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AT-527+ rosuvastatin

Phase 2

COVID-19 | Small molecule | Infectious Disease |Atea Pharmaceuticals, Inc.|Last Updated: Jul 31, 2024

Target and mechanism

ModalitySmall molecule

Also known as AT-527 (R07496998), AT-527, AT-527 fasted, AT-527 fed, Period 1: AT-527, AT-527 Formulation 1, AT-527 Formulation 2

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment104

FDA Designations

No designations recorded

Clinical trial landscape

AT-527+ rosuvastatin · 13 trials · 10 indications

Phase 2 2Phase 1 11
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
Pharmacokinetics (PK) of AT-527
Day 1

Maximum plasma concentration (Cmax)

Proportions of subjects experiencing treatment-emergent adverse events
Day 1-10
To evaluate the effect of co-administration of AT-527 on the single-dose pharmacokinetics (PK) of rosuvastatin
Day 1, Day 8

Maximum plasma concentration (Cmax)

To determine the effect of a staggered dose of AT-527 administered 2 hours before rosuvastatin on the PK of rosuvastatin
Day 1, Day 8

Area under the concentration-time curve (AUC)

To determine the effect of AT-527 on the single-dose pharmacokinetics (PK) of digoxin
Day 1, Day 15

Maximum plasma concentration (Cmax)

To determine the effect of a staggered dose of AT-527 administered 2 hours before digoxin on the PK of digoxin
Day 1, Day 15

Maximum plasma concentration (Cmax)

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)

Pharmacokinetics (PK) of AT-527 (RO7496998)
Day 1 vs Day 26

Maximum plasma concentration (Cmax)

Proportions (active vs. placebo) of subjects experiencing treatment-emergent adverse events.
Day 10
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
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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-527EXPERIMENTAL -
AT-527 BIDEXPERIMENTAL -
AT-527 single dose fasted/fedEXPERIMENTAL -
AT-527 + rosuvastatin (simultaneous) n=14EXPERIMENTAL -
AT-527 + rosuvastatin (staggered) n=14EXPERIMENTAL -
AT-527 + digoxin (simultaneous)EXPERIMENTALn=14
AT-527 + digoxin (staggered)EXPERIMENTALn=14
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-527 550 mg + carbamezepineEXPERIMENTAL -
AT-527 1100 mg + carbamezepineEXPERIMENTAL -
AT-527 Formulation 1 Dose 1EXPERIMENTAL -
AT-527 Formulation 2 Dose 1EXPERIMENTAL -
AT-527 Formulation 2 Dose 2EXPERIMENTAL -
AT-527 Formulation 1 Dose 3EXPERIMENTAL -
AT-527 Formulation 2 Dose 3EXPERIMENTAL -
AT-527 Formulation 2 Dose 1 Fast/FedEXPERIMENTAL -
AT-527 Formulation 2 Dose 3 Fast/FedEXPERIMENTAL -

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 fastedDRUGAT-527 administered twice daily (BID) for 5 days fasted
Placebo Comparator fastedOTHERMatching placebo administered twice daily (BID) for 5 days fasted
AT-527 fedDRUGAT-527 administered twice daily (BID) for 5 days fed
Placebo Comparator fedOTHERMatching placebo administered twice daily (BID) for 5 days fed
AT-527 single doseDRUGAT-527 single dose fasted/fed cross-over
Drug: AT-527 + rosuvastatinDRUG* Day 1: A single dose of rosuvastatin will be administered. * Day 8: A single dose of AT-527 and rosuvastatin will be co-administered.
AT-527 + rosuvastatinDRUG* Day 1: A single dose of rosuvastatin will be administered. * Day 8: A single staggered dose of AT-527 and rosuvastatin will be administered (2 hours later)
AT-527 + digoxinDRUG* Day 1: A single dose of digoxin will be administered. * Day 15: A single dose of AT-527 and digoxin will be co-administered.
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
Period 1: AT-527 550 mgDRUGAT-527 550 mg tablet (1 x 550 mg tablet, in the morning) on Day 1
Period 2: carbamazepineDRUGCarbamazepine 100 mg twice daily (BID) Days 3 to 6, 200 mg BID on Days 9 to 11, 300 mg BID on Days 12 to 25
Period 3: AT-527 550 mg + carbamazepineDRUGAT-527 550 mg tablet (1 x 550 mg tablet, in the morning) on Day 26 plus carbamazepine 300 mg BID on Day 26
Period 3: AT-527 1100 mg + carbamazepineDRUGAT-527 1100 mg tablet (2 x 550 mg tablets, in the morning) on Day 26 plus carbamazepine 300 mg BID on Day 26
AT-527 Formulation 1DRUGAT-527 Formulation 1 (R07496998)
Placebo ComparatorOTHERPlacebo Comparator
AT-527 Formulation 2DRUGAT-527 Formulation 2 (R07496998)
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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
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Frequently asked questions about AT-527+ rosuvastatin

What is AT-527 used for?

AT-527 is an investigational small molecule being studied for the treatment of Hepatitis C, Chronic Hepatitis C, and COVID-19. It has been evaluated in clinical trials involving healthy volunteers and patients with Hepatitis C virus infection.

Who makes AT-527?

AT-527 is being developed by Atea Pharmaceuticals, Inc., a biopharmaceutical company traded on NASDAQ under the ticker symbol AVIR.

What phase is AT-527 in?

AT-527 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug and has not been approved by regulatory authorities. All four clinical trials listed for AT-527 are completed.

What clinical trials has AT-527 been in?

AT-527 has been studied in four completed clinical trials: NCT03219957 (Phase 1, healthy and HCV-infected subjects), NCT04019717 (Phase 2, in combination with daclatasvir for HCV), NCT05004415 (Phase 1, mass balance study in healthy males), and NCT05137626 (Phase 1, drug-drug interaction study with digoxin).

Is AT-527 being studied for COVID-19?

Yes, AT-527 is listed as being studied for COVID-19. However, the clinical trial data provided does not specify a dedicated COVID-19 trial, as the completed trials focus on Hepatitis C and healthy volunteer studies.