1. Potency, safety, and pharmacokinetics of the NS3/4A protease inhibitor BI201335 in patients with chronic HCV genotype-1 infection
- Author
-
Christian Trepo, Michael P. Manns, David Wright, Jose Luis Calleja, Peter W. White, Chan-Loi Yong, Stanislas Pol, George Kukolj, Jerry O. Stern, Marc Bourlière, Maurizio Bonacini, Thomas Berg, Wulf Otto Boecher, Yves Benhamou, Gerhard G. Steinmann, Joe Scherer, Department of Gastroenterology, Hepatology and Endocrinology (MHH), Hannover Medical School [Hannover] (MHH), Hôpital saint joseph, Service d' Hépato-gastroentérologie, Service d'Hépato-Gastro-Entérologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Institut Cochin (IC UM3 (UMR 8104 / U1016)), Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Service d'hépatologie médicale [CHU Cochin], Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), California Pacific medical research center institute, Pacific medical center, Centre de Recherche en Cancérologie de Lyon (UNICANCER/CRCL), Centre Léon Bérard [Lyon]-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), IFR Laennec (IL), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Department of Psychiatry and Behavioural Neurosciences, McMaster University [Hamilton, Ontario]-Offord Centre for Child Studies, University Clinic, University Clinic, Leipzig, Hospital universitano Puerta de Hierro, hospital universitano puerta de hierro, Service d'Hépato-Gastroentérologie [CHU Pitié-Salpêtrière], Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-CHU Pitié-Salpêtrière [APHP], CHU Cochin [AP-HP]-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP), Centre de Recherche en Cancérologie de Lyon (CRCL), Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre Léon Bérard [Lyon]-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Department of Gastroenterology, Hepatology and Endocrinology ( MHH ), Hannover Medical School [Hannover] ( MHH ), Assistance publique - Hôpitaux de Paris (AP-HP)-CHU Pitié-Salpêtrière [APHP], Institut Cochin ( UM3 (UMR 8104 / U1016) ), Université Paris Descartes - Paris 5 ( UPD5 ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), Assistance publique - Hôpitaux de Paris (AP-HP)-CHU Cochin [AP-HP], Centre de Recherche en Cancérologie de Lyon ( CRCL ), Université Claude Bernard Lyon 1 ( UCBL ), Université de Lyon-Université de Lyon-Centre Léon Bérard [Lyon]-Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS ), IFR Laennec ( IL ), Institut National de la Recherche Agronomique ( INRA ) -Université Claude Bernard Lyon 1 ( UCBL ), and Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] ( UJM ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ) -Centre National de la Recherche Scientifique ( CNRS )
- Subjects
Male ,Aminoisobutyric Acids ,Hepacivirus ,MESH : Viral Load ,Viral Nonstructural Proteins ,medicine.disease_cause ,Gastroenterology ,MESH : Hepacivirus ,[ SDV.CAN ] Life Sciences [q-bio]/Cancer ,Polyethylene Glycols ,MESH: Recombinant Proteins ,chemistry.chemical_compound ,0302 clinical medicine ,MESH : Thiazoles ,Pegylated interferon ,MESH : Female ,MESH: Double-Blind Method ,MESH: Hepacivirus ,MESH : Viral Nonstructural Proteins ,0303 health sciences ,MESH: Middle Aged ,MESH: Protease Inhibitors ,MESH: Drug Resistance, Viral ,biology ,MESH : Polyethylene Glycols ,Intracellular Signaling Peptides and Proteins ,MESH : Adult ,Middle Aged ,Viral Load ,Hepatitis C ,Recombinant Proteins ,MESH : Antiviral Agents ,3. Good health ,MESH : Drug Resistance, Viral ,MESH: Oligopeptides ,Quinolines ,MESH : Interferon-alpha ,Female ,030211 gastroenterology & hepatology ,MESH : Carrier Proteins ,MESH: Interferon-alpha ,MESH: Viral Load ,Oligopeptides ,Viral load ,medicine.drug ,Pegylated Interferon Alfa ,MESH : Oligopeptides ,Adult ,MESH: Antiviral Agents ,medicine.medical_specialty ,MESH : Protease Inhibitors ,Proline ,MESH : Recombinant Proteins ,MESH : Male ,Hepatitis C virus ,MESH: Thiazoles ,MESH: Carrier Proteins ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Interferon alpha-2 ,Antiviral Agents ,03 medical and health sciences ,Double-Blind Method ,Leucine ,MESH: Ribavirin ,Internal medicine ,Drug Resistance, Viral ,Ribavirin ,medicine ,MESH : Double-Blind Method ,Humans ,MESH : Middle Aged ,Protease Inhibitors ,Protease inhibitor (pharmacology) ,030304 developmental biology ,MESH: Hepatitis C ,MESH: Humans ,Hepatology ,business.industry ,MESH : Humans ,Interferon-alpha ,MESH: Adult ,MESH : Hepatitis C ,biology.organism_classification ,MESH: Male ,MESH : Ribavirin ,Thiazoles ,MESH: Polyethylene Glycols ,chemistry ,Faldaprevir ,Immunology ,MESH: Viral Nonstructural Proteins ,Carrier Proteins ,business ,MESH: Female - Abstract
International audience; BACKGROUND & AIMS: BI201335 is a highly specific and potent HCV protease inhibitor. This multiple rising dose trial evaluated antiviral activity and safety in chronic HCV genotype-1 patients. METHODS: Thirty-four treatment-naïve patients were randomized to monotherapy with placebo or BI201335 at 20-240 mg once-daily for 14 days, followed by combination with pegylated interferon alfa/ribavirin (PegIFN/RBV) through Day 28. Nineteen treatment-experienced patients received 48-240 mg BI201335 once-daily with PegIFN/RBV for 28 days. HCV-RNA was measured with Roche COBAS TaqMan. RESULTS: In treatment-naïve patients, median maximal viral load (VL) reductions during 14-day monotherapy were -3.0, -3.6, -3.7, and -4.2 log(10) for the 20, 48, 120, and 240 mg groups. VL breakthroughs (≥1 log(10) from nadir) were seen in most patients on monotherapy and were caused by NS3/4A variants (R155K, D168V) conferring in vitro resistance to BI201335. Adding PegIFN/RBV at Days 15-28 led to continuous viral load reductions in most patients. In treatment-experienced patients, treatment with BI201335 and PegIFN/RBV achieved VL
- Published
- 2011
- Full Text
- View/download PDF