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OpenTrials
Completed

NCT Number: NCT05904470

A Phase 2, Safety and Efficacy of Bemnifosbuvir (BEM) and Ruzasvir (RZR) in Subjects With Chronic HCV

This is an open-label trial to evaluate safety and efficacy of treatment with BEM + RZR in subjects with chronic HCV infection.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Willing and able to provide written informed consent
  • Male or female subjects between ≥ 18 years of age (or the legal age of consent per local regulations) and ≤ 85 years of age
  • Female subjects of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or to the use of an acceptable effective contraception
  • Females must have a negative pregnancy test at Screening and at Day 1 prior to dosing
  • Subjects must be direct-acting antiviral (DAA)-treatment-naïve, defined as never exposed to an approved or experimental DAA for HCV
  • Documented medical history compatible with chronic HCV
  • Liver disease staging assessment as follows:
  • Absence of cirrhosis (F0 to F3)
  • Compensated cirrhosis (F4)

Exclusion criteria

  • Female subject is pregnant or breastfeeding
  • Co-infected with hepatitis B virus (HBV; positive for hepatitis B surface antigen [HBsAg]) and/or human immunodeficiency virus (HIV)
  • Abuse of alcohol and/or illicit drug use that could interfere with adherence to study requirements as judged by the investigator
  • Prior exposure to any HCV DAA
  • Use of other investigational drugs within 30 days of dosing or plans to enroll in another clinical trial of an investigational agent while participating in the present study
  • Subject with known allergy to the study medications or any of their components
  • History or signs of decompensated liver disease: ascites, variceal bleeding, hepatic encephalopathy, spontaneous bacterial peritonitis, or other clinical signs of portal hypertension or hepatic insufficiency
  • Cirrhotic and has a Child-Pugh score >6, corresponding to a Child-Pugh Class B or C
  • History of hepatocellular carcinoma (HCC) or findings suggestive of possible HCC
  • Any other clinically significant medical condition that, in the opinion of the investigator, would jeopardize the safety of the subject or impact the validity of the study results

Treatment and study plan

Bemnifosbuvir

Drug

550 mg administered orally once a day (QD) for 8 weeks

Other names: AT-527

Ruzasvir

Drug

180 mg administered orally once a day (QD) for 8 weeks

Other names: AT-038

Primary outcomes

  1. Percentage of Subjects Achieving Sustained Virologic Response at 12 Weeks Post-treatment (SVR12)

    Time frame: Day 1 through 12 weeks after end of treatment

    SVR12 defined as plasma hepatitis C virus (HCV) RNA less than the lower limit of quantitation (<LLOQ) at 12 weeks post-treatment

Secondary outcomes

  1. Percentage of Subjects Experiencing Virologic Failure

    Time frame: Day 1 through 12 weeks after end of treatment

    Virologic failure defined as a confirmed 1 log10 increase in HCV RNA from post-baseline nadir, or confirmed increase in HCV RNA ≥ LLOQ in any subject who achieved HCV RNA < LLOQ.

  2. Percentage of Subjects Achieving Sustained Virologic Response at 24 Weeks Post-treatment (SVR24)

    Time frame: Day 1 through 24 weeks after end of treatment

    SVR24 defined as plasma HCV RNA less than the lower limit of quantitation (<LLOQ) at 24 weeks post-treatment

Sponsors and collaborators

Lead sponsor

Atea Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Phase 2, Open-label Study to Assess the Safety and Efficacy of Bemnifosbuvir (BEM) and Ruzasvir (RZR) in Subjects With Chronic Hepatitis C Virus (HCV) Infection

Important dates

Study start
2023
Primary completion
2024
Study completion
2025
First posted
Jun 15, 2023
Registry last updated
Oct 21, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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