Hepatitis C, ChronicPhase 2NCT01132313
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
A Phase 2 study testing BI 207127, BI 201335 and Ribavirin in people with Hepatitis C, Chronic, run by Boehringer Ingelheim at 53 sites in 10 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- BI 207127, BI 201335 and Ribavirin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 488 participants
- Where
- 53 sitesin 10 countries
- Study dates
- May 2010to Oct 2014
- 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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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
Show all 20Show fewer
- 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
Trial locations and contacts
53 sites in 10 countries.
53 sites in 10 countries
United States12 sites
1241.21.0012 Boehringer Ingelheim Investigational Site
Arlington, Texas
1241.21.0005 Boehringer Ingelheim Investigational Site
Austin, Texas
1241.21.0007 Boehringer Ingelheim Investigational Site
Dallas, Texas
1241.21.0019 Boehringer Ingelheim Investigational Site
Fayetteville, North Carolina
1241.21.0010 Boehringer Ingelheim Investigational Site
Houston, Texas
1241.21.0003 Boehringer Ingelheim Investigational Site
La Jolla, California
1241.21.0011 Boehringer Ingelheim Investigational Site
Palm Harbor, Florida
1241.21.0006 Boehringer Ingelheim Investigational Site
San Diego, California
1241.21.0004 Boehringer Ingelheim Investigational Site
San Francisco, California
1241.21.0017 Boehringer Ingelheim Investigational Site
Seattle, Washington
1241.21.0008 Boehringer Ingelheim Investigational Site
Springfield, Massachusetts
1241.21.0013 Boehringer Ingelheim Investigational Site
Valparaiso, Indiana
Germany9 sites
1241.21.49002 Boehringer Ingelheim Investigational Site
Berlin
1241.21.49003 Boehringer Ingelheim Investigational Site
Berlin
1241.21.49007 Boehringer Ingelheim Investigational Site
Düsseldorf
1241.21.49005 Boehringer Ingelheim Investigational Site
Esslingen am Neckar
1241.21.49001 Boehringer Ingelheim Investigational Site
Frankfurt am Main
1241.21.49006 Boehringer Ingelheim Investigational Site
Hamburg
1241.21.49009 Boehringer Ingelheim Investigational Site
Hanover
1241.21.49004 Boehringer Ingelheim Investigational Site
Leipzig
1241.21.49008 Boehringer Ingelheim Investigational Site
Mainz
France8 sites
1241.21.33005 Boehringer Ingelheim Investigational Site
Clichy
1241.21.33007 Boehringer Ingelheim Investigational Site
Grenoble Cédex 9
1241.21.33003 Boehringer Ingelheim Investigational Site
Lyon
1241.21.33001 Boehringer Ingelheim Investigational Site
Marseille
1241.21.33002 Boehringer Ingelheim Investigational Site
Montpellier
1241.21.33004 Boehringer Ingelheim Investigational Site
Paris
1241.21.33008 Boehringer Ingelheim Investigational Site
Paris
1241.21.33006 Boehringer Ingelheim Investigational Site
Vandœuvre-lès-Nancy
Spain6 sites
1241.21.34002 Boehringer Ingelheim Investigational Site
Barcelona
1241.21.34005 Boehringer Ingelheim Investigational Site
Barcelona
1241.21.34003 Boehringer Ingelheim Investigational Site
Madrid
1241.21.34004 Boehringer Ingelheim Investigational Site
Madrid
1241.21.34001 Boehringer Ingelheim Investigational Site
Majadahonda-Madrid
1241.21.34006 Boehringer Ingelheim Investigational Site
Valencia
Portugal5 sites
1241.21.35103 Boehringer Ingelheim Investigational Site
Aveiro
1241.21.35104 Boehringer Ingelheim Investigational Site
Coimbra
1241.21.35101 Boehringer Ingelheim Investigational Site
Lisbon
1241.21.35105 Boehringer Ingelheim Investigational Site
Lisbon
1241.21.35102 Boehringer Ingelheim Investigational Site
Porto
Switzerland4 sites
1241.21.41003 Boehringer Ingelheim Investigational Site
Basel
1241.21.41006 Boehringer Ingelheim Investigational Site
Bern
1241.21.41001 Boehringer Ingelheim Investigational Site
Sankt Gallen
1241.21.41002 Boehringer Ingelheim Investigational Site
Zurich
Austria3 sites
1241.21.43003 Boehringer Ingelheim Investigational Site
Linz
1241.21.43001 Boehringer Ingelheim Investigational Site
Vienna
1241.21.43002 Boehringer Ingelheim Investigational Site
Vienna
Romania3 sites
1241.21.40001 Boehringer Ingelheim Investigational Site
Bucharest
1241.21.40002 Boehringer Ingelheim Investigational Site
Bucharest
1241.21.40003 Boehringer Ingelheim Investigational Site
Bucharest
Australia2 sites
1241.21.61002 Boehringer Ingelheim Investigational Site
Heidelberg, Victoria
1241.21.61001 Boehringer Ingelheim Investigational Site
Melbourne, Victoria
New Zealand1 site
1241.21.64001 Boehringer Ingelheim Investigational Site
Auckland NZ
About this study
Official title: 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.
Read more
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)
- Conditions
- Hepatitis C, Chronic
- Being tested
- BI 207127, BI 201335, Ribavirin, BI 207217
- Medical subject headings
- Hepatitis C, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BI 207127Drug
28 weeks, high dose, TID
BI 201335Drug
40 weeks, QD
BI 207127Drug
4 weeks, low dose TID
BI 201335Drug
24 weeks, QD
RibavirinDrug
16 weeks, according to label
RibavirinDrug
28 weeks, according to label
RibavirinDrug
28 weeks, according to label
BI 207127Drug
40 weeks, high dose, TID
BI 207127Drug
24 weeks, very high dose, BID
BI 207127Drug
16 weeks, standard dose, BID
BI 201335Drug
24 weeks, QD
RibavirinDrug
48 weeks, according to label
RibavirinDrug
40 weeks, according to label
BI 207127Drug
16 weeks, high dose, TID
BI 207127Drug
28 weeks, high dose, TID
BI 201335Drug
28 weeks, QD
BI 201335Drug
16 weeks, QD
RibavirinDrug
24 weeks, according to label
BI 201335Drug
24 weeks, QD
BI 201335Drug
28 weeks, QD
BI 207127Drug
24 weeks, standard dose, BID
BI 201335Drug
24 weeks, QD
BI 201335Drug
16 weeks, QD
BI 207127Drug
16 weeks, high dose, BID
BI 201335Drug
24 weeks, QD
RibavirinDrug
16 weeks, according to label
RibavirinDrug
16 weeks, according to label
BI 207217Drug
28 weeks, high dose BID
BI 201335Drug
16 weeks, QD
BI 207127Drug
24 weeks, high dose, TID
RibavirinDrug
48 weeks, according to label
BI 207127Drug
4 weeks, high dose, TID
BI 201335Drug
28 weeks, QD
RibavirinDrug
24 weeks, according to label
RibavirinDrug
24 weeks, according to label
| Study group | Role | What they receive |
|---|---|---|
| 2 | Experimental | 4 weeks of high dose TID BI 207127 and QD BI 201335 in combination with RBV, Part 1 Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207127 |
| 1 | Experimental | 4 weeks of low dose three times per day (TID) BI 207127 and once daily (QD) BI 201335 in combination with RBV, Part 1 Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin |
| 3 | Experimental | 16 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin |
| 4 | Experimental | 28 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 Receives: Drug: BI 207127; Drug: Ribavirin; Drug: BI 201335 |
| 5 | Experimental | 40 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 Receives: Drug: BI 201335; Drug: BI 207127; Drug: Ribavirin |
| 6 | Experimental | 28 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 2 Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207217 |
| 7 | Experimental | 28 weeks of TID BI 207127 and QD BI 201335 without RBV, Part 2 Receives: Drug: BI 207127; Drug: BI 201335 |
| 8 | Experimental | 16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3 Receives: Drug: BI 207127; Drug: Ribavirin; Drug: BI 201335 |
| 9 | Experimental | 24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3 Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin |
| 10 | Experimental | 24 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 3 Receives: Drug: BI 201335; Drug: BI 207127; Drug: Ribavirin |
| 11 | Experimental | 16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4 Receives: Drug: Ribavirin; Drug: BI 207127; Drug: BI 201335 |
| 12 | Experimental | 24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4 Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207127 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Rapid Virological Response (RVR)
Part 1: Rapid virological response (RVR), defined as Hepatitis C Virus Ribonucleic acid (HCV RNA) <25IU/mL at Week 4 of treatment
Measured: 4 weeks
Part 2: Sustained Virological Response (SVR)
Part 2: Sustained virological response (SVR), defined as HCV RNA <25 IU/mL and undetectable at 12 weeks after end of treatment
Measured: From drug administration until 12 weeks after end of treatment, up to 52 weeks
Part 3 and 4: Sustained Virological Response (SVR)
Part 3 and 4: Sustained virological response (SVR) defined as HCV RNA <25IU/mL and undetectable at 12 weeks after end of treatment
Measured: From drug administration until 12 weeks after end of treatment, up to 36 weeks
Secondary outcomes (6)
Part 1: Time to Virological Response
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.
Measured: From drug administration until end of drug administration, up to 4 weeks
Part 2: Time to Virological Response
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.
Measured: 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
Part 1 and 2: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level not detectable at Week 4
Measured: 4 weeks
Part 2: Sustained Virological Response at 4 and 24 Weeks After End of Treatment
Part 2: Sustained virological response at 4 and 24 weeks after end of treatment
Measured: 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
Part 3 and 4: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level <25 IU/mL at week 4 and 12 of treatment
Measured: Week 4 and 12
Part 3 and 4: Sustained Virological Response (SVR) at 4 Weeks After End of Treatment
Part 3 and 4: Sustained virological response (SVR) at 4 weeks after end of treatment
Measured: up to 28 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 May 2010 (estimated)
- Study startMay 2010
- Primary completionOct 2014
- Study completionOct 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- 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
- None (open label)
- Enrolment
- 488 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Boehringer Ingelheim, Study chair, Boehringer Ingelheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01132313
- Sponsor's protocol ID
- 1241.21
- Other IDs
- 2009-018197-66, 2009
- Status last verified
- Dec 2015
- First submitted
- 3 May 2010
- Last updated
- 1 Feb 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Zeuzem S, Mantry P, Soriano V, Buynak RJ, Dufour JF, Pockros PJ, Wright D, Angus P, Buti M, Stern JO, Kadus W, Vinisko R, Bocher W, Mensa FJ. Short article: Faldaprevir, deleobuvir and ribavirin in IL28B non-CC patients with HCV genotype-1a infection included in the SOUND-C3 phase 2b study. Eur J Gastroenterol Hepatol. 2016 Aug;28(8):923-6. doi: 10.1097/MEG.0000000000000649.
PubMed 27140229Asselah T, Zeuzem S, Soriano V, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Voss F, Baum P, Gallivan JP, Bocher WO, Mensa FJ. ITPA Genotypes Predict Anemia but Do Not Affect Virological Response with Interferon-Free Faldaprevir, Deleobuvir, and Ribavirin for HCV Infection. PLoS One. 2015 Dec 9;10(12):e0144004. doi: 10.1371/journal.pone.0144004. eCollection 2015.
PubMed 26650626Zeuzem S, Soriano V, Asselah T, Gane EJ, Bronowicki JP, Angus P, Lohse AW, Stickel F, Mullhaupt B, Roberts S, Schuchmann M, Manns M, Bourliere M, Buti M, Stern JO, Gallivan JP, Voss F, Sabo JP, Bocher W, Mensa FJ; SOUND-C2 Study Group. Efficacy and safety of faldaprevir, deleobuvir, and ribavirin in treatment-naive patients with chronic hepatitis C virus infection and advanced liver fibrosis or cirrhosis. Antimicrob Agents Chemother. 2015 Feb;59(2):1282-91. doi: 10.1128/AAC.04383-14. Epub 2014 Dec 15.
PubMed 25512403Zeuzem S, Soriano V, Asselah T, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Vinisko R, Kukolj G, Gallivan JP, Bocher WO, Mensa FJ. Faldaprevir and deleobuvir for HCV genotype 1 infection. N Engl J Med. 2013 Aug 15;369(7):630-9. doi: 10.1056/NEJMoa1213557.
PubMed 23944300Zeuzem S, Asselah T, Angus P, Zarski JP, Larrey D, Mullhaupt B, Gane E, Schuchmann M, Lohse AW, Pol S, Bronowicki JP, Roberts S, Arasteh K, Zoulim F, Heim M, Stern JO, Nehmiz G, Kukolj G, Bocher WO, Mensa FJ. Faldaprevir (BI 201335), deleobuvir (BI 207127) and ribavirin oral therapy for treatment-naive HCV genotype 1: SOUND-C1 final results. Antivir Ther. 2013;18(8):1015-9. doi: 10.3851/IMP2567. Epub 2013 Apr 4.
PubMed 23558093
Study at a glance
From the registry record, last updated by the sponsor on 1 Feb 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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)
- ClinicalTrials.gov ID
- NCT01132313
- Acronym / sponsor ID
- 1241.21
- Conditions
- Hepatitis C, Chronic
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 488 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- May 2010
- Primary completion
- Oct 2014 (actual)
- Study completion
- Oct 2014 (actual)
- First posted
- 28 May 2010 (estimated)
- Results
- Posted 1 Feb 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 12
| Arm | Type | Receives |
|---|---|---|
| 2 | Experimental | Drug: Ribavirin, Drug: BI 201335, Drug: BI 2071274 weeks of high dose TID BI 207127 and QD BI 201335 in combination with RBV, Part 1 |
| 1 | Experimental | Drug: BI 207127, Drug: BI 201335, Drug: Ribavirin4 weeks of low dose three times per day (TID) BI 207127 and once daily (QD) BI 201335 in combination with RBV, Part 1 |
| 3 | Experimental | Drug: BI 207127, Drug: BI 201335, Drug: Ribavirin16 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 |
| 4 | Experimental | Drug: BI 207127, Drug: Ribavirin, Drug: BI 20133528 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 |
| 5 | Experimental | Drug: BI 201335, Drug: BI 207127, Drug: Ribavirin40 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2 |
| 6 | Experimental | Drug: Ribavirin, Drug: BI 201335, Drug: BI 20721728 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 2 |
| 7 | Experimental | Drug: BI 207127, Drug: BI 20133528 weeks of TID BI 207127 and QD BI 201335 without RBV, Part 2 |
| 8 | Experimental | Drug: BI 207127, Drug: Ribavirin, Drug: BI 20133516 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3 |
| 9 | Experimental | Drug: BI 207127, Drug: BI 201335, Drug: Ribavirin24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3 |
| 10 | Experimental | Drug: BI 201335, Drug: BI 207127, Drug: Ribavirin24 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 3 |
| 11 | Experimental | Drug: Ribavirin, Drug: BI 207127, Drug: BI 20133516 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4 |
| 12 | Experimental | Drug: Ribavirin, Drug: BI 201335, Drug: BI 20712724 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4 |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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
Key exclusion criteria (20 listed)
- 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
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 |
|---|---|---|
| BI 20712728 weeks, high dose, TID | Drug | 4 |
| BI 20133540 weeks, QD | Drug | 5 |
| BI 2071274 weeks, low dose TID | Drug | 1 |
| BI 20133524 weeks, QD | Drug | 1 |
| Ribavirin16 weeks, according to label | Drug | 11 |
| Ribavirin28 weeks, according to label | Drug | 4 |
| Ribavirin28 weeks, according to label | Drug | 6 |
| BI 20712740 weeks, high dose, TID | Drug | 5 |
| BI 20712724 weeks, very high dose, BID | Drug | 9 |
| BI 20712716 weeks, standard dose, BID | Drug | 11 |
| BI 20133524 weeks, QD | Drug | 10 |
| Ribavirin48 weeks, according to label | Drug | 2 |
| Ribavirin40 weeks, according to label | Drug | 5 |
| BI 20712716 weeks, high dose, TID | Drug | 3 |
| BI 20712728 weeks, high dose, TID | Drug | 7 |
| BI 20133528 weeks, QD | Drug | 6 |
| BI 20133516 weeks, QD | Drug | 11 |
| Ribavirin24 weeks, according to label | Drug | 12 |
| BI 20133524 weeks, QD | Drug | 12 |
| BI 20133528 weeks, QD | Drug | 7 |
| BI 20712724 weeks, standard dose, BID | Drug | 12 |
| BI 20133524 weeks, QD | Drug | 9 |
| BI 20133516 weeks, QD | Drug | 3 |
| BI 20712716 weeks, high dose, BID | Drug | 8 |
| BI 20133524 weeks, QD | Drug | 2 |
| Ribavirin16 weeks, according to label | Drug | 3 |
| Ribavirin16 weeks, according to label | Drug | 8 |
| BI 20721728 weeks, high dose BID | Drug | 6 |
| BI 20133516 weeks, QD | Drug | 8 |
| BI 20712724 weeks, high dose, TID | Drug | 10 |
| Ribavirin48 weeks, according to label | Drug | 1 |
| BI 2071274 weeks, high dose, TID | Drug | 2 |
| BI 20133528 weeks, QD | Drug | 4 |
| Ribavirin24 weeks, according to label | Drug | 9 |
| Ribavirin24 weeks, according to label | Drug | 10 |
Primary outcome
Part 1: Rapid Virological Response (RVR)
Time frame: 4 weeks
Part 1: Rapid virological response (RVR), defined as Hepatitis C Virus Ribonucleic acid (HCV RNA) <25IU/mL at Week 4 of treatment
Part 2: Sustained Virological Response (SVR)
Time frame: 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
Part 3 and 4: Sustained Virological Response (SVR)
Time frame: 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
6 secondary outcomes
Part 1: Time to Virological Response
Time frame: From drug administration until end of drug administration, up to 4 weeks
Part 2: Time to Virological Response
Time frame: 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
Time frame: 4 weeks
Part 2: Sustained Virological Response at 4 and 24 Weeks After End of Treatment
Time frame: 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
Time frame: Week 4 and 12
Part 3 and 4: Sustained Virological Response (SVR) at 4 Weeks After End of Treatment
Time frame: up to 28 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Feb 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27140229Zeuzem S, Mantry P, Soriano V, Buynak RJ, Dufour JF, Pockros PJ, Wright D, Angus P, Buti M, Stern JO, Kadus W, Vinisko R, Bocher W, Mensa FJ. Short article: Faldaprevir, deleobuvir and ribavirin in IL28B non-CC patients with HCV genotype-1a infection included in the SOUND-C3 phase 2b study. Eur J Gastroenterol Hepatol. 2016 Aug;28(8):923-6. doi: 10.1097/MEG.0000000000000649.
- Derived from this study: PubMed 26650626Asselah T, Zeuzem S, Soriano V, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Voss F, Baum P, Gallivan JP, Bocher WO, Mensa FJ. ITPA Genotypes Predict Anemia but Do Not Affect Virological Response with Interferon-Free Faldaprevir, Deleobuvir, and Ribavirin for HCV Infection. PLoS One. 2015 Dec 9;10(12):e0144004. doi: 10.1371/journal.pone.0144004. eCollection 2015.
- Derived from this study: PubMed 25512403Zeuzem S, Soriano V, Asselah T, Gane EJ, Bronowicki JP, Angus P, Lohse AW, Stickel F, Mullhaupt B, Roberts S, Schuchmann M, Manns M, Bourliere M, Buti M, Stern JO, Gallivan JP, Voss F, Sabo JP, Bocher W, Mensa FJ; SOUND-C2 Study Group. Efficacy and safety of faldaprevir, deleobuvir, and ribavirin in treatment-naive patients with chronic hepatitis C virus infection and advanced liver fibrosis or cirrhosis. Antimicrob Agents Chemother. 2015 Feb;59(2):1282-91. doi: 10.1128/AAC.04383-14. Epub 2014 Dec 15.
- Derived from this study: PubMed 23944300Zeuzem S, Soriano V, Asselah T, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Vinisko R, Kukolj G, Gallivan JP, Bocher WO, Mensa FJ. Faldaprevir and deleobuvir for HCV genotype 1 infection. N Engl J Med. 2013 Aug 15;369(7):630-9. doi: 10.1056/NEJMoa1213557.
- Derived from this study: PubMed 23558093Zeuzem S, Asselah T, Angus P, Zarski JP, Larrey D, Mullhaupt B, Gane E, Schuchmann M, Lohse AW, Pol S, Bronowicki JP, Roberts S, Arasteh K, Zoulim F, Heim M, Stern JO, Nehmiz G, Kukolj G, Bocher WO, Mensa FJ. Faldaprevir (BI 201335), deleobuvir (BI 207127) and ribavirin oral therapy for treatment-naive HCV genotype 1: SOUND-C1 final results. Antivir Ther. 2013;18(8):1015-9. doi: 10.3851/IMP2567. Epub 2013 Apr 4.
- Related InfoLink provided by the sponsor.
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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.
Boehringer Ingelheim study chair
Boehringer Ingelheim
53 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing BI 207127, BI 201335 and Ribavirin in people with Hepatitis C, Chronic, run by Boehringer Ingelheim at 53 sites in 10 countries.
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 7 inclusion and 20 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 1 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 53 sites in United States, Germany, France, Spain, Portugal and 5 more countries. 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. 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 1 Feb 2016). 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?
Part 1: Rapid Virological Response (RVR) (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?
On the ClinicalTrials.gov record for NCT01132313, which also lists 5 linked publications.
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 1 Feb 2016.