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Pharmacokinetics of Multiple Ascending Doses of VCH-222 in Subjects With Chronic Hepatitis C Infection

Phase 1
Completed
Conditions
Hepatitis C
Interventions
Drug: VCH-222 or matching placebo
Biological: peginterferon alfa-2a
Registration Number
NCT00911963
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of this study is to assess antiviral activity when administered alone for 3 days or in combination with peginterferon and ribavirin for 12 weeks. This study will also evaluate the safety and tolerability of treatment with VCH-222 when given alone or in combination with peginterferon and ribavirin.

The study will also evaluate the pharmacokinetic profile of VCH-222 in HCV infected subjects.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
49
Inclusion Criteria
  • Male and Female subjects, 18-65 years of age (females non-child bearing potential in Part B)
  • Have laboratory evidence of HCV infection for 6 months, defined by (1) presence of anti-HCV antibody (Genotype 1a and 1b infection), or (2)documented HCV RNA presence by a sensitive and specific assay and (3 histologic evidence of CHC (Fibrosis on a standardized histological grading system)
  • Plasma HCV RNA of 100,000 IU/ml
  • HIV 1 and HIV2 ab seronegative
  • Body Mass Index (BMI) ≤ 35 kg/m2 BMI
  • Treatment Naive subjects
Exclusion Criteria
  • Contraindications to peginterferon or ribavirin therapy
  • Have evidence of liver cirrhosis, decompensated liver disease, and Child-Pugh score > 5
  • Have hemoglobinopathies, unstable cardiac disease, history of organ transplant, active malignant disease or uncontrolled Type I or II diabetes

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Part AVCH-222 or matching placeboThis will be a 4 dose escalation study comparing VCH-222 to placebo treatment.
Part BVCH-222 or matching placeboVCH-222 + peginterferon alfa-2a + ribavirin (12 weeks) followed by peginterferon alfa-2a + ribavirin for 36 weeks
Part Bpeginterferon alfa-2aVCH-222 + peginterferon alfa-2a + ribavirin (12 weeks) followed by peginterferon alfa-2a + ribavirin for 36 weeks
Part BribavirinVCH-222 + peginterferon alfa-2a + ribavirin (12 weeks) followed by peginterferon alfa-2a + ribavirin for 36 weeks
Primary Outcome Measures
NameTimeMethod
To assess the antiviral activity of VCH-222, in subjects with genotype 1 hepatitis C virus (HCV) infection after once (QD) or twice (b.i.d.) daily dosing for 3 days (Part A)Daily for the first 3 days and at each study visit
To assess the antiviral activity of VCH-222, in subjects with genotype 1 HCV infection after b.i.d. daily dosing for 12 weeks in combination with Peg-interferon-alfa-2a and ribavirin (Part B)Week 4 and Week 12
Assess the safety and tolerability of VCH-222 when administered in combination with Peg-IFN-alfa-2a/RBV for 12 weeks (Part B)Study visits throughout part B
Secondary Outcome Measures
NameTimeMethod
To assess the safety and tolerability of VCH-222 when administered for 3 days in monotherapy (Part A)Study visits throughout Part A
To evaluate the pharmacokinetic (PK) profile of VCH-222 in HCV infected subjects (Part B)Time points through Part B

Trial Locations

Locations (10)

Alamo Medical Research

🇺🇸

San Antonio, Texas, United States

Downtown ID Clinic/University of British Columbia

🇨🇦

Vancouver, British Columbia, Canada

Ottawa Hospital

🇨🇦

Ottawa, Ontario, Canada

Gastrointestinal Specialists of Georgia PC

🇺🇸

Marietta, Georgia, United States

John Buhler Research Centre

🇨🇦

Winnipeg, Manitoba, Canada

ACLIRES Argentina SRL

🇦🇷

Buenos Aires, Argentina

Fundacion de Investigation de Diego

🇵🇷

Santurce, Puerto Rico

Henry Ford Health Sytem

🇺🇸

Detroit, Michigan, United States

Hospital Universitario Austral

🇦🇷

Buenos Aires, Argentina

The liver institute at Methodist hospital

🇺🇸

Dallas, Texas, United States

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