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AL-034

Phase 1

Hepatitis B | Small molecule | Infectious Disease |Vertex Pharmaceuticals Incorporated|Last Updated: Feb 3, 2025

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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment42
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03285620A Study of AL-034 to Evaluate the Safety, Tolerability and Pharmacokinetics of Single and Multiple Doses in Healthy ParticipantsPHASE1 COMPLETED 42Sep 7, 2017Nov 14, 2018Feb 3, 20251 New Zealand
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Study Endpoints
Primary Endpoints
Part 1: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Approximately up to 9 weeks

An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

Part 2: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Approximately up to 12 weeks

An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

Part 1: Number of Participants With AEs by Severity
Approximately up to 9 weeks

Severity of AEs will be graded according to the Division of Acquired Immune Deficiency Syndrome (DAIDS) Toxicity Grading Scale as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); Grade 4 (potentially life-threatening); and Grade 5 (death related to the AE).

Part 2: Number of Participants With AEs by Severity
Approximately up to 12 weeks

Severity of AEs will be graded according to the Division of AIDS (DAIDS) Toxicity Grading Scale as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); Grade 4 (potentially life-threatening); and Grade 5 (death related to the AE).

Part 1: Number of Participants with Clinically Significant Changes in Physical Examination
Approximately up to 9 weeks

Number of participants with clinically significant changes in the physical examination (including height, body weight measurement, and skin examination) will be reported.

Part 2: Number of Participants with Clinically Significant Changes in Physical Examination
Approximately up to 12 weeks

Number of participants with clinically significant changes in the physical examination (including height, body weight measurement, and skin examination) will be reported.

Part 1: Number of Participants with Vital Sign Abnormalities
Approximately up to 9 weeks

Number of participants with vital signs abnormalities (vital signs includes body temperature, pulse rate, respiratory rate, oxygen saturation \[SaO2\] and blood pressure) will be reported.

Part 2: Number of Participants with Vital Sign Abnormalities
Approximately up to 12 weeks

Number of participants with vital signs abnormalities (vital signs includes body temperature, pulse rate, respiratory rate, oxygen saturation \[SaO2\] and blood pressure) will be reported.

Part 1: Number of Participants with Laboratory Abnormalities
Approximately up to 9 weeks

Number of participants with clinical laboratory abnormalities (serum chemistry, hematology, and coagulation) will be reported.

Part 2: Number of Participants with Laboratory Abnormalities
Approximately up to 12 weeks

Number of participants with clinical laboratory abnormalities (serum chemistry, hematology, and coagulation) will be reported.

Part 1: Number of Participants with Holter Monitoring Abnormalities
Approximately up to 9 weeks

Number of participants with Holter monitoring abnormalities (related to heart's activity such as rate and rhythm) will be reported.

Part 2: Number of Participants with Holter Monitoring Abnormalities
Approximately up to 12 weeks

Number of participants with Holter monitoring abnormalities (related to heart's activity such as rate and rhythm) will be reported.

Part 1: Number of Participants with Electrocardiogram (ECG) Abnormalities
Approximately up to 9 weeks

Number of participants with electrocardiogram (ECG) abnormalities will be reported.

Part 2: Number of Participants with Electrocardiogram (ECG) Abnormalities
Approximately up to 12 weeks

Number of participants with electrocardiogram (ECG) abnormalities will be reported.

Part 1: Number of Participants with Cytokine Release Syndrome (CRS)
Approximately up to 9 weeks

Number of participants with CRS will be reported. CRS is defined as a disorder characterized by nausea, headache, tachycardia, hypotension, rash, and/or shortness of breath.

Part 2: Number of Participants with Cytokine Release Syndrome (CRS)
Approximately up to 12 weeks

Number of participants with CRS will be reported. CRS is defined as a disorder characterized by nausea, headache, tachycardia, hypotension, rash, and/or shortness of breath.

Part 1: Number of Participants with Cytokine Release Syndrome (CRS) by Severity
Approximately up to 9 weeks

Severity of CRS will be graded according to DAIDS as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); and Grade 4 (potentially life-threatening).

Part 2: Number of Participants with Cytokine Release Syndrome (CRS) by Severity
Approximately up to 12 weeks

Severity of CRS will be graded according to DAIDS as follows: Grade 1 (mild); Grade 2 (moderate); Grade 3 (severe); and Grade 4 (potentially life-threatening).

Part 1: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Single Dose Administration in Fasted State
Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose

The Cmax is the maximum observed concentration of AL-034 in plasma following single ascending dose (SAD) administration.

Part 2: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Repeated Dose Administration
Days 1, 22, and 29: predose, and 0.5, 1, 2, and 12 hours postdose

The Cmax is the maximum observed concentration of AL-034 in plasma following multiple ascending dose (MAD) administration.

Part 1: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Single Dose Administration in Fasted State
Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose

AUC is the area under the plasma concentration time curve of AL-034 in plasma following SAD administration.

Part 2: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Repeated Dose Administration
Days 1, 22, and 29: predose, and 0.5, 1, 2, and 12 hours postdose

AUC is the area under the plasma concentration time curve of AL-034 in plasma following MAD administration.

Part 1: AL-034 Concentration in Urine Following a Single Dose Administration
Day 1: 0 to 6, 6 to 12, and 12 to 24 hours postdose

Concentration in urine of AL-034 following a single dose administration will be determined.

Part 2: AL-034 Concentration in Urine Following Repeated Dose Administration
Day 1: 0 to 6, 6 to 12, and 12 to 24 hours postdose

Concentration in urine of AL-034 following MAD administration will be determined.

Secondary Endpoints
Part 1: Maximum Observed Plasma Concentration (Cmax) of AL-034 Following Single Dose Administration in Fed State
Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose
Part 2: Area Under the Plasma Concentration Time Curve (AUC) of AL-034 Following Single Dose Administration in Fed State
Day 1: predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours postdose
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: Single Ascending Dose (SAD)EXPERIMENTALParticipants will receive single oral dose of AL-034 (oral solution) (the starting dose in Cohort 1 of Part 1 will be 0.2 milligram \[mg\]) or matching placebo under fasted condition (Cohorts 1 to 5 or optional Cohort 7) on Day 1. Participants may receive AL-034 in a fed state (Cohort 6) to evaluate the effect of food on the pharmacokinetics (PK) of AL-034.
Part 2: Multiple-Dose Administration (MAD)EXPERIMENTALParticipants will receive multiple oral doses of AL-034 or matching placebo for 4 consecutive weeks either once weekly (Qwk - for 4 doses) or every two weeks (Q2wk - for 3 doses) under fed or fasted conditions. The starting dose for Part 2 will be determined based on the initial PK and safety/tolerability data from Part 1.
Interventions
NameTypeDescription
AL-034DRUGParticipants will receive single oral dose of AL-034 under fed or fasted conditions in part 1 and part 2
PlaceboDRUGParticipants will receive single oral dose of matching placebo (oral solution) under fed or fasted conditions in part 1 and part 2.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

INCLUSION CRITERIA Each potential participant must satisfy all of the following criteria to be enrolled in the study * participant must be a man or a woman between 18 and 55 years of age, extremes included * Female participant must be of non-childbearing potential, defined as: a) Postmenopausal: A ...

Countries:New Zealand
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