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To assess the antiviral effect, safety and pharmacokinetics of rising doses of 10 mg, 20 mg, 40 mg, 60 mg, 80 mg, 100 mg, 150 mg, 200 mg, 300 mg, 450 mg, 650 mg, 900 mg oral BILB 1941 ZW administered Q8H in a polyethyleneglycol 400 (PEG 400): distilled water: Tromethamine (TRIS) drinking solution for five days to patients with chronic HCV genotype 1 infection
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BILB 1941 ZW | Experimental | Escalating Doses |
|
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BILB 1941 ZW | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Change in virus load (VL) | determined by IU per ml serum from baseline by > 1.0 log10 step | Up to day 6 |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax (maximum measured concentration of the analyte in plasma) | Up to 14 days after first drug administration | |
| tmax (time from dosing to maximum measured concentration of the analyte in plasma) | Up to 14 days after first drug administration |
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Inclusion Criteria:
Exclusion Criteria:
Males not using an adequate form of contraception (condom, sterilisation at least 6 months post operation) in case their partner is of childbearing potential and is not using an adequate form of contraception (hormonal contraceptives, oral or injectable/implantable, intra-uterine device (IUD).
Any other or additional plausible cause for chronic liver disease, including the presence of other viruses known or suspected to cause hepatitis
Evidence of decompensated liver disease: ascites, portal hypertension or hepatic encephalopathy
Positive test for human immunodeficiency virus (HIV) or Hepatitis B surface (HBs) antigen at screening
Current alcohol or drug abuse, or history of the same, within the past twelve (12) months. All patients must abstain from alcohol from enrolment until completion of the study (visit 11).
Any concurrent medical illness or disease requiring treatment or concomitant medications
History of malignancy (except for previously cured squamous cell or basal cell carcinoma)
Usage of any investigational drug within thirty (30) days prior to enrolment or 5 halflives, whichever is longer; or the planned usage of an investigational drug during the course of the current study
Patients treated with interferon and/or ribavirin within 6 months prior to screening
Planned or concurrent usage of any other pharmacological therapy at screening, or during the trial period, including any antiviral therapy or vaccination
Known hypersensitivity to drugs or excipients
Patients with any one of the following laboratory values at screening:
Patients with any clinically significant laboratory abnormalities based on the investigator's medical assessment at screening
Positive urine test for drug abuse at screening
Patients with known Gilbert's disease
Prior randomisation to active treatment with BILB 1941 ZW into dose groups 3 - 9 of this trial, or previous re-treatment based on amendment 2. To support selection, centers will receive lists of the placebo patients of the previous dose levels, however, only for each center separately
Inability to comply with the protocol
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|
| AUCτ,1 (area under the concentration-time curve of the analyte in plasma over a uniform dosing interval τ after administration of the first dose) | Up to 14 days after first drug administration |
| AUC0-∞ (area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity) | Up to 14 days after first drug administration |
| %AUCtz-∞ (the percentage of the AUC0-∞ that is obtained by extrapolation) | Up to 14 days after first drug administration |
| λz (terminal rate constant in plasma) | Up to 14 days after first drug administration |
| t1/2 (terminal half-life of the analyte in plasma) | Up to 14 days after first drug administration |
| CL/F (apparent clearance of the analyte in plasma after extravascular administration) | Up to 14 days after first drug administration |
| Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular administration) | Up to 14 days after first drug administration |
| Number of patients with clinically significant changes in vital signs | Up to 14 days after first drug administration |
| Number of patients with clinically significant changes in body temperature | Up to 14 days after first drug administration |
| Number of patients with abnormal findings in electrocardiogram (ECG) | Up to 14 days after first drug administration |
| Number of patients with abnormal changes in clinical laboratory parameters | Up to 14 days after first drug administration |
| Number of patients with adverse events | Up to 14 days after first drug administration |
| Number of patients with abnormal findings in physical examination | Up to 14 days after first drug administration |
| Investigator assessed tolerability on a 4 point scale | Up to 14 days after first drug administration |
| 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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