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Hepatitis CPhase 2NCT01180790

Safety, Tolerability, and Antiviral Activity of ACH-0141625 or Placebo in Combination With Peginterferon and Ribavirin in Hepatitis C Virus (HCV) Positive Participants

A Phase 2 study testing ACH-0141625 (Sovaprevir), Pegylated Interferon alpha-2a and Ribavirin in people with Hepatitis C, run by Alexion Pharmaceuticals, Inc. at 18 sites in 2 countries.

Completed

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

Official record
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Trial summary

Evaluate safety, tolerability, and antiviral response of ACH-0141625 compared to standard of care in hepatitis C virus (HCV)-positive participants. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C
What is being tested?
ACH-0141625 (Sovaprevir), Pegylated Interferon alpha-2a and Ribavirin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
122 participants
Where
18 sitesin 2 countries
Study dates
Sep 2010to Apr 2013
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females, aged 18 years and older
  • Chronic hepatitis C genotype 1 (as specified in the protocol)
  • Treatment naive
  • Females who are post-menopausal and amenorrheic must have a follicle-stimulating hormone (FSH) at screening. Females of childbearing potential 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 6 months following the discontinuation of standard of care (SOC).
  • Fertile males must agree to use a condom and his female partner must agree to use 1 or more methods of contraception. Males must not donate sperm during the study and 3 months following the last exposure to RBV.

Who cannot join

  • Body mass index (BMI) >36 kilograms (kg)/square meter (m^2)
  • Pregnant or nursing females or females of childbearing potential not willing to comply with contraceptive measures per protocol. Men whose female partners are pregnant or contemplating pregnancy. - Coinfection with hepatitis B virus (HBV) and/or human immunodeficiency virus (HIV)
  • Other significant diseases including liver disease
  • History of drug or alcohol dependence or addiction within the past 6 months
  • History of participation in a clinical trial with a protease inhibitor or previous treatment with a protease inhibitor, where at least 1 dose of the protease inhibitor was consumed.
  • Use of herbal or homeopathic products, illicit drugs, cytochrome P450 (CYP) 3A4/5 substrates, inducers or inhibitors, hormonal methods of contraception, corticosteroids, immunosuppressive, or cytotoxic agents within 28 days of the first dose of study drug.
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  • Have a clinically significant laboratory abnormality at screening (as specified in the protocol).
  • Segment 1: Participants with any history of decompensated liver disease defined as cirrhotic participants with a Child-Pugh score of > or = to 7. Segment 2: Participants who have had a liver biopsy that shows bridging fibrosis or cirrhosis.
  • Nonalcoholic steatohepatitis if ballooning degeneration or Mallory bodies are present on liver biopsy.
  • Participants who prematurely discontinued, interrupted, or dose reduced prior Peg-IFN and RBV therapy due to noncompliance or safety issues.
  • Encephalopathy or altered mental status of any etiology.
  • History of moderate, severe, or uncontrolled psychiatric disease (as specified in the protocol).
  • History of malignancy of any organ system treated or untreated within the past 5 years.
  • Use of colony stimulating factor agents within 90 days prior to baseline.
  • History of seizure disorder.
  • History of known coagulopathy including hemophilia.
  • Clinically of significant findings on fundoscopic or retinal examination at screening
  • History of immunologically mediate disease.
  • History of clinical evidence of chronic cardiac disease (as specified in the protocol)
  • Received concomitant systemic antibiotic, antifungals, or antivirals for the treatment of active infection within 14 days prior to the first dose of the study drug (as specified in the protocol)

Trial locations and contacts

18 sites in 2 countries.

18 sites in 2 countries

United States15 sites
  • Clinical Trial Site

    Arlington, Texas, 76012

  • Clinical Trial Site

    Bradenton, Florida, 34209

  • Clinical Trial Site

    Chicago, Illinois, 60611

  • Clinical Trial Site

    Las Vegas, Nevada, 89106

  • Clinical Trial Site

    Los Angeles, California, 90036

  • Clinical Trial Site

    Los Angeles, California, 90048

  • Clinical Trial Site

    New York, New York, 10065

  • Clinical Trial Site

    Newport News, Virginia, 23602

  • Clinical Trial Site

    Norfolk, Virginia, 23502

  • Clinical Trial Site

    Orlando, Florida, 32803

  • Clinical Trial Site

    Overland Park, Kansas, 66211

  • Clinical Trial Site

    Philadelphia, Pennsylvania, 19141

  • Clinical Trial Site

    San Antonio, Texas, 78215

  • Clinical Trial Site

    San Francisco, California, 94115

  • Clinical Trial Site

    St Louis, Missouri, 63104

Other trials in United States

Belgium3 sites
  • Clinical Trial Site

    Edegem, Antwerp, 2650

  • Clinical Trial Site

    Ghent, Oost-Vlaanderen, 9000

  • Clinical Trial Site

    Haine-Saint-Paul, Hainaut, 7100

Other trials in Belgium

About this study

Official title: A Phase IIa, Randomized, Double-blind (Participant 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 Alpha-2a and Ribavirin in Two Segments, After 28 Days of Dosing and, Subsequently, After 12 Weeks of Dosing in Participants With Chronic Hepatitis C Virus Genotype 1

Evaluate safety, tolerability, and antiviral response of ACH-0141625 compared to standard of care in hepatitis C virus (HCV)-positive participants.

Conditions
Hepatitis C
Being tested
ACH-0141625 (Sovaprevir), Placebo, Pegylated Interferon alpha-2a, Ribavirin
Keywords
HCV, Hepatitis C Genotype 1
Medical subject headings
Hepatitis C

What participants receive

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

  • ACH-0141625 (Sovaprevir)Drug

    200 mg oral capsule once daily

  • ACH-0141625 (Sovaprevir)Drug

    400 mg oral capsule once daily

  • ACH-0141625 (Sovaprevir)Drug

    800 mg oral capsule once daily

  • PlaceboDrug

    Powder in capsule once daily

  • Pegylated Interferon alpha-2aDrug

    Also called Peg-INF

    180 micrograms (ug) once a week by subcutaneous injection

  • RibavirinDrug

    Also called Ribasphere, Copegus

    400 mg or 600 mg (morning [AM]) and 600 mg (evening [PM]) capsules taken orally twice daily

Study groups in NCT01180790
Study groupRoleWhat they receive
Segment 1: 200 milligrams (mg) ACH-0141625Experimental200 mg ACH-0141625 for 28 days plus pegylated interferon (Peg-IFN) alpha-2a and ribavirin (RBV) for 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 1: 400 mg ACH-0141625Experimental400 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 1: 800 mg ACH-0141625Experimental800 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 1: PlaceboPlacebo comparatorPlacebo for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Receives: Drug: Placebo; Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 2: 200 mg ACH-0141625Experimental200 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 2 : 400 mg ACH-0141625Experimental400 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin
Segment 2 : 800 mg ACH-0141625Experimental800 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Receives: Drug: ACH-0141625 (Sovaprevir); Drug: Pegylated Interferon alpha-2a; Drug: Ribavirin

What is being measured

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

  1. Segment 1: Safety

    Segment 1: Percentage of participants with the following: adverse events, abnormal laboratory safety tests, dose reductions, interruptions, and discontinuations. Criteria for abnormal laboratory safety tests: treatment-emergent worsening Division of AIDS (Acquired Immunodeficiency Syndrome) (DAIDs) graded laboratory tests. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

    Measured: 4 weeks

  2. Segment 1: Rapid Viral Response At Week 4 (RVR4)

    The primary efficacy endpoint for Segment 1 of the study was the percentage of participants in each treatment group achieving RVR4 (hepatitis C virus [HCV] ribonucleic acid (RNA) less than or equal to the limit of quantitation [LOQ] at the Week 4 visit).

    Measured: 4 weeks

  3. Segment 2: Safety

    Segment 2: Percentage of participants with the following: adverse events, abnormal laboratory safety tests and dose reductions, interruptions and discontinuations. Criteria for abnormal laboratory safety tests: treatment-emergent worsening DAIDs graded laboratory tests. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

    Measured: 12 weeks

  4. Segment 2: Complete Early Virologic Response (cEVR)

    The primary efficacy endpoint for Segment 2 of the study was the percentage of participants achieving cEVR, defined as undetectable HCV RNA at Week 12.

    Measured: Week 12

Secondary outcomes (7)
  1. Segment 1: cEVR

    For Segment 1, the percentage of participants in the virology population who achieved cEVR, defined as undetectable HCV RNA at Week 12.

    Measured: 12 weeks

  2. Segment 2: RVR4

    For Segment 2, the percentage of participants in the virology population who achieved RVR4, defined as HCV RNA less than or equal to the LOQ at the Week 4 visit.

    Measured: 4 weeks

  3. Segment 1 And Segment 2: End Of Treatment Response

    The percentage of virology population participants who were reported as undetectable HCV RNA at the completion of treatment.

    Measured: Week 48 (Segment 1); Week 24 (Segment 2)

  4. Segment 1 And Segment 2: Sustained Virologic Response 12 Weeks (3 Months Post-dosing) (SVR12)

    The percentage of virology population participants who achieved sustained virologic response (SVR), defined as HCV RNA less than the LOQ, at 12 weeks (3 months) post-dosing.

    Measured: 3 months post-dosing

  5. Segment 1 And Segment 2: Sustained Virologic Response 24 Weeks (6 Months Post-dosing) (SVR24)

    The percentage of virology population participants who achieved SVR, defined as HCV RNA less than the LOQ, 6 months post-dosing.

    Measured: 6 months post-dosing

  6. Segment 1 And Segment 2: HCV RNA Change From Baseline

    The mean change from baseline in log10 HCV RNA level by visit for the virology population

    Measured: Week 4

  7. Segment 1 And Segment 2: HCV RNA Change From Baseline

    Change from baseline in log10 HCV RNA level by visit.

    Measured: Week 12

Timeline

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

  1. First posted12 Aug 2010 (estimated)
  2. Study startSep 2010
  3. Primary completionMar 2012
  4. Study completionApr 2013

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
Double blind
Who is masked
Participant, Investigator
Enrolment
122 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01180790
Sponsor's protocol ID
ACH625-003
Other IDs
2010-022092-65
Status last verified
Aug 2023
First submitted
11 Aug 2010
Last updated
30 Aug 2023

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ACH-0141625 (Sovaprevir), Pegylated Interferon alpha-2a and Ribavirin in people with Hepatitis C, run by Alexion Pharmaceuticals, Inc. at 18 sites in 2 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 5 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 30 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in United States, Belgium. 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. Some participants in this study may receive a placebo. 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 10 Sep 2014). 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?

Segment 1: Safety (time frame: 4 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Aug 2023.

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