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Voxilaprevir

Phase 1

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

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment53

FDA Designations

No designations recorded

Clinical trial landscape

Voxilaprevir · 3 trials · 2 indications

Phase 1 3
NCT02402452Pharmacokinetics of Voxilaprevir in Adults With Normal Renal Function and Severe Renal ImpairmentHCV Infection
COMPLETED20 Analytics
NCT02397707Pharmacokinetics of Voxilaprevir in Adults With Normal Hepatic Function and Moderate or Severe Hepatic ImpairmentHCV Infection
COMPLETED33 Analytics
NCT02185794Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Voxilaprevir in Adults With Chronic Hepatitis C Virus InfectionHepatitis C Virus Infection
COMPLETED101 Analytics
PHASE1COMPLETED
Pharmacokinetics of Voxilaprevir in Adults With Normal Renal Function and Severe Renal Impairment
HCV InfectionUnlock trial analytics
PHASE1COMPLETED
Pharmacokinetics of Voxilaprevir in Adults With Normal Hepatic Function and Moderate or Severe Hepatic Impairment
HCV InfectionUnlock trial analytics
PHASE1COMPLETED
Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Antiviral Activity of Voxilaprevir in Adults With Chronic Hepatitis C Virus Infection
Hepatitis C Virus InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Pharmacokinetic (PK) Parameter of Voxilaprevir: AUClast
0 (predose ≤ 5 min) and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 48, 72, 96, and 120 hours postdose

AUClast is defined as the area under the plasma concentration versus time curve from time zero to the last quantifiable concentration. Data presented are unadjusted geometric means and confidence intervals.

PK Parameter of Voxilaprevir: AUCinf
0 (pre-dose ≤ 5 minutes), 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 48, 72, 96, and 120 hours postdose

AUCinf is defined as the area under the plasma concentration versus time curve extrapolated to infinite time. Data presented are unadjusted geometric means and confidence intervals.

PK Parameter of Voxilaprevir: Cmax
0 (pre-dose ≤ 5 minutes), 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 48, 72, 96, and 120 hours postdose

Cmax is defined as the maximum observed plasma concentration of drug. Data presented are unadjusted geometric means and confidence intervals.

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

Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAE) and Laboratory Abnormalities
First dose date to Day 31
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
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Normal Renal FunctionEXPERIMENTALParticipants will receive a single dose of voxilaprevir on Day 1.
Severe Renal ImpairmentEXPERIMENTALParticipants will receive a single dose of voxilaprevir on Day 1.
Moderate Hepatic ImpairedEXPERIMENTALParticipants with moderate hepatic impairment and matched healthy controls will receive a single dose of voxilaprevir on Day 1.
Severe Hepatic ImpairedEXPERIMENTALParticipants with severe hepatic impairment and matched healthy controls will receive a single dose of voxilaprevir on Day 1.
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
VoxilaprevirDRUG100 mg tablet administered orally
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 to 79 Years
SexALL
Healthy VolunteersYes
Study Sites4

Key Inclusion Criteria: * All individuals: * Screening laboratory values within defined thresholds for group * Use of two effective contraception methods if female of childbearing potential or sexually active male * For individuals with severe renal impairment: * Stable chronic kidney disea...

Countries:United StatesGermanyNew ZealandPuerto Rico
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Frequently asked questions about Voxilaprevir

What is Voxilaprevir used for?

Voxilaprevir is an investigational small molecule being developed for the treatment of Hepatitis C Virus (HCV) infection. It is currently in Phase 1 clinical development, with studies evaluating its safety, tolerability, pharmacokinetics, and antiviral activity in adults with chronic HCV infection.

Who is developing Voxilaprevir?

Voxilaprevir is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol GILD. The company is conducting clinical trials to evaluate the drug's potential as a treatment for Hepatitis C Virus infection.

What phase is Voxilaprevir in?

Voxilaprevir is in Phase 1 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. All completed trials for Voxilaprevir are Phase 1 studies, and no active trials are currently listed.

What clinical trials has Voxilaprevir been in?

Voxilaprevir has been studied in three completed Phase 1 clinical trials. NCT02185794 evaluated its safety and antiviral activity in 101 adults with chronic HCV infection. NCT02397707 assessed its pharmacokinetics in 33 adults with normal hepatic function and moderate or severe hepatic impairment. NCT02402452 examined its pharmacokinetics in 20 adults with normal renal function and severe renal impairment.

Is Voxilaprevir the same as any other drug?

Voxilaprevir is a distinct investigational compound and no alternative names have been reported. It is being studied as a monotherapy in early-phase trials for Hepatitis C Virus infection, and its development is separate from other HCV treatments.