Evaluation of the Safety, Tolerability, Pharmacokinetics, and Activity of GS-9450 in Subjects With Chronic HCV
A Phase 2a, Double-Blind, Randomized, Placebo-Controlled, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Activity of GS-9450, a Caspase Inhibitor, in Subjects With Chronic Hepatitis C (GS-US-227-0102)
1 other identifier
interventional
33
3 countries
11
Brief Summary
The purpose of this study is to examine the safety, tolerability, pharmacokinetics (studies how the body processes a drug), and initial activity of GS-9450 in preventing liver damage due to scarring, or fibrosis, caused by Hepatitis C Virus (HCV) infection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Apr 2008
Shorter than P25 for phase_2
11 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
July 29, 2008
CompletedFirst Posted
Study publicly available on registry
July 31, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2009
CompletedJune 19, 2014
June 1, 2014
6 months
July 29, 2008
June 11, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and Tolerability
Throughout 7 weeks (2 weeks on treatment and 5 weeks post-treatment)
Secondary Outcomes (3)
Plasma pharmacokinetic parameters of GS-9450 and metabolites
17 days (through 72 hours after last dose)
Change from baseline in alanine aminotransferase (ALT) levels at Day 14
Day 14
Change from baseline in noninvasive markers (including cytokeratin 18 fragments) indicative of hepatic apoptosis
Through Week 5 (2 weeks on treatment and 3 weeks post-treatment)
Study Arms (4)
Cohort 1
EXPERIMENTALSubjects randomized 3:1 (active:placebo) to receive GS-9450 10 mg/day or placebo.
Cohort 2
EXPERIMENTALSubjects randomized 3:1 (active:placebo) to receive GS-9450 40 mg/day or placebo.
Cohort 3
EXPERIMENTALSubjects randomized 3:1 (active:placebo) to receive GS-9450 80 mg/day or placebo.
Cohort 4
EXPERIMENTALSubjects randomized 3:1 (active:placebo) to receive GS-9450 5 mg/day or placebo. Cohort may or may not be conducted pending blinded review of previous cohorts.
Interventions
Placebo to match GS-9450 administered orally once daily
Eligibility Criteria
You may qualify if:
- Male or female, aged from 18 to 65 years old, inclusive.
- Willing and able to provide written, informed consent
- Have a body mass index between 19 and 32 kg/m2, inclusive, at screening.
- Have chronic hepatitis C infection of any genotype (and subtype).
- Subjects must be previously treated with pegylated interferon (PEG) or interferon (INF) with or without ribavirin (RBV) and either did not achieve a sustained viral response (undetectable HCV RNA) six months after cessation of anti-viral therapy, or did not tolerate PEG or INF with or without RBV therapy. Subjects who have contraindications to receiving PEG or INF with or without RBV may also be eligible.
- ALT \>/= 1.5 X but \< 10 X the upper limit of the normal range (ULN); aspartate aminotransferase (AST) \< 10 X ULN; platelets \>/= 75,000/mm3; total bilirubin \</= 1.5 X ULN; prothrombin time \</= 1.5 X ULN; albumin \>/= 3.0 g/dL; absolute neutrophil count \>/= 1,000 cells/mm3; and hemoglobin \>/= 10 g/dL
- Creatinine clearance \>/= 70 mL/min
- A female of non-childbearing potential who is documented as either surgically sterile or post-menopausal for \>/= 2 years.
- Females \< 2 years post-menopausal are required to have follicle-stimulating hormone (FSH) level of \>/= 40 mIU/mL. If of child-bearing potential or FSH \< 40 mIU/mL, must:
- have negative serum pregnancy test and a negative urine pregnancy test, and
- agree to use an acceptable method of contraception during heterosexual intercourse during the study and for \>/= 30 days or one menstrual cycle (whichever is the longer) after last dose of study drug.
- If male, agree to use an acceptable method of contraception during heterosexual intercourse during the study and for at least 3 months after the last dose of study drug.
- Subjects should be in reasonably good health as determined by the Investigator.
You may not qualify if:
- Pregnant or breast feeding women or women who may wish to become pregnant during the study or within 30 days of study drug administration.
- Males who have partners planning to become pregnant within 30 days of study drug administration.
- Males and females of reproductive potential who are unwilling to use effective method(s) of birth control for a minimum of 30 days after ingestion of study medication
- Coinfection with hepatitis B virus (HBV) or HIV
- Known liver disease of a non-HCV etiology
- Pancreatitis
- Autoimmune disease
- History of malignancy
- Ongoing alcohol abuse.
- Recent significant infection or symptoms of infection
- Evidence of hepatocellular carcinoma (e.g., a-fetoprotein \> 50 ng/mL or as indicated by recent ultrasound)
- Decompensated liver disease OR history of clinical hepatic decompensation
- Hb \< 10 g/dL
- Absolute neutrophil count (ANC) \< 1,000 cells/mm3
- Therapy with potentially hepatotoxic/cholestatic drugs.
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
Study Sites (11)
Unknown Facility
Anaheim, California, United States
Unknown Facility
Washington D.C., District of Columbia, United States
Unknown Facility
Orlando, Florida, United States
Unknown Facility
Dallas, Texas, United States
Unknown Facility
San Antonio, Texas, United States
Unknown Facility
Frankfurt, Germany
Unknown Facility
Hamburg, Germany
Unknown Facility
Hanover, Germany
Unknown Facility
Mainz, Germany
Unknown Facility
Würzburg, Germany
Unknown Facility
Amsterdam, Netherlands
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
David Oldach, MD
Gilead Sciences
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 29, 2008
First Posted
July 31, 2008
Study Start
April 1, 2008
Primary Completion
October 1, 2008
Study Completion
March 1, 2009
Last Updated
June 19, 2014
Record last verified: 2014-06