Safety, Tolerability, and Antiviral Activity of ACH-0141625 or Placebo in Combination With Peginterferon and Ribavirin in Hepatitis C Virus (HCV) Positive Participants

NCT ID: NCT01180790

Last Updated: 2023-08-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-04-30

Brief Summary

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Evaluate safety, tolerability, and antiviral response of ACH-0141625 compared to standard of care in hepatitis C virus (HCV)-positive participants.

Detailed Description

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Conditions

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Hepatitis C

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Segment 1: 200 milligrams (mg) ACH-0141625

200 mg ACH-0141625 for 28 days plus pegylated interferon (Peg-IFN) alpha-2a and ribavirin (RBV) for 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

200 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 1: 400 mg ACH-0141625

400 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

400 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 1: 800 mg ACH-0141625

800 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

800 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 1: Placebo

Placebo for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Powder in capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 2: 200 mg ACH-0141625

200 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

200 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 2 : 400 mg ACH-0141625

400 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

400 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Segment 2 : 800 mg ACH-0141625

800 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks

Group Type EXPERIMENTAL

ACH-0141625 (Sovaprevir)

Intervention Type DRUG

800 mg oral capsule once daily

Pegylated Interferon alpha-2a

Intervention Type DRUG

180 micrograms (ug) once a week by subcutaneous injection

Ribavirin

Intervention Type DRUG

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Interventions

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ACH-0141625 (Sovaprevir)

200 mg oral capsule once daily

Intervention Type DRUG

ACH-0141625 (Sovaprevir)

400 mg oral capsule once daily

Intervention Type DRUG

ACH-0141625 (Sovaprevir)

800 mg oral capsule once daily

Intervention Type DRUG

Placebo

Powder in capsule once daily

Intervention Type DRUG

Pegylated Interferon alpha-2a

180 micrograms (ug) once a week by subcutaneous injection

Intervention Type DRUG

Ribavirin

400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily

Intervention Type DRUG

Other Intervention Names

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Peg-INF Ribasphere Copegus

Eligibility Criteria

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Inclusion Criteria

* Males and females, aged 18 years and older
* Chronic hepatitis C genotype 1 (as specified in the protocol)
* Treatment naive
* Females who are post-menopausal and amenorrheic must have a follicle-stimulating hormone (FSH) at screening. Females of childbearing potential must have a negative pregnancy test at screening and baseline. Females must use a non-hormonal method of contraception and must agree not to get pregnant during the study and for 6 months following the discontinuation of standard of care (SOC).
* Fertile males must agree to use a condom and his female partner must agree to use 1 or more methods of contraception. Males must not donate sperm during the study and 3 months following the last exposure to RBV.

Exclusion Criteria

* Body mass index (BMI) \>36 kilograms (kg)/square meter (m\^2)
* Pregnant or nursing females or females of childbearing potential not willing to comply with contraceptive measures per protocol. Men whose female partners are pregnant or contemplating pregnancy. - Coinfection with hepatitis B virus (HBV) and/or human immunodeficiency virus (HIV)
* Other significant diseases including liver disease
* History of drug or alcohol dependence or addiction within the past 6 months
* History of participation in a clinical trial with a protease inhibitor or previous treatment with a protease inhibitor, where at least 1 dose of the protease inhibitor was consumed.
* Use of herbal or homeopathic products, illicit drugs, cytochrome P450 (CYP) 3A4/5 substrates, inducers or inhibitors, hormonal methods of contraception, corticosteroids, immunosuppressive, or cytotoxic agents within 28 days of the first dose of study drug.
* Have a clinically significant laboratory abnormality at screening (as specified in the protocol).
* Segment 1: Participants with any history of decompensated liver disease defined as cirrhotic participants with a Child-Pugh score of \> or = to 7. Segment 2: Participants who have had a liver biopsy that shows bridging fibrosis or cirrhosis.
* Nonalcoholic steatohepatitis if ballooning degeneration or Mallory bodies are present on liver biopsy.
* Participants who prematurely discontinued, interrupted, or dose reduced prior Peg-IFN and RBV therapy due to noncompliance or safety issues.
* Encephalopathy or altered mental status of any etiology.
* History of moderate, severe, or uncontrolled psychiatric disease (as specified in the protocol).
* History of malignancy of any organ system treated or untreated within the past 5 years.
* Use of colony stimulating factor agents within 90 days prior to baseline.
* History of seizure disorder.
* History of known coagulopathy including hemophilia.
* Clinically of significant findings on fundoscopic or retinal examination at screening
* History of immunologically mediate disease.
* History of clinical evidence of chronic cardiac disease (as specified in the protocol)
* Received concomitant systemic antibiotic, antifungals, or antivirals for the treatment of active infection within 14 days prior to the first dose of the study drug (as specified in the protocol)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Achillion, a wholly owned subsidiary of Alexion

INDUSTRY

Sponsor Role collaborator

Alexion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Trial Site

Los Angeles, California, United States

Site Status

Clinical Trial Site

Los Angeles, California, United States

Site Status

Clinical Trial Site

San Francisco, California, United States

Site Status

Clinical Trial Site

Bradenton, Florida, United States

Site Status

Clinical Trial Site

Orlando, Florida, United States

Site Status

Clinical Trial Site

Chicago, Illinois, United States

Site Status

Clinical Trial Site

Overland Park, Kansas, United States

Site Status

Clinical Trial Site

St Louis, Missouri, United States

Site Status

Clinical Trial Site

Las Vegas, Nevada, United States

Site Status

Clinical Trial Site

New York, New York, United States

Site Status

Clinical Trial Site

Philadelphia, Pennsylvania, United States

Site Status

Clinical Trial Site

Arlington, Texas, United States

Site Status

Clinical Trial Site

San Antonio, Texas, United States

Site Status

Clinical Trial Site

Newport News, Virginia, United States

Site Status

Clinical Trial Site

Norfolk, Virginia, United States

Site Status

Clinical Trial Site

Edegem, Antwerp, Belgium

Site Status

Clinical Trial Site

Haine-Saint-Paul, Hainaut, Belgium

Site Status

Clinical Trial Site

Ghent, Oost-Vlaanderen, Belgium

Site Status

Countries

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United States Belgium

Other Identifiers

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2010-022092-65

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ACH625-003

Identifier Type: -

Identifier Source: org_study_id

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