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    Clinical Trial Results:
    A phase IIb open label study of BI 207127 in combination with faldaprevir and ribavirin in patients with moderate hepatic impairment (Child-Pugh B) with genotype 1b chronic hepatitis C infection

    Due to the EudraCT – Results system being out of service between 31 July 2015 and 12 January 2016, these results have been published in compliance with revised timelines.
    Summary
    EudraCT number
    2012-003534-17
    Trial protocol
    ES   DE   GB   IT   IE   FR  
    Global end of trial date
    21 Oct 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    05 May 2016
    First version publication date
    05 May 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    1241.30
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01830127
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Boehringer Ingelheim
    Sponsor organisation address
    Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
    Public contact
    QRPE Processes and Systems Coordination Clinical Trial Information Disclosure, Boehringer Ingelheim, 001 8002430127, clintriage.rdg@boehringer-ingelheim.com
    Scientific contact
    QRPE Processes and Systems Coordination Clinical Trial Information Disclosure, Boehringer Ingelheim, 001 8002430127, clintriage.rdg@boehringer-ingelheim.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    04 Dec 2014
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Oct 2014
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Oct 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The objective of Cohort A was to evaluate the safety and pharmacokinetic (PK) profile of deleobuvir (DBV) in combination with 120 mg once daily (QD) faldaprevir (FDV) and weight-based ribavirin (RBV) in a small group of patients with moderate hepatic impairment (Child-Pugh B [CPB]) compared to patients with mild hepatic impairment (Child-Pugh A [CPA]). The objective of this study related to Cohort B from the original protocol (to assess the efficacy, safety, and PK of 24-week treatment with the DBV dose selected in Cohort A in combination with FDV and RBV in a larger group of chronically infected HCV GT1b patients with moderate hepatic impairment [CPB]) was removed in Global Amendment 3 due to the sponsor decision to halt the development of the DBV drug program.
    Protection of trial subjects
    Only subjects that met all the study inclusion and none of the exclusion criteria were entered in the study. All subjects were free to withdraw from the clinical trial at any time for any reason given. Close monitoring of all subjects was adhered to throughout the trial conduct. In addition, for safety reasons first cohort of each dose level was treated with fixed treatment sequence and investigator could decide at any time to discontinue dosing.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    24 Apr 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Germany: 25
    Country: Number of subjects enrolled
    Spain: 22
    Country: Number of subjects enrolled
    United Kingdom: 1
    Country: Number of subjects enrolled
    United States: 16
    Worldwide total number of subjects
    64
    EEA total number of subjects
    48
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    51
    From 65 to 84 years
    13
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    35 patients were enrolled and treated with Deleobuvir (DBV) / Faldaprevir (FDV) / Ribavirin (RBV): 18 patients with Child-Pugh A (mild hepatic impairment) and 17 patients with Child-Pugh B (moderate hepatic impairment).

    Pre-assignment
    Screening details
    All subjects were screened for eligibility to participate in the trial. Subjects attended specialist sites which would then ensure that they (the subjects) met all strictly implemented inclusion/exclusion criteria. Subjects were not allocated to trial treatment if any one of the specific entry criteria were violated.

    Period 1
    Period 1 title
    Treatment period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    This was a randomised and open-label trial.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Arm1: Child-Pugh A
    Arm description
    Arm 1 (genotype 1b) - 600mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Deleobuvir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    600mg Deleobuvir (DBV) tablet taken orally twice daily (BID) for 24 weeks.

    Investigational medicinal product name
    Faldaprevir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    120mg Faldaprevir (FDV) capsule taken orally once daily (QD) for 24 weeks.

    Investigational medicinal product name
    Ribavirin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Ribavirin (RBV) tablet taken orally twice daily for 24 weeks.

    Arm title
    Arm2: Child-Pugh B
    Arm description
    Arm 2 (genotype 1b) - 400mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Deleobuvir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    400mg Deleobuvir (DBV) tablet taken orally twice daily (BID) for 24 weeks.

    Investigational medicinal product name
    Faldaprevir
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule
    Routes of administration
    Oral use
    Dosage and administration details
    120mg Faldaprevir (FDV) capsule taken orally once daily (QD) for 24 weeks.

    Investigational medicinal product name
    Ribavirin
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Ribavirin (RBV) tablet taken orally twice daily for 24 weeks.

    Number of subjects in period 1 [1]
    Arm1: Child-Pugh A Arm2: Child-Pugh B
    Started
    18
    17
    Completed
    13
    8
    Not completed
    5
    9
         Other reason not defined
    -
    2
         Consent withdrawn by subject
    1
    1
         Adverse event, non-fatal
    1
    6
         Lack of efficacy
    3
    -
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: Baseline characteristics are based on the patients who were randomized after successfully completing the screening period and received at least one of the trial medication.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Arm1: Child-Pugh A
    Reporting group description
    Arm 1 (genotype 1b) - 600mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Reporting group title
    Arm2: Child-Pugh B
    Reporting group description
    Arm 2 (genotype 1b) - 400mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Reporting group values
    Arm1: Child-Pugh A Arm2: Child-Pugh B Total
    Number of subjects
    18 17 35
    Age categorical
    Units: Subjects
    Age Continuous |
    Treated Set (TS) All patients who were dispensed study medication and were documented to have taken at least one dose of investigational treatment, regardless of randomization.
    Units: years
        arithmetic mean (standard deviation)
    57.8 ( 8.8 ) 56.6 ( 9.7 ) -
    Gender, Male/Female
    Units: Participants
        Female
    8 7 15
        Male
    10 10 20

    End points

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    End points reporting groups
    Reporting group title
    Arm1: Child-Pugh A
    Reporting group description
    Arm 1 (genotype 1b) - 600mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Reporting group title
    Arm2: Child-Pugh B
    Reporting group description
    Arm 2 (genotype 1b) - 400mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Primary: SVR12: Plasma HCV RNA level less than 25 IU/mL at 12 weeks after End of Treatment (EOT)

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    End point title
    SVR12: Plasma HCV RNA level less than 25 IU/mL at 12 weeks after End of Treatment (EOT) [1]
    End point description
    Sustained virologic response (SVR) at Week 12 post-treatment (SVR12): Plasma Hepatitis C virus Ribonucleic acid (HCV RNA) level <25 IU/mL (international units per millilitre) at 12 weeks after EOT. SVR12 was analyzed in a descriptive manner using percentage.
    End point type
    Primary
    End point timeframe
    12 weeks after End of Treatment
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This endpoint was evaluated only descriptively. Thus, no statistical hypothesis test was tested.
    End point values
    Arm1: Child-Pugh A Arm2: Child-Pugh B
    Number of subjects analysed
    18 [2]
    17 [3]
    Units: Percentage of participants
        number (confidence interval 95%)
    61.1 (38.6 to 83.6)
    52.9 (29.2 to 76.7)
    Notes
    [2] - TS
    [3] - TS
    No statistical analyses for this end point

    Secondary: SVR4: Plasma HCV RNA level less than 25 IU/mL at 4 weeks after End of Treatment (EOT)

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    End point title
    SVR4: Plasma HCV RNA level less than 25 IU/mL at 4 weeks after End of Treatment (EOT)
    End point description
    Sustained virologic response (SVR) at Week 4 post-treatment (SVR4): Plasma Hepatitis C virus Ribonucleic acid (HCV RNA) level <25 IU/mL at 4 weeks after EOT. SVR4 was analyzed in a descriptive manner using percentage.
    End point type
    Secondary
    End point timeframe
    4 weeks after End of Treatment
    End point values
    Arm1: Child-Pugh A Arm2: Child-Pugh B
    Number of subjects analysed
    18 [4]
    17 [5]
    Units: Percentage of participants
        number (confidence interval 95%)
    72.2 (51.5 to 92.9)
    76.5 (56.3 to 96.6)
    Notes
    [4] - TS
    [5] - TS
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    From first drug administration until last drug administration plus 28 days, up to 28 weeks.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Arm1: Child-Pugh A
    Reporting group description
    Arm 1 (genotype 1b) - 600mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Reporting group title
    Arm2: Child-Pugh B
    Reporting group description
    Arm 2 (genotype 1b) - 400mg DBV tablet taken orally twice daily (BID) plus 120mg FDV capsule taken orally once daily (QD) plus RBV tablet taken orally twice daily for 24 weeks.

    Serious adverse events
    Arm1: Child-Pugh A Arm2: Child-Pugh B
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 18 (5.56%)
    9 / 17 (52.94%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Injury, poisoning and procedural complications
    Toxicity to various agents
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Hepatic encephalopathy
         subjects affected / exposed
    0 / 18 (0.00%)
    4 / 17 (23.53%)
         occurrences causally related to treatment / all
    0 / 0
    2 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    General physical health deterioration
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Ascites
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Diarrhoea
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower gastrointestinal haemorrhage
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Oesophageal varices haemorrhage
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Upper gastrointestinal haemorrhage
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Varices oesophageal
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vomiting
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Acute hepatic failure
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatic cirrhosis
         subjects affected / exposed
    0 / 18 (0.00%)
    3 / 17 (17.65%)
         occurrences causally related to treatment / all
    0 / 0
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Peritonitis bacterial
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Urinary tract infection
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyponatraemia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Arm1: Child-Pugh A Arm2: Child-Pugh B
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    17 / 18 (94.44%)
    17 / 17 (100.00%)
    Vascular disorders
    Hypotension
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Vasospasm
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Surgical and medical procedures
    Tooth extraction
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    7 / 18 (38.89%)
    7 / 17 (41.18%)
         occurrences all number
    8
    7
    Fatigue
         subjects affected / exposed
    4 / 18 (22.22%)
    3 / 17 (17.65%)
         occurrences all number
    4
    3
    Chills
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Gait disturbance
         subjects affected / exposed
    1 / 18 (5.56%)
    2 / 17 (11.76%)
         occurrences all number
    1
    2
    Mucosal dryness
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Oedema
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    2
    Oedema peripheral
         subjects affected / exposed
    4 / 18 (22.22%)
    5 / 17 (29.41%)
         occurrences all number
    4
    7
    Pyrexia
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    2
    Reproductive system and breast disorders
    Amenorrhoea
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Breast pain
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 18 (0.00%)
    3 / 17 (17.65%)
         occurrences all number
    0
    3
    Dyspnoea exertional
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Dyspnoea
         subjects affected / exposed
    2 / 18 (11.11%)
    1 / 17 (5.88%)
         occurrences all number
    2
    1
    Nasal dryness
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Oropharyngeal pain
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Bradyphrenia
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    2
    Depressed mood
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Depression
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Disorientation
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    3
    Insomnia
         subjects affected / exposed
    3 / 18 (16.67%)
    4 / 17 (23.53%)
         occurrences all number
    3
    4
    Libido increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Nightmare
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Investigations
    Electrocardiogram QT prolonged
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Glomerular filtration rate decreased
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hepatic enzyme increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hepatitis C RNA increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Lipase increased
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    2
    Liver function test abnormal
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Weight decreased
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Waist circumference increased
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Weight increased
         subjects affected / exposed
    0 / 18 (0.00%)
    3 / 17 (17.65%)
         occurrences all number
    0
    3
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Fall
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Injury
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Limb injury
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Muscle injury
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Wound
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Cardiac disorders
    Bradycardia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Palpitations
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Nervous system disorders
    Burning sensation
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Disturbance in attention
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Dizziness
         subjects affected / exposed
    1 / 18 (5.56%)
    5 / 17 (29.41%)
         occurrences all number
    1
    6
    Dysgeusia
         subjects affected / exposed
    2 / 18 (11.11%)
    1 / 17 (5.88%)
         occurrences all number
    2
    1
    Encephalopathy
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Headache
         subjects affected / exposed
    1 / 18 (5.56%)
    2 / 17 (11.76%)
         occurrences all number
    1
    2
    Hepatic encephalopathy
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hyperaesthesia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hypertonia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Memory impairment
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Migraine
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Parosmia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Paraesthesia
         subjects affected / exposed
    2 / 18 (11.11%)
    1 / 17 (5.88%)
         occurrences all number
    3
    1
    Presyncope
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Sensory loss
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Restless legs syndrome
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Somnolence
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Tremor
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Syncope
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Blood and lymphatic system disorders
    Lymphopenia
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    2
    Anaemia
         subjects affected / exposed
    6 / 18 (33.33%)
    8 / 17 (47.06%)
         occurrences all number
    8
    10
    Thrombocytopenia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Eye disorders
    Dry eye
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Erythema of eyelid
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Ocular icterus
         subjects affected / exposed
    6 / 18 (33.33%)
    3 / 17 (17.65%)
         occurrences all number
    7
    3
    Photophobia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    5 / 18 (27.78%)
    1 / 17 (5.88%)
         occurrences all number
    7
    2
    Abdominal pain
         subjects affected / exposed
    2 / 18 (11.11%)
    2 / 17 (11.76%)
         occurrences all number
    3
    3
    Abdominal pain upper
         subjects affected / exposed
    2 / 18 (11.11%)
    3 / 17 (17.65%)
         occurrences all number
    2
    3
    Aphthous stomatitis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Ascites
         subjects affected / exposed
    0 / 18 (0.00%)
    7 / 17 (41.18%)
         occurrences all number
    0
    9
    Constipation
         subjects affected / exposed
    1 / 18 (5.56%)
    3 / 17 (17.65%)
         occurrences all number
    1
    3
    Cheilitis
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    3
    0
    Diarrhoea
         subjects affected / exposed
    9 / 18 (50.00%)
    9 / 17 (52.94%)
         occurrences all number
    14
    13
    Dry mouth
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Dyspepsia
         subjects affected / exposed
    2 / 18 (11.11%)
    2 / 17 (11.76%)
         occurrences all number
    2
    2
    Faeces soft
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Flatulence
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 18 (5.56%)
    2 / 17 (11.76%)
         occurrences all number
    1
    2
    Hiatus hernia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Nausea
         subjects affected / exposed
    13 / 18 (72.22%)
    13 / 17 (76.47%)
         occurrences all number
    16
    16
    Melaena
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Portal hypertensive gastropathy
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Vomiting
         subjects affected / exposed
    9 / 18 (50.00%)
    6 / 17 (35.29%)
         occurrences all number
    20
    9
    Varices oesophageal
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hepatobiliary disorders
    Bile duct stone
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Gallbladder disorder
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hepatomegaly
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hyperbilirubinaemia
         subjects affected / exposed
    8 / 18 (44.44%)
    4 / 17 (23.53%)
         occurrences all number
    10
    4
    Jaundice
         subjects affected / exposed
    5 / 18 (27.78%)
    8 / 17 (47.06%)
         occurrences all number
    5
    9
    Skin and subcutaneous tissue disorders
    Blister
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Dry skin
         subjects affected / exposed
    2 / 18 (11.11%)
    1 / 17 (5.88%)
         occurrences all number
    2
    1
    Eczema
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Erythema
         subjects affected / exposed
    3 / 18 (16.67%)
    2 / 17 (11.76%)
         occurrences all number
    4
    3
    Hyperhidrosis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Night sweats
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Onychalgia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Photosensitivity reaction
         subjects affected / exposed
    3 / 18 (16.67%)
    1 / 17 (5.88%)
         occurrences all number
    3
    1
    Pruritus
         subjects affected / exposed
    8 / 18 (44.44%)
    5 / 17 (29.41%)
         occurrences all number
    10
    5
    Rash
         subjects affected / exposed
    3 / 18 (16.67%)
    1 / 17 (5.88%)
         occurrences all number
    4
    1
    Pruritus generalised
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Rash maculo-papular
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    2
    Rash papular
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Skin exfoliation
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Urticaria
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Renal and urinary disorders
    Chromaturia
         subjects affected / exposed
    2 / 18 (11.11%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Proteinuria
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    2
    Renal colic
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Renal failure
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    2
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Back pain
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Monarthritis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Muscle spasms
         subjects affected / exposed
    1 / 18 (5.56%)
    1 / 17 (5.88%)
         occurrences all number
    1
    1
    Muscle tightness
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    2
    0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Gingivitis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Infective exacerbation of bronchiectasis
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Oral candidiasis
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Urinary tract infection
         subjects affected / exposed
    0 / 18 (0.00%)
    3 / 17 (17.65%)
         occurrences all number
    0
    3
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    5 / 18 (27.78%)
    2 / 17 (11.76%)
         occurrences all number
    6
    2
    Hyperglycaemia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hypernatraemia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hypertriglyceridaemia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hyperuricaemia
         subjects affected / exposed
    1 / 18 (5.56%)
    0 / 17 (0.00%)
         occurrences all number
    1
    0
    Hypoalbuminaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    4
    Hypocalcaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    2 / 17 (11.76%)
         occurrences all number
    0
    5
    Hypokalaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    3 / 17 (17.65%)
         occurrences all number
    0
    3
    Hypoglycaemia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1
    Hyponatraemia
         subjects affected / exposed
    0 / 18 (0.00%)
    1 / 17 (5.88%)
         occurrences all number
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    27 Aug 2013
    Added the deleobuvir name for BI 207127. Phase of trial changed from Ib/IIb to IIb/III. Amendment was based on the trial 1241.25 preliminary results suggesting a QTc increase and, regardless of its methodological shortcomings, increased frequency of electrocardiogram measurements. Removed ondansetron as a recommended treatment of vomiting because of its QTc prolongation potential per updated List of Restricted and Use with Caution Concomitant Drugs, Version 3.0 in investigator site file. Added clarification that additional ECGs could have been collected by the investigator for safety reasons. Added that electrocardiograms could have been sent to the electrocardiogram laboratory to undergo central assessment.Added clarification that serum pregnancy tests would be performed for females of childbearing potential only at all marked visits on the Flow Chart. Added clarification that urine pregnancy tests would be performed at Visit 2 for all females as part of eligibility assessment.Added that DRESS had been reported in he faldaprevir program at 120 and 240 mg QD doses. Referred to Appendix 10.2.3 for treatment discontinuation in case of potentially life-threatening skin reactions.Added DRESS to potentially life threatening reaction examples. Added that patients needed to be monitored for the appearance of systemic symptoms. Added clarification of definitions of treatment experienced patients eligible to enter the trial. Clarified exclusion of patients that had taken direct acting antiviral agent. Clarified that Child-Pugh C patients were to be excluded Modification of entry criteria to be more adapted to the Child-Pugh B patient population. Added clarification for treatment discontinuation if a female patient became pregnant and added guidance if a female partner of a male patient became pregnant.
    13 Nov 2013
    Potential risk of agranulocytosis/neutropenia was added. Deleted text that referenced dose reduction instructions. Added treatment discontinuation if absolute neutrophil count was ≤ 500 cells/mm3.To record all SAEs with onset date after 28 days post-end-of-treatment (EOT) until end-of-observation (EOO), to define residual effect period, and to clarify SAE reporting requirements after trial completion. Updated text on the management of gastrointestinal events.
    11 Jun 2014
    Removed Arm 3 and Cohort B from the trial design as well as all supporting text intended only for these treatment groups. Week 16 intensive pharmacokinetic (PK) sampling and analysis removed. PK parameters edited. Protein binding sampling and analysis removed. Follow up period shortened from 96 to 12 weeks. Analyses for all endpoints to be done after last patient last visit. Revised wording on reporting pregnancy for a female partner of a male patient.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Because the company decided to stop the DBV development program, analyses for this trial were limited to the basic requirement for efficacy, and only the primary endpoint and secondary endpoint were analyzed.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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