A Phase 1/2 Study of CF102 in Patients With Chronic Hepatitis C Genotype 1
Primary Purpose
Chronic Hepatitis C
Status
Completed
Phase
Phase 1
Locations
Israel
Study Type
Interventional
Intervention
CF 102
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Chronic Hepatitis C focused on measuring Hepatitis C, Viral hepatitis
Eligibility Criteria
Inclusion Criteria:
- 18 to 60 years of age
- Body mass index ≤ 30 kg/m2
Either:
- no evidence of cirrhosis, or liver fibrosis corresponding to Metavir Stages 0 to 31 on a liver biopsy performed within the past 2 years, or
- a score of F0 or F1 on ActiTest-FibroTest performed within the past year.
- Child-Pugh score ≤ 5 at Screening
- Serologic evidence of chronic hepatitis C-infection (anti-HCV in serum)
- HCV plasma RNA ≥ 1 x 105 IU/mL on 2 separate samples obtained during the screening period.
- HCV genotype 1
The following laboratory values must be documented within the Screening period:
- Hemoglobin > 11.0 g/dL for females and > 12.0 g/dL for males
- Platelet count > 50 x109/L
- Normal serum creatinine
- Aspartic aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5-fold the upper limit of normal
- International normalized ratio (INR) ≤ 1.3-fold normal
- Serum albumin ≥ 3.6 gm/dL
- Female subjects cannot be pregnant or breastfeeding and must be either postmenopausal, surgically sterile, abstinent, or using 2 proven methods of birth control
- Sexually active male subjects must be practicing acceptable methods of contraception (eg, vasectomy, use of condom plus spermicide, monogamous relationship with a female partner who practices an acceptable method of contraception) during the treatment period
- Negative serum ß-human chorionic gonadotropin (HCG, females of child-bearing potential only)
- Provide informed consent
- Willing to comply with all study requirements
Exclusion Criteria:
- Positive test at Screening for human immunodeficiency virus
- Uncontrolled congestive heart failure (New York Heart Association Classification 3 or 4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, transient ischemic attack, or pulmonary embolism within 3 months prior to initiation of study drug
- History of or ongoing cardiac dysrhythmias requiring treatment, atrial fibrillation of any grade, or persistent prolongation of the corrected QT (QTc) (Fridericia) interval to > 450 msec for males or > 470 msec for females
- Positive results for drugs of abuse at Screening
- Donation or loss of more than 400 mL blood within 2 months prior to anticipated dose administration
- Participation in a clinical study with an investigational drug, biologic, or device within 3 months prior to anticipated dose administration
- Previous exposure to CF102(Cohorts 1 and 2 only)
- Males whose female partner is pregnant
- Serum alpha-feto-protein > 50 ng/mL at screening
- Any severe, acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration, may interfere with the informed consent process and/or with compliance with the requirements of the study, or may interfere with the interpretation of study results and, in the investigator's opinion, would make the patient inappropriate for entry into this study.
Sites / Locations
- Rabin Medical Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
1
2
3
5
Arm Description
CF102 1 mg qd
CF102 1 mg bid
CF102 1 mg bid; 16 weeks
Outcomes
Primary Outcome Measures
Adverse Event Profile of Repeated Dosing of CF102
Effect of Viral Load
Pharmacokinetic Behavior of CF102 During Repeated Dosing
Secondary Outcome Measures
Evaluation of the Relationship Between Biomarkers of Peripheral Blood Mononuclear Cell Adenosine 3 Receptor (A3R) Expression and Clinical Effects
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00790673
Brief Title
A Phase 1/2 Study of CF102 in Patients With Chronic Hepatitis C Genotype 1
Official Title
A Phase 1/2, Randomized, Double-blind, Placebo-controlled, Dose-escalation Study Evaluating the Safety, Tolerability, Biological Activity, and Pharmacokinetics of Orally Administered CF102 in Subjects With Chronic Hepatitis C Genotype 1
Study Type
Interventional
2. Study Status
Record Verification Date
March 2012
Overall Recruitment Status
Completed
Study Start Date
July 2009 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
July 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Can-Fite BioPharma
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This trial will test the hypothesis that CF102 can safely and effectively suppress viral load in patients with chronic hepatitis C and high circulating levels of virus. The trial will monitor the safety of twice-daily oral dosing with CF102 over a 16-week period; will measure changes in viral load during therapy; and will measure blood concentrations of CF102 at various time points during dosing.
Detailed Description
This is a Phase 1/2, randomized, double-blind, placebo-controlled, dose-escalation study of subjects with chronic hepatitis C genotype 1. Eligible subjects will be assigned in a 3:1 ratio (8 subjects in each cohort) to receive qd or bid treatment for 15 days with oral CF-102 or with placebo. Dose escalation will occur in 2 sequential cohorts.
The decision to continue dosing within a cohort (eg, Subcohort 1a to Subcohort 1b), or to escalate to a new dose level Cohort (eg, Subcohort 1b to Subcohort 2a) will be determined by a blinded independent review of safety data. This review will be conducted by a qualified Safety Review Committee comprising the medical monitor, the consulting toxicologist, and an independent expert clinician.
For the first 2 cohorts, subjects will return to the study center for follow-up assessments on Days 8, 15, and 22. Subjects dosed qd will receive a total of 15 doses of CF-102. Subjects dosed bid will receive a total of 29 doses. The 30th dose has been deleted to accommodate PK sampling on the morning of Day 16, 24 hours after the last dose of CF-102.
For the 3rd cohorts, subjects will return to the study center for follow-up assessments on weeks 2, 4, 8, 12, 16 and 18.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis C
Keywords
Hepatitis C, Viral hepatitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Actual)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Arm Description
CF102 1 mg qd
Arm Title
2
Arm Type
Experimental
Arm Description
CF102 1 mg bid
Arm Title
3
Arm Type
Experimental
Arm Description
CF102 1 mg bid; 16 weeks
Arm Title
5
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
CF 102
Other Intervention Name(s)
Cl-IB-MECA
Intervention Description
Oral capsules
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo capsules
Primary Outcome Measure Information:
Title
Adverse Event Profile of Repeated Dosing of CF102
Time Frame
16 weeks
Title
Effect of Viral Load
Time Frame
16 weeks
Title
Pharmacokinetic Behavior of CF102 During Repeated Dosing
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Evaluation of the Relationship Between Biomarkers of Peripheral Blood Mononuclear Cell Adenosine 3 Receptor (A3R) Expression and Clinical Effects
Time Frame
16 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 to 60 years of age
Body mass index ≤ 30 kg/m2
Either:
no evidence of cirrhosis, or liver fibrosis corresponding to Metavir Stages 0 to 31 on a liver biopsy performed within the past 2 years, or
a score of F0 or F1 on ActiTest-FibroTest performed within the past year.
Child-Pugh score ≤ 5 at Screening
Serologic evidence of chronic hepatitis C-infection (anti-HCV in serum)
HCV plasma RNA ≥ 1 x 105 IU/mL on 2 separate samples obtained during the screening period.
HCV genotype 1
The following laboratory values must be documented within the Screening period:
Hemoglobin > 11.0 g/dL for females and > 12.0 g/dL for males
Platelet count > 50 x109/L
Normal serum creatinine
Aspartic aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5-fold the upper limit of normal
International normalized ratio (INR) ≤ 1.3-fold normal
Serum albumin ≥ 3.6 gm/dL
Female subjects cannot be pregnant or breastfeeding and must be either postmenopausal, surgically sterile, abstinent, or using 2 proven methods of birth control
Sexually active male subjects must be practicing acceptable methods of contraception (eg, vasectomy, use of condom plus spermicide, monogamous relationship with a female partner who practices an acceptable method of contraception) during the treatment period
Negative serum ß-human chorionic gonadotropin (HCG, females of child-bearing potential only)
Provide informed consent
Willing to comply with all study requirements
Exclusion Criteria:
Positive test at Screening for human immunodeficiency virus
Uncontrolled congestive heart failure (New York Heart Association Classification 3 or 4), angina, myocardial infarction, cerebrovascular accident, coronary/peripheral artery bypass graft surgery, transient ischemic attack, or pulmonary embolism within 3 months prior to initiation of study drug
History of or ongoing cardiac dysrhythmias requiring treatment, atrial fibrillation of any grade, or persistent prolongation of the corrected QT (QTc) (Fridericia) interval to > 450 msec for males or > 470 msec for females
Positive results for drugs of abuse at Screening
Donation or loss of more than 400 mL blood within 2 months prior to anticipated dose administration
Participation in a clinical study with an investigational drug, biologic, or device within 3 months prior to anticipated dose administration
Previous exposure to CF102(Cohorts 1 and 2 only)
Males whose female partner is pregnant
Serum alpha-feto-protein > 50 ng/mL at screening
Any severe, acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration, may interfere with the informed consent process and/or with compliance with the requirements of the study, or may interfere with the interpretation of study results and, in the investigator's opinion, would make the patient inappropriate for entry into this study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael H Silverman, MD
Organizational Affiliation
Can-Fite BioPharma Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Rabin Medical Center
City
Tel Aviv
Country
Israel
12. IPD Sharing Statement
Citations:
PubMed Identifier
18636149
Citation
Bar-Yehuda S, Stemmer SM, Madi L, Castel D, Ochaion A, Cohen S, Barer F, Zabutti A, Perez-Liz G, Del Valle L, Fishman P. The A3 adenosine receptor agonist CF102 induces apoptosis of hepatocellular carcinoma via de-regulation of the Wnt and NF-kappaB signal transduction pathways. Int J Oncol. 2008 Aug;33(2):287-95.
Results Reference
background
Links:
URL
http://www.canfite.com
Description
Can-Fite BioPharma
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A Phase 1/2 Study of CF102 in Patients With Chronic Hepatitis C Genotype 1
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