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PPI-383 is an antiviral agent (an inhibitor of the hepatitis C virus NS5B polymerase) that is being developed as a potential treatment for hepatitis C virus infection. This study is being done to assess the dose-related safety and tolerance of PPI-383 when given to healthy volunteers for up to 5 days (Part I of the study) and to hepatitis C patients for up to 3 days (Part II). In addition, the study will assess how much PPI-383 is absorbed into the bloodstream. In Part II, the dose-related effect of PPI-383 on the amount of hepatitis C virus in patients' bloodstream (serum HCV RNA levels) also will be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PPI-383 single dose escalation in healthy volunteers | Experimental | There will be up to 10 sequential single dose cohorts to assess the bioavailability of different doses and formulations; a food effect cohort will be included. |
|
| PPI-383 multiple doses in healthy volunteers | Experimental | Upon completion of the single dose cohorts, an additional cohort will receive the highest well-tolerated dose from the single dose cohorts or placebo once daily for five days; up to additional cohorts may receive multiple doses of different formulations or different regimens |
|
| PPI-383 multiple dose escalation in HCV Subjects | Experimental | Upon completion of the single and multiple dose healthy volunteer cohorts, there will be 3, and potentially 4, sequential cohorts of HCV patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PPI-383 | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability, as measured by clinical adverse events and laboratory assessments | Part I, up to day 12; and Part II, up to day 17 |
| Measure | Description | Time Frame |
|---|---|---|
| PPI-383 plasma levels | Part I, up to day 12; and Part II, up to day 17 | |
| serum HCV RNA levels | Part II, up to day 17 |
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Part I volunteers (single and multiple dose) - key inclusion criteria
Part II patients- key inclusion criteria
Part II patients - key exclusion criteria
Seropositive for human immunodeficiency virus (HIV) antibody or hepatitis B virus (HBV) surface antigen (HBsAg)
Signs or symptoms of decompensated liver disease
Evidence of cirrhosis or hepatocellular carcinoma
Diabetes Mellitus treated with insulin or hypoglycemic agents
Asthma requiring hospital admission within the preceding 12 months
History of alcohol abuse or illicit drug use which could interfere with a patient's compliance with the protocol requirements
Any of the following laboratory values at screening
Clinically significant abnormality in the electrocardiograms (ECGs) at screening
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| Name | Affiliation | Role |
|---|---|---|
| Nathaniel Brown, M.D. | Presidio Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational site | Phoenix | Mauritius | ||||
| Investigational site |
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| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
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| Placebo | Drug |
|
| London |
| NW3 2QG |
| United Kingdom |
| Investigational site | London | SE5 9RS | United Kingdom |
| Investigational site | London | UE1 2AD | United Kingdom |
| Investigational site | London | W2 1NY | United Kingdom |
| Investigational site | Nottingham | United Kingdom |
| 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 |