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The purpose of this open-label study is to assess the safety, antiviral activity, and pharmacokinetics of 9 subcutaneous injections of miravirsen monotherapy (5 weekly doses over 5 weeks, followed by a further 4 doses once every other week over 7 weeks) over a total of 12 weeks of treatment. The subjects enrolled in this study are chronically infected with HCV genotype 1 and are null responders to treatment with peg IFNα/RBV therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Miravirsen sodium | Experimental | Miravirsen will be dosed as single subcutaneous injections. Subjects will receive 5 weekly doses at 7 mg/kg then 4 every other week doses at 5 mg/kg. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Miravirsen sodium | Drug | Subcutaneous injection |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with sustained virological response 24 weeks after the end of therapy. | 36 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with a sustained virological response 12 and 48 weeks after the end of therapy. | 60 weeks | |
| The proportion of subjects with undetectable HCV RNA levels at the end of treatment. | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Viral resistance analysis at baseline and throughout the study. | The miR-122 seed sites in HCV RNA from subjects at baseline and following viral breakthrough or relapse will be subjected to genotypic sequence analysis. | 60 weeks |
| Plasma pharmacokinetics |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maribel Rodriguez-Torres, MD | Fundacion de Investgacion de Diego | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundacion de Investigation de Diego | San Juan | 00927 | Puerto Rico |
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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 |
|---|---|
| C581159 | miravirsen |
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| Change in HCV RNA levels from baseline throughout the study. | 60 weeks |
| The proportion of subjects who experience virological failure throughout the study. | 60 weeks |
| Safety will be assessed by evaluation of adverse events, physical examinations, vital signs, 12-lead ECGs, and laboratory assessments (clinical chemistry, hematology, urinalysis). | 60 weeks |
Plasma PK for miravirsen levels will be determined for up to 2 hours post-dose on Day 1, up to 24 hours post-dose on Days 29 and 84, and pre-dose for all other treatment period visits. Additionally, plasma PK will be evaluated at all follow-up visits through Week 28.
| 28 weeks |
| Urine pharmacokinetics | Up to 24 hours post-dose on Day 29 and Day 84 |
| 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 |