AzTrials
AzTrials

Hepatitis C, ChronicPhase 2NCT01132313

Safety, Antiviral Effect and PK of BI 207127 + BI 201335 +/- RBV for 4 up to 40 Weeks in Patients With Chronic HCV Genotype 1 Infection

A Phase 2 study testing BI 207127, BI 201335 and Ribavirin in people with Hepatitis C, Chronic, run by Boehringer Ingelheim at 53 sites in 10 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The substances BI 201335 and BI 207127 are being developed for the treatment of chronic hepatitis C virus infection. BI 201335 and BI 207127 work by preventing the virus from replicating. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Hepatitis C, Chronic
What is being tested?
BI 207127, BI 201335 and Ribavirin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
488 participants
Where
53 sitesin 10 countries
Study dates
May 2010to Oct 2014
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chronic hepatitis C virus (HCV) infection of genotype (GT) 1
  • Parts 1-3:Treatment naive to Interferon -alfa (IFN), Pegylated interferon -alfa (PegIFN), ribavirin (RBV), and any direct acting antiviral agent for chronic hepatitis C
  • Part 4: Treatment experienced with confirmed prior virological failure to an approved dose of PegIFN/RBV (null-response)
  • HCV RNA >=10,000 IU/mL at screening
  • Liver biopsy within two years or fibroscan within six months prior to baseline
  • Liver biopsy within two years or fibroscan within 6 months prior to screening
  • Age 18-75 years

Who cannot join

  • Hepatitis C virus (HCV) infection of mixed genotype
  • Evidence of liver disease due to causes other than chronic HCV infection
  • Positive ELISA for human immunodeficiency virus (HIV)
  • Hepatitis B virus (HBV) infection
  • Decompensated liver disease or history of decompensated liver disease
  • Active or suspected malignancy within the last 5 years
Show all 20Show fewer
  • Ongoing or historical photosensitivity or recurrent rash
  • History of alcohol or drug abuse (except cannabis) within the past 12 months
  • Body mass index (BMI)I <18 or > 35 kg/m2
  • Usage of any investigational drugs within 30 days prior to enrolment, or 5 half-lives, whichever is longer; o the planned usage of an investigational drug during the course of the current study
  • Known hypersensitivity to any ingredient of the study drugs
  • A condition that is defined as one which in the opinion of the investigator may interfere with the patient's capability for participation in the trial or may influence the results of the trial
  • Alpha fetoprotein >100ng/mL at screening; if >20ng/mL and <=100ng/mL, patients can be included if there is no evidence of liver cancer in an appropriate imaging study within 6 months prior to randomisation
  • Total bilirubin > 2 mg/dL with ratio of direct/indirect > 1
  • AST or ALT >5xULN
  • INR prolonged to >1.7xULN
  • Requirement for chronic systemic corticosteroids
  • Received concomitant systemic antiviral, hematopoietic growth factor, or immunomodulatory treatment within 30 days prior to enrolment or 5 half-lives, whichever is longer
  • Received silymarin or glycyrrhizin or Sho-saiko-to within 30 days prior to enrolment
  • Contraindications pertaining to PegIFN or RBV

Trial locations and contacts

53 sites in 10 countries.

53 sites in 10 countries

United States12 sites
  • 1241.21.0012 Boehringer Ingelheim Investigational Site

    Arlington, Texas

  • 1241.21.0005 Boehringer Ingelheim Investigational Site

    Austin, Texas

  • 1241.21.0007 Boehringer Ingelheim Investigational Site

    Dallas, Texas

  • 1241.21.0019 Boehringer Ingelheim Investigational Site

    Fayetteville, North Carolina

  • 1241.21.0010 Boehringer Ingelheim Investigational Site

    Houston, Texas

  • 1241.21.0003 Boehringer Ingelheim Investigational Site

    La Jolla, California

  • 1241.21.0011 Boehringer Ingelheim Investigational Site

    Palm Harbor, Florida

  • 1241.21.0006 Boehringer Ingelheim Investigational Site

    San Diego, California

  • 1241.21.0004 Boehringer Ingelheim Investigational Site

    San Francisco, California

  • 1241.21.0017 Boehringer Ingelheim Investigational Site

    Seattle, Washington

  • 1241.21.0008 Boehringer Ingelheim Investigational Site

    Springfield, Massachusetts

  • 1241.21.0013 Boehringer Ingelheim Investigational Site

    Valparaiso, Indiana

Other trials in United States

Germany9 sites
  • 1241.21.49002 Boehringer Ingelheim Investigational Site

    Berlin

  • 1241.21.49003 Boehringer Ingelheim Investigational Site

    Berlin

  • 1241.21.49007 Boehringer Ingelheim Investigational Site

    Düsseldorf

  • 1241.21.49005 Boehringer Ingelheim Investigational Site

    Esslingen am Neckar

  • 1241.21.49001 Boehringer Ingelheim Investigational Site

    Frankfurt am Main

  • 1241.21.49006 Boehringer Ingelheim Investigational Site

    Hamburg

  • 1241.21.49009 Boehringer Ingelheim Investigational Site

    Hanover

  • 1241.21.49004 Boehringer Ingelheim Investigational Site

    Leipzig

  • 1241.21.49008 Boehringer Ingelheim Investigational Site

    Mainz

Other trials in Germany

France8 sites
  • 1241.21.33005 Boehringer Ingelheim Investigational Site

    Clichy

  • 1241.21.33007 Boehringer Ingelheim Investigational Site

    Grenoble Cédex 9

  • 1241.21.33003 Boehringer Ingelheim Investigational Site

    Lyon

  • 1241.21.33001 Boehringer Ingelheim Investigational Site

    Marseille

  • 1241.21.33002 Boehringer Ingelheim Investigational Site

    Montpellier

  • 1241.21.33004 Boehringer Ingelheim Investigational Site

    Paris

  • 1241.21.33008 Boehringer Ingelheim Investigational Site

    Paris

  • 1241.21.33006 Boehringer Ingelheim Investigational Site

    Vandœuvre-lès-Nancy

Other trials in France

Spain6 sites
  • 1241.21.34002 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1241.21.34005 Boehringer Ingelheim Investigational Site

    Barcelona

  • 1241.21.34003 Boehringer Ingelheim Investigational Site

    Madrid

  • 1241.21.34004 Boehringer Ingelheim Investigational Site

    Madrid

  • 1241.21.34001 Boehringer Ingelheim Investigational Site

    Majadahonda-Madrid

  • 1241.21.34006 Boehringer Ingelheim Investigational Site

    Valencia

Other trials in Spain

Portugal5 sites
  • 1241.21.35103 Boehringer Ingelheim Investigational Site

    Aveiro

  • 1241.21.35104 Boehringer Ingelheim Investigational Site

    Coimbra

  • 1241.21.35101 Boehringer Ingelheim Investigational Site

    Lisbon

  • 1241.21.35105 Boehringer Ingelheim Investigational Site

    Lisbon

  • 1241.21.35102 Boehringer Ingelheim Investigational Site

    Porto

Other trials in Portugal

Switzerland4 sites
  • 1241.21.41003 Boehringer Ingelheim Investigational Site

    Basel

  • 1241.21.41006 Boehringer Ingelheim Investigational Site

    Bern

  • 1241.21.41001 Boehringer Ingelheim Investigational Site

    Sankt Gallen

  • 1241.21.41002 Boehringer Ingelheim Investigational Site

    Zurich

Other trials in Switzerland

Austria3 sites
  • 1241.21.43003 Boehringer Ingelheim Investigational Site

    Linz

  • 1241.21.43001 Boehringer Ingelheim Investigational Site

    Vienna

  • 1241.21.43002 Boehringer Ingelheim Investigational Site

    Vienna

Other trials in Austria

Romania3 sites
  • 1241.21.40001 Boehringer Ingelheim Investigational Site

    Bucharest

  • 1241.21.40002 Boehringer Ingelheim Investigational Site

    Bucharest

  • 1241.21.40003 Boehringer Ingelheim Investigational Site

    Bucharest

Other trials in Romania

Australia2 sites
  • 1241.21.61002 Boehringer Ingelheim Investigational Site

    Heidelberg, Victoria

  • 1241.21.61001 Boehringer Ingelheim Investigational Site

    Melbourne, Victoria

Other trials in Australia

New Zealand1 site
  • 1241.21.64001 Boehringer Ingelheim Investigational Site

    Auckland NZ

Other trials in New Zealand

About this study

Official title: Safety, Antiviral Effect and Pharmacokinetics of BI 207127 in Combination With BI 201335 and With or Without Ribavirin for 4, 16, 24, 28 or 40 Weeks in Patients With Chronic HCV Genotype 1 Infection (Randomized Phase Ib/II)

The substances BI 201335 and BI 207127 are being developed for the treatment of chronic hepatitis C virus infection. BI 201335 and BI 207127 work by preventing the virus from replicating.

The currently available medications pegylated interferon alfa and ribavirin for hepatitis C ca have considerable adverse events in patients and in many cases are not sufficiently effective. This is particularly the case in treatment of patients infected with genotype 1 of HCV.

Read more

A combination therapy of these new substances without pegylated interferon alfa may be associated with fewer adverse events that currently available (pegylated interferon-alfa-based) medication and may also provide a treatment option to the large number of patients with contraindications or intolerance to pegylated interferon alfa.

This clinical trial (1241.21) currently consists of 3 distinct studies: Part 1, Part 2 and Part 3.

Part 1 (SOUND-C1) is a 2 armed study as described in experimental arms 1 and 2 below (actual enrollment: 56 patients; randomized and treated: 32) Part 2 (SOUND-C2) is a 5 armed study as described in experimental arms 3 to 7 below (actual enrollment: 465; randomized and treated: 362) Part 3 (SOUND-C3) includes 3 arms as described in experimental arms 8 to 10 below (83 patients randomized and treated)

Being tested
BI 207127, BI 201335, Ribavirin, BI 207217
Medical subject headings
Hepatitis C, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 207127Drug

    28 weeks, high dose, TID

  • BI 201335Drug

    40 weeks, QD

  • BI 207127Drug

    4 weeks, low dose TID

  • BI 201335Drug

    24 weeks, QD

  • RibavirinDrug

    16 weeks, according to label

  • RibavirinDrug

    28 weeks, according to label

  • RibavirinDrug

    28 weeks, according to label

  • BI 207127Drug

    40 weeks, high dose, TID

  • BI 207127Drug

    24 weeks, very high dose, BID

  • BI 207127Drug

    16 weeks, standard dose, BID

  • BI 201335Drug

    24 weeks, QD

  • RibavirinDrug

    48 weeks, according to label

  • RibavirinDrug

    40 weeks, according to label

  • BI 207127Drug

    16 weeks, high dose, TID

  • BI 207127Drug

    28 weeks, high dose, TID

  • BI 201335Drug

    28 weeks, QD

  • BI 201335Drug

    16 weeks, QD

  • RibavirinDrug

    24 weeks, according to label

  • BI 201335Drug

    24 weeks, QD

  • BI 201335Drug

    28 weeks, QD

  • BI 207127Drug

    24 weeks, standard dose, BID

  • BI 201335Drug

    24 weeks, QD

  • BI 201335Drug

    16 weeks, QD

  • BI 207127Drug

    16 weeks, high dose, BID

  • BI 201335Drug

    24 weeks, QD

  • RibavirinDrug

    16 weeks, according to label

  • RibavirinDrug

    16 weeks, according to label

  • BI 207217Drug

    28 weeks, high dose BID

  • BI 201335Drug

    16 weeks, QD

  • BI 207127Drug

    24 weeks, high dose, TID

  • RibavirinDrug

    48 weeks, according to label

  • BI 207127Drug

    4 weeks, high dose, TID

  • BI 201335Drug

    28 weeks, QD

  • RibavirinDrug

    24 weeks, according to label

  • RibavirinDrug

    24 weeks, according to label

Study groups in NCT01132313
Study groupRoleWhat they receive
2Experimental4 weeks of high dose TID BI 207127 and QD BI 201335 in combination with RBV, Part 1
Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207127
1Experimental4 weeks of low dose three times per day (TID) BI 207127 and once daily (QD) BI 201335 in combination with RBV, Part 1
Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin
3Experimental16 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin
4Experimental28 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
Receives: Drug: BI 207127; Drug: Ribavirin; Drug: BI 201335
5Experimental40 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
Receives: Drug: BI 201335; Drug: BI 207127; Drug: Ribavirin
6Experimental28 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 2
Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207217
7Experimental28 weeks of TID BI 207127 and QD BI 201335 without RBV, Part 2
Receives: Drug: BI 207127; Drug: BI 201335
8Experimental16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
Receives: Drug: BI 207127; Drug: Ribavirin; Drug: BI 201335
9Experimental24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
Receives: Drug: BI 207127; Drug: BI 201335; Drug: Ribavirin
10Experimental24 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 3
Receives: Drug: BI 201335; Drug: BI 207127; Drug: Ribavirin
11Experimental16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4
Receives: Drug: Ribavirin; Drug: BI 207127; Drug: BI 201335
12Experimental24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4
Receives: Drug: Ribavirin; Drug: BI 201335; Drug: BI 207127

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Rapid Virological Response (RVR)

    Part 1: Rapid virological response (RVR), defined as Hepatitis C Virus Ribonucleic acid (HCV RNA) <25IU/mL at Week 4 of treatment

    Measured: 4 weeks

  2. Part 2: Sustained Virological Response (SVR)

    Part 2: Sustained virological response (SVR), defined as HCV RNA <25 IU/mL and undetectable at 12 weeks after end of treatment

    Measured: From drug administration until 12 weeks after end of treatment, up to 52 weeks

  3. Part 3 and 4: Sustained Virological Response (SVR)

    Part 3 and 4: Sustained virological response (SVR) defined as HCV RNA <25IU/mL and undetectable at 12 weeks after end of treatment

    Measured: From drug administration until 12 weeks after end of treatment, up to 36 weeks

Secondary outcomes (6)
  1. Part 1: Time to Virological Response

    Part 1: Time to virological response, defined as the timepoint of the first measurement of plasma HCV RNA level <25 IU/mL. The percentage of participants who achieved virological response within each time period are displayed for this outcome measure.

    Measured: From drug administration until end of drug administration, up to 4 weeks

  2. Part 2: Time to Virological Response

    Part 2: Time to virological response, defined as the timepoint of the first measurement of plasma HCV RNA level <25 IU/mL. The percentage of participants who achieved virological response within each time period are displayed for this outcome measure.

    Measured: From drug administration until end of drug administration, up to 40 weeks

  3. Part 1 and 2: Plasma HCV RNA Level Not Detectable at Week 4

    Part 1 and 2: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level not detectable at Week 4

    Measured: 4 weeks

  4. Part 2: Sustained Virological Response at 4 and 24 Weeks After End of Treatment

    Part 2: Sustained virological response at 4 and 24 weeks after end of treatment

    Measured: 4 weeks and 24 weeks after the end of treatment, up to 64 weeks

  5. Part 3 and 4: Plasma HCV RNA Level <25 IU/mL at Week 4 and 12 of Treatment

    Part 3 and 4: Plasma Hepatitis C Virus Ribonucleic acid (HCV RNA) level <25 IU/mL at week 4 and 12 of treatment

    Measured: Week 4 and 12

  6. Part 3 and 4: Sustained Virological Response (SVR) at 4 Weeks After End of Treatment

    Part 3 and 4: Sustained virological response (SVR) at 4 weeks after end of treatment

    Measured: up to 28 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 May 2010 (estimated)
  2. Study startMay 2010
  3. Primary completionOct 2014
  4. Study completionOct 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
488 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01132313
Sponsor's protocol ID
1241.21
Other IDs
2009-018197-66, 2009
Status last verified
Dec 2015
First submitted
3 May 2010
Last updated
1 Feb 2016

Publications

  • Zeuzem S, Mantry P, Soriano V, Buynak RJ, Dufour JF, Pockros PJ, Wright D, Angus P, Buti M, Stern JO, Kadus W, Vinisko R, Bocher W, Mensa FJ. Short article: Faldaprevir, deleobuvir and ribavirin in IL28B non-CC patients with HCV genotype-1a infection included in the SOUND-C3 phase 2b study. Eur J Gastroenterol Hepatol. 2016 Aug;28(8):923-6. doi: 10.1097/MEG.0000000000000649.

    PubMed 27140229
  • Asselah T, Zeuzem S, Soriano V, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Voss F, Baum P, Gallivan JP, Bocher WO, Mensa FJ. ITPA Genotypes Predict Anemia but Do Not Affect Virological Response with Interferon-Free Faldaprevir, Deleobuvir, and Ribavirin for HCV Infection. PLoS One. 2015 Dec 9;10(12):e0144004. doi: 10.1371/journal.pone.0144004. eCollection 2015.

    PubMed 26650626
  • Zeuzem S, Soriano V, Asselah T, Gane EJ, Bronowicki JP, Angus P, Lohse AW, Stickel F, Mullhaupt B, Roberts S, Schuchmann M, Manns M, Bourliere M, Buti M, Stern JO, Gallivan JP, Voss F, Sabo JP, Bocher W, Mensa FJ; SOUND-C2 Study Group. Efficacy and safety of faldaprevir, deleobuvir, and ribavirin in treatment-naive patients with chronic hepatitis C virus infection and advanced liver fibrosis or cirrhosis. Antimicrob Agents Chemother. 2015 Feb;59(2):1282-91. doi: 10.1128/AAC.04383-14. Epub 2014 Dec 15.

    PubMed 25512403
  • Zeuzem S, Soriano V, Asselah T, Bronowicki JP, Lohse AW, Mullhaupt B, Schuchmann M, Bourliere M, Buti M, Roberts SK, Gane EJ, Stern JO, Vinisko R, Kukolj G, Gallivan JP, Bocher WO, Mensa FJ. Faldaprevir and deleobuvir for HCV genotype 1 infection. N Engl J Med. 2013 Aug 15;369(7):630-9. doi: 10.1056/NEJMoa1213557.

    PubMed 23944300
  • Zeuzem S, Asselah T, Angus P, Zarski JP, Larrey D, Mullhaupt B, Gane E, Schuchmann M, Lohse AW, Pol S, Bronowicki JP, Roberts S, Arasteh K, Zoulim F, Heim M, Stern JO, Nehmiz G, Kukolj G, Bocher WO, Mensa FJ. Faldaprevir (BI 201335), deleobuvir (BI 207127) and ribavirin oral therapy for treatment-naive HCV genotype 1: SOUND-C1 final results. Antivir Ther. 2013;18(8):1015-9. doi: 10.3851/IMP2567. Epub 2013 Apr 4.

    PubMed 23558093

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing BI 207127, BI 201335 and Ribavirin in people with Hepatitis C, Chronic, run by Boehringer Ingelheim at 53 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Germany, France, Spain, Portugal and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: Rapid Virological Response (RVR) (time frame: 4 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01132313, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2016.

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