Hepatitis C
Conditions
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
MP-424 (three tablets of 250mg tablet at a time, every 8 hours) + PEG-IFN-a-2b + RBV for 12 weeks
MP-424 (two tablets of 250mg tablet at a time, every 8 hours) + PEG-IFN-a-2b + RBV for 12 weeks
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Data were collected at Day1 to Day85 | 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. |
| Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Data were collected at Day1 to Day85 | 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. |
| AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424 | Data were collected at Day1 to Day85 | 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. |
| Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Data were collected at Day1 to Day85 | 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. |
| T1/2(Time of Half-Life) of MP-424 | Data were collected at Day1 to Day85 | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | 37 weeks | 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. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| 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 |
| Total | 20 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 1 | 1 |
| Overall Study | stopping criteria | 3 | 2 |
| Overall Study | Withdrawal by Subject | 0 | 1 |
Baseline characteristics
| Characteristic | Group A (MP-424 High) | Group B (MP-424 Low) | Total |
|---|---|---|---|
| Age, Continuous | 50.1 years STANDARD_DEVIATION 6.8 | 54.3 years STANDARD_DEVIATION 8.5 | 52.2 years STANDARD_DEVIATION 7.8 |
| Sex: Female, Male Female | 4 Participants | 6 Participants | 10 Participants |
| Sex: Female, Male Male | 6 Participants | 4 Participants | 10 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 10 / 10 | 10 / 10 |
| serious Total, serious adverse events | 2 / 10 | 2 / 10 |
Outcome results
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group A (MP-424 High) | AUC 0-8h (Area Under the Concentration-time Curve From Time Zero to 8 Hours) of MP-424 | Day 1 (Group A, B: 10 cases) | 7.53 μg/mL | Standard 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-424 | Day 14 (Group A: 9 cases, Group B: 10 cases) | 26.00 μg/mL | Standard 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-424 | Day 85 (Group A: 6 cases, Group B: 7 cases) | 25.00 μg/mL | Standard 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-424 | Day 1 (Group A, B: 10 cases) | 6.55 μg/mL | Standard 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-424 | Day 14 (Group A: 9 cases, Group B: 10 cases) | 19.94 μg/mL | Standard 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-424 | Day 85 (Group A: 6 cases, Group B: 7 cases) | 21.35 μg/mL | Standard Deviation 6.88 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group A (MP-424 High) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 1 (Group A,B:10 cases) | 1.62 μg/mL | Standard Deviation 0.43 |
| Group A (MP-424 High) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 14 (Group A,B:10 cases) | 3.96 μg/mL | Standard Deviation 1.1 |
| Group A (MP-424 High) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 85 (Group A: 6 cases, Group B: 7 cases) | 3.67 μg/mL | Standard Deviation 0.87 |
| Group B (MP-424 Low) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 1 (Group A,B:10 cases) | 1.45 μg/mL | Standard Deviation 0.83 |
| Group B (MP-424 Low) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 14 (Group A,B:10 cases) | 3.06 μg/mL | Standard Deviation 0.9 |
| Group B (MP-424 Low) | Cmax (Maximum Observed Concentration in Plasma) of MP-424 | Day 85 (Group A: 6 cases, Group B: 7 cases) | 3.16 μg/mL | Standard Deviation 1.1 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group A (MP-424 High) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day1 (Group A,B: 10 cases) | 0.846 μg/mL | Standard Deviation 0.5 |
| Group A (MP-424 High) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day14 (Group A: 9 cases, Group B:10cases) | 2.639 μg/mL | Standard Deviation 0.556 |
| Group A (MP-424 High) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day85 (Group A: 6 cases, Group B:7cases) | 2.679 μg/mL | Standard Deviation 0.355 |
| Group B (MP-424 Low) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day1 (Group A,B: 10 cases) | 0.681 μg/mL | Standard Deviation 0.412 |
| Group B (MP-424 Low) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day14 (Group A: 9 cases, Group B:10cases) | 1.914 μg/mL | Standard Deviation 0.717 |
| Group B (MP-424 Low) | Ctrough (Minimum Observed Concentration in Plasma) of MP-424 | Day85 (Group A: 6 cases, Group B:7cases) | 2.105 μg/mL | Standard Deviation 0.819 |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group A (MP-424 High) | T1/2(Time of Half-Life) of MP-424 | Day1 (Group A: 7 cases, Group B: 8 cases) | 4.87 hours | Standard Deviation 2.12 |
| Group A (MP-424 High) | T1/2(Time of Half-Life) of MP-424 | Day14 (Group A: 8 cases, Group B: 9 cases) | 9.99 hours | Standard Deviation 4.37 |
| Group A (MP-424 High) | T1/2(Time of Half-Life) of MP-424 | Day85 (Group A: 6 cases, Group B: 7 cases) | 9.06 hours | Standard Deviation 3.98 |
| Group B (MP-424 Low) | T1/2(Time of Half-Life) of MP-424 | Day1 (Group A: 7 cases, Group B: 8 cases) | 4.03 hours | Standard Deviation 1.63 |
| Group B (MP-424 Low) | T1/2(Time of Half-Life) of MP-424 | Day14 (Group A: 8 cases, Group B: 9 cases) | 10.00 hours | Standard Deviation 6.97 |
| Group B (MP-424 Low) | T1/2(Time of Half-Life) of MP-424 | Day85 (Group A: 6 cases, Group B: 7 cases) | 6.22 hours | Standard Deviation 3.64 |
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
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Group A (MP-424 High) | Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Day 1 (Group A, B:10 cases) | 2.51 hours |
| Group A (MP-424 High) | Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Day 14 (Group A, B:10 cases) | 2.50 hours |
| Group A (MP-424 High) | Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Day 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-424 | Day 1 (Group A, B:10 cases) | 2.54 hours |
| Group B (MP-424 Low) | Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Day 14 (Group A, B:10 cases) | 2.45 hours |
| Group B (MP-424 Low) | Tmax (Time of Maximum Concentration in Plasma) of MP-424 | Day 85 (Group A: 6 cases, Group B: 7 cases) | 2.43 hours |
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
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_2.5h (Group A,B: 10 cases) | -0.190 Log IU / mL | Standard Deviation 0.235 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_4h (Group A,B: 10 cases) | -0.420 Log IU / mL | Standard Deviation 0.264 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_8h (Group A,B: 10 cases) | -1.300 Log IU / mL | Standard Deviation 0.294 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_16h (Group A,B: 10 cases) | -2.350 Log IU / mL | Standard Deviation 0.458 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 2 (Group A,B: 10 cases) | -3.010 Log IU / mL | Standard Deviation 0.34 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 3 (Group A,B: 10 cases) | -3.610 Log IU / mL | Standard Deviation 0.453 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 8 (Group A,B: 10 cases) | -4.840 Log IU / mL | Standard Deviation 0.622 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 14 (Group A,B: 10 cases) | -5.570 Log IU / mL | Standard Deviation 0.579 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 29 (Group A: 10 cases, Group B: 9 cases) | -5.860 Log IU / mL | Standard Deviation 0.611 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 43 (Group A: 8 cases, Group B: 8 cases) | -6.000 Log IU / mL | Standard Deviation 0.573 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 57 (Group A: 7 cases, Group B: 8 cases) | -5.986 Log IU / mL | Standard Deviation 0.538 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 86 (Group A: 6 cases, Group B: 7 cases) | -6.000 Log IU / mL | Standard Deviation 0.588 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 92 (Group A: 6 cases, Group B: 7 cases) | -6.000 Log IU / mL | Standard Deviation 0.588 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 99 (Group A: 6 cases, Group B: 7 cases) | -6.000 Log IU / mL | Standard Deviation 0.588 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 113 (Group A: 6 cases, Group B: 7 cases) | -5.917 Log IU / mL | Standard Deviation 0.564 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 141 (Group A: 6 cases, Group B: 7 cases) | -4.233 Log IU / mL | Standard Deviation 2.455 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 169 (Group A: 6 cases, Group B: 6 cases) | -3.100 Log IU / mL | Standard Deviation 2.827 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 197 (Group A: 6 cases, Group B: 6 cases) | -2.850 Log IU / mL | Standard Deviation 2.947 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 225 (Group A: 6 cases, Group B: 6 cases) | -2.633 Log IU / mL | Standard Deviation 2.748 |
| Group A (MP-424 High) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 253 (Group A: 6 cases, Group B: 6 cases) | -1.883 Log IU / mL | Standard Deviation 3.177 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 197 (Group A: 6 cases, Group B: 6 cases) | -3.283 Log IU / mL | Standard Deviation 3.031 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_2.5h (Group A,B: 10 cases) | -0.220 Log IU / mL | Standard Deviation 0.329 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 57 (Group A: 7 cases, Group B: 8 cases) | -5.994 Log IU / mL | Standard Deviation 0.539 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_4h (Group A,B: 10 cases) | -0.390 Log IU / mL | Standard Deviation 0.378 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 141 (Group A: 6 cases, Group B: 7 cases) | -3.000 Log IU / mL | Standard Deviation 2.865 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_8h (Group A,B: 10 cases) | -1.310 Log IU / mL | Standard Deviation 0.309 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 86 (Group A: 6 cases, Group B: 7 cases) | -6.114 Log IU / mL | Standard Deviation 0.609 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 1_16h (Group A,B: 10 cases) | -2.480 Log IU / mL | Standard Deviation 0.286 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 253 (Group A: 6 cases, Group B: 6 cases) | -3.100 Log IU / mL | Standard Deviation 3.234 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 2 (Group A,B: 10 cases) | -3.180 Log IU / mL | Standard Deviation 0.22 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 92 (Group A: 6 cases, Group B: 7 cases) | -6.114 Log IU / mL | Standard Deviation 0.609 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 3 (Group A,B: 10 cases) | -3.790 Log IU / mL | Standard Deviation 0.407 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 169 (Group A: 6 cases, Group B: 6 cases) | -3.267 Log IU / mL | Standard Deviation 3.067 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 8 (Group A,B: 10 cases) | -5.010 Log IU / mL | Standard Deviation 0.551 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 99 (Group A: 6 cases, Group B: 7 cases) | -5.471 Log IU / mL | Standard Deviation 1.065 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 14 (Group A,B: 10 cases) | -5.800 Log IU / mL | Standard Deviation 0.554 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 225 (Group A: 6 cases, Group B: 6 cases) | -3.183 Log IU / mL | Standard Deviation 3.14 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 29 (Group A: 10 cases, Group B: 9 cases) | -5.978 Log IU / mL | Standard Deviation 0.519 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 113 (Group A: 6 cases, Group B: 7 cases) | -3.457 Log IU / mL | Standard Deviation 2.591 |
| Group B (MP-424 Low) | Antiviral Effects of TVR on HCV Were Assessed by Measuring Plasma HCV RNA Levels | Day 43 (Group A: 8 cases, Group B: 8 cases) | -5.994 Log IU / mL | Standard Deviation 0.59 |