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NCT01974687

Single and Multiple Dose Study of Uprifosbuvir (MK-3682/IDX21437) in Healthy and Hepatitis C Virus (HCV)-Infected Participants (MK-3682-001)

Completed Phase 1, PHASE2 Results posted Last updated 13 September 2018
What this trial tests

Phase 1, PHASE2 trial testing Uprifosbuvir in Chronic Hepatitis C in 178 participants. Completed in 11 September 2015.

Timeline
31 October 2013
Primary endpoint
2 September 2015
11 September 2015

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment178
Start date31 October 2013
Primary completion2 September 2015
Estimated completion11 September 2015

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 18 to 65, any sex, with Chronic Hepatitis C. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Who Experienced at Least One Treatment-emergent Adverse Event (AE) Primary · Up to 42 days

An AE was defined as any untoward medical occurrence in a participant administered study drug, and that does not necessarily have a causal relationship with the study drug(s). An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of study drug(s), whether or not related to study drug(s). The percentage of participants who experienced at least one AE is presented.

GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)50.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)33.3
Group A: Uprifosbuvir 50 mg (Cohort 3a)33.3
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)66.7
Group A: Uprifosbuvir 300 mg (Cohort 5a)50.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)33.3
Group A: Placebo (Cohort 6a)50.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)33.3
Group B: Uprifosbuvir 25 mg (Cohort 2b)66.7
Group B: Uprifosbuvir 50 mg (Cohort 3b)33.3
Group B: Uprifosbuvir 150 mg (Cohort 4b)66.7
Percentage of Participants Who Experienced at Least One Treatment-emergent Serious AE (SAE) Primary · Up to 42 days

An SAE was defined as any untoward medical occurrence that at any dose that: resulted in death, was life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was an important medical event. The percentage of participants who experienced at least one SAE is presented.

GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Percentage of Participants Who Experienced a Treatment-emergent Dose-limiting Toxicity (DLT) Primary · Up to 13 days

A DLT was defined as any of the following events: Any SAE considered by the investigator to be at least reasonably or possibly related to study drug; Any Grade 3 clinical AE considered by the investigator to be at least reasonably or possibly related to study drug; Any Grade 3 confirmed laboratory abnormalities considered by the investigator to be at least reasonably or possibly related to study drug, except for asymptomatic Grade ¾ cholesterol and triglyceride; Any clinical or laboratory AE of any intensity that is considered by the investigator to be at least reasonably or possibly related t

GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Percentage of Participants Who Experienced at Least One Treatment-emergent Grade 1, 2, 3, 4 or 5 Laboratory Abnormality Primary · Up to 42 days

Laboratory abnormalities were graded using the Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events. Treatment-emergent AEs (TEAEs)were graded as: Grade 1: Mild TEAE as Worst Severity; Grade 2: Moderate TEAE as Worst Severity; Grade 3: Severe TEAE as Worst Severity; Grade 4: Potentially Life-Threatening TEAE as Worst Severity; Grade 5: TEAE Leading to Death. The percentage of participants who experienced at least one Grade 1, 2, 3, 4 or 5 laboratory abnormality is presented.

Grade 1
GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)50.00
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)16.7
Group A: Uprifosbuvir 50 mg (Cohort 3a)16.7
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)50.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)33.3
Group A: Uprifosbuvir 300 mg (Cohort 6a)33.3
Group A: Placebo (Cohort 6a)50.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)66.7
Group B: Uprifosbuvir 50 mg (Cohort 3b)33.3
Group B: Uprifosbuvir 150 mg (Cohort 4b)66.7
Grade 2
GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)16.7
Group A: Uprifosbuvir 50 mg (Cohort 3a)16.7
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)16.7
Group A: Uprifosbuvir 300 mg (Cohort 5a)16.7
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Grade 3
GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)33.3
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Grade 4
GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Grade 5
GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Percentage of Participants Who Discontinued Study Drug Due to a Treatment-emergent AE Primary · Up to 14 days

The percentage of participants who discontinued study drug due to an AE is presented.

GroupValue95% CI
Group A: Placebo (Cohort 1a-Cohort 5a - Pooled)0.0
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.0
Group A: Uprifosbuvir 150 mg (Cohort 4a) (Fasted and Fed)0.0
Group A: Uprifosbuvir 300 mg (Cohort 5a)0.0
Group A: Uprifosbuvir 300 mg (Cohort 6a)0.0
Group A: Placebo (Cohort 6a)0.0
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.0
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.0
Group B: Uprifosbuvir 150 mg (Cohort 4b)0.0
Area Under the Plasma Drug Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Uprifosbuvir After Single Dose of Uprifosbuvir as the Capsule Formulation in Healthy Participants (Group A) Primary · Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration. All participants were fasted.

GroupValue95% CI
Group A: Uprifosbuvir 10 mg (Cohort 1a)0.0410± 32.7
Group A: Uprifosbuvir 25 mg (Cohort 2a)0.0837± 27.9
Group A: Uprifosbuvir 150 mg (Cohort 4a Fasted)1.67± 62.7
Group A: Uprifosbuvir 300 mg (Cohort 5a)2.78± 37.7
Group A: Uprifosbuvir 50 mg (Cohort 3a)0.246± 63.2
AUC0-t of Uprifosbuvir After Single Dose of Uprifosbuvir as the Capsule Formulation in Fed State in Healthy Participants (Group A - Cohort 4a) Primary · Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

GroupValue95% CI
Group A: Uprifosbuvir 150 mg (Cohort 4a Fed)1.05± 48.5
AUC0-t of Uprifosbuvir After Multiple Doses of Uprifosbuvir Once-Daily x 7 Days as the Capsule Formulation in Healthy Participants (Group A - Cohort 6a) Primary · Days 1 & 7: predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

Day 1
GroupValue95% CI
Group A: Uprifosbuvir 300 mg (Cohort 6a)3.62± 34.0
Day 7
GroupValue95% CI
Group A: Uprifosbuvir 300 mg (Cohort 6a)3.77± 21.7
AUC0-t of Uprifosbuvir After Single Dose of Uprifosbuvir as the Capsule Formulation in Genotype 1, HCV-Infected Participants (Group B) Primary · Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

GroupValue95% CI
Group B: Uprifosbuvir 10 mg (Cohort 1b)0.0640± 39.8
Group B: Uprifosbuvir 25 mg (Cohort 2b)0.228± 49.1
Group B: Uprifosbuvir 50 mg (Cohort 3b)0.341± 20.4
Group B: Uprifosbuvir 150 mg (Cohort 4b)1.17± NA
Group B: Uprifosbuvir 300 mg (Cohort 5b)1.39± 35.4
AUC0-t of Uprifosbuvir After Multiple Doses of Uprifosbuvir Once-Daily x 7 Days as the Capsule Formulation in Genotype 1, 2 and 3, HCV-Infected Participants (Groups C and D) Primary · Days 1 & 7: predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

Day 1
GroupValue95% CI
Groups C & D: Uprifosbuvir 50 mg (Capsule)0.394± 51.4
Groups C & D: Uprifosbuvir 150 mg (Capsule)1.01± 52.9
Groups C & D: Uprifosbuvir 300 mg (Capsule)2.80± 45.4
Groups C & D: Uprifosbuvir 400 mg (Capsule)5.54± 40.1
Day 7
GroupValue95% CI
Groups C & D: Uprifosbuvir 50 mg (Capsule)0.347± 36.2
Groups C & D: Uprifosbuvir 150 mg (Capsule)0.935± 36.7
Groups C & D: Uprifosbuvir 300 mg (Capsule)2.42± 46.8
Groups C & D: Uprifosbuvir 400 mg (Capsule)4.59± 22.1
AUC0-t of Uprifosbuvir After Multiple Doses of Uprifosbuvir Once-Daily x 7 Days as the Tablet Formulation in Genotype 1, HCV-Infected Participants (Group C) Primary · Days 1 & 7: predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

Day 1
GroupValue95% CI
Group C: Uprifosbuvir 300 mg (Tablet)2.00± 51.7
Group C: Uprifosbuvir 450 mg (Tablet)3.11± 45.0
Day 7
GroupValue95% CI
Group C: Uprifosbuvir 300 mg (Tablet)1.82± 43.9
Group C: Uprifosbuvir 450 mg (Tablet)2.88± 30.4
AUC0-t of Uprifosbuvir After Single Dose of Uprifosbuvir as Capsule Formulation in Genotype 1, HCV-Infected Participants With Mildly Impaired Hepatic Function (Child Pugh Class A) (Group E - Cohort 1e) Primary · Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 36, 48, 72, 96, and 120 hours postdose

AUC0-t was calculated using linear log trapezoidal summation from time zero to last measurable concentration.

GroupValue95% CI
Group E: Uprifosbuvir 150 mg (Cohort 1e)1.05± NA

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 42 days (28 days after last study drug administration). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group A: Placebo (Cohort 1a - Cohort 5a - Pooled)
Serious: 0/10 (0%)
Deaths:
Group A: Uprifosbuvir 10 mg (Cohort 1a)
Serious: 0/6 (0%)
Deaths:
Group A: Uprifosbuvir 25 mg (Cohort 2a)
Serious: 0/6 (0%)
Deaths:
Group A: Uprifosbuvir 50 mg (Cohort 3a)
Serious: 0/6 (0%)
Deaths:
Group A: Uprifosbuvir 150 mg (Cohort 4a)
Serious: 0/6 (0%)
Deaths:
Group A: Uprifosbuvir 300 mg (Cohort 5a)
Serious: 0/6 (0%)
Deaths:
Group A: Placebo (Cohort 6a)
Serious: 0/2 (0%)
Deaths:
Group A: Uprifosbuvir 300 mg (Cohort 6a)
Serious: 0/6 (0%)
Deaths:
Group B: Uprifosbuvir 10 mg (Cohort 1b)
Serious: 0/3 (0%)
Deaths:
Group B: Uprifosbuvir 25 mg (Cohort 2b)
Serious: 0/3 (0%)
Deaths:
Group B: Uprifosbuvir 50 mg (Cohort 3b)
Serious: 0/3 (0%)
Deaths:
Group B: Uprifosbuvir 150 mg (Cohort 4b)
Serious: 0/3 (0%)
Deaths:
Group B: Uprifosbuvir 300 mg (Cohort 5b)
Serious: 0/3 (0%)
Deaths:
Groups C & D: Uprifosbuvir 50 mg (Capsule)
Serious: 0/11 (0%)
Deaths:
Groups C & D: Uprifosbuvir 150 mg (Capsule)
Serious: 0/10 (0%)
Deaths:
Groups C & D: Uprifosbuvir 250 mg (Capsule)
Serious: 0/8 (0%)
Deaths:
Groups C & D: Uprifosbuvir 300 mg (Capsule)
Serious: 0/18 (0%)
Deaths:
Groups C & D: Uprifosbuvir 400 mg (Capsule)
Serious: 0/8 (0%)
Deaths:
Groups C & D: Uprifosbuvir 300 mg (Tablet)
Serious: 0/8 (0%)
Deaths:
Groups C & D: Uprifosbuvir 450 mg (Tablet)
Serious: 0/8 (0%)
Deaths:
Groups C & D: Placebo (Pooled)
Serious: 0/9 (0%)
Deaths:
Group E: Uprifosbuvir 150 mg (Cohort 1e)
Serious: 0/3 (0%)
Deaths:
Group E: Uprifosbuvir 300 mg (Cohort 2e)
Serious: 0/3 (0%)
Deaths:
Group E: Uprifosbuvir 450 mg (Cohort 3e)
Serious: 0/8 (0%)
Deaths:
Group F: Uprifosbuvir 300 mg (Tablet)
Serious: 0/8 (0%)
Deaths:
Other adverse events (84 terms — click to expand)

ReactionSystemGroup A: Placebo (Cohort 1…Group A: Uprifosbuvir 10 m…Group A: Uprifosbuvir 25 m…Group A: Uprifosbuvir 50 m…Group A: Uprifosbuvir 150 …Group A: Uprifosbuvir 300 …Group A: Placebo (Cohort 6a)Group A: Uprifosbuvir 300 …Group B: Uprifosbuvir 10 m…Group B: Uprifosbuvir 25 m…Group B: Uprifosbuvir 50 m…Group B: Uprifosbuvir 150 …Group B: Uprifosbuvir 300 …Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Uprifosbuvir…Groups C & D: Placebo (Poo…Group E: Uprifosbuvir 150 …Group E: Uprifosbuvir 300 …Group E: Uprifosbuvir 450 …Group F: Uprifosbuvir 300 …
HeadacheNervous system disorders
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
Abnormal faecesGastrointestinal disorders
Vessel puncture site painGeneral disorders
NasopharyngitisInfections and infestations
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
LeukopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
PalpitationsCardiac disorders
TinnitusEar and labyrinth disorders
Ocular hyperaemiaEye disorders
Vision blurredEye disorders
Visual acuity reducedEye disorders
Abdominal discomfortGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
EructationGastrointestinal disorders
Faeces hardGastrointestinal disorders
FlatulenceGastrointestinal disorders
GastritisGastrointestinal disorders
Paraesthesia oralGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
Chest painGeneral disorders
FatigueGeneral disorders
Feeling coldGeneral disorders
PyrexiaGeneral disorders
Vessel puncture site anaesthesiaGeneral disorders
Vessel puncture site bruiseGeneral disorders
Vessel puncture site haematomaGeneral disorders
Vessel puncture site reactionGeneral disorders
Upper respiratory tract infectionInfections and infestations

Data from ClinicalTrials.gov NCT01974687 adverse events section.

Sponsor's own description

This is a multi-part study to evaluate the safety, tolerability, and pharmacokinetics (PK) of uprifosbuvir (MK-3682/IDX21437) in healthy participants and in participants infected with Hepatitis C virus (HCV) genotype (GT)1-GT6. The effect of food on the PK of uprifosbuvir will be evaluated. The antiviral activity of uprifosbuvir will also be assessed in HCV-infected participants.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Trials by the same sponsor.

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Data sources for this page

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