A Phase 2 interventional study of KW-136 and Sofosbuvir in Hepatitis C, Chronic, sponsored by Kawin Technology Share-holding Co., Ltd.. Completed at 12 sites in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-01-31.
Sponsored by Kawin Technology Share-holding Co., Ltd. · Phase 2, Interventional, and Treatment
This study aimed to evaluate the safety and efficacy of KW-136, an investigational anti-hepatitis C virus (HCV) drug, combined with sofosbuvir for treatment of Chinese adults chronically infected with HCV. Thirty (30) non-cirrhotic subjects were medicated with KW-136 30 mg daily, 60 non-cirrhotic subjects with KW-136 60 mg daily, and 30 cirrhotic subjects with KW-136 60 mg daily; all the 120 subjects received sofosbuvir 400 mg daily. The treatment course lasted 12 successive weeks and thereafter all the study participants entered into a 12-week treatment-free follow-up period.
It is estimated that China has a population of over 10 million infected with HCV and also a highly variable HCV genotype geographic distribution. A simple, universal, non-genotype-specific treatment regimen is preferred for anti-HCV treatment in clinical practice and public health. KW-136 and sofosbuvir are potent anti-HCV agents targeting at different HCV proteins, namely, nonstructural protein 5A and 5B, respectively. The combination regimen of KW-136 and sofosbuvir is expected to completely suppress HCV replication in subjects chronically infected with HCV and achieve a sustained virologic response, namely, HCV not detected or below a predefined limit in plasma, 12 or 24 weeks after cessation of treatment.
As KW-136 and sofosbuvir are both pan-genotypic anti-HCV agents (in simple words, effective for all known common genotypes of HCV), the combination of these two agents is also supposed to be efficacious for treatment of subjects chronically infected with HCV of all major genotypes and subtypes. An apparent clinical benefit of this pan-genotypic anti-HCV treatment regimen is that no complex, delicate HCV genotype sequencing is required before initiation of treatment to determine genotype-specific treatment alternatives of choice. This advantage is of great significance in the primary care setting.
Exclusion Criteria:
Non-cirrhotic subjects were medicated with KW-136 capsules 30 mg once daily and fixed-dose (400 mg once daily) sofosbuvir tablets for 12 successive weeks.
Drug: KW-136 · Drug: Sofosbuvir
Non-cirrhotic subjects were medicated with KW-136 capsules 60 mg once daily and fixed-dose (400 mg once daily) sofosbuvir tablets for 12 successive weeks.
Drug: KW-136 · Drug: Sofosbuvir
Cirrhotic subjects were medicated with KW-136 capsules 60 mg once daily and fixed-dose (400 mg once daily) sofosbuvir tablets for 12 successive weeks.
Drug: KW-136 · Drug: Sofosbuvir
KW-136 30 mg was provided in 3 capsules, 10 mg each, and KW-136 60 mg in a single capsule of 60 mg.
Also known as: Coblopasvir
Sofosbuvir was provided in a single tablet of 400 mg.
Sustained virologic response at 12 weeks after end of treatment (SVR12)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 12 weeks after end of treatment
Sustained virologic response at 4 weeks after end of treatment (SVR4)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 4 weeks after end of treatment
Rapid virologic response at 1 week after initiation of treatment (RVR1)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 1 week after initiation of treatment
Rapid virologic response at 2 weeks after initiation of treatment (RVR2)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 2 weeks after initiation of treatment
Rapid virologic response at 4 weeks after initiation of treatment (RVR4)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 4 weeks after initiation of treatment
Rapid virologic response at 8 weeks after initiation of treatment (RVR8)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 8 weeks after initiation of treatment
Rapid virologic response at 12 weeks after initiation of treatment (RVR12)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 12 weeks after initiation of treatment
Virologic breakthrough
Percentage of subjects with on-treatment re-detected plasma HCV RNA after HCV RNA below the lower limit of quantitation
Time frame: 2, 4, 8 and 12 weeks after initiation of treatment
Virologic relapse
Percentage of subjects with off-treatment re-detected plasma HCV RNA after end-of-treatment HCV RNA below the lower limit of quantitation
Time frame: 4 and 12 weeks after end of treatment
Plan to share: No — No IPD plan is included in the study protocol.
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Kawin Technology Share-holding Co., Ltd.