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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | CF102 1 mg qd |
|
| 2 | Experimental | CF102 1 mg bid |
|
| 3 | Experimental | CF102 1 mg bid; 16 weeks |
|
| 5 | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CF 102 | Drug | Oral capsules |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Event Profile of Repeated Dosing of CF102 | 16 weeks | |
| Effect of Viral Load | 16 weeks | |
| Pharmacokinetic Behavior of CF102 During Repeated Dosing | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the Relationship Between Biomarkers of Peripheral Blood Mononuclear Cell Adenosine 3 Receptor (A3R) Expression and Clinical Effects | 16 weeks |
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Inclusion Criteria:
18 to 60 years of age
Body mass index ≤ 30 kg/m2
Either:
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:
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:
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| Name | Affiliation | Role |
|---|---|---|
| Michael H Silverman, MD | Can-Fite BioPharma Ltd | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rabin Medical Center | Tel Aviv | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18636149 | Background | 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. |
| Label | URL |
|---|---|
| Can-Fite BioPharma | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1 CF102 1 mg qd | CF102 1 mg qd CF 102: Oral capsules |
| FG001 | Cohort 2 CF102 1 mg Bid | CF102 1 mg bid CF 102: Oral capsules |
| FG002 | Cohort 3 CF102 1 mg Bid | CF102 1 mg bid; 16 weeks CF 102: Oral capsules |
| FG003 | Placebo | Placebo: Matching placebo capsules |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Cohort 1 CF102 1 mg qd | CF102 1 mg qd CF 102: Oral capsules |
| BG001 | Cohort 2 CF102 1 mg Bid | CF102 1 mg bid CF 102: Oral capsules |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Adverse Event Profile of Repeated Dosing of CF102 | Posted | Number | participants | 16 weeks |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cohort 1 CF102 1 mg qd | CF102 1 mg qd CF 102: Oral capsules |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | General disorders | Fatigue |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pnina Fishman, PhD | Can-Fite Biopharma | 011972 39241114 | pnina@canfite.co.il |
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| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| D006526 | Hepatitis C |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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| ID | Term |
|---|---|
| C090034 | 2-chloro-N(6)-(3-iodobenzyl)adenosine-5'-N-methyluronamide |
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| Placebo | Drug | Matching placebo capsules |
|
| BG002 | Cohort 3 CF102 1 mg Bid | CF102 1 mg bid; 16 weeks CF 102: Oral capsules |
| BG003 | Placebo | Placebo: Matching placebo capsules |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
Placebo: Matching placebo capsules |
|
|
| Primary | Effect of Viral Load | Not Posted | 16 weeks |
| Primary | Pharmacokinetic Behavior of CF102 During Repeated Dosing | Not Posted | 16 weeks |
| Secondary | Evaluation of the Relationship Between Biomarkers of Peripheral Blood Mononuclear Cell Adenosine 3 Receptor (A3R) Expression and Clinical Effects | Not Posted | 16 weeks |
| 0 |
| 6 |
| 6 |
| 6 |
| EG001 | Cohort 2 CF102 1 mg Bid | CF102 1 mg bid CF 102: Oral capsules | 0 | 6 | 2 | 6 |
| EG002 | Cohort 3 CF102 1 mg Bid | CF102 1 mg bid; 16 weeks CF 102: Oral capsules | 0 | 12 | 2 | 12 |
| EG003 | Placebo | Placebo: Matching placebo capsules | 0 | 8 | 4 | 8 |
| HEADACHE | Nervous system disorders | HEADACHE |
|
| Palpitations | Cardiac disorders | Palpitations |
|
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| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006521 | Hepatitis, Chronic |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |