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IDX719

Phase 2

Chronic Hepatitis C Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Trials Updated: Jan 26, 2016

IDX719 development status

Highest phase Phase 2 (NCT01852604)
Phase scored for MRKPhase 1
Registered trials 6 across 1 sponsor since Jan 2012

IDX719 target and mechanism

ModalitySmall molecule

Also known as Samatasvir

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials7
Total Enrollment421

FDA Designations

No designations recorded

IDX719 clinical trials

IDX719 · 7 trials · 4 indications

Phase 2 1Phase 1 6
NCT01852604Samatasvir (IDX719) in Combinations With Simeprevir and/or TMC647055/Ritonavir With or Without Ribavirin for 12 Weeks in Participants With Chronic Hepatitis C Infection (MK-1894-005)Chronic Hepatitis C Virus
COMPLETED143 Analytics
PHASE2COMPLETED
Samatasvir (IDX719) in Combinations With Simeprevir and/or TMC647055/Ritonavir With or Without Ribavirin for 12 Weeks in Participants With Chronic Hepatitis C Infection (MK-1894-005)
Chronic Hepatitis C VirusUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of participants who experienced an adverse event (AE)
Up to approximately 95 weeks
Percentage of participants who experienced a serious adverse event (SAE)
Up to approximately 95 weeks
Percentage of participants who experienced a Grade 1-4 laboratory abnormality
Up to 66 weeks
Percentage of participants who experienced sustained virologic response 4 weeks after the end of treatment (SVR4)
Up to 16 weeks
Maximum plasma concentration (Cmax)
Up to 6 days
Time to maximum plasma concentration (Tmax)
Up to 6 days
Area under the curve (AUC) from time zero to last measurable concentration (AUC0-last)
Up to 6 days
AUC from time zero to infinity (AUC0-~)
Up to 6 days
AUC from time zero to 24 hours (AUC0-24h)
Up to 6 days
Plasma concentration 24 hours after dosing (C24h)
Up to 6 days
Apparent terminal elimination rate constant
Up to 6 days
Observed terminal half-life (T1/2)
Up to 6 days
Observed maximum plasma drug concentration (Cmax)
Up to 14 days
Time to maximum concentration (Tmax)
Up to 14 days
Area under the drug concentration-plasma time curve from time zero to last measurable concentration (AUC0-t)
Up to 14 days
Predose trough concentration (Ctrough)
Up to 14 days
Pharmacokinetic parameter: Area under the concentration-time curve (AUC) from time zero to last measurable concentration
0 hour (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, and 96 hours
Pharmacokinetic parameter: AUC from time zero to infinity
0 hour (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, and 96 hours
Pharmacokinetic parameter: Maximum observed drug concentration (Cmax)
0 hour (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48, 72, and 96 hours
Area under the plasma concentration-time curve (AUC) at steady-state over dosing interval (AUCss)
Up to 30 days
Maximum observed plasma concentration (Cmax)
Up to 30 days
AUC from time zero to infinity
Up to 30 days
Trough plasma concentration (Ctrough)
Up to 30 days
Percentage of participants experiencing an adverse event (AE)
Up to 14 days
Percentage of participants experiencing serious AEs (SAEs)
Up to 14 days
Change in HCV ribonucleic acid (RNA)
Baseline and Day 10
Maximum plasma drug concentration (Cmax)
Pre-dose Day 1 to Day 13
Time to maximum plasma drug concentration (Tmax)
Pre-dose Day 1 to Day 13
Area under the plasma drug concentration-time curve (AUC) from time zero to time of last measurable concentration (AUC0-t)
Pre-dose Day 1 to Day 13
AUC from time zero to time 24 hours (AUC0-24h)
Pre-dose Day 1 to Day 1
AUC from time zero to time infinity (AUC0-~)
Pre-dose Day 1 to Day 13
Pre-dose trough plasma drug concentration (Ctrough)
Pre-dose Day 1
Observed terminal plasma drug concentration half-life (t1/2)
Pre-dose Day 1 to Day 13
Apparent oral total plasma drug clearance (CL/F) as Dose/AUC0-~ (single dose) or Dose/AUC0-t (multiple doses)
Pre-dose Day 1 to Day 13
Apparent oral total volume of distribution (Vz/F)
Pre-dose Day 1 to Day 13
Amount excreted in urine in each collection interval (Au)
Pre-dose Day 1 to Day 14
Cumulative urine excretion (Au0-t)
Pre-dose Day 1 to Day 14
Percentage of dose excreted in urine (% Dose excr)
Pre-dose Day 1 to Day 14
Renal clearance (CLr)
Pre-dose Day 1 to Day 14
Percentage of participants experiencing dose-limiting toxicity
Up to 8 days
Percentage of participants experiencing graded laboratory abnormalities
Up to 14 days
Pharmacokinetic parameter: Observed maximum plasma drug concentration (Cmax)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Time to maximum concentration (Tmax)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Area under the drug concentration-time curve from time 0 to last measurable concentration (AUC 0-t)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Area under the drug concentration-time curve from time 0 to 24 hours (AUC 0-24)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24 hours
Pharmacokinetic parameter: Area under the drug concentration-time curve from time 0 to infinity (AUC 0-infinity)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Plasma concentration at 24 hours post dose (C24h)
24 hours
Pharmacokinetic parameter: Observed plasma terminal half-life (T1/2)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Apparent oral total plasma clearance (CL/F)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours
Pharmacokinetic parameter: Apparent oral total plasma volume of distribution (Vz/F)
Predose (0 hours) and postdose at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours

Secondary Endpoints

Percentage of participants who experienced rapid virologic response (RVR)
Week 4
Percentage of participants who experienced early virologic response (EVR)
Week 12
Percentage of participants who experienced sustained virologic response 8 weeks after the end of treatment (SVR8)
Up to 20 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: GT 1b, 4 - samatasvir 50/simeprevir/RBVEXPERIMENTALPart A: Participants with genotype 1b or 4 received samatasvir 50 mg and samatasvir matching placebo once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part A: GT 1b, 4 - samatasvir 100/simeprevir/RBVEXPERIMENTALPart A: Participants with genotype 1b or 4 received samatasvir 100 mg and samatasvir matching placebo once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part A: GT 1b, 4 - samatasvir 150/simeprevir/RBVEXPERIMENTALPart A: Participants with genotype 1b or 4 received samatasvir 150 mg once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part B: GT 1b, 4 - samatasvir 25/simeprevir/RBVEXPERIMENTALPart B: Participants with genotype 1b or 4 received samatasvir 25 mg once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part B: GT 1b, 4 - samatasvir 100/simeprevir/RBVEXPERIMENTALPart B: Participants with genotype 1b or 4 received samatasvir 100 mg once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part B: GT 6 - samatasvir 100/simeprevir/RBVEXPERIMENTALPart B: Participants with Genotype 6 received samatasvir 100 mg once daily, plus simeprevir 150 mg capsule once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Part C: GT 1a, 1b - samatasvir 50/simeprevir/TCM647055/RTVEXPERIMENTALPart C: Participants with Genotype 1a or 1b received samatasvir 50 mg once daily, plus simeprevir 75 mg capsule once daily, plus TMC647055 450 mg once daily plus RTV 30 mg once daily for 12 weeks
Part C: GT 1a, 1b - samatasvir 50/simeprivir/TCM647055/RTV/RBVEXPERIMENTALPart C: Participants with Genotype 1a or 1b received samatasvir 50 mg once daily, plus simeprevir 75 mg capsule once daily, plus TMC647055 450 mg once daily, plus RTV 30 mg once daily, plus RBV (dosing weight-based, according to product label) twice daily for 12 weeks
Cohort 1: Child-Pugh Class AEXPERIMENTALParticipants with mild hepatic impairment (Child-Pugh Class A score = 5-6) will receive a single dose of 100 mg IDX719 by mouth on Day 1.
Cohort 2: Child-Pugh Class BEXPERIMENTALParticipants with moderate hepatic impairment (Child-Pugh Class B score = 7-9) will receive a single dose of 100 mg IDX719 by mouth on Day 1.
Cohort 3: Child-Pugh Class CEXPERIMENTALParticipants with severe hepatic impairment (Child-Pugh Class C score = 10-15) will receive a single dose of 100 mg IDX719 by mouth on Day 1.
IDX719 + RTVEXPERIMENTALParticipants take IDX719 150 mg once daily (QD) + ritonavir 30 mg QD on Days 1-7, and then take IDX719 150 mg QD + simeprevir 75 mg QD + TMC647055 450 mg QD + RTV 30 mg QD on Days 8-14.
Simeprevir/TMC647055 + RTVEXPERIMENTALParticipants take simeprevir 75 mg QD + TMC647055 450 mg QD + RTV 30 mg QD on Days 1-7, and then take IDX719 150 mg QD + simeprevir 75 mg QD + TMC647055 450 mg QD + RTV 30 mg QD on Days 8-14.
Samatasvir + RitonavirEXPERIMENTALDays 1, 9 and 13: Healthy Volunteers will take samatasvir in the mornings under fed or fasted conditions with water. Days 5-16: Healthy Volunteers will take ritonavir in the mornings under fasted or fed conditions with water.
Samatasvir + OmeprazoleEXPERIMENTALDays 1, 9 and 13: Healthy Volunteers will take samatasvir in the mornings under fasted conditions with water or Coke. Days 5-16: Healthy Volunteers will take omeprazole in the mornings under fasted conditions with water or Coke.
Group A: IDX719 then IDX719/SimeprevirEXPERIMENTALHealthy participants take IDX719 150 mg once daily (QD) on Days 1-7 and IDX719 150 mg QD + simeprevir 150 mg QD on Days 8-14.
Group B: Simeprevir then IDX719/SimeprevirEXPERIMENTALHealthy participants take simeprevir 150 mg QD on Days 1-7 and IDX719 150 mg QD + simeprevir 150 mg QD on Days 8-14.
Group C: IDX719EXPERIMENTALHealthy participants take IDX719 150 mg QD on Days 1-14.
Group D: IDX719/SimeprevirEXPERIMENTALParticipants from Groups A and B will be asked to return for Group D. Participants take IDX719 and simeprevir QD on Days 1-7 to determine the impact of food on single-dose (on Day 1) and steady state (Day 7) PK.
Group E: High-Fat then Low-Fat PKEXPERIMENTALParticipants from Group C will return to determine the PK of IDX719 after high-fat (Day 1) and low-fat (Day 7) meals (Days 2-6 are drug-free washout).
Group F: Low-Fat then High-Fat PKEXPERIMENTALParticipants from Group C will return to determine the PK of IDX719 after low-fat (Day 1) and high-fat (Day 7) meals (Days 2-6 are drug-free washout).
Group A: Healthy ParticipantsEXPERIMENTALHealthy participants take IDX719 (5 mg - 100 mg) or matching placebo by mouth as either 1 single dose or as 7 daily doses.
Group B: HCV ParticipantsEXPERIMENTALTreatment-naive participants infected with HCV genotype (GT) 1, GT2, or GT3 take IDX719 (1 mg - 100 mg) or matching placebo as either 1 single dose or as 7 daily doses.
Part A: Samatasvir cap→tab→tab; Part B: capACTIVE_COMPARATORPart A: Samatasvir capsule as a single dose on Day 1 (fasting state) followed by samatasvir tablet as a single dose on Day 8 (fasting state) followed by samatasvir tablet as a single dose on Day 15 (fed state); Part B: samatasvir capsule as a single dose on Day 1 (fed state)
Part A: Samatasvir tab→cap→tab; Part B: capACTIVE_COMPARATORPart A: Samatasvir tablet as a single dose on Day 1 (fasting state) followed by samatasvir capsule as a single dose on Day 8 (fasting state) followed by samatasvir tablet as a single dose on Day 15 (fed state); Part B: samatasvir capsule as a single dose on Day 1 (fed state)

Interventions

NameTypeDescription
SamatasvirDRUGSamatasvir (IDX719) will be supplied as 25 mg and 50 mg oral tablets.
SimeprevirDRUGSimeprevir will be supplied as 75 and 150 mg oral capsules.
Ribavirin (RBV)DRUGRibavirin will be supplied as 200 mg oral tablets. Participants in the RBV-free arms experiencing non-response or virologic breakthrough during the treatment period will be offered RBV dosed according to the product label as an add-on to the participant's randomized treatment assignment.
TMC647055DRUGTMC647055 will be supplied as 150 mg oral capsules.
Ritonavir (RTV)DRUGRitonavir will be supplied as 80 mg/mL oral solution.
Pegylated interferon (Peg-IFN)BIOLOGICALParticipants experiencing non-response or virologic breakthrough during the treatment period will be offered Peg-IFN (subcutaneous injection) dosed according to the product label as an add-on to the participant's randomized treatment assignment.
Samatasvir matching placeboOTHERSamatasvir matching placebo will be supplied for the 50 mg tablets used in Part A.
IDX719DRUGIDX719 supplied as 50 mg tablets.
RTVDRUGRTV will be supplied as 80 mg/mL solution for oral administration.
OmeprazoleDRUG40 mg delayed-release oral capsules, once daily
RitonavirDRUG100 mg oral tablets, once daily
PlaceboDRUGPlacebo liquid suspension matching IDX719 taken by mouth.
Samatasvir tabletDRUGTwo samatasvir (IDX184) 50 mg tablets (100 mg single oral dose)
Samatasvir capsuleDRUGTwo samatasvir (IDX184) 50 mg capsules (100 mg single oral dose)
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Must have Genotype 1a, 1b, 4 or 6 HCV infection. * Documented clinical history compatible with chronic hepatitis C * HCV treatment-naïve or interferon/RBV-treatment relapsed (Part C) * Must agree to use an acceptable double method of birth control (one of which must be a barri...

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Frequently asked questions about IDX719

What is IDX719 used for?

IDX719 is an investigational small molecule being developed for the treatment of chronic Hepatitis C infection. It is a NS5A inhibitor, meaning it targets the hepatitis C virus nonstructural protein 5A, which is essential for viral replication. The drug is currently in Phase 1 clinical development.

What does IDX719 target?

IDX719 targets the hepatitis C virus nonstructural protein 5A (NS5A). By inhibiting this protein, the drug aims to disrupt the viral replication process. This mechanism is being studied in the context of chronic Hepatitis C infection, where the drug is intended to reduce or eliminate the virus.

Who makes IDX719?

IDX719 is being developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. The drug is currently in Phase 1 clinical trials, and Merck is conducting studies to evaluate its safety, tolerability, and pharmacokinetics.

What phase is IDX719 in?

IDX719 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. All completed trials for IDX719 are Phase 1 studies, which focus on assessing the drug's safety, tolerability, and how it is processed in the body.

What clinical trials is IDX719 in?

IDX719 has been studied in several Phase 1 clinical trials, including NCT01508156, which evaluated the drug in healthy and HCV-infected participants, and NCT01813513, which assessed drug-drug interactions with simeprevir. Other trials include NCT01907724 and NCT01919125, which examined combinations and hepatic impairment effects.

Is IDX719 the same as MK-1894?

Yes, IDX719 is also known as MK-1894. The clinical trials for IDX719, such as NCT01508156, are registered under the MK-1894 designation. This alternative name is used by the developer, Merck & Company, to identify the same investigational drug for chronic Hepatitis C infection.