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Multiple Ascending Dose Study of Miravirsen in Treatment-Naïve Chronic Hepatitis C Subjects

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
miravirsen
saline
Sponsored by
Santaris Pharma A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C focused on measuring Antisense, miR-122 antagonist, host factor, CHC

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • BMI 18-38 kg/m2
  • Treatment-naïve to interferon-alpha based therapies
  • HCV genotype 1
  • Clinical and laboratory findings consistent with a clinical diagnosis of CHC, including:

Previous documentation of positive HCV serology (HCV antibody or HCV RNA) at least 24 weeks prior to enrollment, OR Positive HCV serology (HCV antibody or HCV RNA) with a prior remote risk factor (more than 24 weeks prior to Screening) for the acquisition of hepatitis C

  • Serum HCV RNA > 75,000 IU/mL at Screening
  • (North American sites only). Liver biopsy within 36 months of Day 1, indicating the absence of cirrhosis
  • Screening hematology, clinical chemistries, coagulation and urinalysis are not clinically significant and the following criteria are met:
  • Platelets >100,000/mm3
  • Total WBC > 3000/mm3 and ANC >1500/mm3
  • Hemoglobin > 11 g/dL for females and > 12 g/dL for males
  • Total and direct bilirubin, WNL (except for clearly documented Gilbert's Syndrome)
  • ALT < 5 x ULN
  • Serum creatinine WNL and creatinine clearance as calculated by the Cockcroft-Gault formula > 80 ml/min
  • Negative results on the following Screening laboratory tests: urine or serum pregnancy test (for women of childbearing potential), hepatitis B surface antigen and human immunodeficiency virus (HIV) antibody.
  • For men and women of childbearing potential, willingness to utilize adequate contraception and not become pregnant (or have their partner become pregnant) during the full course of the study. Adequate contraceptive measures include oral contraceptives (stable use for 2 or more cycles prior to Screening). IUD, Depo-Provera, Norplant System implants, bilateral tubal ligation, vasectomy, condom or diaphragm plus either contraceptive sponge, foam or jelly and abstinence.

Exclusion Criteria:

  • Other known cause of liver disease except for CHC
  • History or symptoms of decompensated liver disease: Child-Pugh Class B or C, including ascites, hepatic encephalopathy, esophageal variceal bleeding, fibrosis or other signs of hepatic insufficiency or portal hypertension
  • History of hepatocellular carcinoma (HCC) on imaging studies or serum alpha-fetoprotein (AFP) > 50 ng/mL at Screening
  • Concurrent clinically significant medical diagnosis (other than hepatitis C-related conditions) that would potentially interfere with the subjects study compliance or confound study results
  • Concurrent social conditions (e.g. drugs, alcohol, transportation) which would potentially interfere with the subject's study compliance
  • Clinically significant illness within 30 days preceding entry into the study
  • Participated in an investigational drug study within 30 days or 5 half-lives, whichever is longer, prior to the start of study medication.

Sites / Locations

  • Alamo Medical Research
  • J.W. Goethe University Hospital
  • Academic Medical Center (AMC)
  • Erasmus MC University Hospital
  • Klinika Hepatologii i Nabytych Niedoborow Immunologicznych WUM
  • Fundacion de Investigation de Diego
  • FNsP Bratislava, Nemocnica akad.

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

miravirsen

saline

Arm Description

Dose escalation study with review of safety data following each cohort.

Dose escalation study with review of safety data following each cohort.

Outcomes

Primary Outcome Measures

Safety and tolerability
Safety evaluation will study the adverse event (AE) profile, clinical laboratory safety tests, vital signs, 12 lead and ECG monitoring.

Secondary Outcome Measures

Pharmacokinetics
Appropriate PK parameters, e.g. maximum observed plasma drug concentrations, area under the plasma concentration-time curves, the apparent terminal rate constant and corresponding half-life for miravirsen.
Miravirsen treatment effect on viral titer

Full Information

First Posted
September 9, 2010
Last Updated
January 26, 2012
Sponsor
Santaris Pharma A/S
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1. Study Identification

Unique Protocol Identification Number
NCT01200420
Brief Title
Multiple Ascending Dose Study of Miravirsen in Treatment-Naïve Chronic Hepatitis C Subjects
Official Title
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Ascending Multiple-Dose Study to Assess Safety, Tolerability, Pharmacokinetics and Antiviral Activity of SPC3649 (Miravirsen) Administered to Treatment-Naïve Subjects With Chronic Hepatitis C (CHC) Infection
Study Type
Interventional

2. Study Status

Record Verification Date
January 2012
Overall Recruitment Status
Completed
Study Start Date
September 2010 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Santaris Pharma A/S

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The main purpose of this study is to determine the safety and tolerability of multiple dosing of miravirsen in subjects infected with chronic hepatitis C. Secondary purpose includes assessment of pharmacokinetics of miravirsen and assessment of miravirsen's effect on HCV viral titer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C
Keywords
Antisense, miR-122 antagonist, host factor, CHC

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
38 (Actual)

8. Arms, Groups, and Interventions

Arm Title
miravirsen
Arm Type
Experimental
Arm Description
Dose escalation study with review of safety data following each cohort.
Arm Title
saline
Arm Type
Placebo Comparator
Arm Description
Dose escalation study with review of safety data following each cohort.
Intervention Type
Drug
Intervention Name(s)
miravirsen
Other Intervention Name(s)
SPC3649
Intervention Description
SC injection
Intervention Type
Drug
Intervention Name(s)
saline
Intervention Description
SC injection
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Safety evaluation will study the adverse event (AE) profile, clinical laboratory safety tests, vital signs, 12 lead and ECG monitoring.
Time Frame
regularly over 18 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetics
Description
Appropriate PK parameters, e.g. maximum observed plasma drug concentrations, area under the plasma concentration-time curves, the apparent terminal rate constant and corresponding half-life for miravirsen.
Time Frame
continuously over 4 weeks
Title
Miravirsen treatment effect on viral titer
Time Frame
regularly over 18 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: BMI 18-38 kg/m2 Treatment-naïve to interferon-alpha based therapies HCV genotype 1 Clinical and laboratory findings consistent with a clinical diagnosis of CHC, including: Previous documentation of positive HCV serology (HCV antibody or HCV RNA) at least 24 weeks prior to enrollment, OR Positive HCV serology (HCV antibody or HCV RNA) with a prior remote risk factor (more than 24 weeks prior to Screening) for the acquisition of hepatitis C Serum HCV RNA > 75,000 IU/mL at Screening (North American sites only). Liver biopsy within 36 months of Day 1, indicating the absence of cirrhosis Screening hematology, clinical chemistries, coagulation and urinalysis are not clinically significant and the following criteria are met: Platelets >100,000/mm3 Total WBC > 3000/mm3 and ANC >1500/mm3 Hemoglobin > 11 g/dL for females and > 12 g/dL for males Total and direct bilirubin, WNL (except for clearly documented Gilbert's Syndrome) ALT < 5 x ULN Serum creatinine WNL and creatinine clearance as calculated by the Cockcroft-Gault formula > 80 ml/min Negative results on the following Screening laboratory tests: urine or serum pregnancy test (for women of childbearing potential), hepatitis B surface antigen and human immunodeficiency virus (HIV) antibody. For men and women of childbearing potential, willingness to utilize adequate contraception and not become pregnant (or have their partner become pregnant) during the full course of the study. Adequate contraceptive measures include oral contraceptives (stable use for 2 or more cycles prior to Screening). IUD, Depo-Provera, Norplant System implants, bilateral tubal ligation, vasectomy, condom or diaphragm plus either contraceptive sponge, foam or jelly and abstinence. Exclusion Criteria: Other known cause of liver disease except for CHC History or symptoms of decompensated liver disease: Child-Pugh Class B or C, including ascites, hepatic encephalopathy, esophageal variceal bleeding, fibrosis or other signs of hepatic insufficiency or portal hypertension History of hepatocellular carcinoma (HCC) on imaging studies or serum alpha-fetoprotein (AFP) > 50 ng/mL at Screening Concurrent clinically significant medical diagnosis (other than hepatitis C-related conditions) that would potentially interfere with the subjects study compliance or confound study results Concurrent social conditions (e.g. drugs, alcohol, transportation) which would potentially interfere with the subject's study compliance Clinically significant illness within 30 days preceding entry into the study Participated in an investigational drug study within 30 days or 5 half-lives, whichever is longer, prior to the start of study medication.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stefan Zeuzem, MD
Organizational Affiliation
J.W. Goethe University Hospital, Frankfurt
Official's Role
Principal Investigator
Facility Information:
Facility Name
Alamo Medical Research
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
J.W. Goethe University Hospital
City
Frankfurt
ZIP/Postal Code
D-60590
Country
Germany
Facility Name
Academic Medical Center (AMC)
City
Amsterdam
ZIP/Postal Code
22660 1100 D
Country
Netherlands
Facility Name
Erasmus MC University Hospital
City
Rotterdam
ZIP/Postal Code
3015 CE
Country
Netherlands
Facility Name
Klinika Hepatologii i Nabytych Niedoborow Immunologicznych WUM
City
Warszawa
ZIP/Postal Code
01-201
Country
Poland
Facility Name
Fundacion de Investigation de Diego
City
San Juan
Country
Puerto Rico
Facility Name
FNsP Bratislava, Nemocnica akad.
City
Bratislava,
ZIP/Postal Code
833 05
Country
Slovakia

12. IPD Sharing Statement

Citations:
PubMed Identifier
25385103
Citation
Ottosen S, Parsley TB, Yang L, Zeh K, van Doorn LJ, van der Veer E, Raney AK, Hodges MR, Patick AK. In vitro antiviral activity and preclinical and clinical resistance profile of miravirsen, a novel anti-hepatitis C virus therapeutic targeting the human factor miR-122. Antimicrob Agents Chemother. 2015 Jan;59(1):599-608. doi: 10.1128/AAC.04220-14. Epub 2014 Nov 10.
Results Reference
derived
PubMed Identifier
23534542
Citation
Janssen HL, Reesink HW, Lawitz EJ, Zeuzem S, Rodriguez-Torres M, Patel K, van der Meer AJ, Patick AK, Chen A, Zhou Y, Persson R, King BD, Kauppinen S, Levin AA, Hodges MR. Treatment of HCV infection by targeting microRNA. N Engl J Med. 2013 May 2;368(18):1685-94. doi: 10.1056/NEJMoa1209026. Epub 2013 Mar 27.
Results Reference
derived

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Multiple Ascending Dose Study of Miravirsen in Treatment-Naïve Chronic Hepatitis C Subjects

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