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Hepatitis CPhase 2NCT00947349

Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Multiple Rising Oral Doses of BI 201335 as Softgel Capsule in Naive Hepatitis C Virus (HCV) Patients

A Phase 2 study testing ribavirin (RBV), pegylated interferon (PegIFN) alfa-2a and BI 201335 NA high in people with Hepatitis C and Pharmacokinetics, run by Boehringer Ingelheim at 3 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The current Standard of Care (SOC) for chronic HCV infection, which is pegylated interferon-alfa as combination therapy with ribavirin for 24-48 weeks of treatment, is effective in only part of the patients and is often associated with severe adverse effects leading to discontinuation of treatment and dose… Read more about this study

Who is it for?
Ages 20 to 70 years
Conditions the study is for
Hepatitis C, Pharmacokinetics
What is being tested?
ribavirin (RBV), pegylated interferon (PegIFN) alfa-2a and BI 201335 NA high
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
22 participants
Where
3 sitesJapan
Study dates
Jul 2009to Aug 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 20 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • chronic HCV genotype-1;
  • high viral load

Who cannot join

  • Mixed genotype (1/2, 1/3, or 1/4), diagnosed by genotypic testing at screening
  • Previous treatment with protease inhibitor

Trial locations and contacts

3 sites in 1 country.

Japan3 sites
  • 1220.14.003 Boehringer Ingelheim Investigational Site

    Kurashiki, Okayama

  • 1220.14.001 Boehringer Ingelheim Investigational Site

    Minato-ku, Tokyo

  • 1220.14.002 Boehringer Ingelheim Investigational Site

    Nishinomiya, Hyogo

Other trials in Japan

About this study

Official title: Safety, Pharmacokinetics and Antiviral Effect of BI 201335 NA in HCV-1 Infected Patients Treated for 28 Days for Treatment naïve and Experienced Patients Treated in Combination With Peg Interferon Alfa-2a and Ribavirin

The current Standard of Care (SOC) for chronic HCV infection, which is pegylated interferon-alfa as combination therapy with ribavirin for 24-48 weeks of treatment, is effective in only part of the patients and is often associated with severe adverse effects leading to discontinuation of treatment and dose modifications.

A number of compounds with direct activity are currently under clinical development, incl. BI 201335. BI 201335 works by preventing the Hepatitis C virus from replicating by binding to the HCV protease (enzyme). The main purpose of this clinical trial with BI 201335 is to see how well BI 201335 works and how safe BI 201335 is to use daily in combination with PegIFN and RBV in HCV infected patients

Being tested
ribavirin (RBV), pegylated interferon (PegIFN) alfa-2a, BI 201335 NA low placebo, BI 201335 NA high, BI 201335 NA low
Medical subject headings
Hepatitis C

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ribavirin (RBV)Drug

    ribavirin (RBV)

  • pegylated interferon (PegIFN) alfa-2aDrug

    pegylated interferon (PegIFN) alfa-2a

  • pegylated interferon (PegIFN) alfa-2aDrug

    pegylated interferon (PegIFN) alfa-2a

  • ribavirin (RBV)Drug

    ribavirin (RBV)

  • BI 201335 NA low placeboDrug

    Placebo

  • pegylated interferon (PegIFN) alfa-2aDrug

    pegylated interferon (PegIFN) alfa-2a

  • ribavirin (RBV)Drug

    ribavirin (RBV)

  • BI 201335 NA highDrug

    BI 201335 NA high

  • BI 201335 NA lowDrug

    BI 201335 NA

  • BI 201335 NA high placeboDrug

    placebo

  • BI 201335 NA highDrug

    BI 201335 NA high

  • PlaceboDrug

Study groups in NCT00947349
Study groupRoleWhat they receive
BI 201335 NA low TNExperimentalpatient to receive a capsule containing low dose of BI 201335 NA/Drug for treatment-naive (TN) patients
Receives: Drug: pegylated interferon (PegIFN) alfa-2a; Drug: BI 201335 NA low placebo; Drug: ribavirin (RBV); Drug: BI 201335 NA low
BI 201335 NA high TNExperimentalpatient to receive a capsule containing high dose of BI 201335 NA/Drug for treatment-naive (TN )patients
Receives: Drug: ribavirin (RBV); Drug: pegylated interferon (PegIFN) alfa-2a; Drug: BI 201335 NA high; Drug: BI 201335 NA high placebo
BI 201335 NA high TEExperimentalpatient to receive a capsule containing high dose of BI 201335 NA/Drug for treatment-experienced (TE) patients
Receives: Drug: pegylated interferon (PegIFN) alfa-2a; Drug: ribavirin (RBV); Drug: BI 201335 NA high
Placebo in Treatment Naive (TN) PatientsPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Investigator Defined Drug-related Adverse Events in Triple Combination Therapy

    Drug-related AEs were defined as those whose causal relationship with any one of the investigational products was considered by the investigator.

    Measured: 4 weeks

  2. Number of Patients With Possible Clinically Significant Laboratory Abnormalities in Triple Combination Therapy

    Frequency of patients with possible clinically significant abnormalities or clinically significant laboratory test value changes over time in triple combination therapy for treatment naive patients and treatment experienced patients.

    Measured: 4 weeks

  3. Assessment of Tolerability in Triple Combination Therapy

    An assessment of tolerability for the safety of the triple combination therapy with BI 201335 NA, PegIFN α -2a and RBV.

    Measured: 4 weeks

Secondary outcomes (30)
  1. Week 2 Virological Response (W2VR)

    Number of patients satisfying W2VR (plasma HCV RNA (Hepatitis C Virus Ribonucleic acid) level below the limit of quantification (BLQ))

    Measured: 2 weeks

  2. Week 4 Virological Response (W4VR)

    Number of patients satisfying W4VR (plasma HCV RNA level below the limit of quantification (BLQ))

    Measured: 4 weeks

  3. Rapid Virological Response (RVR)

    Number of patients satisfying RVR (plasma HCV RNA level below the limit of detection (BLD) at Week 4)

    Measured: 4 weeks

  4. Change From Baseline in HCV Viral Load

    Change form baseline in HCV viral load (log10) after 4 weeks

    Measured: baseline and week 4

  5. Day 28 Virologic Response

    Number of patients with HCV viral load reduction >= 2 log10 at Week 4

    Measured: 4 weeks

  6. Early Virological Response (EVR)

    Number of patients with reduction >= 2 log10 in plasma HCV RNA level at Week 12

    Measured: 12 Weeks

  7. Complete Early Virological Response (cEVR)

    Number of patients with plasma HCV RNA level BLD at Week 12

    Measured: 12 weeks

  8. End of Treatment Response (ETR)

    Number of patients with plasma HCV RNA level BLD at week 48

    Measured: 48 weeks

  9. Sustained Virologic Response (SVR)

    Number of patients with plasma HCV RNA level BLD 24 weeks after treatment completion

    Measured: 72 weeks

  10. Number of Participants With Investigator Defined Drug-related Adverse Events in Standard of Care (SOC) With PegIFN α-2a and RBV

    Drug-related AEs in SOC treatment period were defined as those whose causal relationship with any one of the investigational products was considered by the investigator.

    Measured: 44 weeks

  11. Number of Patients With Possible Clinically Significant Laboratory Abnormalities in Standard of Care (SOC) With PegIFN α-2a and RBV

    Frequency of patients with possible clinically significant abnormalities or clinically significant laboratory test value changes over time in SOC period for treatment naive patients and treatment experienced patients.

    Measured: 44 weeks

  12. Assessment of Tolerability in Standard of Care (SOC) With PegIFN α -2a and RBV

    An assessment of tolerability for the safety of the SOC with PegIFN alfa-2a and RBV.

    Measured: 44 weeks

  13. AUCτ,1 for BI 201335 ZW

    Area under the curve (AUC) concentration after the first dose of BI 201335 ZW

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the first dose

  14. Cmax of BI 201335 ZW

    Maximum concentration of BI 201335 ZW after multiple oral admin. of BI 201335 NA with RBV and PegIFN alfa-2a

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the first dose

  15. AUCτ,ss of BI 201335 ZW

    AUC at steady state after 4 weeks combination of the last dose

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  16. Cmax,ss of BI 201335 ZW

    Maximum concentration of BI 201335 ZW at steady state

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  17. AUCτ,1 for Ribavirin (RBV)

    Area under the plasma concentration curve of RBV after the first dose of placebo or BI 201335 NA with with RBV and PegIFN alfa-2a

    Measured: -0:10, 1,2,3,4,5,6,8,10,11:50, 23:50 hours on the first dose

  18. Cmax of RBV

    Maximum Plasma concentration of RBV after multiple oral admin. of placebo with RBV and PegIFN alfa-2a

    Measured: -0:10, 1,2,3,4,5,6,8,10,11:50, 23:50 hours on the first dose

  19. AUCτ,ss of RBV

    Area under the plasma concentration curve of RBV after the multiple oral administration of BI 201335 NA (or placebo) with RBV and PegIFN alfa-2a at steady state

    Measured: -0:10, 1,2,3,4,5,6,8,10,11:50, 23:50 hours on the last dose

  20. Cmax,ss of RBV

    Maximum Plasma concentration of RBV after multiple oral admin. of BI 201335 NA (or placebo) with RBV and PegIFN alfa-2a at steady state

    Measured: -0:10, 1,2,3,4,5,6,8,10,11:50, 23:50 hours on the last dose

  21. Tmax for BI 201335 ZW

    Time to maximum plasma concentration (tmax) of BI 201335 ZW after the first dose of BI 201335 NA with RBV and PegIFN alfa-2a

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the first dose

  22. Tmax for RBV

    Time to maximum plasma concentration (tmax) of RBV after the first dose of BI 201335 NA with RBV and PegIFN alfa-2a

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the first dose

  23. Tmax, ss for BI 201335 ZW

    Time from last dosing to the maximum plasma concentration (tmax) of BI 201335 ZW after the last dose of BI 201335 NA with RBV and PegIFN alfa-2a at steady state

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  24. Tmax, ss for RBV

    Time to the maximum plasma concentration (tmax) of RBV after the last dose of BI 201335 NA with RBV and PegIFN alfa-2a at steady state

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  25. t1/2,ss for BI 201335 ZW

    terminal half-life of the analyte in plasma at steady state (t1/2,ss)

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  26. Cmin,ss for BI 201335 ZW

    Minimum concentration of the analyte (BI 201335 ZW) in plasma over the dosing interval at steady state

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  27. Cmin,ss for RBV

    Minimum concentration of the analyte (RBV) in plasma over the dosing interval at steady state

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  28. Cavg for BI 201335 ZW

    average plasma concentration (Cavg) of BI 201335 ZW

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  29. Cavg for RBV

    average plasma concentration (Cavg) of RBV

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

  30. CL/F,ss for BI 201335 ZW

    apparent clearance of the analyte (BI 201335 ZW) in plasma at steady state (CL/F,ss) following multiple oral administration

    Measured: 10 minutes before drug administration and 1 hour (h),2h,3h,4h,5h,6h,8h,10h,11:50h, 23:50h on the last dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jul 2009 (estimated)
  2. Study startJul 2009
  3. Primary completionAug 2011
  4. Study completionAug 2011

Resources

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
Double blind
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00947349
Sponsor's protocol ID
1220.14
Status last verified
Jul 2015
First submitted
21 Jul 2009
Last updated
7 Jul 2015

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ribavirin (RBV), pegylated interferon (PegIFN) alfa-2a and BI 201335 NA high in people with Hepatitis C and Pharmacokinetics, run by Boehringer Ingelheim at 3 sites in Japan.

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 2 inclusion and 2 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 7 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Japan. 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?

Yes. Results are posted in the registry (first posted 7 Jul 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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 Participants With Investigator Defined Drug-related Adverse Events in Triple Combination Therapy (time frame: 4 weeks). The study lists 3 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 7 Jul 2015.

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