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The Pharmacokinetics of P1101 + Ribavirin in Interferon Treatment-Naïve Subjects With Chronic Hepatitis C Virus (HCV) Genotype 2 Infection

Primary Purpose

Hepatitis C, Chronic

Status
Completed
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
P1101 + Ribavirin
Sponsored by
PharmaEssentia
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Hepatitis C, Chronic focused on measuring P1101, HCV genotype 2, Pharmacokinetics, PK, Hepatitis C, Chronic

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adults ≥18 years of age (or other age required by local regulations); subjects who are over 70 years of age must be in generally good health.
  2. Confirmed diagnosis of chronic hepatitis with HCV genotype 2 infection.
  3. Compensated liver disease defined by normal or elevated alanine transaminase (ALT) ≤10 x upper limit of normal (ULN), total bilirubin level <2 mg/dL (except in Gilbert's syndrome), normal albumin, normal international normalized ratio (INR)
  4. Interferon treatment naïve: never received any interferon.
  5. No other known form of chronic liver disease apart from chronic hepatitis C infection.
  6. Hemoglobin 12 g/dL in men or 11 g/dL in women, white blood cell (WBC) count 3,000/mm3, absolute neutrophil count (ANC) 1,500/mm3, platelet count 90,000/mm3; and estimated glomerular filtration rate >60 mL/min.
  7. Female and male subjects, and their partners of reproductive potential using effective means of contraception during the whole trial period.
  8. Be able to attend all scheduled visits and to comply with all study procedures;
  9. Be able to provide written informed consent.

Exclusion Criteria:

  1. Decompensated liver disease.
  2. Clinically significant illness or surgery within 4 weeks prior to dosing.
  3. Any reason which, in the opinion of the investigator, would prevent the subject from participating in the study.
  4. Positive test for HBsAg or HIV at screening.
  5. Clinically significant abnormal vital signs.
  6. Evidence of severe retinopathy by fundoscopy except age-related macular degeneration.
  7. Significant alcohol or illicit drug abuse within one year prior to the screening visit or refusal to abstain from excessive alcohol consumption as defined above or illicit drugs throughout the study.
  8. Pregnant or breast feeding female subjects.
  9. Therapy with any systemic anti-viral, anti-neoplastic, and immunomodulatory treatment.
  10. Use of an investigational drug or participation in an investigational drug.
  11. Known clinically significant presence of any gastrointestinal pathology, clinically significant unresolved gastrointestinal symptoms, clinically significant liver or clinically significant kidney disease, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of the drug.
  12. Clinically significant presence of depression determined by investigators.
  13. Clinically significant presence of severe neurological disorders.
  14. Clinically significant presence of severe cardiovascular conditions and severe pulmonary conditions, uncontrolled immunologic, uncontrolled autoimmune, uncontrolled endocrine, uncontrolled metabolic, haematological, severe coagulation disorders or severe blood dyscrasias or other severe uncontrolled systemic disease.
  15. A depot injection or an implant of any drug within 3 months prior to administration of study medication, other than contraception or hyaluronic acid injections in joints for osteoarthritis;
  16. Body organ transplant and are taking immunosuppressants;
  17. History of malignant disease, including solid tumors and hematologic malignancies. However, subjects who are cancer survivors not on maintenance therapy and who had no malignant diseases history within the past 5 years could be recruited.
  18. History of or ongoing opportunistic infection.
  19. Serious local infection or systemic infection.

Sites / Locations

  • Chang Gung Memorial Hospital, Chiayi Branch
  • Chia-Yi Christian Hospital
  • St. Martin De Porres Hospital
  • Kaohsiung Medical University Hospital
  • Chi Mei Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

P1101 + Ribavirin

Arm Description

P1101 400 µg SC Ribavirin 800-1400 mg PO

Outcomes

Primary Outcome Measures

Amount of P1101 in the blood stream
The measurement of P1101 levels in the blood stream over time. The sampling time points are 0 hour before the first dose, 24±4 hours, 48±4 hours, 72±4 hours, 96±4 hours, 168±4 hours, 216±4 hours, 264±4 hours and 336±4 hours after first dose. PK sampling at 504±4 hours and 672±4 hours after first dose are optional.

Secondary Outcome Measures

Adverse Events
To evaluate the safety of P1101 by the proportion of adverse events
Abnormal Laboratory Assessments
To evaluate the safety of P1101 by the proportion of abnormal laboratory assessments
Positive anti-drug antibodies
To evaluate the positive anti-drug antibodies of P1101 by the proportion
Positive neutralizing antibody
To evaluate the positive neutralizing antibody of P1101 by the proportion

Full Information

First Posted
January 21, 2021
Last Updated
August 25, 2022
Sponsor
PharmaEssentia
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1. Study Identification

Unique Protocol Identification Number
NCT04774107
Brief Title
The Pharmacokinetics of P1101 + Ribavirin in Interferon Treatment-Naïve Subjects With Chronic Hepatitis C Virus (HCV) Genotype 2 Infection
Official Title
An Open-label Study to Assess the Pharmacokinetics of P1101 + Ribavirin in Interferon Treatment-Naïve Subjects With Chronic Hepatitis With HCV Genotype 2 Infection
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
November 26, 2020 (Actual)
Primary Completion Date
July 18, 2022 (Actual)
Study Completion Date
July 18, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PharmaEssentia

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Primary Objective: To determine the P1101 pharmacokinetic (PK) profile at the single dose of 400 μg.
Detailed Description
Secondary Objective: To determine the safety and immunogenicity of P1101 400 μg subcutaneous (SC) single dose + Ribavirin 800-1400 mg PO daily.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C, Chronic
Keywords
P1101, HCV genotype 2, Pharmacokinetics, PK, Hepatitis C, Chronic

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
P1101 + Ribavirin
Arm Type
Experimental
Arm Description
P1101 400 µg SC Ribavirin 800-1400 mg PO
Intervention Type
Drug
Intervention Name(s)
P1101 + Ribavirin
Other Intervention Name(s)
Ropeginterferon alfa-2b
Intervention Description
P1101 400 µg SC
Primary Outcome Measure Information:
Title
Amount of P1101 in the blood stream
Description
The measurement of P1101 levels in the blood stream over time. The sampling time points are 0 hour before the first dose, 24±4 hours, 48±4 hours, 72±4 hours, 96±4 hours, 168±4 hours, 216±4 hours, 264±4 hours and 336±4 hours after first dose. PK sampling at 504±4 hours and 672±4 hours after first dose are optional.
Time Frame
2-4 weeks
Secondary Outcome Measure Information:
Title
Adverse Events
Description
To evaluate the safety of P1101 by the proportion of adverse events
Time Frame
2-4 weeks
Title
Abnormal Laboratory Assessments
Description
To evaluate the safety of P1101 by the proportion of abnormal laboratory assessments
Time Frame
2-4 weeks
Title
Positive anti-drug antibodies
Description
To evaluate the positive anti-drug antibodies of P1101 by the proportion
Time Frame
2-4 weeks
Title
Positive neutralizing antibody
Description
To evaluate the positive neutralizing antibody of P1101 by the proportion
Time Frame
2-4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adults ≥18 years of age (or other age required by local regulations); subjects who are over 70 years of age must be in generally good health. Confirmed diagnosis of chronic hepatitis with HCV genotype 2 infection. Compensated liver disease defined by normal or elevated alanine transaminase (ALT) ≤10 x upper limit of normal (ULN), total bilirubin level <2 mg/dL (except in Gilbert's syndrome), normal albumin, normal international normalized ratio (INR) Interferon treatment naïve: never received any interferon. No other known form of chronic liver disease apart from chronic hepatitis C infection. Hemoglobin 12 g/dL in men or 11 g/dL in women, white blood cell (WBC) count 3,000/mm3, absolute neutrophil count (ANC) 1,500/mm3, platelet count 90,000/mm3; and estimated glomerular filtration rate >60 mL/min. Female and male subjects, and their partners of reproductive potential using effective means of contraception during the whole trial period. Be able to attend all scheduled visits and to comply with all study procedures; Be able to provide written informed consent. Exclusion Criteria: Decompensated liver disease. Clinically significant illness or surgery within 4 weeks prior to dosing. Any reason which, in the opinion of the investigator, would prevent the subject from participating in the study. Positive test for HBsAg or HIV at screening. Clinically significant abnormal vital signs. Evidence of severe retinopathy by fundoscopy except age-related macular degeneration. Significant alcohol or illicit drug abuse within one year prior to the screening visit or refusal to abstain from excessive alcohol consumption as defined above or illicit drugs throughout the study. Pregnant or breast feeding female subjects. Therapy with any systemic anti-viral, anti-neoplastic, and immunomodulatory treatment. Use of an investigational drug or participation in an investigational drug. Known clinically significant presence of any gastrointestinal pathology, clinically significant unresolved gastrointestinal symptoms, clinically significant liver or clinically significant kidney disease, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of the drug. Clinically significant presence of depression determined by investigators. Clinically significant presence of severe neurological disorders. Clinically significant presence of severe cardiovascular conditions and severe pulmonary conditions, uncontrolled immunologic, uncontrolled autoimmune, uncontrolled endocrine, uncontrolled metabolic, haematological, severe coagulation disorders or severe blood dyscrasias or other severe uncontrolled systemic disease. A depot injection or an implant of any drug within 3 months prior to administration of study medication, other than contraception or hyaluronic acid injections in joints for osteoarthritis; Body organ transplant and are taking immunosuppressants; History of malignant disease, including solid tumors and hematologic malignancies. However, subjects who are cancer survivors not on maintenance therapy and who had no malignant diseases history within the past 5 years could be recruited. History of or ongoing opportunistic infection. Serious local infection or systemic infection.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Huang Yi-Wen, MD/PhD
Organizational Affiliation
PharmaEssentia
Official's Role
Study Director
Facility Information:
Facility Name
Chang Gung Memorial Hospital, Chiayi Branch
City
Chiayi City
Country
Taiwan
Facility Name
Chia-Yi Christian Hospital
City
Chiayi City
Country
Taiwan
Facility Name
St. Martin De Porres Hospital
City
Chiayi City
Country
Taiwan
Facility Name
Kaohsiung Medical University Hospital
City
Kaohsiung
Country
Taiwan
Facility Name
Chi Mei Medical Center
City
Tainan City
Country
Taiwan

12. IPD Sharing Statement

Learn more about this trial

The Pharmacokinetics of P1101 + Ribavirin in Interferon Treatment-Naïve Subjects With Chronic Hepatitis C Virus (HCV) Genotype 2 Infection

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