Antiviral Efficacy, Pharmacokinetics and Safety of BILN 2061 ZW in Patients With Chronic Hepatitis C Virus Infection

Study to assess the antiviral efficacy, pharmacokinetics and tolerability of BILN 2061 ZW in a polyethyleneglycol 400 (PEG 400: ethanol) drinking solution given for two days bid in patients with chronic Hepatitis C Virus (HCV) infection.


Eligibility Criteria:
Inclusion Criteria:

* Female or male sex, age of 18 years or older
* Active, chronic Hepatitis C virus (HCV) infection
* Liver biopsy consistent with active HCV infection obtained within the last 12 months
* Written informed consent consistent with International Committee on Harmonization (ICH) / Good Clinical Practice (GCP) and local legislation given prior to any study procedures
* HCV of genotype I (Group 1, 2, 4 and 5) and non-genotype 1 (Group 3)
* HCV load greater than 50,000 copies messenger ribonucleic acid (mRNA) per ml serum at screening
* For Group 5 only: Histology showing moderate or severe fibrosis (portal fibrosis, septae, periportal and porto-central septae), no regenerative nodes and no incomplete or complete cirrhosis, corresponding to Ishak score 3 or 4, or Metavir F2 or F3 (if Ishak is not 5)

Exclusion Criteria:

* Women of childbearing potential or breastfeeding women. Postmenopausal women less than 6 months after last menses, surgically sterilized or hysterectomised patients less than 3 months after operation or without a negative serum pregnancy test
* Males not using an adequate form of contraception (condom, sterilisation at least 6 months post operation) if their partner is of childbearing potential (criteria see above) and is not using an adequate form of contraception (hormonal contraceptives, oral or injectable/ implantable, intra-uterine device (IUD))
* Any other or additional plausible cause for chronic liver disease, including the presence of other viruses known or suspected to cause hepatitis
* Ascites or other current evidence of portal hypertension
* Histology showing signs of bridging or higher grade fibrosis (e.g. Fibrosis \>= Grade 3 (Ishak score) or \>= 2 (Metavir score) for treatment groups 1, 2, 3, 4 or for Treatment group 5: Histology showing less than moderate or severe fibrosis (portal fibrosis, septae, periportal and porto-central septae), or showing regenerative nodes or incomplete or complete cirrhosis, corresponding to other Ishak scores than 3 or 4 and to other Metavir scores than F2 or F3 (or F3 and Ishak 5)
* History of abuse of alcohol within the past twelve months
* Planned or concurrent usage of any other pharmacological therapy at screening, including any antiviral therapy
* Any concurrent infectious disease requiring antimicrobial treatment
* History of malignancy (except for previously cured squamous cell or basal cell carcinoma)
* Usage of any investigational drug within thirty (30) days prior to enrolment; or the planned usage of an investigational drug during the course of the current study
* Known hypersensitivity to drugs
* Inability to comply with the protocol
* Prior randomization into this trial
* Child´s B or C liver diseases at screening (treatment groups 1, 2, 3, 4). Applicable for treatment group 5 only:

  * For Bilirubin - refer to following exclusion criterion
  * Quick (Prothrombin time) \< 70%
  * Albumin \< 3.5 g/dl
  * Clinical evidence of ascites
  * Clinical evidence of encephalopathy
* Clinically apparent jaundice or a total bilirubin or alkaline phosphatase (AP) exceeding 1.5 x upper limit of normal (ULN) at screening (treatment groups 1, 2, 3, 4). Treatment group 5 (BILN 2061 ZW, 200 mg bid/2 days in patients with advanced liver fibrosis): Clinically apparent jaundice or a bilirubin \>= 2.0 mg/dl at screening. Increased alkaline phosphatase (AP) is allowed.
* ALT or AST \> 5 x ULN at screening (treatment groups 1, 2, 3, 4). Treatment group 5: ALT or AST \>= 10 x ULN at screening
* A platelet count of less than 100.000 platelets per mm3 at screening
* White blood cell count of less than 2,000 cells per mm3 at screening
* Positive test for human immunodeficiency Virus (HIV) at screening
* Positive test for illicit or unprescribed drugs or medications at screening. Positive test for cannabis may be allowed if the investigator assesses this result not as clinically significant
* Patients with any clinically significant laboratory abnormalities based on the investigator's medical assessment at screening