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
Hepatitis C, Chronic
About this trial
This is an interventional treatment trial for Hepatitis C, Chronic
Eligibility Criteria
Inclusion criteria:
- 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
Exclusion criteria:
- 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
- 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
Sites / Locations
- 1241.21.0003 Boehringer Ingelheim Investigational Site
- 1241.21.0006 Boehringer Ingelheim Investigational Site
- 1241.21.0004 Boehringer Ingelheim Investigational Site
- 1241.21.0011 Boehringer Ingelheim Investigational Site
- 1241.21.0013 Boehringer Ingelheim Investigational Site
- 1241.21.0008 Boehringer Ingelheim Investigational Site
- 1241.21.0019 Boehringer Ingelheim Investigational Site
- 1241.21.0012 Boehringer Ingelheim Investigational Site
- 1241.21.0005 Boehringer Ingelheim Investigational Site
- 1241.21.0007 Boehringer Ingelheim Investigational Site
- 1241.21.0010 Boehringer Ingelheim Investigational Site
- 1241.21.0017 Boehringer Ingelheim Investigational Site
- 1241.21.61002 Boehringer Ingelheim Investigational Site
- 1241.21.61001 Boehringer Ingelheim Investigational Site
- 1241.21.43003 Boehringer Ingelheim Investigational Site
- 1241.21.43001 Boehringer Ingelheim Investigational Site
- 1241.21.43002 Boehringer Ingelheim Investigational Site
- 1241.21.33005 Boehringer Ingelheim Investigational Site
- 1241.21.33007 Boehringer Ingelheim Investigational Site
- 1241.21.33003 Boehringer Ingelheim Investigational Site
- 1241.21.33001 Boehringer Ingelheim Investigational Site
- 1241.21.33002 Boehringer Ingelheim Investigational Site
- 1241.21.33004 Boehringer Ingelheim Investigational Site
- 1241.21.33008 Boehringer Ingelheim Investigational Site
- 1241.21.33006 Boehringer Ingelheim Investigational Site
- 1241.21.49002 Boehringer Ingelheim Investigational Site
- 1241.21.49003 Boehringer Ingelheim Investigational Site
- 1241.21.49007 Boehringer Ingelheim Investigational Site
- 1241.21.49005 Boehringer Ingelheim Investigational Site
- 1241.21.49001 Boehringer Ingelheim Investigational Site
- 1241.21.49006 Boehringer Ingelheim Investigational Site
- 1241.21.49009 Boehringer Ingelheim Investigational Site
- 1241.21.49004 Boehringer Ingelheim Investigational Site
- 1241.21.49008 Boehringer Ingelheim Investigational Site
- 1241.21.64001 Boehringer Ingelheim Investigational Site
- 1241.21.35103 Boehringer Ingelheim Investigational Site
- 1241.21.35104 Boehringer Ingelheim Investigational Site
- 1241.21.35101 Boehringer Ingelheim Investigational Site
- 1241.21.35105 Boehringer Ingelheim Investigational Site
- 1241.21.35102 Boehringer Ingelheim Investigational Site
- 1241.21.40001 Boehringer Ingelheim Investigational Site
- 1241.21.40002 Boehringer Ingelheim Investigational Site
- 1241.21.40003 Boehringer Ingelheim Investigational Site
- 1241.21.34002 Boehringer Ingelheim Investigational Site
- 1241.21.34005 Boehringer Ingelheim Investigational Site
- 1241.21.34003 Boehringer Ingelheim Investigational Site
- 1241.21.34004 Boehringer Ingelheim Investigational Site
- 1241.21.34001 Boehringer Ingelheim Investigational Site
- 1241.21.34006 Boehringer Ingelheim Investigational Site
- 1241.21.41003 Boehringer Ingelheim Investigational Site
- 1241.21.41006 Boehringer Ingelheim Investigational Site
- 1241.21.41001 Boehringer Ingelheim Investigational Site
- 1241.21.41002 Boehringer Ingelheim Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Arm 12
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
2
1
3
4
5
6
7
8
9
10
11
12
4 weeks of high dose TID BI 207127 and QD BI 201335 in combination with RBV, Part 1
4 weeks of low dose three times per day (TID) BI 207127 and once daily (QD) BI 201335 in combination with RBV, Part 1
16 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
40 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 2
28 weeks of TID BI 207127 and QD BI 201335 without RBV, Part 2
16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 3
24 weeks of TID BI 207127 and QD BI 201335 in combination with RBV, Part 3
16 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4
24 weeks of BID BI 207127 and QD BI 201335 in combination with RBV, Part 4