Pharmasset, a clinical-stage pharmaceutical company, has reported that after a discussion with its independent data safety monitoring board and the FDA, the company has decided to voluntarily terminate its Phase III Quash studies of clevudine for the treatment of chronic hepatitis B infection.
Pharmasset said that it recently became aware of a number of spontaneous serious adverse event reports and events of special interest in patients receiving clevudine as prescribed therapy for hepatitis B in South Korea.
Though only a small number of cases of mild to moderate myopathy, or muscle weakness associated with creatine kinase elevations, were reported in the Quash studies, many of the patients in South Korea have had longer exposures to clevudine than patients in the Quash studies and have reported more serious myopathy than have patients in the Pharmasset clinical trials. Given the number and severity of cases observed in South Korea, Pharmasset concluded it was in the best interest of patients to terminate the studies at this time.
As part of the study shut down, Pharmasset plans to continue to collect safety data and to monitor patients after discontinuation of clevudine in the Quash studies, but does not plan to submit study results to regulators as pivotal studies. Clevudine was licensed from Bukwang Pharmaceuticals of South Korea, where the drug is marketed under the trade name Levovir.
The Quash studies are international, multi-center, randomized, double-blind clinical trials of 30mg once daily clevudine compared with 10mg once daily adefovir for 96 weeks in patients with chronic hepatitis due to infection with e-antigen positive hepatitis B virus (Quash 305) or e-antigen positive (Quash 306) who have never been treated with drugs of the nucleoside class.
The primary objective of the studies are to assess the effect of clevudine on reducing levels of virus in the blood and normalization of liver function at 48 weeks after initiating therapy.
Schaefer Price, president and CEO of Pharmasset, said: While we are obviously disappointed with the outcome, we believe the decision to stop dosing is an appropriate one. Our full energy and resources in R&D will now be focused on our promising hepatitis C virus (HCV) pipeline.
Pharmasset’s unpartnered second generation HCV nucleoside, PSI-7851, is progressing well in a Phase I trial and we expect to report the first antiviral data in the second half of 2009. In addition, we are collecting preclinical data from our research efforts to select a purine nucleos(t)ide for clinical development.