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PPI-668

Phase 2

Chronic Hepatitis C | Small molecule | Infectious Disease |BioCryst Pharmaceuticals, Inc.|Last Updated: Nov 25, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment38

FDA Designations

No designations recorded

Clinical trial landscape

PPI-668 · 5 trials · 3 indications

Phase 2 1Phase 1 4
NCT01859962Study of PPI-668, BI 207127 and Faldaprevir, With and Without Ribavirin, in the Treatment of Chronic Hepatitis CChronic Hepatitis C
COMPLETED38 Analytics
PHASE2COMPLETED
Study of PPI-668, BI 207127 and Faldaprevir, With and Without Ribavirin, in the Treatment of Chronic Hepatitis C
Chronic Hepatitis CUnlock trial analytics

Study Endpoints

Primary Endpoints

the proportion of patients achieving sustained viral response (SVR)
12 weeks after the end of treatment
PPI-668 area under the curve from time zero to infinity (AUC 0-inf)
days 1-8
PPI-668 maximum observed plasma concentration (Cmax)
Days 1-8
PPI-668 area under the curve from time zero to the last quantifiable concentration (AUC 0-t)
Days 1-8
Midazolam area under the plasma concentration-time curve from time 0 to 24 hours after dosing (AUC0-24)
Days 1-6
Midazolam maximum observed plasma concentration (Cmax)
Days 1-6
Omeprazole area under the plasma concentration-time curve from time 0 to 24 hours after dosing (AUC0-24)
Days 1-6
Omeprazole maximum observed plasma concentration (Cmax)
Days 1-6
Safety and tolerability, as measured by clinical adverse events and laboratory assessments
Part I, up to day 12; and Part II, up to day 17

Secondary Endpoints

Proportion of patients with "virologic relapse" post-treatment, defined as confirmed and quantifiable (>LLOQ) serum HCV RNA in a patient who achieved non-detectable serum HCV RNA by the end of treatment
up to 24 weeks post-treatment
Proportion of patients with confirmed viral breakthrough during study treatment
up to 12 weeks of study treatment
Proportions of study participants who receive at least one dose of study drug and who prematurely discontinue study treatment, and proportions prematurely discontinuing treatment for clinical adverse events or laboratory abnormalities
up to 12 weeks of study treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PPI-668, BI 207127 Dose 1, Faldaprevir, and RibavirinACTIVE_COMPARATORPPI-668, BI 207127 Dose 1, Faldaprevir, and Ribavirin dosed in combination
PPI-668, BI 207127 Dose 2, Faldaprevir, and RibavirinACTIVE_COMPARATORPPI-668, BI 207127 Dose 2, BI 207127 Placebo, Faldaprevir, and Ribavirin dosed in combination
PPI-668, BI 207127 Dose 1, and FaldaprevirACTIVE_COMPARATORPPI-668, BI 207127 Dose 1, and Faldaprevir dosed in combination
PPI-668 tablet followed by capsuleEXPERIMENTALOn day 1, one 200 mg PPI-668 tablet will be administered. On day 6, two 100 mg PI-668 capsules will be administered.
PPI-668 capsule followed by tabletEXPERIMENTALOn day 1, two 100 mg PI-668 capsules will be administered. On day 6, one 200 mg PPI-668 tablet will be administered.
midazolamEXPERIMENTALpotential effects of PPI-668 on midazolam pharmacokinetics
omeprazoleEXPERIMENTALpotential effects of PPI-668 on omeprazole pharmacokinetics
telaprevirEXPERIMENTALpotential effects of PPI-668 on telaprevir pharmacokinetics
Part I: single dose escalation in healthy volunteersEXPERIMENTALThere will be three sequential single dose cohorts: Cohort A: PPI-668 dose D1 or placebo Cohort B: PPI-668 dose D2 or placebo Cohort C: PPI-668 dose D3 or placebo
Part I: multiple dose administration to healthy volunteersEXPERIMENTALUpon completion of the single dose escalation phase, an additional cohort will receive repeat doses: Cohort D: highest well-tolerated dose from Cohorts A-C or placebo once daily for five days
Part II: multiple dose escalation in HCV subjectsEXPERIMENTALUpon completion of Part I, there will be 3, and potentially 4, sequential cohorts of HCV patients: Cohort E (genotype-1): PPI-668 dose E1 or placebo Cohort F (genotype-1): PPI-668 dose E2 or placebo Cohort G (genotype-1): PPI-668 dose E3 or placebo Cohort H (genotype-1): if necessary for dose-response assessment; dose to be determined Cohort I (genotype-2 or -3): PPI-668 dose E4 or placebo

Interventions

NameTypeDescription
PPI-668DRUG -
BI 207127 Dose 1DRUG -
BI 207127 Dose 2DRUG -
FaldaprevirDRUG -
RibavirinDRUG -
BI 207127 PlaceboDRUG -
PPI-668 tabletDRUG -
PPI-668 capsuleDRUG -
MidazolamDRUG -
OmeprazoleDRUG -
TelaprevirDRUG -
PlaceboDRUGcapsules
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Male or female, 18 to 65 years of age; if females are of childbearing potential, then they must be willing to use two non-hormonal methods of birth control 2. Body weight greater than 40 kg and less than 125 kg 3. Clinical diagnosis of chronic hepatitis C 4. Treatment-naïve f...

Countries:United StatesAustraliaNew Zealand
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Frequently asked questions about PPI-668

What is PPI-668 used for?

PPI-668 is an investigational small molecule being developed for the treatment of chronic hepatitis C. It has been studied in patients with hepatitis C virus (HCV) genotype 1 and in healthy volunteers for pharmacokinetic assessments. The drug is not approved and remains in clinical development.

Who makes PPI-668?

PPI-668 is being developed by BioCryst Pharmaceuticals, Inc., a biopharmaceutical company traded on the Nasdaq under the ticker symbol BCRX. The company has conducted clinical trials of PPI-668 in the United States, Australia, and New Zealand.

What phase is PPI-668 in?

PPI-668 is in Phase 2 clinical development. It has completed Phase 1 and Phase 2 trials, including a Phase 2 study of PPI-668 in combination with BI 207127 and faldaprevir, with and without ribavirin, for the treatment of chronic hepatitis C. The drug is investigational and not FDA approved.

What clinical trials is PPI-668 in?

PPI-668 has completed three clinical trials: NCT01448200, a Phase 1 study in healthy volunteers and patients with HCV genotype 1; NCT01786382, a drug interaction study with midazolam and omeprazole; and NCT01859962, a Phase 2 study of PPI-668 with BI 207127 and faldaprevir in chronic hepatitis C. All trials are completed.

How does PPI-668 work?

PPI-668 is a small molecule antiviral agent. The specific molecular target of PPI-668 has not been disclosed in the available clinical trial information. It is being studied for its ability to treat chronic hepatitis C virus infection.

Is PPI-668 the same as other hepatitis C drugs?

PPI-668 is a distinct investigational drug being developed by BioCryst Pharmaceuticals. It has been studied in combination with other antiviral agents, including BI 207127 and faldaprevir, but it is not the same as those drugs. No alternative names for PPI-668 have been reported.