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Phase 3 Study of Yimitasvir Phosphate Capsules

Primary Purpose

Chronic HCV Infection

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
SOF
DAG181
Sponsored by
Sunshine Lake Pharma Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic HCV Infection focused on measuring Chronic Genotype 1 HCV Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Willing and able to provide written informed consent;
  2. Male or female, age≥18 years;
  3. A female subject is eligible to enter the study if it is confirmed that she is:

    1. Of non-childbearing potential (i.e., women who have had a hysterectomy, have both ovaries removed or medically documented ovarian failure, or are postmenopausal-women > 50 years of age with cessation (for≥12 months) of previously occurring menses), or
    2. Of childbearing potential (Women≤50 years of age with amenorrhea will be considered to be of childbearing potential). These women must have a negative serum pregnancy test at screening and negative urine pregnancy test at baseline before first dose of study drugs, and must use specific contraceptive methods from screening until 90 days after last dose of study drugs, such as complete abstinence from intercourse, vaginal ring, cervical cap or contraceptive diaphragm, IUD, etc.
  4. All male subjects must agree to consistently and correctly use specific contraceptive methods with their female partner from screening until 90 days after last dose of study drugs(except for surgical sterilization), such as complete abstinence from intercourse, condom, and their female partner use contraceptives , vaginal ring , cervical cap or contraceptive diaphragm, IUD, etc;
  5. Male subjects must agree to refrain from sperm donation from the date of screening until 90 days after the last dose of study drugs;
  6. Confirmation of chronic HCV infection documented by either:

    1. A positive anti-HCV antibody test or positive HCV RNA or positive HCV genotyping test at least 6 months prior to the Baseline/Day 1 visit, or
    2. A liver biopsy performed prior to the Baseline/Day 1 visit with evidence of chronic HCV infection.
  7. Serological detection of anti-HCV antibodies was positive at screening;
  8. HCV RNA≥1×104 IU/mL at Screening;
  9. HCV genotype 1a, 1b, or mixed 1a/1b at screening as determined by the Central Laboratory;
  10. Classification as treatment naive or treatment experienced;
  11. Absence of cirrhosis.

Exclusion Criteria:

  1. Investigator assessed subjects have other clinically significant abnormalities (other than HCV), such as uncontrollable heart disease, respiratory, gastrointestinal, blood, nervous or other medical disorders, which may interfere with treatment, assessment, or compliance with the protocol;
  2. Laboratory results outside of acceptable ranges at Screening;
  3. HBsAg serology test results were positive at Screening;
  4. HIV antibody test results were positive at Screening;
  5. Prior exposure to approved or experimental HCV-specific direct-acting antiviral agent;
  6. Pregnant female or male with pregnant female partner.

Sites / Locations

  • Beijing Ditan Hospital Affiliated to Capital Medical University
  • Peking University First Hospital
  • Peking University People's Hospital
  • Beijing Friendship Hospital,Capital Medical University
  • Beijing YouAn Hospital,Capital Medical University
  • The First Affiliated Hospital of Fujian Medical University
  • Mengchao Hepatobiliary Hospital of Fujian Medical University
  • The First Hospital of Lanzhou University
  • Guangzhou Eighth People's Hospital
  • Nanfang Hospital of Southern Medical University
  • Hainan General Hospital
  • The Third Hospital of Hebei Medical University
  • The First Affiliated Hospital of Xinxiang Medical University
  • People's Hospital of Zhengzhou
  • The Central Hospital of Wuhan
  • Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology
  • Tongji Hospital Affiliated to Tongji Medical College of Huazhong University Science & Technology
  • Renmin Hospital of Wuhan University
  • Hunan Provincial People's Hospital
  • Xiangya Hospital, Central South University
  • The People's Liberation Army No.81 Hospital
  • The Second Hospital of Nanjing
  • The Fifth People's Hospital of Wuxi
  • The Affiliated Hospital of Xuzhou Medical Hospital
  • The Third People's Hospital of Zhenjiang
  • The First Affiliated Hospital of NanChang University
  • The First Hospital of Jilin University
  • The Sixth People's Hospital of Shenyang
  • Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
  • Shanghai Public Health Clinical Center
  • Tangdu Hospital
  • The First Affiliated Hospital of Xi'an Jiaotong University
  • West China Hospital, Sichuan University
  • Sichuan Provincial People's Hospital
  • The First Affiliated Hospital of Wenzhou Medical University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SOF 400 mg+DAG181 100 mg

Arm Description

Patients with genotype 1 HCV infection without cirrhosis will receive SOF 400 mg+DAG181 100 mg for 12 weeks.

Outcomes

Primary Outcome Measures

Percentage of subjects with sustained virologic response 12 weeks after discontinuation of therapy(SVR12)
SVR12 is defined as HCV RNA < the lower limit of quantitation (LLOQ) at 12 weeks after discontinuation of therapy
Safety and tolerability were evaluated based on adverse events
Collecting all adverse events during the whole study

Secondary Outcome Measures

Percentage of subjects with sustained virologic response 4 and 24 weeks after discontinuation of therapy (SVR4 and SVR24)
SVR4 and SVR24 were defined as HCV RNA < the lower limit of quantitation (LLOQ) at 4 and 24 weeks after discontinuation of therapy, respectively.
HCV RNA change from baseline
the quantification of HCV RNA during and after treatment compared with baseline
Percentage of subjects with virologic failure
On-treatment virologic failure: confirmed HCV RNA ≥ the lower limit of quantitation (LLOQ) after having previously had HCV RNA <the lower limit of quantitation (LLOQ) while on treatment; confirmed ≥ 1 log10 IU/mL increase in HCV RNA from nadir while on treatment; HCV RNA persistently ≥the lower limit of quantitation (LLOQ) through 8 weeks of treatment. Virologic relapse: Confirmed HCV RNA ≥the lower limit of quantitation (LLOQ) during the posttreatment period having achieved HCV RNA <the lower limit of quantitation (LLOQ) at last on-treatment visit.
Percentage of subjects with viral resistance to DAG181 and/or SOF
Monitoring HCV virus resistance at baseline, during and after treatment

Full Information

First Posted
March 26, 2018
Last Updated
March 16, 2020
Sponsor
Sunshine Lake Pharma Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03487107
Brief Title
Phase 3 Study of Yimitasvir Phosphate Capsules
Official Title
A Multicenter, Single-arm, Open-label Study to Investigate the Efficacy and Safety of Yimitasvir Phosphate (DAG181)/Sofosbuvir(SOF) Combination for 12 Weeks in Subjects With Chronic Genotype 1 HCV Infection
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
April 17, 2018 (Actual)
Primary Completion Date
March 28, 2019 (Actual)
Study Completion Date
June 25, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sunshine Lake Pharma Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The safety, tolerability and antiviral activity of DAG181/SOF in treatment-naive and treatment-experienced patients with chronic hepatitis C virus (HCV) genotype 1 infection.
Detailed Description
A phase III, multicenter, single-arm, open-label study to assess the safety, tolerability and antiviral activity of DAG181/SOF combination for 12 weeks in adult subjects with chronic genotype 1 HCV infection. Approximately 360 HCV genotype 1 subjects without cirrhosis will be enrolled, treatment-experienced subjects are ≤20%. All subjects will receive DAG181 100 mg/ SOF 400 mg once daily for 12 weeks,with subsequent observation for 24 weeks after cessation of treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic HCV Infection
Keywords
Chronic Genotype 1 HCV Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
362 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SOF 400 mg+DAG181 100 mg
Arm Type
Experimental
Arm Description
Patients with genotype 1 HCV infection without cirrhosis will receive SOF 400 mg+DAG181 100 mg for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
SOF
Other Intervention Name(s)
sofosbuvir, Sovaldi®
Intervention Description
400 mg tablet administered orally once daily
Intervention Type
Drug
Intervention Name(s)
DAG181
Other Intervention Name(s)
Yimitasvir
Intervention Description
100 mg capsule administered orally once daily
Primary Outcome Measure Information:
Title
Percentage of subjects with sustained virologic response 12 weeks after discontinuation of therapy(SVR12)
Description
SVR12 is defined as HCV RNA < the lower limit of quantitation (LLOQ) at 12 weeks after discontinuation of therapy
Time Frame
Posttreatment Week 12
Title
Safety and tolerability were evaluated based on adverse events
Description
Collecting all adverse events during the whole study
Time Frame
Up to posttreatment week 24
Secondary Outcome Measure Information:
Title
Percentage of subjects with sustained virologic response 4 and 24 weeks after discontinuation of therapy (SVR4 and SVR24)
Description
SVR4 and SVR24 were defined as HCV RNA < the lower limit of quantitation (LLOQ) at 4 and 24 weeks after discontinuation of therapy, respectively.
Time Frame
Posttreatment Weeks 4 and 24
Title
HCV RNA change from baseline
Description
the quantification of HCV RNA during and after treatment compared with baseline
Time Frame
Up to posttreatment week 24
Title
Percentage of subjects with virologic failure
Description
On-treatment virologic failure: confirmed HCV RNA ≥ the lower limit of quantitation (LLOQ) after having previously had HCV RNA <the lower limit of quantitation (LLOQ) while on treatment; confirmed ≥ 1 log10 IU/mL increase in HCV RNA from nadir while on treatment; HCV RNA persistently ≥the lower limit of quantitation (LLOQ) through 8 weeks of treatment. Virologic relapse: Confirmed HCV RNA ≥the lower limit of quantitation (LLOQ) during the posttreatment period having achieved HCV RNA <the lower limit of quantitation (LLOQ) at last on-treatment visit.
Time Frame
Up to posttreatment week 24
Title
Percentage of subjects with viral resistance to DAG181 and/or SOF
Description
Monitoring HCV virus resistance at baseline, during and after treatment
Time Frame
Up to posttreatment week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to provide written informed consent; Male or female, age≥18 years; A female subject is eligible to enter the study if it is confirmed that she is: Of non-childbearing potential (i.e., women who have had a hysterectomy, have both ovaries removed or medically documented ovarian failure, or are postmenopausal-women > 50 years of age with cessation (for≥12 months) of previously occurring menses), or Of childbearing potential (Women≤50 years of age with amenorrhea will be considered to be of childbearing potential). These women must have a negative serum pregnancy test at screening and negative urine pregnancy test at baseline before first dose of study drugs, and must use specific contraceptive methods from screening until 90 days after last dose of study drugs, such as complete abstinence from intercourse, vaginal ring, cervical cap or contraceptive diaphragm, IUD, etc. All male subjects must agree to consistently and correctly use specific contraceptive methods with their female partner from screening until 90 days after last dose of study drugs(except for surgical sterilization), such as complete abstinence from intercourse, condom, and their female partner use contraceptives , vaginal ring , cervical cap or contraceptive diaphragm, IUD, etc; Male subjects must agree to refrain from sperm donation from the date of screening until 90 days after the last dose of study drugs; Confirmation of chronic HCV infection documented by either: A positive anti-HCV antibody test or positive HCV RNA or positive HCV genotyping test at least 6 months prior to the Baseline/Day 1 visit, or A liver biopsy performed prior to the Baseline/Day 1 visit with evidence of chronic HCV infection. Serological detection of anti-HCV antibodies was positive at screening; HCV RNA≥1×104 IU/mL at Screening; HCV genotype 1a, 1b, or mixed 1a/1b at screening as determined by the Central Laboratory; Classification as treatment naive or treatment experienced; Absence of cirrhosis. Exclusion Criteria: Investigator assessed subjects have other clinically significant abnormalities (other than HCV), such as uncontrollable heart disease, respiratory, gastrointestinal, blood, nervous or other medical disorders, which may interfere with treatment, assessment, or compliance with the protocol; Laboratory results outside of acceptable ranges at Screening; HBsAg serology test results were positive at Screening; HIV antibody test results were positive at Screening; Prior exposure to approved or experimental HCV-specific direct-acting antiviral agent; Pregnant female or male with pregnant female partner.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lai Wei, Doctor
Organizational Affiliation
Peking University People's Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Beijing Ditan Hospital Affiliated to Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100020
Country
China
Facility Name
Peking University First Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100034
Country
China
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100044
Country
China
Facility Name
Beijing Friendship Hospital,Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100050
Country
China
Facility Name
Beijing YouAn Hospital,Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100069
Country
China
Facility Name
The First Affiliated Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350005
Country
China
Facility Name
Mengchao Hepatobiliary Hospital of Fujian Medical University
City
Fuzhou
State/Province
Fujian
ZIP/Postal Code
350025
Country
China
Facility Name
The First Hospital of Lanzhou University
City
Lanzhou
State/Province
Gansu
ZIP/Postal Code
730000
Country
China
Facility Name
Guangzhou Eighth People's Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Facility Name
Nanfang Hospital of Southern Medical University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510515
Country
China
Facility Name
Hainan General Hospital
City
Haikou
State/Province
Hainan
ZIP/Postal Code
570311
Country
China
Facility Name
The Third Hospital of Hebei Medical University
City
Shijiazhuang
State/Province
Hebei
ZIP/Postal Code
050051
Country
China
Facility Name
The First Affiliated Hospital of Xinxiang Medical University
City
Xinxiang
State/Province
Henan
ZIP/Postal Code
453100
Country
China
Facility Name
People's Hospital of Zhengzhou
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450003
Country
China
Facility Name
The Central Hospital of Wuhan
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430010
Country
China
Facility Name
Union Hospital Affiliated with Tongji Medical College of Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Facility Name
Tongji Hospital Affiliated to Tongji Medical College of Huazhong University Science & Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430030
Country
China
Facility Name
Renmin Hospital of Wuhan University
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430060
Country
China
Facility Name
Hunan Provincial People's Hospital
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410000
Country
China
Facility Name
Xiangya Hospital, Central South University
City
Changsha
State/Province
Hunan
ZIP/Postal Code
410008
Country
China
Facility Name
The People's Liberation Army No.81 Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210002
Country
China
Facility Name
The Second Hospital of Nanjing
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210003
Country
China
Facility Name
The Fifth People's Hospital of Wuxi
City
Wuxi
State/Province
Jiangsu
ZIP/Postal Code
214073
Country
China
Facility Name
The Affiliated Hospital of Xuzhou Medical Hospital
City
Xuzhou
State/Province
Jiangsu
ZIP/Postal Code
221002
Country
China
Facility Name
The Third People's Hospital of Zhenjiang
City
Zhenjiang
State/Province
Jiangsu
ZIP/Postal Code
212004
Country
China
Facility Name
The First Affiliated Hospital of NanChang University
City
Nanchang
State/Province
Jiangxi
ZIP/Postal Code
330006
Country
China
Facility Name
The First Hospital of Jilin University
City
Chang Chun
State/Province
Jilin
ZIP/Postal Code
130021
Country
China
Facility Name
The Sixth People's Hospital of Shenyang
City
Shenyang
State/Province
Liaoning
ZIP/Postal Code
110006
Country
China
Facility Name
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200020
Country
China
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
201500
Country
China
Facility Name
Tangdu Hospital
City
Xi'an
State/Province
Shanxi
ZIP/Postal Code
710038
Country
China
Facility Name
The First Affiliated Hospital of Xi'an Jiaotong University
City
Xi'an
State/Province
Shanxi
ZIP/Postal Code
710061
Country
China
Facility Name
West China Hospital, Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Facility Name
Sichuan Provincial People's Hospital
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610072
Country
China
Facility Name
The First Affiliated Hospital of Wenzhou Medical University
City
Wenzhou
State/Province
Zhejiang
ZIP/Postal Code
325000
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Phase 3 Study of Yimitasvir Phosphate Capsules

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