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Elbasvir

Phase 2FDA approved

Hepatic Insufficiency | Small molecule | Gastrointestinal |Merck & Company, Inc.|Trials Updated: Oct 25, 2018

Elbasvir development status

FDA approval on record Jan 28, 2016 as Zepatier
Approval holderMsd Sub Merck
ApplicationNDA208261
Highest phase Phase 2 (NCT01717326)
Phase scored for MRKPhase 1
Registered trials 11 across 1 sponsor since Feb 2012

Label indication ZEPATIER ® is indicated for the treatment of chronic hepatitis C virus (HCV) genotype 1 or 4 infection in adult and pediatric patients 12 years of age and older or weighing at least 30 kg. ZEPATIER is indicated for use with ribavirin in certain patient populations [see Dosage and Administration (2.2) ] . FDA label

Elbasvir target and mechanism

ModalitySmall molecule

Also known as Elbasvir (EBR)

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment79

FDA Designations

No designations recorded

Elbasvir clinical trials

Elbasvir · 2 trials · 2 indications

Phase 1 2
NCT01797536The Influence of Hepatic Insufficiency on the Pharmacokinetics of Elbasvir (MK-8742) (MK-8742-009)Hepatic Insufficiency
COMPLETED31 Analytics
NCT01532973Safety, Pharmacokinetics and Pharmacodynamics of Elbasvir (MK-8742) in Hepatitis C Infected Males (MK-8742-002)Hepatitis, Viral, Human
COMPLETED48 Analytics
PHASE1COMPLETED
The Influence of Hepatic Insufficiency on the Pharmacokinetics of Elbasvir (MK-8742) (MK-8742-009)
Hepatic InsufficiencyUnlock trial analytics
PHASE1COMPLETED
Safety, Pharmacokinetics and Pharmacodynamics of Elbasvir (MK-8742) in Hepatitis C Infected Males (MK-8742-002)
Hepatitis, Viral, HumanUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Curve From 0 to Infinity (AUC0-inf) of Elbasvir
Predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 144, and 168

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 144, and 168 to determine the AUC0-inf of elbasvir.

Area Under the Curve From 0 to 24 Hours (AUC0-24hr) of Elbasvir
Predose and Hours 0.5, 1, 2, 3, 4, , 6, 8, 12, 16, and 24

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, and 24 to determine the AUC0-24hr of elbasvir.

Maximum Concentration (Cmax) of Elbasvir
Predose and Hours 0.5, 1, 2, 3, 4, , 6, 8, 12, 16, 24, 48, 96, 144, and 168

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 144, and 168 to determine the Cmax of Elbasvir.

Concentration at 24 Hours (C24) After Dosing Elbasvir
Hour 24

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, and 24, to determine the concentration of elbasvir at Hour 24 was determined.

Time to Maximum Concentration (Tmax) of Elbasvir
Predose and Hours 0.5, 1, 2, 3, 4, , 6, 8, 12, 16, 24, 48, 96, 144, and 168

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 144, and 168 to determine the maximum concentration (Cmax) of elbasvir. The time to reach Cmax (Tmax) was determined.

Apparent Terminal Half-Life (t1/2) of Elbasvir
Predose and Hours 0.5, 1, 2, 3, 4, , 6, 8, 12, 16, 24, 48, 96, 144, and 168

Blood samples were collected at predose and Hours 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 96, 144, and 168 to determine the t1/2 of elbasvir.

Mean Reduction From Baseline in Log10 Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Day 5 - HCV GT1
Baseline (Predose on Day 1) and 24-hour post-dose on Day 5

HCV RNA levels were assessed at baseline (predose on Day 1) and 24 hours postdose on Day 5 using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. Least squares means and confidence intervals obtained from the linear mixed model with log10 HCV RNA reduction as response and a fixed effect for treatment, time and treatment by time interaction.

Mean Reduction From Baseline in Log10 Plasma HCV RNA at Day 5 - HCV GT3
Baseline (Predose on Day 1) and 24-hour post-dose on Day 5

HCV RNA levels were assessed at baseline (predose on Day 1) and 24 hours postdose on Day 5 using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. Least squares means and confidence intervals obtained from the linear mixed model with log10 HCV RNA reduction as response and a fixed effect for treatment, time and treatment by time interaction

Mean Reduction From Baseline in Log10 Plasma HCV RNA at Day 5 - HCV GT1a
Baseline (Predose on Day 1) and 24-hour post-dose on Day 5

HCV RNA levels were assessed at baseline (predose on Day 1) and 24 hours postdose on Day 5 using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. Least squares means and confidence intervals obtained from the linear mixed model with log10 HCV RNA reduction as response and a fixed effect for treatment, time and treatment by time interaction.

Mean Maximum Reduction in Log10 HCV Viral Load - HCV GT1
Up to 5 days

HCV RNA levels were assessed at baseline (predose Day 1) and 24 hours postdose on Days 1-5. using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. The change in log10 LS mean HCV RNA levels was calculated for each timepoint and the maximum change from baseline was recorded.

Mean Maximum Reduction in Log10 HCV Viral Load - HCV GT3
Up to 5 days

HCV RNA levels were assessed at baseline (predose Day 1) and 24 hours postdose on Days 1-5. using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. The change in log10 LS mean HCV RNA levels was calculated for each timepoint and the maximum change from baseline was recorded.

Mean Maximum Reduction in Log10 HCV Viral Load - HCV GT1a
Up to 5 days

HCV RNA levels were assessed at baseline (predose Day 1) and 24 hours postdose on Days 1-5. using the Roche TaqMan HCV 2.0 assay and transformed to Log10 values. The lower limits of quantification (LLOQ) and detection (LLD) were 25 and 9.3 IU/mL, respectively. The change in log10 LS mean HCV RNA levels was calculated for each timepoint and the maximum change from baseline was recorded.

Number of Participants Experiencing an Adverse Event (AE) - Day 1 to Day 5
Up to 5 days

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE.

Number of Participants Who Had Study Drug Discontinued Due to an Adverse Event
Up to 5 days

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. Participants who had study drug discontinued due to an AE were recorded.

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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Mild Hepatic InsufficiencyEXPERIMENTALSingle oral dose of 5 x 10 mg capsules of elbasvir administered to participants with mild hepatic insufficiency, defined as a score of 5 to 6 on the Child-Pugh scale
Moderate Hepatic InsufficiencyEXPERIMENTALSingle oral dose of 5 x 10 mg capsules of elbasvir administered to participants with moderate hepatic insufficiency, defined as a score of 7 to 9 on the Child-Pugh scale
Severe Hepatic InsufficiencyEXPERIMENTALSingle oral dose of 5 x 10 mg capsules of elbasvir administered to participants with severe hepatic insufficiency, defined as a score of 10 to 15 on the Child-Pugh scale
Healthy ParticipantsEXPERIMENTALSingle oral dose of 5 x 10 mg capsules of elbasvir administered to participants matched to the mean of all hepatic insufficiency participants for age, gender, and weight
GT1 HCV 10-mg Elbasvir (Panel A)EXPERIMENTALParticipants with GT1 HCV receive 10 -mg elbasvir or matching placebo for 5 consecutive days during Part I of the study.
GTI HCV 50-g Elbasvir (Panel B)EXPERIMENTALParticipants with GT1 HCV receive 50-mg elbasvir or matching placebo for 5 consecutive days during Part I of the study.
GT1 HCV 5-mg Elbavir (Panel C)EXPERIMENTALParticipants with GT1 HCV receive 5-mg elbasvir or matching placebo for 5 consecutive days during Part I of the study.
GT1 HCV 200-mg Elbasvir (Panel D)EXPERIMENTALParticipants with GT1 HCV receive 200-mg elbasvir or matching placebo for 5 consecutive days during Part I of the study.
GT3 HCV 10-mg Elbasvir (Panel E)EXPERIMENTALParticipants with GT3 HCV receive 10-mg elbasvir or matching placebo for 5 consecutive days during Part II of the study.
GT3 HCV 50-mg Elbasvir (Panel F)EXPERIMENTALParticipants with GT3 HCV receive 50-mg elbasvir or matching placebo for 5 consecutive days during Part II of the study.
GT3 HCV 100-mg Elbasvir (Panel G)EXPERIMENTALParticipants with GT3 HCV receive 100-mg elbasvir or matching placebo for 5 consecutive days during Part II of the study.
GT3 HCV 200-mg Elbasvir (Panel H)EXPERIMENTALParticipants with GT3 HCV receive 200-mg elbasvir or matching placebo for 5 consecutive days during Part II of the study.
GT1a HCV 10-mg Elbasvir (Panel I)EXPERIMENTALParticipants with GT1a only HCV receive 10-mg elbasvir or matching placebo for 5 consecutive days during Part III of the study.
GT1a HCV 50-mg Elbasvir (Panel J)EXPERIMENTALParticipants with GT1a only HCV receive 50-mg elbasvir or matching placebo for 5 consecutive days during Part III of the study.

Interventions

NameTypeDescription
ElbasvirDRUG -
PlaceboDRUGDose-matched placebo tablets were administered orally.
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: * Body mass index (BMI) 19 - 40 kg/m\^2, inclusive * In good health based on medical history, physical examination, vital signs, and laboratory safety tests * No clinically significant abnormality on electrocardiogram (ECG) * For participants with hepatic insufficiency only, dia...

Countries:United States
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Frequently asked questions about Elbasvir

What is elbasvir?

Elbasvir is a small molecule drug developed by Merck & Company, Inc. (ticker MRK) for hepatic insufficiency and human viral hepatitis. It is in Phase 1 clinical development and is also referred to as elbasvir (EBR).

What is elbasvir used for?

Elbasvir is being studied for hepatic insufficiency and hepatitis, viral, human. Its clinical program includes a Phase 1 trial in hepatitis C infected males and a Phase 1 trial evaluating the influence of hepatic insufficiency on its pharmacokinetics.

Who makes elbasvir?

Elbasvir is developed by Merck & Company, Inc., which trades under the ticker MRK. Merck is the sponsor of the Phase 1 clinical trials evaluating elbasvir in hepatic insufficiency and human viral hepatitis.

What phase is elbasvir in?

Elbasvir is in Phase 1 clinical development. It is investigational and has not been approved. The program includes completed Phase 1 trials, with no active trials currently listed.

What clinical trials is elbasvir in?

Elbasvir has been studied in two completed Phase 1 trials: NCT01797536, which evaluated the influence of hepatic insufficiency on elbasvir pharmacokinetics in 31 participants, and NCT01532973, which assessed safety, pharmacokinetics, and pharmacodynamics in hepatitis C infected males in 48 participants.

Is elbasvir the same as EBR?

Yes, elbasvir is also known as elbasvir (EBR). EBR is an abbreviation for the same drug, a small molecule developed by Merck & Company, Inc. (ticker MRK) that is in Phase 1 development for hepatic insufficiency and human viral hepatitis.