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ACH-0141625

Phase 2

Hepatitis C | Small molecule | Infectious Disease |AstraZeneca PLC|Last Updated: Aug 30, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment122
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01180790Safety, Tolerability, and Antiviral Activity of ACH-0141625 or Placebo in Combination With Peginterferon and Ribavirin in Hepatitis C Virus (HCV) Positive ParticipantsPHASE2 COMPLETED 122Sep 1, 2010Apr 1, 2013Aug 30, 202318 United States, Belgium
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Study Endpoints
Primary Endpoints
Segment 1: Safety
4 weeks

Segment 1: Percentage of participants with the following: adverse events, abnormal laboratory safety tests, dose reductions, interruptions, and discontinuations. Criteria for abnormal laboratory safety tests: treatment-emergent worsening Division of AIDS (Acquired Immunodeficiency Syndrome) (DAIDs) graded laboratory tests. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Segment 1: Rapid Viral Response At Week 4 (RVR4)
4 weeks

The primary efficacy endpoint for Segment 1 of the study was the percentage of participants in each treatment group achieving RVR4 (hepatitis C virus \[HCV\] ribonucleic acid (RNA) less than or equal to the limit of quantitation \[LOQ\] at the Week 4 visit).

Segment 2: Safety
12 weeks

Segment 2: Percentage of participants with the following: adverse events, abnormal laboratory safety tests and dose reductions, interruptions and discontinuations. Criteria for abnormal laboratory safety tests: treatment-emergent worsening DAIDs graded laboratory tests. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Segment 2: Complete Early Virologic Response (cEVR)
Week 12

The primary efficacy endpoint for Segment 2 of the study was the percentage of participants achieving cEVR, defined as undetectable HCV RNA at Week 12.

Secondary Endpoints
Segment 1: cEVR
12 weeks
Segment 2: RVR4
4 weeks
Segment 1 And Segment 2: End Of Treatment Response
Week 48 (Segment 1); Week 24 (Segment 2)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Segment 1: 200 milligrams (mg) ACH-0141625EXPERIMENTAL200 mg ACH-0141625 for 28 days plus pegylated interferon (Peg-IFN) alpha-2a and ribavirin (RBV) for 48 weeks
Segment 1: 400 mg ACH-0141625EXPERIMENTAL400 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Segment 1: 800 mg ACH-0141625EXPERIMENTAL800 mg ACH-0141625 for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Segment 1: PlaceboPLACEBO_COMPARATORPlacebo for 28 days plus Peg-IFN alpha-2a plus RBV for 48 weeks
Segment 2: 200 mg ACH-0141625EXPERIMENTAL200 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Segment 2 : 400 mg ACH-0141625EXPERIMENTAL400 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Segment 2 : 800 mg ACH-0141625EXPERIMENTAL800 mg ACH-0141625 for 12 weeks plus Peg-IFN and RBV for up to a total of 24 or 48 weeks
Interventions
NameTypeDescription
ACH-0141625 (Sovaprevir)DRUG200 mg oral capsule once daily
PlaceboDRUGPowder in capsule once daily
Pegylated Interferon alpha-2aDRUG180 micrograms (ug) once a week by subcutaneous injection
RibavirinDRUG400 mg or 600 mg (morning \[AM\]) and 600 mg (evening \[PM\]) capsules taken orally twice daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Males and females, aged 18 years and older * Chronic hepatitis C genotype 1 (as specified in the protocol) * Treatment naive * Females who are post-menopausal and amenorrheic must have a follicle-stimulating hormone (FSH) at screening. Females of childbearing potential must ha...

Countries:United StatesBelgium
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Competitive Landscape -Hepatitis C 11 trials