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This is an open-label trial to evaluate safety and efficacy of treatment with BEM + RZR in subjects with chronic HCV infection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bemnifosbuvir and Ruzasvir | Experimental | Bemnifosbuvir (BEM; AT-527) Tablets Ruzasvir (RZR; AT-038) Capsules |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bemnifosbuvir | Drug | 550 mg administered orally once a day (QD) for 8 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects Achieving Sustained Virologic Response at 12 Weeks Post-treatment (SVR12) | SVR12 defined as plasma hepatitis C virus (HCV) RNA less than the lower limit of quantitation (\ | Day 1 through 12 weeks after end of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Subjects Experiencing Virologic Failure | Virologic failure defined as a confirmed 1 log10 increase in HCV RNA from post-baseline nadir, or confirmed increase in HCV RNA ≥ LLOQ in any subject who achieved HCV RNA < LLOQ. | Day 1 through 12 weeks after end of treatment |
| Percentage of Subjects Achieving Sustained Virologic Response at 24 Weeks Post-treatment (SVR24) |
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Inclusion Criteria:
Willing and able to provide written informed consent
Male or female subjects between ≥ 18 years of age (or the legal age of consent per local regulations) and ≤ 85 years of age
Female subjects of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or to the use of an acceptable effective contraception
Females must have a negative pregnancy test at Screening and at Day 1 prior to dosing
Subjects must be direct-acting antiviral (DAA)-treatment-naïve, defined as never exposed to an approved or experimental DAA for HCV
Documented medical history compatible with chronic HCV
Liver disease staging assessment as follows:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Atea Study Site | San Antonio | Texas | 78215 | United States | ||
| Atea Study Site |
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| ID | Title | Description |
|---|---|---|
| FG000 | BEM+RZR | Bemnifosbuvir (BEM; AT-527) 550 mg in combination with Ruzasvir (RZR; AT-038) 180 mg. Administered orally as two BEM tablets and two RZR capsules once a day (QD) for 8 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 29, 2024 | Aug 26, 2025 |
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| Ruzasvir | Drug | 180 mg administered orally once a day (QD) for 8 weeks |
|
|
SVR24 defined as plasma HCV RNA less than the lower limit of quantitation (\ |
| Day 1 through 24 weeks after end of treatment |
| Manaus |
| Amazonas |
| 69040-000 |
| Brazil |
| Atea Study Site | Salvador | Estado de Bahia | 41920-900 | Brazil |
| Atea Study Site | BrasÃlia | Federal District | 70200-730 | Brazil |
| Atea Study Site | Rio de Janeiro | Rio Do Janeiro | 04037-030 | Brazil |
| Atea Study Site | Porto Alegre | Rio Grande do Sul | 90035-074 | Brazil |
| Atea Study Site | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil |
| Atea Study Site | Porto Velho | Rondônia | 78918-791 | Brazil |
| Atea Study Site | Boa Vista | Roraima | 69304-015 | Brazil |
| Atea Study Site | Botucatu | São Paulo | 18618-970 | Brazil |
| Atea Study Site | Ijuà | São Paulo | 98700-000 | Brazil |
| Atea Study Site | São José do Rio Preto | São Paulo | 15090-000 | Brazil |
| Atea Study Site | São Paulo | São Paulo | 04119-001 | Brazil |
| Atea Study Site | São Paulo | São Paulo | 05403-000 | Brazil |
| Atea Study Site | Sorocaba | São Paulo | 18052-210 | Brazil |
| Atea Study Site | Vancouver | British Columbia | V6Z 2C7 | Canada |
| Atea Study Site | Toronto | Ontario | M5G 2C4 | Canada |
| Atea Study Site | Rajkot | Gujarat | 360005 | India |
| Atea Study Site | Surat | Gujarat | 395002 | India |
| Atea Study Site | Belagavi | Karnataka | 590010 | India |
| Atea Study Site | Nagpur | Maharashtra | 440010 | India |
| Atea Study Site | Kolkata | West Bengal | 700020 | India |
| Atea Study Site | Quatre Bornes | 72218 | Mauritius |
| Atea Study Site | Chisinau | 2025 | Moldova |
| Atea Study Site | Karachi | 74800 | Pakistan |
| Atea Study Site | Karachi | 75600 | Pakistan |
| Atea Study Site | Baguio City | 35100 | Philippines |
| Atea Study Site | Iloilo City | 5000 | Philippines |
| Atea Study Site | Mabalacat | 2023 | Philippines |
| Atea Study Site | Bucharest | BUC | 022328 | Romania |
| Atea Study Site | Bucharest | BUC | 30303 | Romania |
| Atea Study Site | Constanța | CON | 900709 | Romania |
| Atea Study Site | Craiova | DOL | 200073 | Romania |
| Atea Study Site | Bucharest | 21105 | Romania |
| Atea Study Site | Bloemfontein | Free State | 9301 | South Africa |
| Atea Study Site | Johannesburg | Gauteng | 2193 | South Africa |
| Atea Study Site | Randburg | Gauteng | 2087 | South Africa |
| Atea Study Site | Somerset West | Western Cap | 7130 | South Africa |
| Atea Study Site | Seoul | Gyeonggi-do | 120-752 | South Korea |
| Atea Study Site | Yangsan | Gyeongsangnam | 626-770 | South Korea |
| Atea Study Site | Busan | 47392 | South Korea |
| Atea Study Site | Busan | 49241 | South Korea |
| Atea Study Site | Seoul | 5505 | South Korea |
| Atea Study Site | Seoul | 6351 | South Korea |
| Atea Study Site | Adana | 1130 | Turkey (Türkiye) |
| Atea Study Site | Ankara | 6100 | Turkey (Türkiye) |
| Atea Study Site | Ankara | 6230 | Turkey (Türkiye) |
| Atea Study Site | Ankara | 6800 | Turkey (Türkiye) |
| Atea Study Site | Denizli | 20070 | Turkey (Türkiye) |
| Atea Study Site | Izmir | 35100 | Turkey (Türkiye) |
| Atea Study Site | Kayseri | 38010 | Turkey (Türkiye) |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | BEM+RZR | Bemnifosbuvir (BEM; AT-527) 550 mg in combination with Ruzasvir (RZR; AT-038) 180 mg. Administered orally as two BEM tablets and two RZR capsules once a day (QD) for 8 weeks. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||||
| Genotype (GT) | HCV genotypes are genetically distinct groups of HCV strains. Genotypes are classified based on differences in their nucleotide sequences and are used to categorize the virus into major types (which are numbered). | Count of Participants | Participants |
| |||||||||||||||||
| Compensated Cirrhosis | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Subjects Achieving Sustained Virologic Response at 12 Weeks Post-treatment (SVR12) | SVR12 defined as plasma hepatitis C virus (HCV) RNA less than the lower limit of quantitation (\ | The primary per-protocol analysis population included subjects who met all eligibility criteria, completed treatment (defined as being ≥90% compliant with the study drug regimen), had outcomes at post-treatment week 12, and had adequate study-drug exposure corroborated by pill counts and plasma drug levels adjudicated by an independent clinical pharmacologist. | Posted | Count of Participants | Participants | Day 1 through 12 weeks after end of treatment |
|
|
| ||||||||||||||||||||||||||
| Secondary | Percentage of Subjects Experiencing Virologic Failure | Virologic failure defined as a confirmed 1 log10 increase in HCV RNA from post-baseline nadir, or confirmed increase in HCV RNA ≥ LLOQ in any subject who achieved HCV RNA < LLOQ. | The primary per-protocol analysis population included subjects who met all eligibility criteria, completed treatment (defined as being ≥90% compliant with the study drug regimen), had outcomes at post-treatment week 12, and had adequate study-drug exposure corroborated by pill counts and plasma drug levels adjudicated by an independent clinical pharmacologist. | Posted | Count of Participants | Participants | Day 1 through 12 weeks after end of treatment |
|
| |||||||||||||||||||||||||||
| Secondary | Percentage of Subjects Achieving Sustained Virologic Response at 24 Weeks Post-treatment (SVR24) | SVR24 defined as plasma HCV RNA less than the lower limit of quantitation (\ | The primary per-protocol analysis population included subjects who met all eligibility criteria, completed treatment (defined as being ≥90% compliant with the study drug regimen), had outcomes at post-treatment week 12, and had adequate study-drug exposure corroborated by pill counts and plasma drug levels adjudicated by an independent clinical pharmacologist. | Posted | Count of Participants | Participants | Day 1 through 24 weeks after end of treatment |
|
|
Treatment-emergent adverse events were collected through 4 weeks post-treatment and serious adverse events were collected through 24 weeks post-treatment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BEM+RZR | Bemnifosbuvir (BEM; AT-527) 550 mg in combination with Ruzasvir (RZR; AT-038) 180 mg. Administered orally as two BEM tablets and two RZR capsules once a day (QD) for 8 weeks. | 5 | 275 | 19 | 275 | 64 | 275 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrioventricular block complete | Cardiac disorders | Systematic Assessment |
| ||
| Pyrexia | General disorders | Systematic Assessment |
| ||
| Abscess limb | Infections and infestations | Systematic Assessment |
| ||
| Dengue fever | Infections and infestations | Systematic Assessment |
| ||
| Osteoarthritis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Oesophageal squamous cell carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Systematic Assessment |
| ||
| Behaviour disorder | Psychiatric disorders | Systematic Assessment |
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| Substance-induced psychotic disorder | Psychiatric disorders | Systematic Assessment |
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| Urinary tract obstruction | Renal and urinary disorders | Systematic Assessment |
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| Acute kidney injury | Renal and urinary disorders | Systematic Assessment |
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| Enterocutaneous fistula | Gastrointestinal disorders | Systematic Assessment |
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| Small intestinal obstruction | Gastrointestinal disorders | Systematic Assessment |
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| Cellulitis | Infections and infestations | Systematic Assessment |
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| Overdose | Injury, poisoning and procedural complications | Systematic Assessment |
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| Pneumonia | Infections and infestations | Systematic Assessment |
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| Localised infection | Infections and infestations | Systematic Assessment |
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| Death | General disorders | Systematic Assessment | cause unknown |
| |
| Abortion incomplete | Pregnancy, puerperium and perinatal conditions | Systematic Assessment |
| ||
| Gun shot wound | Injury, poisoning and procedural complications | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Systematic Assessment |
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| Pyrexia | General disorders | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | Systematic Assessment |
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| Fatigue | General disorders | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | Systematic Assessment |
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This was a single arm study. Results will need to be confirmed in larger, controlled randomized trials.
Principal Investigator may publish or present results pertaining to the PI's activities after the first publication of the multicentre clinical trial results. Publication or presentation of data from individual study centers is subject to prior review by the Sponsor. The Sponsor may request that confidential information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Atea Clinical Trials | Atea Pharmaceuticals, Inc. | 1-857-284-8891 | ateaclinicaltrials@ateapharma.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 10, 2024 | Aug 26, 2025 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D019698 | Hepatitis C, Chronic |
| D006526 | Hepatitis C |
| D008103 | Liver Cirrhosis |
| ID | Term |
|---|---|
| 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 |
| D005355 | Fibrosis |
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| ID | Term |
|---|---|
| C000713067 | AT-511 |
| C000621654 | ruzasvir |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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| GT3 |
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| GT4 |
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