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VX-950

Phase 4FDA approved 2011

Hepatitis C | Small molecule | Infectious Disease |Vertex Pharmaceuticals Incorporated|Trials Updated: Mar 26, 2021

VX-950 development status

FDA approval May 23, 2011 as Incivek
Approval holderVertex Pharms
ApplicationNDA201917
Highest phase Phase 4 (NCT01467492)
Phase scored for VRTXPhase 2
Registered trials 44 across 13 sponsors since Nov 2005

VX-950 target and mechanism

ModalitySmall molecule

Also known as telaprevir, INCIVEK, INCIVO

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials14
Total Enrollment2,969

FDA Designations

No designations recorded

VX-950 clinical trials

VX-950 · 14 trials · 7 indications

Phase 3 2Phase 2 7Phase 1 5
NCT00758043A Study Evaluating 24-Week and 48-Week Telaprevir-Based Regimen in Treatment Naïve Subjects With Genotype 1 Chronic Hepatitis C Who Achieve an Extended Rapid Viral ResponseHepatitis C
COMPLETED540 Analytics
NCT00627926A Phase 3 Study of Telaprevir in Combination With Pegasys® and Copegus® in Treatment-Naive Subjects With Genotype 1 Hepatitis C Virus (HCV)Hepatitis C
COMPLETED1,095 Analytics
PHASE3COMPLETED
A Study Evaluating 24-Week and 48-Week Telaprevir-Based Regimen in Treatment Naïve Subjects With Genotype 1 Chronic Hepatitis C Who Achieve an Extended Rapid Viral Response
Hepatitis CUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Study of Telaprevir in Combination With Pegasys® and Copegus® in Treatment-Naive Subjects With Genotype 1 Hepatitis C Virus (HCV)
Hepatitis CUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of Randomized Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable HCV RNA 24 Weeks After Last Dose of Study Treatment (SVR24)
24 weeks after the last planned dose of study treatment

SVR24planned was used to measure the primary outcome. SVR24 planned is defined as undetectable HCV RNA levels at the end of treatment (EOT) visit and at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA levels in between those visits. All plasma HCV RNA levels were assessed using the Roche TaqMan HCV RNA assay (Version 2.0, lower limit of quantification \[LLOQ\] of 25 IU/mL).

Number of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study Treatment
24 weeks after last planned dose of study treatment (up to Week 72)

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. Two results are reported: 1) Protocol defined SVR: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72); 2) SVR as per FDA guidance (snapshot analysis): undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.

Frequency of Adverse Events Leading to Discontinuation of Both Telaprevir and Sofosbuvir Among Subjects Treated With Telaprevir and Sofosbuvir
12 weeks-January 3, 2014- April 10, 2014

Study drug adherence and adverse events were collected on all enrolled subjects and graded using the DAIDS scale. Any adverse events leading to discontinuation of both Telaprevir and Sofosbuvir were collected and are hereby reported.

Safety of Telaprevir and Sofosbuvir When Dosed in Combination for 12 Weeks
1/3/2014-4/10/2014

The number of subjects who experienced Grade 3 anemia. Complete blood count was collected at baseline, week 2, week 4, week 8, week 12, week 18, and week 24. Incidence of moderate anemia (Grade 3) observed in the study treatment period.

Proportion of Subjects Achieving Undetectable HCV RNA at Week 12
12 weeks after first dose of study drug
Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Treatment
24 weeks after the completion of treatment (up to Week 72)

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline through Week 48

AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study.

Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing
24 weeks after the completion of study drug dosing (up to Week 72)

The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

Safety of triple combination therapy.
retrospective and prospective
Number of Participants With Sustained Virological Response at Week 12 (SVR12)
Post-treatment at week 12

Viral kinetic assessment using SVR 12 to either "lead-in" 4 weeks with PegInterferon + Ribavirin or no lead-in, followed by response guided therapy of 24 or 48 weeks based on viral response to treatment. Standard of care treatment stopping rules will be followed with assessment of viral response at week 12 of treatment.

Blood levels of buprenorphine
Day -4 through Day 38

Measured by maximum observed concentration (Cmax), minimum observed concentration (Cmin), time of the maximum concentration (tmax), area under the time curve (AUC) from the time of study drug administration, zero to tau, where tau is the dosing interval.

Blood levels of norbuprenorphine
Day -4 through Day 38

Measured by maximum observed concentration (Cmax), minimum observed concentration (Cmin), time of the maximum concentration (tmax), area under the time curve (AUC) from the time of study drug administration, zero to tau, where tau is the dosing interval.

Blood levels of naloxone
Day -1 and Day 7

Measured by maximum observed concentration (Cmax)

Blood levels of telaprevir
Day 1 through Day 7

Measured by maximum observed concentration (Cmax), minimum observed concentration (Cmin), time of the maximum concentration (tmax), area under the time curve (AUC) from the time of study drug administration, zero to tau, where tau is the dosing interval.

Part A only: Pharmacokinetic parameters of cyclosporine (Cmax, AUC0-tlast, AUC0-inf, tmax, t1/2)
33 days
Part A and Part B: Pharmacokinetic parameters of telaprevir (Cmax, AUC0-8h, Cmin, tmax)
33 days for Part A; 44 days for Part B
Part B only: Pharmacokinetic parameters of tacrolimus (Cmax, AUC0-tlast, AUC0-inf, tmax, t1/2)
44 days
Pharmacokinetics
Viral kinetics

Secondary Endpoints

Proportion of Subjects Who Have Undetectable HCV RNA at Week 72
72 weeks after the last planned dose of study treatment
Proportion of Subjects Achieving eRVR (Extended RVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12
Week 4 and Week 12
Proportion of Randomized Subjects Who Have Undetectable HCV RNA 12 Weeks After Last Dose of Study Treatment
12 weeks after last dose of study treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
T12PR24 (eRVR+)EXPERIMENTALRandomized Group: Telaprevir + Peg-IFN-alfa-2a + RBV for 12 weeks, followed by Peg-IFN-alfa-2a + RBV for 12 weeks; subjects achieved an extended rapid viral response (eRVR+) and were randomized to this group
T12PR48 (eRVR+)EXPERIMENTALRandomized Group: Telaprevir + Peg-IFN-alfa-2a + RBV for 12 weeks, followed by Peg-IFN-alfa-2a + RBV for 36 weeks; subjects achieved an extended rapid viral response (eRVR+) and were randomized to this group
T12PR48 (eRVR-)EXPERIMENTALAssigned Group: Telaprevir + Peg-IFN-alfa-2a + RBV for 12 weeks, followed by Peg-IFN-alfa-2a + RBV for 36 weeks; subjects did not achieve an extended rapid viral response and were assigned to this group
OtherEXPERIMENTALOther Group: Subjects who received at least 1 dose of study drug, but prematurely discontinued treatment before Week 20, were not randomized or assigned to a treatment regimen.
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekPLACEBO_COMPARATORPlacebo (PBO) matched to telaprevir 750 mg tablet thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (\<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (\>=) 75 kg, for 48 weeks.
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekEXPERIMENTALTelaprevir 750 mg tablet thrice daily for 8 weeks, then PBO matched to Telaprevir 750 mg tablet thrice daily for 4 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 24 to 48 weeks depending on individual response to telaprevir treatment.
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekEXPERIMENTALTelaprevir 750 mg tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 24 to 48 weeks depending on individual response to telaprevir treatment.
Telaprevir and SofosbuvirEXPERIMENTALAll subjects will receive Telaprevir twice a day, 1125mg capsule and Sofosbuvir 400 mg capsule once daily. Both will be given for 12 weeks.
Part AEXPERIMENTALThe dose of ribavirin used (fixed versus weight-based) is region dependent
Part BEXPERIMENTALThe dose of ribavirin used (fixed versus weight-based) is region dependent
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekEXPERIMENTALTelaprevir 750 mg tablet thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (\<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (\>=) 75 kg, for 24 weeks.
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 48 WeekEXPERIMENTALTelaprevir 750 mg tablet thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 48 weeks.
Telaprevir 24 Week+Peg-IFN-alfa-2a,RBV 48 WeekEXPERIMENTALSingle loading dose of telaprevir 1125 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily for 24 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 48 weeks.
Telaprevir 24 Week+Peg-IFN-alfa-2a 24 WeekEXPERIMENTALSingle loading dose of telaprevir 1125 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection, for 24 weeks.
PBO 24 Week+Peg-IFN-alfa-2a, RBV 48 WeekPLACEBO_COMPARATORPlacebo (PBO) matched to telaprevir tablet orally thrice daily for 24 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 48 weeks.
Telaprevir 12 Week +Peg-IFN-alfa-2a,RBV 24 WeekEXPERIMENTALSingle loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet orally thrice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 24 weeks.
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 12 WeekEXPERIMENTALSingle loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing \<75 kg and 1200 mg/day for subjects weighing \>=75 kg, for 12 weeks.
Telaprevir 12 Week+Peg-IFN-alfa-2a 12 WeekEXPERIMENTALSingle loading dose of telaprevir 1250 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection, for 12 weeks.
Lead-InACTIVE_COMPARATORKinetic assessment of response guided treatment per standard of care with PegInterferon + Ribavirin for 4 weeks followed by 12 weeks of PegInterferon + Ribavirin + Telaprevir followed by variable duration of PegInterferon + Ribavirin
No Lead-inACTIVE_COMPARATORKinetic assessment of response guided treatment per standard of care with PegInterferon + Ribavirin + Telaprevir for 12 weeks followed by variable duration of PegIntereron + Ribavirin
Open-Label ArmEXPERIMENTALThe treatment period will include 3 phases: * 14 day run-in period * 7 day co-administration period * 31 day follow-up period

Interventions

NameTypeDescription
telaprevirDRUG750 mg every 8 hours (q8h) for 12 weeks
ribavirinDRUG1000 - 1200 mg/day based on body weight for either 24 or 48 weeks
peginterferon alfa-2aBIOLOGICAL180 mcg/week for either 24 or 48 weeks
Pegylated Interferon Alfa 2aBIOLOGICALsubcutaneous injection, 180 micrograms once per week
PlaceboOTHERTelaprevir matching placebo
Telaprevir and SofosbuvirDRUGAll subjects will have time to read and discuss IRB approved consent form prior to any study procedures. Following proper consenting, subjects will undergo physical exam including ECG and bloodwork prior to baseline visit. Subjects will return for research visits (vitals, collection of AEs, bloodwork, drug accountability) on Day 3, Weeks 1, 2, 3, 4, 6, 8, 10 and 12 of treatment and 4, 12, and 24 weeks after end of treatment. PK samples will be collected at week 2 and week 10.
telaprevir or matching placeboDRUGTablet, Oral, 750 mg, q8h, 12 weeks
ribavirin (fixed dose)DRUGTablet, Oral, 800 mg, b.i.d., 48 weeks
ribavirin (weight-based dose)DRUGTablet, Oral, 1000 mg for subjects weighing \<75 kg or 1200 mg for subjects weighing ≥75 kg, b.i.d., 48 weeks
Matching PlaceboDRUGTablet
VX-950DRUG -
PegInterferonDRUG -
buprenorphine/naloxoneDRUGBuprenorphine/naloxone sublingual tablets or films contain buprenorphine HCl and naloxone HCl dihydrate at a ratio of 4:1 buprenorphine:naloxone (ratio of free bases). In this study buprenorphine/naloxone will be dosed from Day -14 through Day 38, inclusive. From Day -14 through Day -1 all subjects will receive a maximum of 24 mg/6 mg of buprenorphine/naloxone. Subjects will not be permitted to change their dose during the telaprevir co-administration period (Day 1 through Day 7) unless warranted by the investigator's clinical judgment of subject safety. After Day 8, the dose of buprenorphine/naloxone may be adjusted if deemed necessary by the investigator.
cyclosporineDRUGSolution, Oral, 100mg, Day 1 of Period 1
tacrolimusDRUGCapsule, Oral, 2mg, Day 1 of Period 1
telaprevir (VX-950)DRUG -
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites82

Inclusion Criteria: * Has not received any previous treatment with any approved or investigational drug or drug regimen for the treatment of hepatitis C * Male and female subjects, 18 to 70 years of age, inclusive * Genotype 1, chronic hepatitis C with detectable HCV RNA. * Screening laboratory val...

Countries:United StatesBelgiumNetherlandsPuerto RicoArgentinaAustraliaAustriaCanadaFranceGermanyIsraelItalyPolandSpainUnited Kingdom
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Competitive Landscape -Hepatitis C 13 trials

Top 1 of 4 competitors

CompanyTickerTrialsLead PhaseDrugs
Atea Pharmaceuticals, Inc.AVIR2PHASE3Bemnifosbuvir-Ruzasvir
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Frequently asked questions about VX-950

What is VX-950 used for?

VX-950 is an investigational small molecule being developed for the treatment of Hepatitis C. It is currently in Phase 2 clinical development and has not been approved by the FDA. The drug is being studied in combination with peginterferon and ribavirin for this infectious disease indication.

Who makes VX-950?

VX-950 is being developed by Vertex Pharmaceuticals Incorporated, a biopharmaceutical company traded on the NASDAQ under the ticker symbol VRTX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with Hepatitis C.

What phase is VX-950 in?

VX-950 is in Phase 2 clinical development for Hepatitis C. It is an investigational drug, meaning it has not yet received regulatory approval. Two clinical trials have been completed, including a Phase 1 and a Phase 2 study, with a total of 32 participants enrolled.

What clinical trials is VX-950 in?

VX-950 has been studied in two completed clinical trials. NCT00251199 was a Phase 1 study of VX-950 and peginterferon for Hepatitis C with 20 participants in Germany and the Netherlands. NCT00262483 was a Phase 2 study of VX-950, Pegasys and Copegus in Hepatitis C with 12 participants in the United States and Puerto Rico.

Is VX-950 the same as telaprevir?

VX-950 is the development code for the drug also known as telaprevir. It is a small molecule protease inhibitor being studied for Hepatitis C. The drug has been evaluated in clinical trials in combination with peginterferon and ribavirin, though it remains investigational and is not yet approved.