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A Phase 1 Study of MP-424, Peginterferon Alfa 2b, and Ribavirin in Hepatitis C

A Phase I, Open-Label, Two-Arm Study of MP-424 in Combination With Peginterferon Alfa 2b and Ribavirin in Patients With Genotype 1b Hepatitis C

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00630058
Enrollment
20
Registered
2008-03-06
Start date
2008-04-30
Completion date
2009-03-31
Last updated
2026-01-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C

Keywords

Chronic Hepatitis C, Protease Inhibitor, Telaprevir

Brief summary

The purpose of this study is to assess the safety, pharmacokinetics, HCV RNA kinetics, and other viral characteristics after administration of two arms of MP-424 in combination with Peginterferon Alfa 2b (PEG-IFN-a-2b) and Ribavirin (RBV) to patients with chronic hepatitis C.

Interventions

DRUGMP-424(H), PEG-IFN-a-2b, RBV

MP-424 (three tablets of 250mg tablet at a time, every 8 hours) + PEG-IFN-a-2b + RBV for 12 weeks

DRUGMP-424 (L), PEG-IFN-a-2b, RBV

MP-424 (two tablets of 250mg tablet at a time, every 8 hours) + PEG-IFN-a-2b + RBV for 12 weeks

Sponsors

Vertex Pharmaceuticals Incorporated
CollaboratorINDUSTRY
Tanabe Pharma Corporation
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Patients diagnosed with genotype 1b chronic hepatitis C

Exclusion criteria

* Patients diagnosed with decompensated cirrhosis * Patients diagnosed with positive HBs antigen in the test

Design outcomes

Primary

MeasureTime frameDescription
Cmax (Maximum Observed Concentration in Plasma) of MP-424Data were collected at Day1 to Day85Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.
Tmax (Time of Maximum Concentration in Plasma) of MP-424Data were collected at Day1 to Day85Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.
AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Data were collected at Day1 to Day85Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.
Ctrough (Minimum Observed Concentration in Plasma) of MP-424Data were collected at Day1 to Day85Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.
T1/2(Time of Half-Life) of MP-424Data were collected at Day1 to Day85Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Secondary

MeasureTime frameDescription
Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels37 weeksHCV RNA concentrations were determined using the COBAS TaqMan HCV test (Roche Diagnostics). The linear dynamic range of the assay was 1.2-7.8 log10 IU/mL.

Countries

Japan

Participant flow

Participants by arm

ArmCount
Group A (MP-424 High)
Drug: MP-424 750 mg every 8 hours for 12 weeks Other Name: Telaprevir Drug: Ribavirin 600 - 1000 mg/day based on body weight for 12 weeks Drug: Peginterferon Alfa-2b 1.5 mcg/kg/week for 12 weeks
10
Group B (MP-424 Low)
Drug: MP-424 500 mg every 8 hours for 12 weeks Other Name: Telaprevir Drug: Ribavirin 600 - 1000 mg/day based on body weight for 12 weeks Drug: Peginterferon Alfa-2b 1.5 mcg/kg/week for 12 weeks
10
Total20

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event11
Overall Studystopping criteria32
Overall StudyWithdrawal by Subject01

Baseline characteristics

CharacteristicGroup A (MP-424 High)Group B (MP-424 Low)Total
Age, Continuous50.1 years
STANDARD_DEVIATION 6.8
54.3 years
STANDARD_DEVIATION 8.5
52.2 years
STANDARD_DEVIATION 7.8
Sex: Female, Male
Female
4 Participants6 Participants10 Participants
Sex: Female, Male
Male
6 Participants4 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
10 / 1010 / 10
serious
Total, serious adverse events
2 / 102 / 10

Outcome results

Primary

AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424

Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Time frame: Data were collected at Day1 to Day85

ArmMeasureGroupValue (MEAN)Dispersion
Group A (MP-424 High)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 1 (Group A, B: 10 cases)7.53 μg/mLStandard Deviation 1.93
Group A (MP-424 High)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 14 (Group A: 9 cases, Group B: 10 cases)26.00 μg/mLStandard Deviation 6.77
Group A (MP-424 High)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)25.00 μg/mLStandard Deviation 5.23
Group B (MP-424 Low)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 1 (Group A, B: 10 cases)6.55 μg/mLStandard Deviation 3.73
Group B (MP-424 Low)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 14 (Group A: 9 cases, Group B: 10 cases)19.94 μg/mLStandard Deviation 5.97
Group B (MP-424 Low)AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)21.35 μg/mLStandard Deviation 6.88
Primary

Cmax (Maximum Observed Concentration in Plasma) of MP-424

Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Time frame: Data were collected at Day1 to Day85

ArmMeasureGroupValue (MEAN)Dispersion
Group A (MP-424 High)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 1 (Group A,B:10 cases)1.62 μg/mLStandard Deviation 0.43
Group A (MP-424 High)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 14 (Group A,B:10 cases)3.96 μg/mLStandard Deviation 1.1
Group A (MP-424 High)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)3.67 μg/mLStandard Deviation 0.87
Group B (MP-424 Low)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 1 (Group A,B:10 cases)1.45 μg/mLStandard Deviation 0.83
Group B (MP-424 Low)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 14 (Group A,B:10 cases)3.06 μg/mLStandard Deviation 0.9
Group B (MP-424 Low)Cmax (Maximum Observed Concentration in Plasma) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)3.16 μg/mLStandard Deviation 1.1
Primary

Ctrough (Minimum Observed Concentration in Plasma) of MP-424

Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Time frame: Data were collected at Day1 to Day85

ArmMeasureGroupValue (MEAN)Dispersion
Group A (MP-424 High)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day1 (Group A,B: 10 cases)0.846 μg/mLStandard Deviation 0.5
Group A (MP-424 High)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day14 (Group A: 9 cases, Group B:10cases)2.639 μg/mLStandard Deviation 0.556
Group A (MP-424 High)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day85 (Group A: 6 cases, Group B:7cases)2.679 μg/mLStandard Deviation 0.355
Group B (MP-424 Low)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day1 (Group A,B: 10 cases)0.681 μg/mLStandard Deviation 0.412
Group B (MP-424 Low)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day14 (Group A: 9 cases, Group B:10cases)1.914 μg/mLStandard Deviation 0.717
Group B (MP-424 Low)Ctrough (Minimum Observed Concentration in Plasma) of MP-424Day85 (Group A: 6 cases, Group B:7cases)2.105 μg/mLStandard Deviation 0.819
Primary

T1/2(Time of Half-Life) of MP-424

Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Time frame: Data were collected at Day1 to Day85

ArmMeasureGroupValue (MEAN)Dispersion
Group A (MP-424 High)T1/2(Time of Half-Life) of MP-424Day1 (Group A: 7 cases, Group B: 8 cases)4.87 hoursStandard Deviation 2.12
Group A (MP-424 High)T1/2(Time of Half-Life) of MP-424Day14 (Group A: 8 cases, Group B: 9 cases)9.99 hoursStandard Deviation 4.37
Group A (MP-424 High)T1/2(Time of Half-Life) of MP-424Day85 (Group A: 6 cases, Group B: 7 cases)9.06 hoursStandard Deviation 3.98
Group B (MP-424 Low)T1/2(Time of Half-Life) of MP-424Day1 (Group A: 7 cases, Group B: 8 cases)4.03 hoursStandard Deviation 1.63
Group B (MP-424 Low)T1/2(Time of Half-Life) of MP-424Day14 (Group A: 8 cases, Group B: 9 cases)10.00 hoursStandard Deviation 6.97
Group B (MP-424 Low)T1/2(Time of Half-Life) of MP-424Day85 (Group A: 6 cases, Group B: 7 cases)6.22 hoursStandard Deviation 3.64
Primary

Tmax (Time of Maximum Concentration in Plasma) of MP-424

Data were collected before the first dose in the morning, and at 1, 2.5, 4, 6, 8, 12, 16 and 24 h after the first dose on days 1, 14 and 85. Data as pre-dose were collected at Day3, Day8, Day29, Day43 and Day57.

Time frame: Data were collected at Day1 to Day85

ArmMeasureGroupValue (MEDIAN)
Group A (MP-424 High)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 1 (Group A, B:10 cases)2.51 hours
Group A (MP-424 High)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 14 (Group A, B:10 cases)2.50 hours
Group A (MP-424 High)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)3.24 hours
Group B (MP-424 Low)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 1 (Group A, B:10 cases)2.54 hours
Group B (MP-424 Low)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 14 (Group A, B:10 cases)2.45 hours
Group B (MP-424 Low)Tmax (Time of Maximum Concentration in Plasma) of MP-424Day 85 (Group A: 6 cases, Group B: 7 cases)2.43 hours
Secondary

Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels

HCV RNA concentrations were determined using the COBAS TaqMan HCV test (Roche Diagnostics). The linear dynamic range of the assay was 1.2-7.8 log10 IU/mL.

Time frame: 37 weeks

ArmMeasureGroupValue (MEAN)Dispersion
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_2.5h (Group A,B: 10 cases)-0.190 Log IU / mLStandard Deviation 0.235
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_4h (Group A,B: 10 cases)-0.420 Log IU / mLStandard Deviation 0.264
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_8h (Group A,B: 10 cases)-1.300 Log IU / mLStandard Deviation 0.294
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_16h (Group A,B: 10 cases)-2.350 Log IU / mLStandard Deviation 0.458
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 2 (Group A,B: 10 cases)-3.010 Log IU / mLStandard Deviation 0.34
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 3 (Group A,B: 10 cases)-3.610 Log IU / mLStandard Deviation 0.453
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 8 (Group A,B: 10 cases)-4.840 Log IU / mLStandard Deviation 0.622
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 14 (Group A,B: 10 cases)-5.570 Log IU / mLStandard Deviation 0.579
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 29 (Group A: 10 cases, Group B: 9 cases)-5.860 Log IU / mLStandard Deviation 0.611
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 43 (Group A: 8 cases, Group B: 8 cases)-6.000 Log IU / mLStandard Deviation 0.573
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 57 (Group A: 7 cases, Group B: 8 cases)-5.986 Log IU / mLStandard Deviation 0.538
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 86 (Group A: 6 cases, Group B: 7 cases)-6.000 Log IU / mLStandard Deviation 0.588
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 92 (Group A: 6 cases, Group B: 7 cases)-6.000 Log IU / mLStandard Deviation 0.588
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 99 (Group A: 6 cases, Group B: 7 cases)-6.000 Log IU / mLStandard Deviation 0.588
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 113 (Group A: 6 cases, Group B: 7 cases)-5.917 Log IU / mLStandard Deviation 0.564
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 141 (Group A: 6 cases, Group B: 7 cases)-4.233 Log IU / mLStandard Deviation 2.455
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 169 (Group A: 6 cases, Group B: 6 cases)-3.100 Log IU / mLStandard Deviation 2.827
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 197 (Group A: 6 cases, Group B: 6 cases)-2.850 Log IU / mLStandard Deviation 2.947
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 225 (Group A: 6 cases, Group B: 6 cases)-2.633 Log IU / mLStandard Deviation 2.748
Group A (MP-424 High)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 253 (Group A: 6 cases, Group B: 6 cases)-1.883 Log IU / mLStandard Deviation 3.177
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 197 (Group A: 6 cases, Group B: 6 cases)-3.283 Log IU / mLStandard Deviation 3.031
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_2.5h (Group A,B: 10 cases)-0.220 Log IU / mLStandard Deviation 0.329
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 57 (Group A: 7 cases, Group B: 8 cases)-5.994 Log IU / mLStandard Deviation 0.539
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_4h (Group A,B: 10 cases)-0.390 Log IU / mLStandard Deviation 0.378
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 141 (Group A: 6 cases, Group B: 7 cases)-3.000 Log IU / mLStandard Deviation 2.865
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_8h (Group A,B: 10 cases)-1.310 Log IU / mLStandard Deviation 0.309
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 86 (Group A: 6 cases, Group B: 7 cases)-6.114 Log IU / mLStandard Deviation 0.609
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 1_16h (Group A,B: 10 cases)-2.480 Log IU / mLStandard Deviation 0.286
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 253 (Group A: 6 cases, Group B: 6 cases)-3.100 Log IU / mLStandard Deviation 3.234
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 2 (Group A,B: 10 cases)-3.180 Log IU / mLStandard Deviation 0.22
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 92 (Group A: 6 cases, Group B: 7 cases)-6.114 Log IU / mLStandard Deviation 0.609
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 3 (Group A,B: 10 cases)-3.790 Log IU / mLStandard Deviation 0.407
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 169 (Group A: 6 cases, Group B: 6 cases)-3.267 Log IU / mLStandard Deviation 3.067
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 8 (Group A,B: 10 cases)-5.010 Log IU / mLStandard Deviation 0.551
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 99 (Group A: 6 cases, Group B: 7 cases)-5.471 Log IU / mLStandard Deviation 1.065
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 14 (Group A,B: 10 cases)-5.800 Log IU / mLStandard Deviation 0.554
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 225 (Group A: 6 cases, Group B: 6 cases)-3.183 Log IU / mLStandard Deviation 3.14
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 29 (Group A: 10 cases, Group B: 9 cases)-5.978 Log IU / mLStandard Deviation 0.519
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 113 (Group A: 6 cases, Group B: 7 cases)-3.457 Log IU / mLStandard Deviation 2.591
Group B (MP-424 Low)Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA LevelsDay 43 (Group A: 8 cases, Group B: 8 cases)-5.994 Log IU / mLStandard Deviation 0.59

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026