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DAG181

Phase 3

Chronic HCV Infection | Small molecule | Infectious Disease |Sunshine Biopharma Inc.|Trials Updated: Oct 27, 2022

DAG181 development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Mar 2018

DAG181 target and mechanism

ModalitySmall molecule

Also known as Yimitasvir, Yimitasvir Phosphate Capsule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials5
Total Enrollment555

FDA Designations

No designations recorded

DAG181 clinical trials

DAG181 · 5 trials · 4 indications

Phase 3 1Phase 2 1Phase 1 3
NCT03487107Phase 3 Study of Yimitasvir Phosphate CapsulesChronic HCV Infection
COMPLETED362 Analytics
PHASE3COMPLETED
Phase 3 Study of Yimitasvir Phosphate Capsules
Chronic HCV InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of subjects with sustained virologic response 12 weeks after discontinuation of therapy(SVR12)
Posttreatment Week 12

SVR12 is defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after discontinuation of therapy

Safety and tolerability were evaluated based on adverse events
Up to posttreatment week 24

Collecting all adverse events during the whole study

Percentage of subjects with sustained virologic response 12 weeks after discontinuation of therapy (SVR12)
Posttreatment Week 12

SVR12 was defined as HCV RNA \< the lower limit of quantitation (LLOQ) at 12 weeks after stopping study treatment

Safety and tolerability were evaluated based on adverse event monitoring, laboratory tests, 12-lead ECG assessments, vital signs measurements and physical examinations.
Up to posttreatment week 24
Plasma pharmacokinetics (PK) parameters of DAG181 as measured by AUC
From Days 1-5

AUC is defined as the concentration of drug area under the curve

Plasma pharmacokinetics (PK) parameters of DAG181 as measured by Cmax
From Days 1-5

Cmax is defined as the maximum concentration of drug

Adverse Events
From Days 1-7

Incidence of adverse events

Cmax
From Days 1-5

Maximum plasma concentration of study drugs

AUC
From Days 1-5

Maximum plasma concentration of study drugs

Tmax
Prior to dosing (0 h) and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 h after dosing

Time of the maximum observed plasma concentration

T1/2
Prior to dosing (0 h) and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 h after dosing

Terminal elimination half-life

Secondary Endpoints

Percentage of subjects with sustained virologic response 4 and 24 weeks after discontinuation of therapy (SVR4 and SVR24)
Posttreatment Weeks 4 and 24
HCV RNA change from baseline
Up to posttreatment week 24
Percentage of subjects with virologic failure
Up to posttreatment week 24
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SOF 400 mg+DAG181 100 mgEXPERIMENTALPatients with genotype 1 HCV infection without cirrhosis will receive SOF 400 mg+DAG181 100 mg for 12 weeks.
SOF+DAG181 100 mgEXPERIMENTALPatients with genotype 1 HCV infection without cirrhosis will receive SOF+DAG181 100 mg for 12 weeks.
SOF+DAG181 200 mgEXPERIMENTALPatients with genotype 1 HCV infection without cirrhosis will receive SOF+DAG181 200 mg for 12 weeks.
Participants with renal impairmentEXPERIMENTALParticipants with End-stage renal disease will receive a single dose of Yimitasvir Phosphate Capsule.
Participants with normal renal functionEXPERIMENTALParticipants with normal renal function will receive a single dose of Yimitasvir Phosphate Capsule.
Yimitasvir Phosphate CapsulesEXPERIMENTALThe mechanism of action of Yimitasvir is the specific inhibition of HCV non-structural protein NS5A
30 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 30 mg yimitasvir(N=6) or placebo(N=2)
100 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 100 mg yimitasvir (N=6) or placebo(N=2)
200 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 200 mg yimitasvir (N=6) or placebo(N=2)
400 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 400 mg yimitasvir (N=6) or placebo(N=2)
600 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 600 mg yimitasvir (N=6) or placebo(N=2)
800 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 800 mg yimitasvir (N=6) or placebo(N=2)
1000 mg single doseEXPERIMENTALHealthy subjects, receiving a single dose of 1000 mg yimitasvir (N=6) or placebo(N=2)

Interventions

NameTypeDescription
SOFDRUG400 mg tablet administered orally once daily
DAG181DRUG100 mg capsule administered orally once daily
Yimitasvir Phosphate CapsuleDRUGDAG181 100 mg (100 mg Capsule) administered orally
Yimitasvir PhosphateDRUGCohort A: On the first day, 100 mg of Yimitasvir phosphate was given in a single dose on fasted by each subjects
yimitasvirDRUGCapsule administered orally once daily
placeboDRUGMatching Placebo Capsule
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites35

Inclusion Criteria: 1. Willing and able to provide written informed consent; 2. Male or female, age≥18 years; 3. A female subject is eligible to enter the study if it is confirmed that she is: 1. Of non-childbearing potential (i.e., women who have had a hysterectomy, have both ovaries removed o...

Countries:China
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Frequently asked questions about DAG181

What is DAG181 used for?

DAG181 is being developed for the treatment of chronic hepatitis C virus (HCV) infection. It is an investigational small molecule antiviral candidate studied in adult patients aged 18 years and older. Both reported clinical trials enrolled participants with chronic HCV infection in China.

Who is developing DAG181?

DAG181 is being developed by Sunshine Biopharma Inc., which trades under the ticker SBFM. The company is the sponsor behind the clinical program evaluating the compound in chronic HCV infection.

What phase is DAG181 in?

DAG181 has reached Phase 3 clinical development. A Phase 3 trial and a Phase 2 trial have both been completed, and no trials are currently listed as active. DAG181 remains an investigational drug and has not been approved by the FDA.

What clinical trials is DAG181 in?

Two completed trials have evaluated DAG181 in chronic HCV infection. NCT03487107 was a Phase 3 study of Yimitasvir Phosphate capsules that enrolled 362 patients in China. NCT03458481 was a Phase 2 study of the same capsules that enrolled 129 patients, also in China.

Is DAG181 the same as Yimitasvir phosphate?

Yes, DAG181 is also known as Yimitasvir phosphate. The clinical trials are listed under the name Yimitasvir Phosphate Capsules, so searches for either name refer to the same investigational small molecule being developed for chronic HCV infection.

How many patients were enrolled in DAG181 trials?

Across the two completed trials, 491 patients were enrolled in studies of DAG181 for chronic HCV infection. The Phase 3 trial NCT03487107 enrolled 362 patients, and the Phase 2 trial NCT03458481 enrolled 129 patients. Both studies were controlled and enrolled adults aged 18 years and older in China.