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AL-335

Phase 2

Hepatitis C, Chronic | Small molecule | Infectious Disease |Johnson & Johnson|Last Updated: Feb 3, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials2
Total Enrollment398

FDA Designations

No designations recorded

Clinical trial landscape

AL-335 · 4 trials · 3 indications

Phase 2 2Phase 1 2
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.

Average Analyte Concentration at Steady State (Cavg,ss)
Up to Day 36

The Cavg,ss is calculated as area under the plasma concentration-time curve during a dosing Interval (AUC\[tau\]) divided by the dosing interval (tau).

Maximum Observed Analyte Concentration (Cmax)
Up to Day 36

The Cmax is the maximum observed analyte concentration.

Minimum Observed Analyte Concentration (Cmin)
Up to Day 36

The Cmin is the minimum observed analyte concentration during dosing interval.

Trough Plasma Concentration (Ctrough)
Up to Day 36

The (Ctrough) is the plasma concentration before dosing or at the end of the dosing interval of any dose other than the first dose in a multiple dosing regimen.

Time to Reach Maximum Observed Analyte Concentration (Tmax)
Up to Day 36

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.

Area Under the Analyte Concentration-Time Curve From Time 0 to 24 Hours (AUC24)
Up to Day 36

The AUC24 is the area under the analyte concentration-time curve from time 0 to 24 hours.

Fluctuation Index (FI)
Up to Day 36

Fluctuation Index is defined as percentage of fluctuation (variation between maximum and minimum concentration at steady state), calculated as: 100\*(\[Cmax-Cmin\]/Cavg).

Area Under the Analyte Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUClast)
Up to Day 36

The (AUC \[0-last\]) is the area under the analyte concentration-time curve from time 0 to time of the last quantifiable concentration.

Area Under the Analyte Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity])
Up to Day 36

The AUC (0-infinity) 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.

Elimination Rate Constant (Lambda[z])
Up to Day 36

Lambda(z) is first-order elimination rate constant associated with the terminal portion of the curve, determined as the negative slope of the terminal log-linear phase of the drug concentration-time curve.

Elimination Half-Life (t1/2)
Up to Day 36

Elimination half-life (t\[1/2\]) is associated with the terminal slope (lambda \[z\]) of the semi-logarithmic drug concentration-time curve, calculated as 0.693/lambda(z).

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).
AL-335+Simeprevir (SMV)+Odalasvir (ODV)EXPERIMENTALParticipants will receive AL-335 800 milligram (mg) once daily from day 1-3; SMV 75 mg once daily from Day 4-13; loading dose of ODV 150 mg on Day 14, followed by ODV 50 mg once daily from Day 15 to 23; ODV 50 mg once daily + AL-335 800 mg once daily from day 24-26; ODV 50 mg once daily + SMV 75 mg once daily from Day 27-33 and ODV 50 mg once daily + SMV 75 mg once daily + AL-335 800 mg once daily from Day 34 to 36.

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 StatesUnited Kingdom
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Frequently asked questions about AL-335

What is AL-335 used for?

AL-335 is an investigational small molecule being studied for the treatment of chronic hepatitis C infection. It has also been evaluated in healthy volunteers and in people with renal insufficiency to assess its safety and pharmacokinetics. The drug is not approved and remains in clinical development.

Who makes AL-335?

AL-335 is being developed by Johnson & Johnson, a company traded on the New York Stock Exchange under the ticker JNJ. The drug is an investigational small molecule and has not been approved by regulatory authorities.

What phase is AL-335 in?

AL-335 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug and is not FDA approved. The completed trials include a Phase 2 study in chronic hepatitis C and Phase 1 studies in healthy participants and those with renal impairment.

What clinical trials is AL-335 in?

AL-335 has been studied in several completed trials. NCT02765490 was a Phase 2 trial in chronic hepatitis C with 365 participants. NCT02824315 was a Phase 1 healthy volunteer study in Japan. NCT02894905 evaluated renal impairment, and NCT02993250 was a Phase 2 trial in Japanese patients with hepatitis C.

Is AL-335 the same as odalasvir or simeprevir?

No, AL-335 is a distinct investigational drug. It has been studied in combination with odalasvir and simeprevir, which are other direct-acting antiviral agents. The combination therapy was evaluated in clinical trials for chronic hepatitis C, but AL-335 itself is a separate compound.