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CompletedNCT01928147Updated Nov 26, 2015

A Phase 1a/1b Study of PPI-383 in Healthy Adults and Hepatitis C Patients

A Phase 1 interventional study of PPI-383 and Placebo in Hepatitis C, Chronic, sponsored by Presidio Pharmaceuticals, Inc.. Completed at 6 sites in 2 countries. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-11-26.

Sponsored by Presidio Pharmaceuticals, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
114
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Hepatitis C, Chronic

Keywords

  • NS5B polymerase inhibitor
  • Phase 1
  • Genotype 1
03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Part I volunteers (single and multiple dose) - key inclusion criteria

  • Healthy males
  • Age 18 to 55 years
  • Body mass index (BMI)18 to 32 kg/m2

Part II patients- key inclusion criteria

  • Males, or females of non-childbearing potential
  • Age 18 to 65 years
  • Chronic hepatitis C, and absence of other known liver disease
  • Seropositive for HCV antibody (HCV Ab) or HCV RNA at least once previously
  • Seropositive for HCV Ab at screening
  • Serum HCV RNA > 5 log10 IU/mL at screening
  • HCV gt-1
  • Treatment-naïve for hepatitis C:
  • BMI 18 to 35 kg/m2
  • Otherwise in good health, without severe or clinically significant chronic or recurrent conditions requiring frequent medical intervention or continual pharmacologic management, except for anti-hypertensive use
  • No medical or psychosocial conditions that would potentially interfere with the subject's ability to comply with the study assessments or visit schedule.

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

    • Haemoglobin (Hgb) \<11 g/dL in women or 12 g/dL in men
    • White blood cell count \<4,000/mm3
    • Absolute neutrophil count (ANC) \< 1800 per mm3
    • Platelet count \<100,000 per mm3
    • Serum creatinine > upper limit of normal (ULN) at the central study laboratory
    • Serum albumin \<3.4 g/dL
    • Total bilirubin >2.0 mg/dL
  • Clinically significant abnormality in the electrocardiograms (ECGs) at screening
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
114 participants (actual)

Study arms

  • Experimental
    PPI-383 single dose escalation in healthy volunteers

    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.

    Drug: PPI-383 · Drug: Placebo

  • Experimental
    PPI-383 multiple doses in healthy volunteers

    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

    Drug: PPI-383 · Drug: Placebo

  • Experimental
    PPI-383 multiple dose escalation in HCV Subjects

    Upon completion of the single and multiple dose healthy volunteer cohorts, there will be 3, and potentially 4, sequential cohorts of HCV patients

    Drug: PPI-383 · Drug: Placebo

Interventions

  • DrugPPI-383
  • DrugPlacebo
05

What researchers measure

Primary outcomes

  1. Safety and tolerability, as measured by clinical adverse events and laboratory assessments

    Time frame: Part I, up to day 12; and Part II, up to day 17

Secondary outcomes

  1. PPI-383 plasma levels

    Time frame: Part I, up to day 12; and Part II, up to day 17

  2. serum HCV RNA levels

    Time frame: Part II, up to day 17

06

Study locations

6 sites
  • Investigational site
    Phoenix, Mauritius
  • Investigational site
    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
07

Registry details

Key details

Study ID
NCT01928147
Lead sponsor
Presidio Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Aug 23, 2013
Start date
Aug 2013
Primary completion
Jul 2015
Completion
Nov 2015
Last update
Nov 26, 2015

Study contacts

Nathaniel Brown, M.D.
study director · Presidio Pharmaceuticals

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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