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Samatasvir

Phase 2

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment143

FDA Designations

No designations recorded

Clinical trial landscape

Samatasvir · 3 trials · 3 indications

Phase 2 1Phase 1 2
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
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
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
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.
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.
OmeprazoleDRUG40 mg delayed-release oral capsules, once daily
RitonavirDRUG100 mg oral tablets, once daily
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 Samatasvir

What is Samatasvir used for?

Samatasvir is an investigational small molecule being developed for the treatment of Hepatitis C, including chronic Hepatitis C virus and chronic Hepatitis C infection. It is being studied in combination with other antiviral agents for chronic Hepatitis C infection. The drug is currently in clinical development and is not approved by the FDA.

Who makes Samatasvir?

Samatasvir is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company has conducted clinical trials to evaluate the drug's safety, pharmacokinetics, and efficacy in treating Hepatitis C and chronic Hepatitis C infection.

What phase is Samatasvir in?

Samatasvir is in Phase 1 of clinical development. Clinical trials have been completed for the drug, including a Phase 1 study evaluating its relative bioavailability and food effect in healthy participants. No active trials are currently listed, and the drug remains investigational.

What clinical trials is Samatasvir in?

Samatasvir has been studied in clinical trials including NCT01335607, a Phase 1 open-label study in healthy male participants with Hepatitis C, and NCT01813552, a Phase 1 study evaluating the effect of ritonavir or omeprazole on its pharmacokinetics. A Phase 2 trial, NCT01852604, evaluated Samatasvir in combination with simeprevir and/or TMC647055/ritonavir with or without ribavirin in participants with chronic Hepatitis C infection.

Is Samatasvir the same as IDX184 or IDX719?

Samatasvir is also known as IDX719 in some clinical trials. The drug was previously referred to as IDX184 in an early Phase 1 study. These names refer to the same investigational compound being developed by Merck & Company, Inc. for Hepatitis C.