Clinical trial • Phase III • Infectious Disease

RUZASVIR, BEMNIFOSBUVIR for Chronic hepatitis C

Phase III trial of RUZASVIR, BEMNIFOSBUVIR for Chronic hepatitis C.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
Chronic hepatitis C
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
22-05-2025
First CTIS Authorization Date
08-09-2025

Trial design

Randomised, open-label, sofosbuvir / velpatasvir (oral tablet) as comparator; administered once daily (qd) for 12 weeks (dose not specified in ctis record). test arm: bemnifosbuvir/ruzasvir fdc (oral tablet) administered once daily (qd) for 8 or 12 weeks (dose not specified).-controlled Phase III trial across 37 sites in Greece, Spain, Poland and others.

Randomised
Yes
Open Label
Yes
Comparator
Sofosbuvir / Velpatasvir (oral tablet) as comparator; administered once daily (QD) for 12 weeks (dose not specified in CTIS record). Test arm: Bemnifosbuvir/Ruzasvir FDC (oral tablet) administered once daily (QD) for 8 or 12 weeks (dose not specified).
Target Sample Size
605
Trial Duration For Participant
168

Eligibility

Recruits 605 No vulnerable population selected in the CTIS record. Standard informed consent from adult participants is required; no assent or paediatric consent processes are described..

Pregnancy Exclusion
Pregnant or breastfeeding.
Vulnerable Population
No vulnerable population selected in the CTIS record. Standard informed consent from adult participants is required; no assent or paediatric consent processes are described.

Inclusion criteria

  • {"criterion_text":"- Use of adequate contraception for females of childbearing potential.\n- Must be direct-acting antiviral (DAA)-treatment naïve (never exposed to an approved or experimental DAA for HCV).\n- Documented medical history compatible with chronic HCV.\n- Either no liver cirrhosis or with compensated liver cirrhosis.\n- If HIV-1 positive, must meet the following 2 criteria: 1. Antiretroviral (ARV) regimen for > 8 weeks prior to screening visit, with CD4 T-cell count > 200 cells/mm3 and plasma HIV-1RNA level < LLOQ 2. Suitable ARV treatment and not taking any contraindicated medications."}

Exclusion criteria

  • {"criterion_text":"- Pregnant or breastfeeding.\n- Co-infected with hepatitis B virus.\n- Abuse of alcohol and/or illicit drug use that could interfere with adherence to study requirements as judged by the investigator.\n- Requirement of any prohibited medications.\n- Use of other investigational drugs within 30 days of dosing.\n- History or signs of decompensated liver disease (decompensated cirrhosis).\n- History of hepatocellular carcinoma (HCC).\n- 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."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Proportion of subjects achieving HCV RNA less than the lower limit of quantitation (LLOQ) at study week 24.","definition_or_measurement_approach":"HCV RNA measured and assessed as less than the lower limit of quantitation (LLOQ) at study week 24."}

Secondary endpoints

  • {"endpoint_text":"- Proportion of subjects achieving HCV RNA < LLOQ 12 weeks after the last dose of study drugs.","definition_or_measurement_approach":"HCV RNA measured and assessed as < LLOQ at 12 weeks after the last dose of study drugs."}
  • {"endpoint_text":"- Proportion of subjects experiencing virologic failure.","definition_or_measurement_approach":"Occurrence of virologic failure as assessed by the study (no further definition provided in the CTIS record)."}

Recruitment

Registry Or Advocacy Recruitment
True — Patient Advocacy Group Letter (country-specific versions) is included in recruitment materials (no specific advocacy organisation names provided).
Digital Remote Recruitment
True — Social Media Clinical Trial Posts and Banner Ads are included as recruitment channels (country/language-specific materials present).
Planned Sample Size
605
Recruitment Window Months
17
Consent Approach
Informed consent obtained using L1 SIS and ICF Main subject information and informed consent forms. ICFs are available in multiple language versions (English, Greek, French, Spanish, Polish, Romanian, German as indicated by document titles). Separate pregnancy/pregnant-partner ICFs are provided. Consent is from adult participants; no paediatric assent processes are described.

Methods

  • Dr-to-Patient Letter (physician-mediated invitation) — country-specific versions referenced (e.g. German, Spanish, French, Romanian, Polish, Greek versions listed in recruitment documents).
  • Patient Poster — printed/poster materials for patients (country/language-specific versions referenced).
  • Patient Brochure — informational brochure for potential participants (country/language-specific versions referenced).
  • Patient Advocacy Group Letter — outreach to patient advocacy groups (country/language-specific versions referenced).
  • Banner Ads — digital display advertisements (documents titled Banner Ads present).
  • Social Media and Clinical Trial Posts — digital/social media recruitment posts (country/language-specific versions present).

Geography

Total Number Of Sites
37
Total Number Of Participants
275

Greece

Earliest CTIS Part Ii Submission Date
21-08-2025
Latest Decision Or Authorization Date
16-09-2025
Processing Time Days
26
Number Of Sites
6
Number Of Participants
25

Sites

Site Name
General Hospital of Rhodes Andreas Papandreou
Department Name
1st Department of Internal Medicine
Principal Investigator Name
Stylianos Karatapanis
Principal Investigator Email
karstyl56@gmail.com
Contact Person Name
Stylianos Karatapanis
Contact Person Email
karstyl56@gmail.com
Site Name
Evangelismos S.A.
Department Name
3rd Department of Internal Medicine
Principal Investigator Name
Vasileios Sevastianos
Principal Investigator Email
vsevastianos@gmail.com
Contact Person Name
Vasileios Sevastianos
Contact Person Email
vsevastianos@gmail.com
Site Name
Hippokration Hospital
Department Name
2nd Department of Internal Medicine - National and Kapodistrian University of Athens
Principal Investigator Name
Spilios Manolakopoulos
Principal Investigator Email
smanolak@med.uoa.gr
Contact Person Name
Spilios Manolakopoulos
Contact Person Email
smanolak@med.uoa.gr
Site Name
University General Hospital Of Alexandroupoli
Department Name
1st Department of Internal Medicine
Principal Investigator Name
Konstantinos Mimidis
Principal Investigator Email
kostasmimidis@hotmail.com
Contact Person Name
Konstantinos Mimidis
Contact Person Email
kostasmimidis@hotmail.com
Site Name
Laiko General Hospital Of Athens
Department Name
First Department of Internal Medicine
Principal Investigator Name
Evangelos Cholongitas
Principal Investigator Email
cholongitas@yahoo.gr
Contact Person Name
Evangelos Cholongitas
Contact Person Email
cholongitas@yahoo.gr
Site Name
University General Hospital Of Heraklion
Department Name
Gastroenterology Department
Principal Investigator Name
Ioannis Koutroubakis
Principal Investigator Email
Ikoutroub2@gmail.com
Contact Person Name
Ioannis Koutroubakis
Contact Person Email
Ikoutroub2@gmail.com

Spain

Earliest CTIS Part Ii Submission Date
18-08-2025
Latest Decision Or Authorization Date
09-09-2025
Processing Time Days
22
Number Of Sites
4
Number Of Participants
25

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Liver Unit
Principal Investigator Name
Maria Buti Ferret
Principal Investigator Email
mariabutiferret@gmail.com
Contact Person Name
Maria Buti Ferret
Contact Person Email
mariabutiferret@gmail.com
Site Name
Hospital Povisa S.A.
Department Name
Internal Medicine Service
Principal Investigator Name
Javier De la Fuente Aguado
Principal Investigator Email
jfuente@povisa.es
Contact Person Name
Javier De la Fuente Aguado
Contact Person Email
jfuente@povisa.es
Site Name
Hospital Universitario Virgen De La Victoria
Department Name
Gastroenterology and Hepatology
Principal Investigator Name
Raúl Jesús Andrade Bellido
Principal Investigator Email
andrade@uma.es
Contact Person Name
Raúl Jesús Andrade Bellido
Contact Person Email
andrade@uma.es
Site Name
Hospital Universitario Marques De Valdecilla
Department Name
Gastroenterology and Hepatology
Principal Investigator Name
Joaquin Cabezas Gonzalez
Principal Investigator Email
joaquin.cabezas@scsalud.es
Contact Person Name
Joaquin Cabezas Gonzalez
Contact Person Email
joaquin.cabezas@scsalud.es

Poland

Earliest CTIS Part Ii Submission Date
14-08-2025
Latest Decision Or Authorization Date
19-09-2025
Processing Time Days
36
Number Of Sites
8
Number Of Participants
50

Sites

Site Name
Med Polonia Sp. z o.o.
Principal Investigator Name
Katarzyna Hryckiewicz
Principal Investigator Email
katarzynkahr@wp.pl
Contact Person Name
Katarzyna Hryckiewicz
Contact Person Email
katarzynkahr@wp.pl
Site Name
Gyncentrum Sp. z o.o.
Principal Investigator Name
Aleksandra Korczyńska
Principal Investigator Email
korola@op.pl
Contact Person Name
Aleksandra Korczyńska
Contact Person Email
korola@op.pl
Site Name
Centrum Badan Klinicznych Piotr Napora Lekarze sp.p.
Principal Investigator Name
Monika Pazgan-Simon
Principal Investigator Email
monikapazgansimon@gmail.com
Contact Person Name
Monika Pazgan-Simon
Contact Person Email
monikapazgansimon@gmail.com
Site Name
Medrise Sp. z o.o.
Principal Investigator Name
Joanna Krzowska-Firych
Principal Investigator Email
firychjdr@poczta.onet.pl
Contact Person Name
Joanna Krzowska-Firych
Contact Person Email
firychjdr@poczta.onet.pl
Site Name
Globe Badania Kliniczne Sp. z o.o.
Principal Investigator Name
Diana Rotar
Principal Investigator Email
diana.rotar@globebadania.pl
Contact Person Name
Diana Rotar
Contact Person Email
diana.rotar@globebadania.pl
Site Name
5 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ
Principal Investigator Name
Jakub Loster
Principal Investigator Email
kuba.loster@gmail.com
Contact Person Name
Jakub Loster
Contact Person Email
kuba.loster@gmail.com
Site Name
Centrum Medyczne W Lancucie Sp. z o.o.
Department Name
Poradnia Chorób Zakaźnych
Principal Investigator Name
Robert Pleśniak
Principal Investigator Email
robert.plesniak@wp.pl
Contact Person Name
Robert Pleśniak
Contact Person Email
robert.plesniak@wp.pl
Site Name
ID Clinic
Principal Investigator Name
Ewa Janczewska
Principal Investigator Email
e.janczewska@poczta.fm
Contact Person Name
Ewa Janczewska
Contact Person Email
e.janczewska@poczta.fm

France

Earliest CTIS Part Ii Submission Date
22-07-2025
Latest Decision Or Authorization Date
10-09-2025
Processing Time Days
50
Number Of Sites
6
Number Of Participants
50

Sites

Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Hepato-gastroenterology
Principal Investigator Name
Magdalena MESZAROS
Principal Investigator Email
m-meszaros@chu-montpellier.fr
Contact Person Name
Magdalena MESZAROS
Contact Person Email
m-meszaros@chu-montpellier.fr
Site Name
University Hospital Of Clermont-Ferrand
Department Name
Digestive and Hepatobiliary Medicine
Principal Investigator Name
Armando ABERGEL
Principal Investigator Email
aabergel@chu-clermontferrand.fr
Contact Person Name
Armando ABERGEL
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Hepato-Gastro-enterology and Digestive Oncology
Principal Investigator Name
Albert TRAN
Principal Investigator Email
tran.a@chu-nice.fr
Contact Person Name
Albert TRAN
Contact Person Email
tran.a@chu-nice.fr
Site Name
Hopital Beaujon
Department Name
Hepatology
Principal Investigator Name
Tarik ASSELAH
Principal Investigator Email
tarik.asselah@aphp.fr
Contact Person Name
Tarik ASSELAH
Contact Person Email
tarik.asselah@aphp.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Hepato-gastroenterology and endoscopy
Principal Investigator Name
Francois HABERSETZER
Principal Investigator Email
Francois.Habersetzer@chru-strasbourg.fr
Contact Person Name
Francois HABERSETZER
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Hepatology
Principal Investigator Name
Vincent LEROY
Principal Investigator Email
vincent.leroy2@aphp.fr
Contact Person Name
Vincent LEROY
Contact Person Email
vincent.leroy2@aphp.fr

Germany

Earliest CTIS Part Ii Submission Date
16-06-2025
Latest Decision Or Authorization Date
08-09-2025
Processing Time Days
84
Number Of Sites
4
Number Of Participants
25

Sites

Site Name
Eugastro GmbH
Principal Investigator Name
Ingolf Schiefke
Principal Investigator Email
ingolf.schiefke@eugastro.de
Contact Person Name
Ingolf Schiefke
Contact Person Email
ingolf.schiefke@eugastro.de
Site Name
Medizinische Hochschule Hannover
Department Name
Gastroenterologie, Hepatologie, Infektiologie, Endokrinologie
Principal Investigator Name
Katja Deterding
Principal Investigator Email
deterding.katja@mh-hannover.de
Contact Person Name
Katja Deterding
Contact Person Email
deterding.katja@mh-hannover.de
Site Name
Goethe University Frankfurt
Department Name
Medizinische Klinik I
Principal Investigator Name
Kathrin Andrea Sprinzl
Principal Investigator Email
kathrin.sprinzl@unimedizin-ffm.de
Contact Person Name
Kathrin Andrea Sprinzl
Site Name
University Medical Center Hamburg-Eppendorf
Department Name
Zentrum für Innere Medizin I
Principal Investigator Name
Julian Schulze zur Wiesch
Principal Investigator Email
j.schulze-zur-wiesch@uke.de
Contact Person Name
Julian Schulze zur Wiesch
Contact Person Email
j.schulze-zur-wiesch@uke.de

Sponsor

Primary sponsor

Full Name
Atea Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Altasciences Compagnie Inc.
Responsibilities
PK analysis
Name
IQVIA RDS Hellas Single Member S.A.
Responsibilities
on-site monitoring, investigator recruitment, safety reporting, regulatory expertise for Greece
Name
IQVIA Limited
Responsibilities
on-site monitoring, investigator recruitment, safety reporting, regulatory expertise, patient documents development, and other trial support
Name
Ceeri Clinical Research S.R.L.
Responsibilities
On site monitoring, Project management , regulatory expertise for Romania and Poland
Name
Almac Clinical Services Limited
Responsibilities
clinical services (unspecified duties)

Third parties

  • {"country":"Canada","full_name":"Altasciences Compagnie Inc.","duties_or_roles":"PK analysis","organisation_type":"Pharmaceutical company"}
  • {"country":"Greece","full_name":"IQVIA RDS Hellas Single Member S.A.","duties_or_roles":"on-site monitoring, investigator recruitment, safety reporting, regulatory expertise for Greece","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"Quipment","duties_or_roles":"Equipment provider","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Romania","full_name":"Ceeri Clinical Research S.R.L.","duties_or_roles":"On site monitoring, Project management , regulatory expertise for Romania and Poland","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"unspecified duties (code 14)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"multiple duties including on-site monitoring, investigator recruitment, safety reporting, regulatory support, patient documents development, and others (codes 1,2,4,5,6,8,12,13,15)","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"DDL Diagnostic Laboratory B.V.","duties_or_roles":"laboratory services (code 4)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"sample management; laboratory services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"electronic data capture/clinical trial systems (code 7)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Yprime LLC","duties_or_roles":"data/privacy vendor (code 3)","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Bemnifosbuvir/Ruzasvir Fixed Dose Combination (FDC)
Active Substance
RUZASVIR, BEMNIFOSBUVIR
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorisation status code 1
Frequency
Once daily (QD); treatment duration 8 or 12 weeks
Investigational Product Name
Sofosbuvir / Velpatasvir
Active Substance
SOFOSBUVIR, VELPATASVIR
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorisation status code 1
Frequency
Once daily (QD); treatment duration 12 weeks (comparator)
Combination Treatment
Yes

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