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Voxilaprevir

Phase 1

Hepatitis C Virus Infection | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Sep 17, 2020

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 Enrollment101
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02185794Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Voxilaprevir in Adults With Chronic Hepatitis C Virus InfectionPHASE1 COMPLETED 101Jun 13, 2014Sep 28, 2015Sep 17, 202011 United States, Puerto Rico
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing Treatment Emergent Adverse Events
First dose date up to Day 3 plus 30 days
Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities
First dose date up to Day 3 plus 30 days

Treatment-emergent laboratory abnormalities were defined as values that increase at least one toxicity grade from baseline. The severity of laboratory abnormalities was assessed as Grade 0, 1 (mild), 2 (moderate), 3 (severe), or 4 (potentially life threatening) using the Common Terminology Criteria for Adverse Events (CTCAE), version 4.03. The most severe graded abnormality from all tests was counted for each participant.

Antiviral Activity of Voxilaprevir as Measured by Change From Baseline in Plasma HCV RNA
Baseline; Days 4, 5, 6, 7, 8, 10, and Week 48

The outcome measure was assessed to evaluate antiviral activity of voxilaprevir only (cohorts 1 through 6). Data are summarized by treatment/cohort and placebo.

Secondary Endpoints
Antiviral Activity of Voxilaprevir as Measured by Absolute HCV RNA Level Through Week 48
Baseline (Pre Day 1 Dose); Days 4, 5, 6, 7, 8, 10, and Week 48
Antiviral Activity of Voxilaprevir as Measured by Number of Participants Achieving Reductions From Baseline in HCV RNA
Baseline; Days 4, 5, 6, 7, 8, 10, and Week 48
Percentage of Participants Who Have HCV RNA < Lower Limit of Quantitation (LLOQ) Detected, and < LLOQ Target Not Detected (TND)
Days 4, 5, 6, 7, 8, 10, and Week 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo (GT 1a, Cohort 1)PLACEBO_COMPARATORParticipants with genotype (GT) 1a HCV infection will receive placebo once daily for 3 days under fasted conditions.
Voxilaprevir 50 mg (GT 1a, Cohort 1)EXPERIMENTALParticipants with GT 1a HCV infection will receive voxilaprevir 50 mg once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg (GT 1a, Cohort 1)EXPERIMENTALParticipants with GT 1a HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Voxilaprevir 300 mg (GT 1a, Cohort 1)EXPERIMENTALParticipants with GT 1a HCV infection will receive voxilaprevir 300 mg once daily for 3 days under fasted conditions.
Placebo (GT 3, Cohort 2)PLACEBO_COMPARATORParticipants with GT 3 HCV infection will receive placebo once daily for 3 days under fasted conditions.
Voxilaprevir 50 mg (GT 3, Cohort 2)EXPERIMENTALParticipants with GT 3 HCV infection will receive voxilaprevir 50 mg once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg (GT 3, Cohort 2)EXPERIMENTALParticipants with GT 3 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Voxilaprevir 300 mg (GT 3, Cohort 2)EXPERIMENTALParticipants with GT 3 HCV infection will receive voxilaprevir 300 mg once daily for 3 days under fasted conditions.
Placebo (GT 2, Cohort 3)PLACEBO_COMPARATORParticipants with GT 2 HCV infection will receive placebo once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg (GT 2, Cohort 3)EXPERIMENTALParticipants with GT 2 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg (GT 4, Cohort 4)EXPERIMENTALParticipants with GT 4 HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg (GT 1b, Cohort 5)EXPERIMENTALParticipants with GT 1b HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fasted conditions.
Voxilaprevir 100 mg Fed (GT 3a, Cohort 6)EXPERIMENTALParticipants with GT 3a HCV infection will receive voxilaprevir 100 mg once daily for 3 days under fed conditions.
Voxilaprevir 600 mg (Cohorts 7-9)EXPERIMENTALParticipants with genotypes 1a, 1b, 2, 3, or 4 HCV infection will receive voxilaprevir up to 600 mg under fasted or fed conditions for 3 days.
Voxilaprevir 100 mg + SOF/VEL 400/100 mg (Group 1, Cohort 10)EXPERIMENTALParticipants with any GT HCV infection received voxilaprevir 100 mg on Day 1 after moderate fat meal and voxilaprevir 100 mg plus sofosbuvir (SOF)/velpatasvir (VEL) (400/100 mg) fixed-dose combination (FDC)on Days 2 and 3 after either a light or moderate-fat meal.
Voxilaprevir 100 mg + SOF/VEL 400/100 mg (Group 2, Cohort 10)EXPERIMENTALParticipants with any GT HCV infection received voxilaprevir 100 mg on Day 1 and voxilaprevir 100 mg plus SOF/VEL (400/100 mg) FDC on Days 2 and 3 after moderate fat meal.
Interventions
NameTypeDescription
VoxilaprevirDRUGVoxilaprevir tablets administered orally once daily
Placebo to match voxilaprevirDRUGPlacebo to match voxilaprevir tablets administered orally once daily
SOF/VELDRUG400 mg/100 mg FDC tablet administered orally once daily
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites11

Key Inclusion Criteria: * Chronic genotype 1-4 HCV infection * For Cohorts 1-9, HCV RNA ≥ 100,000 IU/mL at screening (no HCV RNA restriction for Cohort 10) * Screening laboratory values within defined thresholds * Use of two effective contraception methods if female of childbearing potential or sex...

Countries:United StatesPuerto Rico
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