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A Study Evaluating GS-9620 in Treatment Naive Subjects With Chronic Hepatitis C

Phase 1
Completed
Conditions
Hepatitis C
Interventions
Drug: Single Ascending Dose Cohorts GS-9620
Drug: Multiple Ascending Dose Cohorts GS-9620
Registration Number
NCT01591668
Lead Sponsor
Gilead Sciences
Brief Summary

Dose cohorts may be dosed with one of up to 4 possible total weekly doses (0.3 mg, 1 mg, 2 mg, 4 mg). Dose escalation or repetition will be governed by pre-specified safety and activity rules. Subjects will be confined on either days 1-3 and/or days 8-10. Follow-up visits are also required periodically through day 43. Study procedures involve taking blood samples for pharmacokinetic, pharmacodynamic, virologic, and safety assessments.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
51
Inclusion Criteria
  • Males and Females 18-65 years old
  • Chronic HCV infection for at least 6 months, treatment naive
  • HCV Viral load > 100,000 IU/mL at Screening
  • Monoinfection with HCV 1 genotype
  • Hepatitis B surface antigen negative
  • Screening ECG without clinically significant abnormalities
  • BMI 18-33 kg/m^2
  • Creatinine clearing > 70 mL/min
  • Negative pregnancy test at screening
Exclusion Criteria
  • Pregnant or lactating subjects
  • Co-infection with hepatitis B virus (HBV) or HIV
  • History of Gilberts disease
  • Particular abnormal laboratory parameters
  • Diagnosis of autoimmune disease, poorly controlled diabetes, significant psychiatric illness, severe chronic obstructive pulmonary disease (COPD), malignancy, hemoglobinopathy, retinal disease, and those who are immunosuppressed
  • Evidence of hepatocellular carcinoma
  • On-going alcohol abuse
  • Positive uring drug screen

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
0.3mg GS-9620Single Ascending Dose Cohorts GS-9620-
1mg GS-9620Single Ascending Dose Cohorts GS-9620-
2mg GS-9620Single Ascending Dose Cohorts GS-9620-
4mg GS-9620Single Ascending Dose Cohorts GS-9620-
0.3mg GS-9620 QW x 2 dosesMultiple Ascending Dose Cohorts GS-9620-
1mg GS-9620 QW x 2 dosesMultiple Ascending Dose Cohorts GS-9620-
2mg GS-9620 QW x 2 dosesMultiple Ascending Dose Cohorts GS-9620-
4mg GS-9620 QW x 2 dosesMultiple Ascending Dose Cohorts GS-9620-
Primary Outcome Measures
NameTimeMethod
Incidence of adverse events in single and multiple doses of GS-9620Periodically Day 1 to 6 months

Assessments include adverse events, laboratory abnormalities, 12-lead ECG abnormalities and interval measurements, and vital sign measurements

Secondary Outcome Measures
NameTimeMethod
Assessment of plasma drug concentrations of GS-9620 using non-compartmental methodsDay 1 and Day 8

Single ascending dose (SAD) cohorts: serial blood samples will be collected on Day 1 at 0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 8, 10, 12, 16, 24, 48, and 96 hours post-dose.

Multiple ascending dose (MAD) cohorts: serial blood samples will be collected on Day 8 at 0 (pre-dose), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 8, 10, 12, 16, and 24 hours post-dose.

Measurement of pharmacodynamic markers (cytokines and interferon-stimulated genes [ISGs])Days 1, 2, 3, 5, 8

SAD cohorts: Whole blood and serum for pharmacodynamic (PD) assessments (RNA and cytokine analysis) will be drawn on Day 1: Pre-dose and 8-hour Post-dose, Day 2, Day 3, Day 5, Day 8

MAD cohorts: Whole blood and serum for PD assessments (RNA and cytokine analysis) will be drawn on Day 1: Pre-dose and 8-hours Post-dose, Day 2, Day 3, Day 5, Day 8: Pre-dose and 8 hours Post-dose, Day 9, Day 10, Day 12, and Day 15

Reduction of hepatitis C (HCV) RNA viral load from baselineScreening, Baseline, Day 8 or 15

SAD cohorts: HCV viral load will be drawn at Day 1: Pre-dose, Day 2, 3, 5, 8 and both Follow-up Visits.

MAD cohorts: HCV viral load will be drawn at Day 1: Pre-dose, Day 2, 3, 5, Day 8: Pre-dose, 9, 10, 15, and both Follow-Up Visits.

Trial Locations

Locations (10)

Avail Clinical Research, LLC

πŸ‡ΊπŸ‡Έ

DeLand, Florida, United States

Fundacion De Investigacion De Diego

πŸ‡΅πŸ‡·

Santurce, Puerto Rico

CliniLabs

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Comprehensive Clinical Research

πŸ‡ΊπŸ‡Έ

Berlin, New Jersey, United States

Orlando Clinical Research Center

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Kansas City Gastroenterology and Hepatology

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

CRI Worldwide, LLC

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Alamo Medical Research

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

Lifetree Clinical Research

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

Woodland International Research Group

πŸ‡ΊπŸ‡Έ

Little Rock, Arkansas, United States

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