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The purpose of this open-label study is to assess the safety, tolerability, antiviral activity, genotype resistance associated with virological failure, pharmacokinetics and pharmacodynamics of two dose regimens of miravirsen in combination with telaprevir and ribavirin in subjects with hepatitis C virus genotype 1 infection who are null responder to pegylated-interferon alpha and ribavirin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Miravirsen every other week dosing | Other | Miravirsen will be dosed as single subcutaneous injections. Subjects will receive 5 weekly doses at 7 mg/kg, then 6 every other week doses at 5 mg/kg in combination with telaprevir and ribavirin. |
|
| Miravirsen monthly dosing | Other | Miravirsen will be dosed as single subcutaneous injections. Subjects will receive 5 weekly doses at 7 mg/kg, then 3 monthly doses at 7 mg/kg in combination with telaprevir and ribavirin. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Miravirsen | Drug |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with a Sustained Virological Response at 24 weeks after the end of therapy. | 42 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The proportion of subjects with undetectable HCV RNA levels at end of treatment. | 18 weeks | |
| The proportion of subjects with a Sustained Virological Response at 12 and 48 weeks after the end of therapy. | 66 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. | 66 Weeks |
| Plasma pharmacokinetics (AUC, Cmax, tmax) for miravirsen, telaprevir, and ribavirin levels will be determined. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Hodges, MD | Santaris Pharma A/S | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Liver Institute at Methodist Dallas Medical Center | Dallas | Texas | 75203 | United States | ||
| Research Specialists of Texas |
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| Telaprevir | Drug |
|
|
| Ribavirin | Drug |
|
|
| Change in HCV RNA levels from baseline throughout the study. | 66 Weeks |
| The proportion of subjects who experience virological failure throughout the study. | 66 Weeks |
A single sample will be collected at select study visits for all subjects through Week 31. A subset of subjects will participate in extended PK sampling for up to 5 hours at select study visits and for up to 24 hours after the last dose of miravirsen. |
| 31 Weeks |
| Urine pharmacokinetics for miravirsen levels will be determined. | Urine pharmacokinetics (AUC, Cmax, tmax) for miravirsen levels will be measured in a subset of subjects for up to 24 hours after the last dose of miravirsen. | Up to 16 Weeks |
| Houston |
| Texas |
| 77030 |
| United States |
| Fundacion de Investigacion de Diego | San Juan | 00927 | Puerto Rico |
| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
| 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 |
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| ID | Term |
|---|---|
| C581159 | miravirsen |
| C486464 | telaprevir |
| D012254 | Ribavirin |
| ID | Term |
|---|---|
| D012263 | Ribonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
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