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A Phase 1 Study of PPI-668 in Healthy Volunteers and Patients With Hepatitis C Virus (HCV) Genotype 1

Primary Purpose

Hepatitis C, Chronic

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PPI-668
Placebo
Sponsored by
Presidio Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C, Chronic focused on measuring hepatitis C, NS5A inhibitor, Phase 1, genotype-1, genotype-2, genotype-3

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

In order to participate in the study, volunteers for Part I and patients for Part II must meet all of the following key entry criteria, as well as other entry criteria specified in the full protocol:

Key Inclusion Criteria

  1. Male or female, between 18 and 65 years of age. Female patients must be surgically sterile or two years post-menopausal.
  2. Body Mass Index (BMI) 18 - 35 kg/m2
  3. In good health, in the judgment of the Principal Investigator
  4. Able and willing to comply with all protocol requirements and to sign an informed consent.

Key Exclusion Criteria:

  1. Seropositive for HIV antibody, or HBV surface antigen (HBsAg) at Screen. Volunteer subjects for Part I must also be negative for HCV antibody.
  2. Any medical condition that may interfere with the absorption, distribution or elimination of study drug (PPI-668), or with the clinical and laboratory assessments in this study.
  3. Poorly controlled or unstable hypertension; or sustained systolic BP > 150 or diastolic BP > 95 at Screen.
  4. History of Diabetes Mellitus treated with insulin or hypoglycemic agents
  5. History of alcohol abuse or illicit drug use which, in the investigator's judgment, could interfere with a patient's compliance, with the protocol requirements or with the safety or efficacy assessments of the study
  6. History of malignancy unless the malignancy has been in complete remission and without additional medical or surgical interventions during the preceding three years
  7. No clinically significant laboratory abnormalities at Screen for healthy volunteers in Part I. For Screen laboratory parameters for HCV patients in Part II, refer to the 'Additional Criteria for HCV Patients' below.

Additional Key Entry Criteria for HCV patients (Part II):

  1. Clinical diagnosis of chronic hepatitis C, documented by:

    1. Clinical findings compatible with chronic hepatitis C, and absence of other known liver disease
    2. Seropositive for HCV antibody or HCV RNA at least once previously, and at Screen
    3. Serum HCV RNA > 5 log10 IU/mL at Screen, by the PCR assay at the central study laboratory
    4. HCV genotype-1 (1a or 1b, or non-subtypable genotype-1), or HCV genotype-2a or genotype-3a
  2. ALT must be <5 x ULN at screen
  3. No previous treatment with interferon, pegIFN, or ribavirin for genotype-1 patients
  4. No history of signs or symptoms of decompensated liver disease
  5. Any of the following laboratory values at Screening will be exclusionary for study participation:

    • Hgb <11 g/dL in women or 12 g/dL in men.
    • White blood cell count < 4,000/mm3.
    • Absolute neutrophil count (ANC) < 1800 per mm3.
    • Platelet count < 100,000 per mm3.
    • Serum creatinine >ULN at the central study laboratory.
    • Serum albumin < 3.4 g/dL.
    • Total bilirubin > 2.0 mg/dL
    • Clinically significant abnormality in the electrocardiograms (ECGs) at Screen

Sites / Locations

  • Investigational site
  • Investigational site
  • Investigational site
  • Investigational Site
  • Investigational site
  • Investigational site
  • Investigational site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Part I: single dose escalation in healthy volunteers

Part I: multiple dose administration to healthy volunteers

Part II: multiple dose escalation in HCV subjects

Arm Description

There will be three sequential single dose cohorts: Cohort A: PPI-668 dose D1 or placebo Cohort B: PPI-668 dose D2 or placebo Cohort C: PPI-668 dose D3 or placebo

Upon completion of the single dose escalation phase, an additional cohort will receive repeat doses: Cohort D: highest well-tolerated dose from Cohorts A-C or placebo once daily for five days

Upon completion of Part I, there will be 3, and potentially 4, sequential cohorts of HCV patients: Cohort E (genotype-1): PPI-668 dose E1 or placebo Cohort F (genotype-1): PPI-668 dose E2 or placebo Cohort G (genotype-1): PPI-668 dose E3 or placebo Cohort H (genotype-1): if necessary for dose-response assessment; dose to be determined Cohort I (genotype-2 or -3): PPI-668 dose E4 or placebo

Outcomes

Primary Outcome Measures

Safety and tolerability, as measured by clinical adverse events and laboratory assessments

Secondary Outcome Measures

PPI-668 plasma levels
serum HCV RNA levels

Full Information

First Posted
October 5, 2011
Last Updated
November 14, 2012
Sponsor
Presidio Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01448200
Brief Title
A Phase 1 Study of PPI-668 in Healthy Volunteers and Patients With Hepatitis C Virus (HCV) Genotype 1
Official Title
A Phase 1 Dose-Ranging Study to Assess the Safety, Pharmacokinetics and Antiviral Efficacy of PPI-668 in Healthy Volunteers and Patients With HCV Genotype-1 Infection
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Presidio Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
PPI-668 is an antiviral agent (a hepatitis C NS5A inhibitor) that is being developed as a potential treatment for hepatitis C virus infection. This study is being done to assess the safety and tolerance of PPI-668 when given to healthy volunteers for up to 5 days (Part I of the study) and to hepatitis C patients for up to 3 days (Part II). In addition, the study will assess how much PPI-668 is absorbed into the bloodstream. In Part II, the effect of PPI-668 on the amount of hepatitis C virus in patients' bloodstream (serum HCV RNA levels) also will be assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C, Chronic
Keywords
hepatitis C, NS5A inhibitor, Phase 1, genotype-1, genotype-2, genotype-3

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part I: single dose escalation in healthy volunteers
Arm Type
Experimental
Arm Description
There will be three sequential single dose cohorts: Cohort A: PPI-668 dose D1 or placebo Cohort B: PPI-668 dose D2 or placebo Cohort C: PPI-668 dose D3 or placebo
Arm Title
Part I: multiple dose administration to healthy volunteers
Arm Type
Experimental
Arm Description
Upon completion of the single dose escalation phase, an additional cohort will receive repeat doses: Cohort D: highest well-tolerated dose from Cohorts A-C or placebo once daily for five days
Arm Title
Part II: multiple dose escalation in HCV subjects
Arm Type
Experimental
Arm Description
Upon completion of Part I, there will be 3, and potentially 4, sequential cohorts of HCV patients: Cohort E (genotype-1): PPI-668 dose E1 or placebo Cohort F (genotype-1): PPI-668 dose E2 or placebo Cohort G (genotype-1): PPI-668 dose E3 or placebo Cohort H (genotype-1): if necessary for dose-response assessment; dose to be determined Cohort I (genotype-2 or -3): PPI-668 dose E4 or placebo
Intervention Type
Drug
Intervention Name(s)
PPI-668
Intervention Description
capsules
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
capsules
Primary Outcome Measure Information:
Title
Safety and tolerability, as measured by clinical adverse events and laboratory assessments
Time Frame
Part I, up to day 12; and Part II, up to day 17
Secondary Outcome Measure Information:
Title
PPI-668 plasma levels
Time Frame
Part I, up to day 12; and Part II, up to day 17
Title
serum HCV RNA levels
Time Frame
Part II, up to day 17

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
In order to participate in the study, volunteers for Part I and patients for Part II must meet all of the following key entry criteria, as well as other entry criteria specified in the full protocol: Key Inclusion Criteria Male or female, between 18 and 65 years of age. Female patients must be surgically sterile or two years post-menopausal. Body Mass Index (BMI) 18 - 35 kg/m2 In good health, in the judgment of the Principal Investigator Able and willing to comply with all protocol requirements and to sign an informed consent. Key Exclusion Criteria: Seropositive for HIV antibody, or HBV surface antigen (HBsAg) at Screen. Volunteer subjects for Part I must also be negative for HCV antibody. Any medical condition that may interfere with the absorption, distribution or elimination of study drug (PPI-668), or with the clinical and laboratory assessments in this study. Poorly controlled or unstable hypertension; or sustained systolic BP > 150 or diastolic BP > 95 at Screen. History of Diabetes Mellitus treated with insulin or hypoglycemic agents History of alcohol abuse or illicit drug use which, in the investigator's judgment, could interfere with a patient's compliance, with the protocol requirements or with the safety or efficacy assessments of the study History of malignancy unless the malignancy has been in complete remission and without additional medical or surgical interventions during the preceding three years No clinically significant laboratory abnormalities at Screen for healthy volunteers in Part I. For Screen laboratory parameters for HCV patients in Part II, refer to the 'Additional Criteria for HCV Patients' below. Additional Key Entry Criteria for HCV patients (Part II): Clinical diagnosis of chronic hepatitis C, documented by: Clinical findings compatible with chronic hepatitis C, and absence of other known liver disease Seropositive for HCV antibody or HCV RNA at least once previously, and at Screen Serum HCV RNA > 5 log10 IU/mL at Screen, by the PCR assay at the central study laboratory HCV genotype-1 (1a or 1b, or non-subtypable genotype-1), or HCV genotype-2a or genotype-3a ALT must be <5 x ULN at screen No previous treatment with interferon, pegIFN, or ribavirin for genotype-1 patients No history of signs or symptoms of decompensated liver disease Any of the following laboratory values at Screening will be exclusionary for study participation: Hgb <11 g/dL in women or 12 g/dL in men. White blood cell count < 4,000/mm3. Absolute neutrophil count (ANC) < 1800 per mm3. Platelet count < 100,000 per mm3. Serum creatinine >ULN at the central study laboratory. Serum albumin < 3.4 g/dL. Total bilirubin > 2.0 mg/dL Clinically significant abnormality in the electrocardiograms (ECGs) at Screen
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nathaniel Brown, M.D.
Organizational Affiliation
Presidio Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Investigational site
City
Costa Mesa
State/Province
California
Country
United States
Facility Name
Investigational site
City
Sacramento
State/Province
California
Country
United States
Facility Name
Investigational site
City
San Francisco
State/Province
California
Country
United States
Facility Name
Investigational Site
City
San Antonio
State/Province
Texas
Country
United States
Facility Name
Investigational site
City
Canberra
Country
Australia
Facility Name
Investigational site
City
Auckland
Country
New Zealand
Facility Name
Investigational site
City
Christchurch
Country
New Zealand

12. IPD Sharing Statement

Learn more about this trial

A Phase 1 Study of PPI-668 in Healthy Volunteers and Patients With Hepatitis C Virus (HCV) Genotype 1

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