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Evaluation of Safety, Tolerability, and Antiviral Activity of ACH-0143102 Plus Ribavirin In Treatment-naive Hepatitis C Virus Infection Genotype 1b Participants

NCT01700179 — Phase 1, Completed, 8 participants, Alexion Pharmaceuticals, Inc.

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A Phase 1b, Open-label, Pilot Study to Evaluate the Safety, Tolerability, and Antiviral Activity of Oral ACH-0143102 Administered in Combination With Ribavirin for 12 Weeks in Treatment-naive Subjects With Chronic Hepatitis C Virus Infection Genotype 1b

RegistryNCT01700179
StatusCompleted
PhasePhase 1
Study typeInterventional; na, single group, masking: none, treatment
Enrollment8 (Actual)
SponsorAlexion Pharmaceuticals, Inc. (Industry); collaborators: Achillion, a wholly owned subsidiary of Alexion
ConditionsChronic Hepatitis C Infection
InterventionsACH-0143102, Ribavirin (Drug)
Datesstart 2012-09-01, primary completion 2013-09-01, completion 2013-09-01, first posted 2012-10-04, last updated 2023-08-29

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-Summary

The purpose of this study was to evaluate the safety, tolerability, and efficacy of 12 weeks of treatment with ACH-0143102 and ribavirin in genotype 1b (GT1b), treatment-naive, hepatitis C virus (HCV) participants.

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+Detailed description

A Phase 1b, pilot study that evaluated the safety, tolerability, and antiviral activity of oral ACH-0143102 administered in combination with ribavirin for 12 weeks in treatment-naive participants with chronic HCV GT1b.

+Arms and interventions

ArmTypeInterventionsDescription
ACH-0143102 plus ribavirin dailyExperimentalDrug: ACH-0143102; Drug: RibavirinACH-0143102 loading dose (225 milligrams \[mg\]) on Day 1, followed by maintenance doses (75 mg) on Days 2-84, plus weight-based ribavirin as per label on Days 1-84.
  • ACH-0143102 (Drug)
  • Ribavirin (Drug)

+Outcome measures

Primary outcomes

  • Sustained Virologic Response At 12 Weeks (SVR12) [12 weeks following the last dose]: To determine the incidence of the SVR12 after the completion of dosing with ACH-0143102 plus ribavirin, reported as hepatitis C virus ribonucleic acid less than the limit of quantification at that time point.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Males and females aged 18 years and older.
* Clinical diagnosis of hepatitis C with GT1b.
* Chronic hepatitis C treatment-naive participants.
* Interleukin 28B genotype CC.
* HCV ribonucleic acid > 10,000 international units/milliliter at screening.
* Female participants must be willing to use 2 effective methods of contraception during the dosing period and for 6 months after the last dose of ribavirin.
* Male participants must be willing to use an effective barrier method of contraception throughout the dosing period and for 6 months after the last dose of ribavirin. Male participants must agree not to donate sperm while enrolled in the study and for 6 months after the last dose of ribavirin.
* Willing to participate in all study activities and all study requirements.

Exclusion Criteria:

* Body mass index > 36 kilograms/meter squared.
* Pregnant or nursing females.
* Clinically significant laboratory abnormalities at screening.
* Previous participation in a clinical trial with protease inhibitor and/or non-structural protein 5A inhibitor.
* Human immunodeficiency virus infection or other liver diseases.
* Positive hepatitis B surface antigen.
* Liver cirrhosis.
* Uncontrolled psychiatric disease.
* Clinical evidence of chronic cardiac disease.
* History of malignancy of any organ system within 5 years.

+Posted results

Participant flow

MilestoneACH-0143102 Plus Ribavirin
Started8
Completed6
Not completed2

Outcome results

  • Sustained Virologic Response At 12 Weeks (SVR12) (Primary), Number, percentage of participants: ACH-0143102 Plus Ribavirin 50

Adverse events

Time frame: Adverse event data were collected from enrollment into the study through end of treatment plus 24 weeks of follow-up, for up to 36 weeks.

ArmDeathsSerious adverse eventsOther adverse events
ACH-0143102 Plus Ribavirin00/8 (0.0%)6/8 (75.0%)

Other adverse events by term

TermOrgan systemACH-0143102 Plus Ribavirin
AnaemiaBlood and lymphatic system disorders4/8
Atrioventricular block second degreeCardiac disorders1/8
Abdominal pain upperGastrointestinal disorders1/8
DiarrhoeaGastrointestinal disorders1/8
EructationGastrointestinal disorders1/8
HaematocheziaGastrointestinal disorders1/8
NauseaGastrointestinal disorders2/8
Oral painGastrointestinal disorders1/8
FatigueGeneral disorders5/8
Influenza like illnessGeneral disorders1/8
IrritabilityGeneral disorders1/8
Non-cardiac chest painGeneral disorders1/8
FolliculitisInfections and infestations1/8
InfluenzaInfections and infestations1/8
NasopharyngitisInfections and infestations1/8
SinusitisInfections and infestations1/8
Foreign body in eyeInjury, poisoning and procedural complications1/8
Muscle strainInjury, poisoning and procedural complications1/8
ArthralgiaMusculoskeletal and connective tissue disorders1/8
Back painMusculoskeletal and connective tissue disorders1/8
Joint swellingMusculoskeletal and connective tissue disorders1/8
DizzinessNervous system disorders1/8
HeadacheNervous system disorders2/8
Emotional disorderPsychiatric disorders1/8
InsomniaPsychiatric disorders2/8
Breast tendernessReproductive system and breast disorders1/8
Vulvovaginal pruritusReproductive system and breast disorders1/2
DyspnoeaRespiratory, thoracic and mediastinal disorders1/8
Sinus congestionRespiratory, thoracic and mediastinal disorders1/8
Upper respiratory tract congestionRespiratory, thoracic and mediastinal disorders1/8
Dry skinSkin and subcutaneous tissue disorders1/8
PruritusSkin and subcutaneous tissue disorders3/8
RashSkin and subcutaneous tissue disorders2/8
Rash macularSkin and subcutaneous tissue disorders2/8
Rash maculo-papularSkin and subcutaneous tissue disorders1/8

My Notes