Recent Updates
Recently added Catalysts

AT-527

Phase 2

Hepatitis C | Small molecule | Infectious Disease |Atea Pharmaceuticals, Inc.|Last Updated: Jul 31, 2024

Success Probability
Subscribe to view
Market & Valuation
Subscribe to view
Trial Design
CONTROLLED
Total Trials1
Total Enrollment10
FDA Designations
No designations recorded
Clinical trial landscape

AT-527 · 8 trials · 9 indications

Phase 2 2Phase 1 6
NCT04709835Study to Evaluate the Effects of AT-527 in Non-Hospitalized Adult Patients With Mild or Moderate COVID-19COVID-19
COMPLETED104 Analytics
NCT04019717Study of AT-527 in Combination With Daclatasvir in Subjects With Hepatitis C Virus (HCV) InfectionHepatitis C
COMPLETED10 Analytics
PHASE2COMPLETED
Study to Evaluate the Effects of AT-527 in Non-Hospitalized Adult Patients With Mild or Moderate COVID-19
COVID-19Unlock trial analytics
PHASE2COMPLETED
Study of AT-527 in Combination With Daclatasvir in Subjects With Hepatitis C Virus (HCV) Infection
Hepatitis CUnlock trial analytics
Study Endpoints
Primary Endpoints
Change From Baseline in the Amount of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Virus RNA for AT-527 550 mg and Matched Placebo
Baseline, Day 3, Day 5, Day 7

SARS-CoV-2 virus RNA was measured by reverse-transcription polymerase chain reaction (RT-PCR) from nasopharyngeal (NP) swabs. The change from baseline was estimated from an ANCOVA model with baseline viral load as a covariate. Reported here is the adjusted mean change from baseline. A negative change from baseline indicates an improvement.

Change From Baseline in the Amount of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) Virus RNA for AT-527 1100 mg and Pooled Placebo
Baseline, Day 3, Day 5, Day 7

SARS-CoV-2 virus RNA was measured by reverse-transcription polymerase chain reaction (RT-PCR) from NP swabs. The change from baseline was estimated from an ANCOVA model with baseline viral load as a covariate. Reported here is the adjusted mean change from baseline. A negative change from baseline indicates an improvement.

Proportion of subjects achieving sustained virologic response (SVR)
12 weeks after end of treatment

SVR defined as the HCV RNA \< lower limit of quantitation (LLOQ) at 12 weeks after end of treatment

Incidence of treatment-emergent adverse events
Through 4 weeks after end of treatment
Pharmacokinetics (PK) of AT-527 Maximum plasma concentration (Cmax)
Day 1
Pharmacokinetics (PK) of AT-527 Area under the plasma concentration-time curve (AUC)
Day 1
Pharmacokinetics (PK) of AT-527 AUC
Day 1
Mass Balance
Day 1 to Day 15

Total radioactivity recovery in urine and feces

Concentrations of AT-527 in epithelial lining fluid
4-5 hours after last dose and 11-12 hours after last dose
Pharmacokinetics (PK) of midazolam
Day 1, Day 3, Day 7

Maximum plasma concentration (Cmax) and Area under the concentration-time curve (AUC)

Pharmacokinetics (PK) of AT-527 (R07496998): Cmax
Day 1 vs Day 7

Maximum plasma concentration (Cmax)

Pharmacokinetics (PK) of AT-527 (R07496998): AUC
Day 1 vs Day 7

Area under the concentration-time curve (AUC)

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Through Day 6 for subjects receiving a single dose

Number of subjects experiencing treatment-emergent adverse events

Secondary Endpoints
Time to Cessation of SARS-CoV-2 Viral Shedding
Up to Day 7
Time to Sustained Non-Detectable SARS-CoV-2 Virus RNA
Up to Day 7
Percentage of Participants Positive for SARS-CoV-2 Virus RNA at Specified Timepoints
Baseline, Day 3, Day 5, Day 7
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants will receive AT-527-matched placebo twice a day (BID) on Days 1-5.
AT-527 550 mg (1x550 mg)EXPERIMENTALParticipants will receive 550 mg AT-527 (1x550 mg) twice a day (BID) on Days 1-5.
AT-527 1100 mg (4x275 mg)EXPERIMENTALParticipants will receive 1100 mg AT-527 (4x275 mg) twice a day (BID) on Days 1-5.
8 weeksEXPERIMENTAL -
12 weeksEXPERIMENTAL -
Group A-Mild Renal ImpairmentEXPERIMENTALsingle dose AT-527
Group B-Moderate Renal ImpairmentEXPERIMENTALsingle dose AT-527
Group C-Severe Renal Impairment (optional)EXPERIMENTALsingle dose AT-527
Group D-End-Stage Renal Disease (optional)EXPERIMENTALsingle dose of AT-527 pre- and post-dialysis
Group E-Matched Healthy SubjectsEXPERIMENTALSingle dose of AT-527 on Days 1 and 15. Probenecid administered twice daily (BID) Days 14-19
AT-527 550 mg (R07496998)EXPERIMENTAL -
AT-527 Group AEXPERIMENTALn=8
AT-527 Group BEXPERIMENTALn=8
AT-527 Group CEXPERIMENTALn=8
AT-527 550 mg + midazolam (simultaneous)EXPERIMENTALn=12
AT-527 mg + midazolam (staggered)EXPERIMENTALn=12
AT-527 550 mg + cyclosporine (simultaneous)EXPERIMENTALn=12
AT-527 550 mg + cyclosporine (staggered)EXPERIMENTALn=12
AT-527EXPERIMENTAL -
Interventions
NameTypeDescription
AT-527DRUGResults from Arm AT-527 500 mg determined the dose and regimen to be used for AT-527 1100 mg.
PlaceboDRUGThe dose and regimen of the placebo will match that of the respective AT-527 comparator arm.
DaclatasvirDRUGInhibitor of HCV nonstructural protein 5A (NS5A)
AT-527 and ProbenecidDRUGSingle dose of AT-527 on Days 1 and 15. Probenecid administered twice daily (BID) Days 14-19
AT-527 (R07496998)DRUGStudy participants will receive a single radiolabeled dose of 550 mg AT-527.
AT-527 550 mg + midazolamDRUGDay 1: 2 mg midazolam Day 3: 550 mg AT-527 and 2 mg midazolam in the morning and a second 550 mg AT-527 dose in the evening. Days 4 to 6: 550 mg AT-527 administered twice daily (BID) Day 7: 550 mg AT-527 and 2 mg midazolam in the morning and a second 550 mg AT-527 dose in the evening. Other Names: AT-527 is also know as R07496998
AT-527 550 mg + cyclosporineDRUG550 mg AT-527 alone on Day 1 and 550 mg AT-527 plus 600 mg cyclosporine administered simultaneously on Day 7 Other Names: AT-527 is also known as R07496998
Placebo ComparatorOTHERMatching placebo
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Positive SARS-CoV-2 diagnostic test (RT-PCR or rapid antigen test)at screening * Has symptoms consistent with mild or moderate COVID-19, as determined by the investigator, with onset ≤5 days prior to randomization Exclusion Criteria: * Clinical signs indicative of COVID-19 i...

Countries:CanadaGreeceIrelandLatviaSpainUnited KingdomBelgiumMauritiusMoldovaUnited States
Unlock Eligibility Criteria
Competitive Landscape -Hepatitis C 11 trials