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Vaniprevir

Phase 3

Hepatitis C, Chronic | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Oct 18, 2018

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment672
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01405560Vaniprevir Plus PegIntron®/Ribavirin in Japanese Participants With Chronic Hepatitis C Who Are Non-responders to Previous Treatment (MK-7009-045)PHASE3 COMPLETED 42Sep 2, 2011Mar 29, 2013Oct 18, 2018 -
NCT01405937Study of Vaniprevir Plus PegIntron®/Ribavirin in Japanese Participants With Chronic Hepatitis C Who Relapsed After Treatment (MK-7009-044)PHASE3 COMPLETED 51Aug 29, 2011Mar 12, 2013Oct 18, 2018 -
NCT01370642Vaniprevir Administered With Pegylated-interferon and Ribavirin in Japanese Treatment-Naïve Chronic Hepatitis C Participants (MK-7009-043)PHASE3 COMPLETED 294Jun 27, 2011Mar 17, 2014Oct 18, 2018 -
NCT00704405Safety and Efficacy of Vaniprevir (MK-7009) With Pegylated Interferon (Peg-IFN) and Ribavirin (RBV) in Treatment-Experienced Hepatitis C Virus (HCV) Participants (MK-7009-009)PHASE2 COMPLETED 285Mar 27, 2009Sep 10, 2012Oct 9, 2018 -
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Study Endpoints
Primary Endpoints
Percentage of Participants Achieving Sustained Virologic Response (SVR)24
24 weeks after 24 weeks of study therapy (up to 48 weeks)

SVR24 was defined as having an undetectable HCV RNA level 24 weeks after completion of all study therapy. The percentage of participants achieving SVR24 were reported along with corresponding 95% Clopper-Pearson exact confidence intervals for each treatment regimen.

Percentage of Participants With One or More Specific Adverse Events (AEs) of Special Interest During the Study
From Day 1 (post-dose) through completion of Week 24 Follow-up (up to 48 weeks)

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 is temporally associated with the use of the product, was also an AE. For this study, safety parameters or AEs of special interest that were identified a priori included serious rash, anemia (anemia plus haemoglobin decreased), neutropenia (neutropenia plus neutrophil count decreased), bilirubin increased and gastrointestinal adverse experiences (vomiting, nausea, and diarrhea). The percentage of participants with ≥1 specific AEs were reported along with corresponding 95% Clopper-Pearson exact confidence intervals for each treatment regimen.

Percentage of Participants Who Discontinued Study Drug Due to an AE
From Day 1 (post-dose) through completion of Week 24 Follow-up (up to 48 weeks)

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 is temporally associated with the use of the product, was also an AE.

Percentage of Participants Achieving Sustained Virologic Response 24 Weeks After Completion of All Study Therapy (SVR24)
24 weeks after 24 weeks of study therapy (up to 48 weeks)

SVR24 was defined as having an undetectable HCV RNA level 24 weeks after completion of all study therapy. The percentage of participants achieving SVR24 were reported along with corresponding 95% Clopper-Pearson exact confidence intervals for each treatment regimen.

Percentage of Participants With One or More Tier 1 Adverse Events (AEs) During the Study
From Day 1 (post-dose) through completion of Week 24 Follow-up (up to 72 weeks)

An adverse experience 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 is temporally associated with the use of the product, was also an adverse experience. For this study, safety parameters or AEs of special interest that were identified a priori constituted "Tier 1" safety endpoints that were subject to inferential testing for statistical significance. Tier 1 AEs on this study included serious rash, anemia (anemia plus haemoglobin decreased), neutropenia (neutropenia plus neutrophil count decreased), bilirubin increased and gastrointestinal adverse (GI) experiences (vomiting, nausea, and diarrhea).

Percentage of Participants Achieving SVR24 Following Treatment With Vaniprevir 600 mg b.i.d.
Up to 72 weeks

The percentage of non-cirrhotic participants with undetectable Hepatits C virus (HCV) ribonucleic acid (RNA) 24 weeks after completing treatment was determined for each Vaniprevir 600 mg b.i.d. and control regimen. Results for Vaniprevir 300 mg are presented as a Secondary Outcome Measure.

Number of Participants Experiencing an Adverse Event (AE)
Up to 73 weeks

The number of non-cirrhotic participants experiencing AEs during the active Vaniprevir/PBO treatment and 14-day follow-up periods was monitored for each treatment regimen. An AE was defined as any unfavorable and unintended change in the structure (signs), function (symptoms), or chemistry (laboratory data) of the body temporally associated with any use of a Sponsor product, whether or not considered related to the use of the product.

Number of Participants Discontinuing From Study Treatment Due to AEs
Up to 48 weeks

The number of non-cirrhotic participants withdrawing from study treatment due to AEs during the active Vaniprevir/PBO treatment and 14-day follow-up periods was monitored for each treatment regimen.

Secondary Endpoints
Percentage of Participants Achieving SVR12
12 weeks after 24 weeks of study therapy (up to 36 weeks)
Percentage of Participants Achieving Rapid Virologic Response (RVR)
At Week 4
Percentage of Participants Achieving Complete Early Virologic Response (cEVR)
At Week 12
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Vaniprevir 24 Week ArmEXPERIMENTALParticipants receive 24 weeks of vaniprevir (300 mg twice daily) with concomitant peg-IFN and RBV treatment
Vaniprevir 12 Week ArmEXPERIMENTALParticipants on this arm receive 12 weeks of vaniprevir (300 mg twice daily) along with 24 weeks of treatment with peg-IFN and RBV
Control ArmACTIVE_COMPARATORParticipants on this arm receive 24 weeks of treatment with placebo to vaniprevir along with 48 weeks of treatment with peg-IFN and RBV.
24-wk Vaniprevir 600 mg + Peg-IFN/RBVEXPERIMENTALVaniprevir 600 mg (total daily dose) and RBV (1000 mg or 1200 mg total daily dose based on body weight) twice daily (b.i.d.) and Peg-IFN 180 mcg injection once weekly for 24 weeks.
24-wk Vaniprevir 600 mg + 24-wk PBO + Peg-IFN/RBVEXPERIMENTALVaniprevir 600 mg (total daily dose) and RBV (1000 mg or 1200 mg total daily dose based on body weight) b.i.d. and Peg-IFN 180 mcg injection once weekly for 24 weeks, followed by PBO and RBV (1000 mg or 1200 mg total daily dose based on body weight) b.i.d. and Peg-IFN 180 mcg injection once weekly for an additional 24 weeks.
48-wk Vaniprevir 300 mg + Peg-IFN/RBVEXPERIMENTALVaniprevir 300 mg (total daily dose, taken once daily \[q.d.\]) and RBV (1000 mg or 1200 mg total daily dose based on body weight) b.i.d. and Peg-IFN 180 mcg injection once weekly for 48 weeks.
48-wk Vaniprevir 600 mg + Peg-IFN/RBVEXPERIMENTALVaniprevir 600 mg and RBV (1000 mg or 1200 mg based on body weight) b.i.d. and Peg-IFN 180 mcg injection once weekly for 48 weeks.
48-wk PBO + Peg-IFN/RBVPLACEBO_COMPARATORPBO and RBV (1000 mg or 1200 mg based on body weight) b.i.d. and Peg-IFN 180 mcg injection once weekly for 48 weeks.
Interventions
NameTypeDescription
VaniprevirDRUGCapsules containing 150 mg vaniprevir, orally, two in the morning and two in the evening for 24 weeks
peg-IFNBIOLOGICALOpen-label peg-IFN alfa-2b at 1.5 μg/kg once per week, administered subcutaneously (SC) for 24 weeks
ribavirinDRUGCapsules containing 200 mg RBV, orally, 3 to 5 capsules, dosage based on the participant's weight (600 mg/day to 1000 mg/day), for 24 weeks
Placebo to vaniprevirDRUGPlacebo to vaniprevir, capsules, orally, twice daily for 12 weeks or 24 weeks
Pegylated Interferon (Peg-IFN)DRUGParticipants used prefilled syringe containing 180 µg/0.5 mL Peg-IFN, for weekly subcutaneous injection, for 24 or 48 weeks
Ribavirin (RBV)DRUGParticipants took tablets containing 200 mg RBV, 5 or 6 tablet dosage based on the participant's weight, with food, for 24 or 48 weeks. The dose was 1000 mg for participants weighing \<=75 kg and 1200 mg for participants weighing \>75 kg.
Placebo (PBO)DRUGParticipants took PBO capsules matching Vaniprevir capsules, three in the morning and three in the evening, for 24 or 48 weeks.
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Eligibility Criteria
Age Range20 Years — 70 Years
SexALL
Healthy VolunteersNo

Inclusion criteria: * Japanese participant diagnosed with compensated CHC GT 1 * Absence of ascites, bleeding esophageal varices, hepatic encephalopathy, or other signs or symptoms of advanced liver disease * Has received and tolerated treatment with IFN-based therapy (IFN α, IFN β, or peg-IFN) wit...

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