United States.
Trial summary
The purpose of this study is to determine if CTS-1027 can lower elevated liver enzymes in patients with chronic HCV infection. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Hepatitis C Virus Infection
- What is being tested?
- CTS-1027
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 87 participants
- Where
- 19 sitesUnited States
- Study dates
- Dec 2007to Jul 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female patients of minimum adult legal age (according to local laws for signing the informed consent document), able to provide written informed consent, and understand and comply with the requirements of the trial
- A history of chronic HCV infection
- Unsuccessful HCV treatment defined as one or more of the following criteria:
- Failure to achieve a virologic response during previous therapy, or
- Failure to tolerate therapy, or
- Failure to maintain a sustained virologic response, or
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- In the opinion of the Principal Investigator, the patient is not a suitable candidate for interferon based therapy
- Liver impairment, as defined by either aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) levels 1.5 - 7 x ULN on at least two occasions, seven or more days apart, during the baseline period
- Alpha-fetoprotein (AFP) <= 50 ng/mL
- Hemoglobin >= 10 g/dL, platelet count >= 75 x 109/L, and white blood cell count >= 1.5 x 109/L
- Willingness to utilize adequate contraception (if female, evidenced by being postmenopausal for at least 6 months or using contraceptive pill; for both females and males, being surgically sterile, or using two forms of barrier contraception) from screening to at least one month after the completion of the trial.
Who cannot join
- Decompensated or severe liver disease defined by one or more of the following criteria:
- Prior liver biopsy showing cirrhosis
- Prior liver biopsy showing bridging fibrosis (Metavir >2 or Ishak >3) more than 2 years ago in the absence of newer liver biopsy results
- Prothrombin time: 3 seconds > control
- Total bilirubin >= 1.5 x Upper limit of the normal range (ULN), or > 3 x ULN for unconjugated bilirubin
- Serum albumin below normal limits
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- AST or ALT > 7 x ULN during baseline period
- Evidence of portal hypertension including:
- Splenomegaly or evidence of portal hypertension (i.e., enlarged portal vein and varices) on ultrasound,
- Varices in esophagogastroduodenoscopy (EGD); or
- Ascites
- Hepatocellular carcinoma (HCC) or suspicion of HCC clinically or on ultrasound (or other imaging techniques)
- Known history or presence of human immunodeficiency virus (HIV) infection
- Co-infection with hepatitis B virus (HBV)
- If female: pregnant, lactating, or positive serum or urine pregnancy test
- Last baseline AST and ALT level prior to Day 1 of < 1.5 x ULN
- Renal impairment (creatinine > 1.5 x ULN) or hepatorenal syndrome
- Pancreatitis
- Hospitalization for liver disease within 60 days of screening
- Use of concomitant or prior drug therapy for HCV at screening, including the use of:
- drugs with presumed anti-HCV activity in the prior three months
- corticosteroids in the past 30 days
- potentially hepatotoxic drugs in the past 30 days (including alpha methyl-dopa, sodium valproic acid, isoniazide, or nitrofurantoin)
- Use of illicit or drugs of abuse in the prior three months (allowed if medically prescribed or indicated)
- History of alcohol abuse within the past year
- History or presence of clinically concerning cardiac arrhythmias or prolongation of pre-dose QT or QTc interval of > 450 milliseconds
- Other concomitant disease or condition likely to significantly decrease life expectancy (e.g., moderate to severe congestive heart failure) or any malignancy other than curatively treated skin cancer (basal cell or squamous cell carcinomas), unless adequately treated or in complete remission for ten or more years
- Any patient who has received any investigational drug or device within 30 days of dosing, or who is scheduled to receive another investigational drug or device during the course of this trial.
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
United States19 sites
Digestive Healthcare of Georgia
Atlanta, Georgia, 30309
University of Colorado Denver
Aurora, Colorado, 80045
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Consultants of Clinical Research
Cincinnati, Ohio, 45219
Cleveland Clinic
Cleveland, Ohio, 44195
Duke University Medical Center
Durham, North Carolina, 27710
Advanced Liver Therapies - Baylor College of Medicine
Houston, Texas, 77030
VAMC - Baylor College of Medicine
Houston, Texas, 77030
Scripps Clinic
La Jolla, California, 92037
University of Miami
Miami, Florida, 33136
Tulane University Health Sciences Center
New Orleans, Louisiana, 70112
Mt. Sinai School of Medicine
New York, New York, 10019
McGuire Hospital DVAMC
Richmond, Virginia, 23249
Mayo Clinic
Rochester, Minnesota, 55905
Kaiser Permanente
San Diego, California, 92154
California Pacific Medical Center
San Francisco, California, 94115
Bronx VA Medical Center
The Bronx, New York, 10468
Henry Ford Health System
West Bloomfield, Michigan, 48322
About this study
Official title: A Dose Response Study of CTS-1027 in Hepatitis C Patients
The purpose of this study is to determine if CTS-1027 can lower elevated liver enzymes in patients with chronic HCV infection.
Read the detailed description
Randomized, placebo-controlled, double-blind, parallel group, multicenter, dose response trial utilizing four doses of CTS-1027, administered orally once daily, in outpatients with chronic hepatitis C virus (HCV) infection.
- Conditions
- Chronic Hepatitis C Virus Infection
- Being tested
- CTS-1027, Placebo
- Keywords
- HCV, HCV treatment failure, Elevated aminotransferases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CTS-1027Drug
Eligible patients were randomized to one of four doses of CTS-1027 (2.5 mg, 5 mg, 10 mg, or 30 mg) or placebo qd (quaque die, once daily).
PlaceboOther
Eligible patients were randomized to one of four doses of CTS-1027 (2.5 mg, 5 mg, 10 mg, or 30 mg) or placebo qd.
| Study group | Role | What they receive |
|---|---|---|
| 2.5 milligram (mg) CTS-1027 | Experimental | 2.5 mg CTS-1027 Receives: Drug: CTS-1027 |
| 5 mg CTS-1027 | Experimental | 5 mg CTS-1027 Receives: Drug: CTS-1027 |
| 10 mg CTS-1027 | Experimental | 10 mg CTS-1027 Receives: Drug: CTS-1027 |
| 30 mg CTS-1027 | Experimental | 30 mg CTS-1027 Receives: Drug: CTS-1027 |
| Placebo | Placebo comparator | Placebo Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of adverse events at each dose level
Measured: 4 to 24 weeks
Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) levels at each dose
Measured: 4-24 Weeks
Secondary outcomes (1)
Peak and trough levels of CTS-1027 in plasma
Measured: 4 to 24 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2007 (estimated)
- Study startDec 2007
- Primary completionJul 2009
- Study completionJul 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Hepatitis C Virus InfectionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 87 participants (actual)
Sponsor and investigators
- Lead sponsor
- Conatus Pharmaceuticals Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- FGK Clinical Research GmbH
- Investigators
- William Frank, MD, Study director, Conatus Pharmaceuticals Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00570336
- Sponsor's protocol ID
- CTS-1027-01
- Status last verified
- Sep 2010
- First submitted
- 6 Dec 2007
- Last updated
- 16 Sep 2010
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 16 Sep 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Dose Response Study of CTS-1027 in Hepatitis C Patients
- ClinicalTrials.gov ID
- NCT00570336
- Acronym / sponsor ID
- CTS-1027-01
- Conditions
- Chronic Hepatitis C Virus Infection
- Keywords
- HCV, HCV treatment failure, Elevated aminotransferases
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 87 participants (actual)
- Lead sponsor
- Conatus Pharmaceuticals Inc.Industry (pharma, biotech, devices)
- Collaborators
- FGK Clinical Research GmbH
- Study start
- Dec 2007
- Primary completion
- Jul 2009 (actual)
- Study completion
- Jul 2009 (actual)
- First posted
- 10 Dec 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if CTS-1027 can lower elevated liver enzymes in patients with chronic HCV infection.
Detailed description
Randomized, placebo-controlled, double-blind, parallel group, multicenter, dose response trial utilizing four doses of CTS-1027, administered orally once daily, in outpatients with chronic hepatitis C virus (HCV) infection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| 2.5 milligram (mg) CTS-1027 | Experimental | Drug: CTS-10272.5 mg CTS-1027 |
| 5 mg CTS-1027 | Experimental | Drug: CTS-10275 mg CTS-1027 |
| 10 mg CTS-1027 | Experimental | Drug: CTS-102710 mg CTS-1027 |
| 30 mg CTS-1027 | Experimental | Drug: CTS-102730 mg CTS-1027 |
| Placebo | Placebo comparator | Other: PlaceboPlacebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Male or female patients of minimum adult legal age (according to local laws for signing the informed consent document), able to provide written informed consent, and understand and comply with the requirements of the trial
- A history of chronic HCV infection
- Unsuccessful HCV treatment defined as one or more of the following criteria:
- Liver impairment, as defined by either aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) levels 1.5 - 7 x ULN on at least two occasions, seven or more days apart, during the baseline period
- Alpha-fetoprotein (AFP) <= 50 ng/mL
Key exclusion criteria (28 listed)
- Decompensated or severe liver disease defined by one or more of the following criteria:
- Splenomegaly or evidence of portal hypertension (i.e., enlarged portal vein and varices) on ultrasound,
- Varices in esophagogastroduodenoscopy (EGD); or
- Ascites
- Hepatocellular carcinoma (HCC) or suspicion of HCC clinically or on ultrasound (or other imaging techniques)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CTS-1027Eligible patients were randomized to one of four doses of CTS-1027 (2.5 mg, 5 mg, 10 mg, or 30 mg) or placebo qd (quaque die, once daily). | Drug | 10 mg CTS-1027, 2.5 milligram (mg) CTS-1027, 30 mg CTS-1027, 5 mg CTS-1027 |
| PlaceboEligible patients were randomized to one of four doses of CTS-1027 (2.5 mg, 5 mg, 10 mg, or 30 mg) or placebo qd. | Other | Placebo |
Primary outcome
Number of adverse events at each dose level
Time frame: 4 to 24 weeks
Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) levels at each dose
Time frame: 4-24 Weeks
1 secondary outcome
Peak and trough levels of CTS-1027 in plasma
Time frame: 4 to 24 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Sep 2010.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
William Frank, MD study director
Conatus Pharmaceuticals Inc.
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CTS-1027 in people with Chronic Hepatitis C Virus Infection, run by Conatus Pharmaceuticals Inc. at 19 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 28 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Sep 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of adverse events at each dose level (time frame: 4 to 24 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2010.