Medivir announces data from two phase III studies with Simeprevir in hepatitis C subpopulations – HCV/HIV co-infected and genotype 4 infected patients
| Source:Medivir AB
Stockholm, Sweden — Medivir AB (OMX: MVIR) today announced preliminary data from
two phase III studies conducted by Janssen R&D Ireland evaluating simeprevir in
genotype 4 chronic hepatitis C in adult patients with compensated liver disease,
and in genotype 1 hepatitis C and HIV-1 co-infected adult patients. The data
were presented today at the ongoing European AIDS Conference (EACS), October 16
-19 in Brussels.
“Based on these encouraging data with the high cure rates seen in patients co
-infected with HCV genotype 1 and HIV-1 we believe that simeprevir could provide
a new treatment option in this specific patient group” says Charlotte Edenius,
EVP Development, Medivir AB. “We are also delighted to see the positive interim
results from patients infected with HCV genotype 4, a strain of virus which
currently have limited treatment options.”
HCV/HIV co-infected patients - Study Design
This phase III, open-label trial evaluated the safety and efficacy of simeprevir
(150 mg QD) with peginterferon and ribavirin (PR) for 12 weeks in patients co
-infected with HCV genotype-1 and HIV-1 (N=106). Treatment-naïve patients (N=53)
and prior relapsers (N=15) (without cirrhosis) received response-guided therapy
(RGT) with PR up to 24 or 48 weeks. All other patients (prior null responders
[N=28], partial responders [N=10] and all patients with cirrhosis) received PR
up to 48 weeks. The primary endpoint was sustained virologic response (SVR) rate
12 weeks after end of treatment. In the study 93 patients were receiving
antiretroviral therapy (ART), 12% of patients had cirrhosis, 82% had genotype 1a
subtype and 73% had an IL28B CT or TT genotype.
HCV/HIV co-infected patients - Summary Primary Results
High SVR12 rates were observed regardless of prior HCV treatment response with
79% in HCV treatment-naive patients, 87% in prior relapsers, 70% in partial
responders and 57% in null responders. Most patients eligible for shorter
duration of treatment met the RGT criteria (89%; 54/61), of whom 87% (47/54)
The SVR12 rate in genotype 1b was 89% (16/18) and in genotype 1a 70% (62/88)
where genotype 1a patients with Q80K polymorphism at baseline achieved SVR12
rates of 67% (20/30). SVR12 rates were high irrespective of baseline METAVIR
fibrosis score (80% and 64% for patients with of F0–F2 and F3–F4 respectively).
Simeprevir once daily with PR was well tolerated with a safety profile similar
to that observed in studies of mono-infected patients.
Primary efficacy endpoint with 150 mg simeprevir for 12 weeks with peginterferon
and ribavirin (PR) for up to 24 or 48 weeks). Intent-to-treat (ITT) population.
| Patients |
| co |
| -infected |
| with HCV |
| genotype |
| -1 and |
| HIV-1: |
|% (n/N)|Overall |Treatment| Prior | Prior |Prior null responders|
| |(N=106) | naive |relapsers| partial | (N=28) |
| | | (N=53) | (N=15) |responders| |
| | | | | (N=10) | |
| SVR12 | 74 | 79* | 87 | 70 | 57* |
| |(78/106)| (42/53) | (13/15) | (7/10) | (16/28) |
| | | | | | |
* p < 0.001 vs historical PR-only controls: SVR12 for PR controls was assumed to
be 29% in treatment naive (from PEGASYS® USPI, co-infected patients) and 5% in
prior null responders (from INCIVEK™ USPI, mono-infected patients).
HCV Genotype 4 Patients - Interim Results
In this phase III study, 107 patients with chronic HCV genotype 4 received
simeprevir once daily with peginterferon and ribavirin (PR) for 12 weeks.
Treatment-naïve patients and prior relapsers received response-guided therapy
(RGT) with PR up to 24 or 48 weeks. Prior partial responders and prior null
responders received PR up to 48 weeks.
At the time for this interim analysis only data from patients eligible to
shorten therapy and who had reached study visit W28 (SVR4) and W36 (SVR12) were
included. In these patients SVR4 rates of 89-91% (N=20) and SVR12 of 67-100%
(N=9) were achieved. Overall simeprevir was well tolerated and most AEs were
grade 1 or 2.
For more information please contact
Rein Piir, EVP Corporate Affairs & IR
Mobile: +46 708 537 292.
Simeprevir is an investigational NS3/4A protease inhibitor jointly developed by
Janssen R&D Ireland and Medivir AB, for the treatment of genotype 1 and genotype
4 chronic hepatitis C in adult patients with compensated liver disease,
including all stages of liver fibrosis. Simeprevir works by blocking the
protease enzyme that enables the hepatitis C virus to replicate in host cells.
Janssen R&D Ireland, and its affiliated companies, are responsible for the
global clinical development of simeprevir and have acquired exclusive, worldwide
marketing rights, except for the Nordic countries where Medivir AB have retained
the marketing rights under the marketing authorization held by Janssen-Cilag
Simeprevir was approved in Japan in September 2013 for the treatment of genotype
1 hepatitis C. In the U.S., the New Drug Application (NDA) filed by Janssen
Research & Development, LLC (Janssen) for simeprevir administered once daily in
combination with pegylated interferon and ribavirin for the treatment of
genotype 1 chronic hepatitis C in adult patients was granted Priority Review
designation by the Food and Drug Administration (FDA) in May. A Marketing
Authorisation Application was submitted to the European Medicines Agency (EMA)
in April by Janssen- Cilag International NV seeking approval of simeprevir for
the treatment of genotype 1 or genotype 4 chronic hepatitis C.
To date, more than 3,700 patients have been treated with simeprevir in clinical
For additional information about simeprevir clinical trials, please visit
About Hepatitis C
Hepatitis C, a blood-borne infectious disease of the liver and a leading cause
of chronic liver disease, is the focus of a rapidly evolving treatment
landscape. Approximately 150 million people are infected with hepatitis C
worldwide – including approximately 3.2 million people in the United States –
and 350,000 people per year die from the disease globally. When left untreated,
hepatitis C can cause significant damage to the liver including cirrhosis.
Additionally, hepatitis C may increase the risk of developing complications from
cirrhosis, which may include liver failure.
Medivir is an emerging research-based pharmaceutical company focused on
infectious diseases. Medivir has world class expertise in polymerase and
protease drug targets and drug development which has resulted in a strong
infectious disease R&D portfolio. The Company’s key pipeline asset is
simeprevir, a novel protease inhibitor for the treatment of hepatitis C that is
being developed in collaboration with Janssen R&D Ireland. The company is also
working with research and development in other areas, such as bone disorders and
Medivir has also a broad product portfolio with prescription pharmaceuticals in
For more information about Medivir AB, please visit the Company’s website:
Medivir is a collaborative and agile pharmaceutical company with an R&D focus on
infectious diseases and a leading position in hepatitis C. We are passionate and
uncompromising in our mission to develop and commercialize innovative
pharmaceuticals that improve people’s health and quality of life.
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