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This study will be conducted in Hepatitis C positive patients to determine whether the pharmacodynamic effects of PSI-7977 or PSI-352938 are similar to HCV-infected patients with normal hepatic function, which may allow inclusion of patients with cirrhosis and varying degrees of hepatic dysfunction in future clinical studies.
This study is designed per the Food and Drug Administration (FDA) guidance for patients with impaired hepatic function to assess the influence of hepatic impairment on the PK and pharmacodynamics (PD) of PSI-7977 and PSI-352938 This study will be conducted in Hepatitis C positive patients to ascertain whether the PD effects of PSI-7977 or PSI-352938 are similar to HCV-infected patients with normal hepatic function, which may allow inclusion of patients with cirrhosis and varying degrees of hepatic dysfunction in future clinical studies. Data from subjects who participated in the P2938-0212 study (PSI-352938 MAD) will be used as the control group. These subjects were documented non-cirrhotic subjects with normal hepatic function. Hepatitis C Virus (HCV) Genotypes 1-6 will be enrolled in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PSI-352938 Group A | Experimental | Mild (Child-Pugh Class A; 5-6) hepatic impairment |
|
| PSI-352938 Group B | Experimental | Moderate (Child-Pugh Class B; 7-9) hepatic impairment |
|
| PSI-352938 Group C | Experimental | Severe (Child-Pugh Class C; 10-15) hepatic impairment |
|
| PSI-7977 Group A | Experimental | Mild (Child-Pugh Class A; 5-6) hepatic impairment |
|
| PSI-7977 Group B | Experimental | Moderate (Child-Pugh Class B; 7-9) hepatic impairment |
|
| PSI-7977 Group C | Experimental | Severe (Child-Pugh Class C; 10-15) hepatic impairment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PSI-352938 | Drug | PSI-352938 300mg once daily (QD) for seven days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic data derived from plasma samples collected over 7 days | To characterize the pharmacokinetics (PK) of PSI-352938 over 7 days of dosing with PSI-352938 in HCV-infected patients with varying degrees of hepatic impairment compared to historical PK data. | 28 time points over Seven Days |
| Pharmacokinetic comparison with historical data over 7 days of dosing with PSI-7977 | To characterize the PK of PSI-7977 and metabolites over 7 days of dosing with PSI-7977 in HCV-infected patients with varying degrees of hepatic impairment compared to historical PK data. | Seven Days |
| Measure | Description | Time Frame |
|---|---|---|
| Number and severity of adverse events | To assess the safety and tolerability of 7 days of dosing of PSI-352938 or PSI-7977 in HCV infected patients with varying degrees of hepatic impairment. | Seven Days |
| Viral dynamics/ changes in HCV (ribonucleic acid) RNA |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| San Antonio | Texas | United States | ||||
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| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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| ID | Term |
|---|---|
| C556498 | PSI 352938 |
| D000069474 | Sofosbuvir |
| ID | Term |
|---|---|
| D014542 | Uridine Monophosphate |
| D014500 | Uracil Nucleotides |
| D011742 | Pyrimidine Nucleotides |
| D011743 | Pyrimidines |
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| PSI-7977 | Drug | PSI-7977 400mg QD for seven days |
|
To evaluate the viral dynamics as measured by changes in the HCV RNA in HCV-infected patients with varying degrees of hepatic impairment after 7 days of dosing with PSI-352938 or PSI-7977. |
| Baseline through follow-up (post-Day 14) |
| Changes in genotypic or phenotypic measurements | To assess the presence of baseline polymorphisms in viral isolates and development of viral genotypic and phenotypic changes from baseline. | Seven Days |
| Dosage adjustment in hepatically impaired patients | To provide dosage adjustment guidance for PSI-352938 or PSI-7977 based on the degree of hepatic impairment, if applicable. | Seven days |
| San Juan |
| Puerto Rico |
| 00927 |
| Puerto Rico |
| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D006521 | Hepatitis, Chronic |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D009711 | Nucleotides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012265 | Ribonucleotides |