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Clinical Trials/NCT01316185
NCT01316185TerminatedPhase 1

An Open Label, Dose-ranging Proof-of-concept Study Assessing the Safety and Efficacy of EBP921 in Therapy-naive Patients Chronically Infected With Delta Hepatitis (HDV)

Eiger BioPharmaceuticals1 site in 1 country3 target enrollmentStarted: January 2011Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Terminated
Sponsor
Enrollment
3
Locations
1
Primary Endpoint
Change in HDV-RNA

Study Overview

Brief Summary

The purpose of this study is to assess the optimal dose of EBP921 by comparing the efficacy and safety of 2 dose regimens in patients with chronic HDV.

Detailed Description

This is an open-label, phase 1b, proof-of-concept study to assess the safety and efficacy of EBP921, a prenylation inhibitor, in subjects chronically infected with delta hepatitis. Subjects will be randomized to receive one of two different doses of EBP921. Dosing will occur over 28-days and during that time, evidence of antiviral response will be assessed by frequent measurements of HDV-RNA via PCR assay. In addition, safety lab data will also be collected along with surveillance monitoring of HBV activity.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Men and women age 18 or older with the capacity to give written informed consent
  • Patients with compensated chronic HDV infection as indicated by presence of anti-HDV in serum.
  • Liver biopsy should be performed within one-year of study screening and graded using the Knodell scoring system.
  • Presence of HDV antigen in liver tissue or HDV-RNA in serum.
  • Active HBV replication will not exclude patients.
  • Previous therapy with standard alpha-interferon or peginterferon will not exclude patients.
  • Patients who are HBV therapy-naïve or who previously received HBV antiviral therapy will be eligible. Patients currently taking HBV antiviral therapy will e considered on a case basis.
  • Female subjects of reproductive potential and female partners of male subjects should be on two reliable forms of contraception from the start of the study until 60 days from the end of EBP921 dosing.

Exclusion Criteria

  • Severe neuropsychiatric disorders
  • History or clinical manifestations of significant metabolic, hematological, pulmonary, ischemic heart disease, significant or unstable heart disease, gastrointestinal, neurological, renal, urological, endocrine, ophthalmologic disorders including severe retinopathy, or immune-mediated disease
  • Pregnant or breast-feeding patients or the inability to practice adequate contraception during the conduct of the study
  • Underlying autoimmune/immune-deficiency disease (e.g., lupus, sarcoidosis, celiac disease, HIV antibody positive, AIDS)
  • Chronic (> 4 weeks duration) diarrhea
  • Body weight > 128 kg and < 40 kg
  • Uncompensated cirrhosis
  • Absolute neutrophil count less than 1500 per cubic millimeter
  • Platelet count less than 90,000 per cubic millimeter
  • Evidence of concurrent HCV infection with positive serum HCVRNA
  • Evidence of hepatocellular carcinoma
  • Active substance abuse (alcohol, inhaled or injected drugs) within the past 12 months
  • Diagnosis of malignancy in the previous five years excluding superficial dermatologic malignancies
  • Any experimental therapy in the previous 6 months prior to enrollment.
  • Patients with a history of multiple drug resistant HBV
  • Patients receiving interferon therapy for any reason.

Arms & Interventions

Group 1

Experimental

Low Dose for 28 days: n=4

Intervention: EBP921 (Drug)

Group 2

Experimental

High Dose for 28 days; n=4

Intervention: EBP921 (Drug)

Outcomes

Primary Outcomes

Change in HDV-RNA

Time Frame: 28 days

The primary efficacy endpoint will be the median change in HDV-RNA from baseline to HDV RNA nadir as measured by quantitative PCR during the 28-day dosing period.

Secondary Outcomes

  • Change in HDV RNA from baseline to Day 7, 14, 28 and post therapy weeks 1,2,4,8(8 Weeks)

Investigators

Sponsor
Eiger BioPharmaceuticals
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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