Multiple Ascending Dose Study of Miravirsen in Treatment-Naïve Chronic Hepatitis C Subjects
A Phase 2a, Randomized, Double-Blind, Placebo-Controlled, Ascending Multiple-Dose Study to Assess Safety, Tolerability, Pharmacokinetics and Antiviral Activity of SPC3649 (Miravirsen) Administered to Treatment-Naïve Subjects With Chronic Hepatitis C (CHC) Infection
2 other identifiers
interventional
38
6 countries
7
Brief Summary
The main purpose of this study is to determine the safety and tolerability of multiple dosing of miravirsen in subjects infected with chronic hepatitis C. Secondary purpose includes assessment of pharmacokinetics of miravirsen and assessment of miravirsen's effect on HCV viral titer.
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 Sep 2010
Shorter than P25 for phase_2
7 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
September 1, 2010
CompletedFirst Submitted
Initial submission to the registry
September 9, 2010
CompletedFirst Posted
Study publicly available on registry
September 13, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedJanuary 31, 2012
January 1, 2012
1.2 years
September 9, 2010
January 26, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety and tolerability
Safety evaluation will study the adverse event (AE) profile, clinical laboratory safety tests, vital signs, 12 lead and ECG monitoring.
regularly over 18 weeks
Secondary Outcomes (2)
Pharmacokinetics
continuously over 4 weeks
Miravirsen treatment effect on viral titer
regularly over 18 weeks
Study Arms (2)
miravirsen
EXPERIMENTALDose escalation study with review of safety data following each cohort.
saline
PLACEBO COMPARATORDose escalation study with review of safety data following each cohort.
Interventions
Eligibility Criteria
You may qualify if:
- BMI 18-38 kg/m2
- Treatment-naïve to interferon-alpha based therapies
- HCV genotype 1
- Clinical and laboratory findings consistent with a clinical diagnosis of CHC, including:
- Previous documentation of positive HCV serology (HCV antibody or HCV RNA) at least 24 weeks prior to enrollment, OR Positive HCV serology (HCV antibody or HCV RNA) with a prior remote risk factor (more than 24 weeks prior to Screening) for the acquisition of hepatitis C
- Serum HCV RNA \> 75,000 IU/mL at Screening
- (North American sites only). Liver biopsy within 36 months of Day 1, indicating the absence of cirrhosis
- Screening hematology, clinical chemistries, coagulation and urinalysis are not clinically significant and the following criteria are met:
- Platelets \>100,000/mm3
- Total WBC \> 3000/mm3 and ANC \>1500/mm3
- Hemoglobin \> 11 g/dL for females and \> 12 g/dL for males
- Total and direct bilirubin, WNL (except for clearly documented Gilbert's Syndrome)
- ALT \< 5 x ULN
- Serum creatinine WNL and creatinine clearance as calculated by the Cockcroft-Gault formula \> 80 ml/min
- Negative results on the following Screening laboratory tests: urine or serum pregnancy test (for women of childbearing potential), hepatitis B surface antigen and human immunodeficiency virus (HIV) antibody.
- +1 more criteria
You may not qualify if:
- Other known cause of liver disease except for CHC
- History or symptoms of decompensated liver disease: Child-Pugh Class B or C, including ascites, hepatic encephalopathy, esophageal variceal bleeding, fibrosis or other signs of hepatic insufficiency or portal hypertension
- History of hepatocellular carcinoma (HCC) on imaging studies or serum alpha-fetoprotein (AFP) \> 50 ng/mL at Screening
- Concurrent clinically significant medical diagnosis (other than hepatitis C-related conditions) that would potentially interfere with the subjects study compliance or confound study results
- Concurrent social conditions (e.g. drugs, alcohol, transportation) which would potentially interfere with the subject's study compliance
- Clinically significant illness within 30 days preceding entry into the study
- Participated in an investigational drug study within 30 days or 5 half-lives, whichever is longer, prior to the start of study medication.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Alamo Medical Research
San Antonio, Texas, United States
J.W. Goethe University Hospital
Frankfurt, D-60590, Germany
Academic Medical Center (AMC)
Amsterdam, 22660 1100 D, Netherlands
Erasmus MC University Hospital
Rotterdam, 3015 CE, Netherlands
Klinika Hepatologii i Nabytych Niedoborow Immunologicznych WUM
Warsaw, 01-201, Poland
Fundacion de Investigation de Diego
San Juan, Puerto Rico
FNsP Bratislava, Nemocnica akad.
Bratislava, 833 05, Slovakia
Related Publications (2)
Ottosen S, Parsley TB, Yang L, Zeh K, van Doorn LJ, van der Veer E, Raney AK, Hodges MR, Patick AK. In vitro antiviral activity and preclinical and clinical resistance profile of miravirsen, a novel anti-hepatitis C virus therapeutic targeting the human factor miR-122. Antimicrob Agents Chemother. 2015 Jan;59(1):599-608. doi: 10.1128/AAC.04220-14. Epub 2014 Nov 10.
PMID: 25385103DERIVEDJanssen HL, Reesink HW, Lawitz EJ, Zeuzem S, Rodriguez-Torres M, Patel K, van der Meer AJ, Patick AK, Chen A, Zhou Y, Persson R, King BD, Kauppinen S, Levin AA, Hodges MR. Treatment of HCV infection by targeting microRNA. N Engl J Med. 2013 May 2;368(18):1685-94. doi: 10.1056/NEJMoa1209026. Epub 2013 Mar 27.
PMID: 23534542DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stefan Zeuzem, MD
J.W. Goethe University Hospital, Frankfurt
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 9, 2010
First Posted
September 13, 2010
Study Start
September 1, 2010
Primary Completion
December 1, 2011
Study Completion
December 1, 2011
Last Updated
January 31, 2012
Record last verified: 2012-01