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
| Registry | NCT01700179 |
|---|---|
| Status | Completed |
| Phase | Phase 1 |
| Study type | Interventional; na, single group, masking: none, treatment |
| Enrollment | 8 (Actual) |
| Sponsor | Alexion Pharmaceuticals, Inc. (Industry); collaborators: Achillion, a wholly owned subsidiary of Alexion |
| Conditions | Chronic Hepatitis C Infection |
| Interventions | ACH-0143102, Ribavirin (Drug) |
| Dates | start 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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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.
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.
| Arm | Type | Interventions | Description |
|---|---|---|---|
| ACH-0143102 plus ribavirin daily | Experimental | Drug: ACH-0143102; Drug: Ribavirin | ACH-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. |
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.
| Milestone | ACH-0143102 Plus Ribavirin |
|---|---|
| Started | 8 |
| Completed | 6 |
| Not completed | 2 |
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.
| Arm | Deaths | Serious adverse events | Other adverse events |
|---|---|---|---|
| ACH-0143102 Plus Ribavirin | 0 | 0/8 (0.0%) | 6/8 (75.0%) |
| Term | Organ system | ACH-0143102 Plus Ribavirin |
|---|---|---|
| Anaemia | Blood and lymphatic system disorders | 4/8 |
| Atrioventricular block second degree | Cardiac disorders | 1/8 |
| Abdominal pain upper | Gastrointestinal disorders | 1/8 |
| Diarrhoea | Gastrointestinal disorders | 1/8 |
| Eructation | Gastrointestinal disorders | 1/8 |
| Haematochezia | Gastrointestinal disorders | 1/8 |
| Nausea | Gastrointestinal disorders | 2/8 |
| Oral pain | Gastrointestinal disorders | 1/8 |
| Fatigue | General disorders | 5/8 |
| Influenza like illness | General disorders | 1/8 |
| Irritability | General disorders | 1/8 |
| Non-cardiac chest pain | General disorders | 1/8 |
| Folliculitis | Infections and infestations | 1/8 |
| Influenza | Infections and infestations | 1/8 |
| Nasopharyngitis | Infections and infestations | 1/8 |
| Sinusitis | Infections and infestations | 1/8 |
| Foreign body in eye | Injury, poisoning and procedural complications | 1/8 |
| Muscle strain | Injury, poisoning and procedural complications | 1/8 |
| Arthralgia | Musculoskeletal and connective tissue disorders | 1/8 |
| Back pain | Musculoskeletal and connective tissue disorders | 1/8 |
| Joint swelling | Musculoskeletal and connective tissue disorders | 1/8 |
| Dizziness | Nervous system disorders | 1/8 |
| Headache | Nervous system disorders | 2/8 |
| Emotional disorder | Psychiatric disorders | 1/8 |
| Insomnia | Psychiatric disorders | 2/8 |
| Breast tenderness | Reproductive system and breast disorders | 1/8 |
| Vulvovaginal pruritus | Reproductive system and breast disorders | 1/2 |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | 1/8 |
| Sinus congestion | Respiratory, thoracic and mediastinal disorders | 1/8 |
| Upper respiratory tract congestion | Respiratory, thoracic and mediastinal disorders | 1/8 |
| Dry skin | Skin and subcutaneous tissue disorders | 1/8 |
| Pruritus | Skin and subcutaneous tissue disorders | 3/8 |
| Rash | Skin and subcutaneous tissue disorders | 2/8 |
| Rash macular | Skin and subcutaneous tissue disorders | 2/8 |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | 1/8 |