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临床试验/EUCTR2010-022092-65-BE
EUCTR2010-022092-65-BE进行中(未招募)1 期

A phase IIa, randomized, double-blind (subject and investigator blind, sponsor open) placebo-controlled trial to evaluate the safety, tolerability and antiviral activity of oral ACH-0141625 in combination with pegylated interferon alfa-2a and ribavirin in two segments, after 28 days of dosing and, subsequently, after 12 weeks of dosing in subjects with chronic hepatitis C virus genotype 1.

Achillion Pharmaceuticals, Inc.0 个研究点目标入组 0 人开始时间: 2010年11月18日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Males and females aged 18 years or older
  • 2. Chronic HCV infection, documented by one of the following:
  • positive for anti-HCV antibody, HCV RNA, or an HCV genotype at least 6 months before screening, and positive for HCV RNA and anti-HCV antibody at the time of screening;
  • or positive for anit-HCV antibody and HCV RNA at the time of screening with a liver biopsy consistent with chronic HCV infection (or a liver biopsy performed before enrollment with evidence of CHC disease, such as the presence of fibrosis).
  • 3. HCV genotype 1 (including 1a, 1b or mixed 1a/1b); subjects with mixed genotypes (e.g. 1/2, 1/3, etc.) or other genotypes (e.g. 2, 3, 4, 5, or 6) will be excluded.
  • 4. Females who are post-menopausal and amenorrheic must have an FSH measurement at screening with results in the post-menopausal range for the central laboratory. Females of childbearing potential or surgically sterilized females 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 six months following the discontinuation of standard of care.
  • 5. Fertile males, defined as all males physiologically capable of conceiving offspring, may be enrolled in this study. Males in this category must agree to use a condom and his female partner must agree to use one or more methods of contraception from the date of screening until 6 months after their last dose of RBV. Males must not donate sperm while enrolled in this study and for three months following the last exposure to RBV
  • 6. Signed and dated written informed consent form
  • 7. Willing to participate in all study activities (including the ability to safely self-inject study drug subcutaneously) and all study requirements (including effective contraception) during study period
  • 8. Treatment naïve subjects.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 20
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Body Mass Index (BMI) > 36
  • 2. Pregnant or nursing (lactating) females, confirmed by a positive hCG laboratory test or females contemplating pregnancy. Men whose female partners are pregnant or contemplating pregnancy.
  • 3. Participation in any interventional clinical trial within previous 35 days.
  • 4. History of participation in a clinical trial with a protease inhibitor or previous treatment with a protease inhibitor, where at least one dose of the protease inhibitor was consumed.
  • 5. Use of herbal or homeopathic products, illicit drugs, CYP3A4/5 substrates, inducers or inhibitors (See Appendix 8), hormonal methods of contraception, corticosteroids, immunosuppressives, or cytotoxic agents within 28 days of first dose of study drug.
  • 6. History of poor compliance with health and treatment regimens.
  • 7. Have a clinically significant laboratory abnormality at screening:
  • Absolute neutrophil count (ANC) <1,500 / mm2 (1.5 x 109/L)
  • Platelets <90,000/mm2 (90 x 109/L)
  • Hemoglobin <13 g/dL for males; <12 g/dL for females
  • Serum creatinine > 1.5 x ULN or creatinine clearance < 50 mL/min; estimated by the Cockroft-Gault formula [(140-age) x weight (kg) / 72 x serum creatinine (mg/dL), if female multiply by 0.85].
  • Total bilirubin > 1.2 mg/dL
  • Segment 1: Serum alanine transaminase (ALT) > 2 x ULN
  • Segment 2: (ALT) > 5 x ULN
  • Segment 1: Serum aspartate aminotransferase (AST) > 2 x ULN
  • Segment 2: (AST) > 5 x ULN
  • Fasting serum glucose > 140 mg/dL and HbA1c > 7.5% (including diabetic subjects on medication) or new onset diabetes.
  • Abnormal thyroid stimulating hormone (TSH) of >1.2 ULN, or unstable thyroid disease.
  • Alpha fetoprotein (AFP) > 20 ng/mL unless a liver imaging study (CT or MRI) shows no clinically significant lesions within 6 months prior to the Baseline visit.
  • 8. Known HIV-1 or HIV-2 infection/serology
  • 9. Positive Hepatitis B Surface Antigen (HBsAg)
  • 10. Segment 1: Subjects with any history of decompensated liver disease defined as cirrhotic subjects with a Child-Pugh score of = 7. Decompensated liver disease includes the presence of ascites, variceal bleeding, hepatic encephalopathy, or other signs of progressive portal hypertension or progressive hepatic insufficiency. (based on fibroscan or liver biopsy). Segment 2: Subjects who have had a liver biopsy that shows bridging fibrosis or cirrhosis (Metavir >3, Ishak>4).
  • 11. Nonalcoholic steatohepatitis (NASH) if ballooning degeneration or Mallory bodies are present on liver biopsy.
  • 12. Other forms of liver disease (e.g. alcoholic, autoimmune, biliary, Wilson’s, Gilbert’s, Dubin Johnson, and Crigler Najjar syndromes).
  • 13. Subjects who prematurely discontinued, interrupted, or dose reduced prior PegIFN-alfa and RBV therapy, due to noncompliance or safety and/or tolerability issues.
  • 14. Encephalopathy or altered mental status of any etiology
  • 15. History of moderate, severe or uncontrolled psychiatric disease (e.g. depression, including a history of hospitalization or prior suicidal attempt), bipolar disease, schizophrenia, or personality disorder. Subjects with a history of mild, stable depression may be considered provided that a pretreatment assessment (including a depression scale, BDI-II or HADS) of the subject’s affective status supports that the subject is clinically stable. Subjects with a score that is elevated (greater than 29 for BDI-II, 7 for HADS) will require further clinical evaluation for depression prior to inclusion into the study. The in

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