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AL-335

Phase 2

Hepatitis C, Chronic | Small molecule | Infectious Disease |Johnson & Johnson|Trials Updated: Nov 20, 2019

AL-335 development status

Highest phase Phase 2
Registered trials 9 across 3 sponsors since May 2016

AL-335 target and mechanism

ModalitySmall molecule

Also known as JNJ-64146212

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials3
Total Enrollment422

FDA Designations

No designations recorded

AL-335 clinical trials

AL-335 · 3 trials · 2 indications

Phase 2 2Phase 1 1
NCT02993250A Study to Investigate the Safety, Pharmacokinetics, and Efficacy of Combination Treatment of AL-335, Odalasvir, and Simeprevir in Japanese Participants With Chronic Hepatitis C Genotype 1 or 2 Virus Infection, With or Without Compensated Cirrhosis Who Are Direct Acting Antiviral Treatment-naiveHepatitis C, Chronic
COMPLETED33 Analytics
NCT02765490Efficacy and Safety of Combinations of AL-335, Odalasvir (ODV) and Simeprevir (SMV) in the Treatment of Chronic Hepatitis C InfectionHepatitis C, Chronic
COMPLETED365 Analytics
PHASE2COMPLETED
A Study to Investigate the Safety, Pharmacokinetics, and Efficacy of Combination Treatment of AL-335, Odalasvir, and Simeprevir in Japanese Participants With Chronic Hepatitis C Genotype 1 or 2 Virus Infection, With or Without Compensated Cirrhosis Who Are Direct Acting Antiviral Treatment-naive
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Combinations of AL-335, Odalasvir (ODV) and Simeprevir (SMV) in the Treatment of Chronic Hepatitis C Infection
Hepatitis C, ChronicUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AEs)
Approximately 38 weeks (Cohort 1) and 42 weeks (Cohort 2)

An adverse event was any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

Percentage of Participants With Sustained Virologic Response 12 Weeks After End of Treatment (EOT) (SVR12)
Week 12 (Follow-Up Phase)

The SVR 12 was defined as hepatitis C virus ribonucleic acid (HCV RNA) less than (\<) lower limit of quantification (LLOQ; 15 international unit per milliliter \[IU/mL\]) detectable or undetectable 12 weeks after actual EOT.

Maximum Observed Concentration (Cmax) of AL-335
Pre-dose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 28, 32, 36, 48, 60, and 72 hours post-dose

The Cmax is the maximum observed concentration of analyte (AL-335).

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Pre-dose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 28, 32, 36, 48, 60, and 72 hours post-dose

The AUClast is the area under the analyte (AL-335) concentration-time curve from time zero (0) to time of the last quantifiable concentration.

Area Under the Concentration-Time Curve From Time Zero to Infinite Time (AUCinfinity)
Pre-dose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 28, 32, 36, 48, 60, and 72 hours post-dose

The AUCinfinity is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.

Secondary Endpoints

Percentage of Participants With Sustained Virologic Response 4 Weeks (SVR4) After Actual End-of-Treatment
Week 4 (follow-up phase)
Percentage of Participants With Sustained Virologic Response 12 Weeks (SVR12) After Actual End-of-treatment
Week 12 (follow-up phase)
Percentage of Participants With Sustained Virologic Response 24 Weeks (SVR24) After Actual End-of-treatment
Week 24 (follow-up phase)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1 (Chronic Hepatitis C Without Cirrhosis)EXPERIMENTALParticipants will receive 800 milligram (mg) AL-335 +odalasvir (ODV) 25 mg+simeprevir (SMV) 75 mg once daily for 8 weeks in Cohort 1.
Cohort 2 (Chronic Hepatitis C With Compensated Cirrhosis)EXPERIMENTALParticipants will receive AL-335 800 milligram (mg)+ODV 25 mg+SMV 75 mg once daily for 12 weeks in Cohort 2. Dosing in cohort 2 will be started according to decision of Data Review Committee (DRC).
Group AEXPERIMENTALAL-335 (800 mg), odalasvir (25 mg) and simeprevir (75 mg) once daily during 6 weeks.
Group BEXPERIMENTALAL-335 (800 mg), odalasvir (25 mg) and simeprevir (75 mg) once daily during 8 weeks.
AL-335 (Cohort 1)EXPERIMENTALParticipants with mild impaired renal function will receive a single oral dose of AL-335 800 milligram (mg) (given as 2\*400-mg tablets).
AL-335 (Cohort 2)EXPERIMENTALParticipants with moderate impaired renal function will receive a single oral dose of AL-335 800 mg (given as 2\*400-mg tablets).
AL-335 (Cohort 3)EXPERIMENTALParticipants with severe impaired renal function will receive a single oral dose of AL-335 800 mg (given as 2\*400-mg tablets).
AL-335 (Cohort 4)EXPERIMENTALParticipants with normal renal function will receive a single oral dose of AL-335 800 mg (given as 2\*400-mg tablets).

Interventions

NameTypeDescription
AL-335DRUGParticipants will receive AL-335 800 mg once daily for 8 weeks in cohort 1 and 12 weeks in cohort 2.
Odalasvir (ODV)DRUGParticipants will receive ODV 25 mg once daily for 8 weeks in cohort 1 and 12 weeks in cohort 2.
Simeprevir (SMV)DRUGParticipants will receive SMV 75 mg once daily for 8 weeks in cohort 1 and 12 weeks in cohort 2.
OdalasvirDRUGOdalasvir 25 mg tablet will be administered once daily.
SimeprevirDRUGSimeprevir 75 mg capsule will be administered once daily.
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Eligibility Criteria

Age Range20 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Chronic hepatitis C virus (HCV) infection * All participants must have HCV genotype 1 or 2 infection, determined at screening * HCV ribonucleic acid (RNA) plasma levels greater than or equal to (\>=)10,000 international units per Milliliter (IU/mL), determined at screening * D...

Countries:JapanBelgiumCanadaGermanyPolandSingaporeSpainUnited States
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Frequently asked questions about AL-335

What is AL-335?

AL-335 is an investigational small molecule antiviral developed by Johnson & Johnson for the treatment of chronic hepatitis C virus infection. It has been studied both as part of combination regimens with other direct acting antivirals and in participants with renal insufficiency. It remains in clinical development and is not an approved medicine.

What is AL-335 used for in chronic hepatitis C?

AL-335 was studied for the treatment of chronic hepatitis C, including genotype 1 and genotype 2 infections, in people with or without compensated cirrhosis who had not previously received direct acting antiviral treatment. It was also evaluated in a study of renal insufficiency. All reported trials are completed.

Who makes AL-335?

AL-335 is developed by Johnson & Johnson, which trades on the New York Stock Exchange under the ticker JNJ. The company sponsored the clinical program evaluating the drug in chronic hepatitis C and in renal insufficiency.

What phase is AL-335 in?

AL-335 is in Phase 2 development. Two Phase 2 trials and one Phase 1 trial have been completed, and no trials are currently listed as active. The drug is investigational and has not been approved for any indication.

What clinical trials is AL-335 in?

Three completed trials studied AL-335. NCT02765490 was a Phase 2 study of AL-335 combined with odalasvir and simeprevir in 365 participants with chronic hepatitis C across Belgium, Canada, Germany, Poland, Singapore and Spain. NCT02993250 was a Phase 2 study in 33 Japanese participants, and NCT02894905 was a Phase 1 renal impairment pharmacokinetics study in 24 participants.