A Phase 3 interventional study of KW-136 capsule and Sofosbuvir in Hepatitis C, Chronic, sponsored by Kawin Technology Share-holding Co., Ltd.. Completed at 19 sites in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-06-25.
Sponsored by Kawin Technology Share-holding Co., Ltd. · Phase 3, Interventional, and Treatment
This study aimed to confirm efficacy and safety of KW-136, an investigational anti-hepatitis C virus (HCV) drug, combined with sofosbuvir for treatment of naive and experienced adults chronically infected with HCV. Three hundred and sixty (360) non-cirrhotic and cirrhotic subjects were medicated with KW-136 60 mg daily and sofosbuvir 400 mg daily. The treatment course lasted 12 successive weeks; thereafter all the study participants entered into a 12-week treatment-free follow-up period and an additional 12-week extension 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 (SVR12), namely, HCV not detected or below a predefined limit in plasma, 12 or 24 weeks after cessation of treatment.
In a previous phase 2 exploratory study, an all-oral, ribavirin-free regiment of KW-136, an investigational HCV NS5A inhibitor, combined with sofosbuvir, demonstrated a \~99% SVR12 in treatment-naive adult subjects chronically infected with major genotypes of HCV found in China, including those with compensatory cirrhosis. This phase 3 study aimed to confirm the efficacy and safety of this combined regimen in a large scale of target patient population, including interferon-experienced subjects. This simple, uniform regimen is expected to be the solution to HCV eradication in China from the perspective of public health.
Exclusion Criteria:
Treatment-naive and experienced 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 capsule · Drug: Sofosbuvir
KW-136 60 mg was provided 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
Sustained virologic response at 24 weeks after end of treatment (SVR24)
Percentage of subjects with plasma HCV not detected or below the lower limit of quantitation (15 IU/mL)
Time frame: 24 weeks after end 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: 4,12 and 24 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.