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Safety and Efficacy Study of Single Doses of TT-034 in Patients With Chronic Hepatitis C

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TT-034
Sponsored by
Tacere Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C focused on measuring Genotype 1, Chronic Hepatitis C, CHC, HCV, Hepatitis, RNAi, shRNA, ddRNAi, AAV8, AAV, Adeno-associated virus, Adeno-associated viral vectors

Eligibility Criteria

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

Inclusion Criteria:

Subjects must a history of chronic HCV infection defined as documented HCV genotype 1 infection for at least 6 months.

  • Subjects must have:

    1. Documented failure to respond to prior treatment or relapse with a combination of peg-interferon (peg-IFN), ribavirin (RBV), and either boceprevir or telaprevir, OR a combination of peg-IFN and ribavirin or
    2. Subject is ineligible or unwilling to receive a combination of peg-IFN, RBV, and either boceprevir or telaprevir.
  • Female subjects have to be of non-childbearing potential, defined as meeting any of the following criteria:

    1. Female subjects over the age 60.
    2. Female subjects aged 45-60 years old must be amenorrhoeic for at least 2 years and must have serum follicle stimulating hormone (FSH) levels > 30 IU/L.
    3. Female subjects with hysterectomy or bilateral oophorectomy. All female subjects must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Baseline.
  • Male subjects and their partners must be willing to comply with the following requirements to use 2 methods of effective contraception: Male subjects with a vasectomy must use a condom. Without a vasectomy, male subjects must use a condom. The female must be sterile or willing to use an additional form of contraception.
  • Baseline HCV RNA level of > 100,000 IU/mL and:
  • No evidence of cirrhosis at Screening
  • At least 3 months since prior therapy for HCV
  • A willingness to enroll in a 5 year follow-up safety study

Exclusion Criteria:

  • Body mass index < 18.5 or > 30
  • Total body weight > 80 KG
  • Female subjects of childbearing potential (including females with tubal ligation) or women who are pregnant or nursing
  • Male subjects who are unwilling to provide the required semen samples
  • Presence of nAb levels to AAV8 that abrogate AAV8 transduction
  • Severe Liver disease
  • Hepatocellular carcinoma (HCC) or suspicion of HCC
  • Coronary artery disease
  • Platelet count of < 150 x 109/L or Creatinine ≥ 1.5 mg/dL at Screening
  • Hypertension with systolic blood pressure consistently ≥ 130 mmHg or diastolic blood pressure consistently ≥ 90 mmHg
  • Screening examinations indicative of possible occult malignancy unless cancer has been excluded
  • Family history of colon cancer in any first-degree relative unless ruled out by colonoscopy
  • Positive for human immunodeficiency virus 1 (HIV1) or HIV2 antibody
  • Co-infection with hepatitis B virus
  • History of autoimmune disease
  • Renal impairment
  • Hospitalization for liver disease within 60 days of Screening
  • Use of drugs of abuse in the prior 3 months
  • Other concomitant disease or condition likely to significantly decrease life expectancy or cancer
  • Treatment with an investigational drug within 6 months preceding the first dose of trial medication
  • Received an AAV vector previously or any other gene transfer agent in the previous 6 months
  • History of cardiac abnormalities, as assessed at the Screening Visit
  • Twelve-lead ECG demonstrating QTcB > 465 ms at Screening
  • Chronic hepatic diseases
  • Evidence of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, psychiatric, neurologic, or allergic diseases.
  • Evidence of autoimmune disease or pre-existing autoimmune or antibody-mediated diseases
  • Use of immunosuppressive medications within 6 months before the entry into this study, except for inhaled or topical corticosteroids

Sites / Locations

  • UCSD Antiviral Research Center
  • Duke Clinical Research Institute
  • The Liver Institute at Methodist Dallas
  • The Texas Liver Institute

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Escalating Dose of TT-034

Arm Description

The study contains one dose escalation arm with active drug.

Outcomes

Primary Outcome Measures

The primary objective is to assess the safety and tolerability of single escalating doses of TT-034 administered IV as a single infusion to subjects with CHC.

Secondary Outcome Measures

To assess the activity of TT-034 on the viral load of subjects with CHC receiving single escalating doses of TT-034

Full Information

First Posted
July 8, 2013
Last Updated
November 28, 2016
Sponsor
Tacere Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01899092
Brief Title
Safety and Efficacy Study of Single Doses of TT-034 in Patients With Chronic Hepatitis C
Official Title
A Phase I,II Open-Label Dose Escalation Study to Evaluate the Safety and Efficacy of Single Doses of TT-034 for Subjects With Chronic Hepatitis C (CHC) Infection
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
January 2014 (undefined)
Primary Completion Date
September 2016 (Actual)
Study Completion Date
November 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Tacere Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The study is a first in man, dose escalation study that will measure the safety and efficacy of TT-034 in the treatment of patients with chronic hepatitis C. The study is divided into 5 dose levels. Subjects will be given a single dose delivered by IV infusion. The subjects will be monitored and the data analyzed. After a set time, between 6 and 10 weeks depending on the dose level, the next set of subjects will be dosed. The study drug is a gene therapy treatment that produces molecules that destroy the Hepatitis C virus (HCV) in infected cells. Once the study drug is given, it cannot be withdrawn. Additionally, once an individual receives a dose, he or she will not be able to receive a second dose, but will remain eligible to receive most other HCV treatments.
Detailed Description
This is a first-time use of a method of therapy designed to transfer anti-HCV genetic sequences into the hepatocytes of subjects infected with HCV. The anti-HCV sequences will be comprised of three different short hairpin RNAs (shRNA) that have the ability to directly cleave the RNA genome of HCV by a process known as RNA interference. The transfer of the anti-HCV sequences will be accomplished using a "vector" that was made from an adenovirus-associated virus (AAV) by removing the viral genes and replacing them with a non-replicating genetic sequence that produces three different shRNA that target three different regions within the HCV genes. This type of vector has been used in other clinical trials in order to transduce the hepatocytes of subjects who suffer from hemophilia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C
Keywords
Genotype 1, Chronic Hepatitis C, CHC, HCV, Hepatitis, RNAi, shRNA, ddRNAi, AAV8, AAV, Adeno-associated virus, Adeno-associated viral vectors

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Escalating Dose of TT-034
Arm Type
Experimental
Arm Description
The study contains one dose escalation arm with active drug.
Intervention Type
Drug
Intervention Name(s)
TT-034
Intervention Description
The study drug will be given as a single dose IV infusion on Day 1. 5 different dose levels corresponding to the 5 cohorts of the study will be given.
Primary Outcome Measure Information:
Title
The primary objective is to assess the safety and tolerability of single escalating doses of TT-034 administered IV as a single infusion to subjects with CHC.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
To assess the activity of TT-034 on the viral load of subjects with CHC receiving single escalating doses of TT-034
Time Frame
6 months
Other Pre-specified Outcome Measures:
Title
To determine the maximum tolerable dose or the optimal efficacy dose (whichever comes first)
Time Frame
6 months
Title
To determine the viral load
Time Frame
6 months
Title
To assess the presence of viral escape mutants in subjects with detectable viral load after receiving TT-034
Time Frame
6 months
Title
To monitor TT-034 vector DNA levels and shRNA expression in the target organ (liver) after dosing with TT-034
Time Frame
3 weeks
Title
To monitor TT-034 vector DNA levels and shRNA expression peripherally (in blood) after dosing with TT-034
Time Frame
6 months

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: Subjects must a history of chronic HCV infection defined as documented HCV genotype 1 infection for at least 6 months. Subjects must have: Documented failure to respond to prior treatment or relapse with a combination of peg-interferon (peg-IFN), ribavirin (RBV), and either boceprevir or telaprevir, OR a combination of peg-IFN and ribavirin or Subject is ineligible or unwilling to receive a combination of peg-IFN, RBV, and either boceprevir or telaprevir. Female subjects have to be of non-childbearing potential, defined as meeting any of the following criteria: Female subjects over the age 60. Female subjects aged 45-60 years old must be amenorrhoeic for at least 2 years and must have serum follicle stimulating hormone (FSH) levels > 30 IU/L. Female subjects with hysterectomy or bilateral oophorectomy. All female subjects must have a negative serum pregnancy test at Screening and a negative urine pregnancy test at Baseline. Male subjects and their partners must be willing to comply with the following requirements to use 2 methods of effective contraception: Male subjects with a vasectomy must use a condom. Without a vasectomy, male subjects must use a condom. The female must be sterile or willing to use an additional form of contraception. Baseline HCV RNA level of > 100,000 IU/mL and: No evidence of cirrhosis at Screening At least 3 months since prior therapy for HCV A willingness to enroll in a 5 year follow-up safety study Exclusion Criteria: Body mass index < 18.5 or > 30 Total body weight > 80 KG Female subjects of childbearing potential (including females with tubal ligation) or women who are pregnant or nursing Male subjects who are unwilling to provide the required semen samples Presence of nAb levels to AAV8 that abrogate AAV8 transduction Severe Liver disease Hepatocellular carcinoma (HCC) or suspicion of HCC Coronary artery disease Platelet count of < 150 x 109/L or Creatinine ≥ 1.5 mg/dL at Screening Hypertension with systolic blood pressure consistently ≥ 130 mmHg or diastolic blood pressure consistently ≥ 90 mmHg Screening examinations indicative of possible occult malignancy unless cancer has been excluded Family history of colon cancer in any first-degree relative unless ruled out by colonoscopy Positive for human immunodeficiency virus 1 (HIV1) or HIV2 antibody Co-infection with hepatitis B virus History of autoimmune disease Renal impairment Hospitalization for liver disease within 60 days of Screening Use of drugs of abuse in the prior 3 months Other concomitant disease or condition likely to significantly decrease life expectancy or cancer Treatment with an investigational drug within 6 months preceding the first dose of trial medication Received an AAV vector previously or any other gene transfer agent in the previous 6 months History of cardiac abnormalities, as assessed at the Screening Visit Twelve-lead ECG demonstrating QTcB > 465 ms at Screening Chronic hepatic diseases Evidence of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, psychiatric, neurologic, or allergic diseases. Evidence of autoimmune disease or pre-existing autoimmune or antibody-mediated diseases Use of immunosuppressive medications within 6 months before the entry into this study, except for inhaled or topical corticosteroids
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Suhy, PhD
Organizational Affiliation
Tacere Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
UCSD Antiviral Research Center
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Duke Clinical Research Institute
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
The Liver Institute at Methodist Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75203
Country
United States
Facility Name
The Texas Liver Institute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States

12. IPD Sharing Statement

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Safety and Efficacy Study of Single Doses of TT-034 in Patients With Chronic Hepatitis C

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