A Phase 3 Trial Comparing Whether BEM/RZR is Similar to SOF/VEL in Patients with Hepatitis C Virus Infection

2025-521096-31-00 Protocol AT-01B-008 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 2 Oct 2025 · Status Ongoing, recruitment ended · 6 EU/EEA countries · 38 sites · Protocol AT-01B-008

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 880
Countries 6
Sites 38

Chronic Hepatitis C Virus (HCV) Infection

To evaluate the efficacy of BEM/RZR FDC administered for 8 or 12 weeks QD versus SOF/VEL administered for 12 weeks QD.

Key facts

Sponsor
Atea Pharmaceuticals Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Virus Diseases [C02]
Trial duration
2 Oct 2025 → ongoing
Decision date (initial)
2025-09-10
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Atea Pharmaceuticals, Inc.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Pharmacokinetic, Efficacy

To evaluate the efficacy of BEM/RZR FDC administered for 8 or 12 weeks QD versus SOF/VEL administered for 12 weeks QD.

Secondary objectives 1

  1. To evaluate the effect of RASs in NS5A and/or NS5B on the efficacy of BEM/RZR FDC administered for 8 or 12 weeks QD versus SOF/VEL administered for 12 weeks QD

Conditions and MedDRA coding

Chronic Hepatitis C Virus (HCV) Infection

VersionLevelCodeTermSystem organ class
20.1 PT 10008912 Chronic hepatitis C 100000004862

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
Plan to share IPD
Yes

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Use of adequate contraception for females of childbearing potential.
  2. Must be direct-acting antiviral (DAA)-treatment naïve (never exposed to an approved or experimental DAA for HCV).
  3. Documented medical history compatible with chronic HCV.
  4. Either no liver cirrhosis or with compensated liver cirrhosis.
  5. 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 8

  1. Pregnant or breastfeeding.
  2. Co-infected with hepatitis B virus.
  3. Abuse of alcohol and/or illicit drug use that could interfere with adherence to study requirements as judged by the investigator.
  4. Requirement of any prohibited medications.
  5. Use of other investigational drugs within 30 days of dosing.
  6. History or signs of decompensated liver disease (decompensated cirrhosis).
  7. History of hepatocellular carcinoma (HCC).
  8. 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 and secondary outcome measures (English text)

Primary endpoints 1

  1. Proportion of subjects achieving HCV RNA less than the lower limit of quantitation (LLOQ) at study week 24.

Secondary endpoints 2

  1. Proportion of subjects achieving HCV RNA < LLOQ 12 weeks after the last dose of study drugs.
  2. Proportion of subjects experiencing virologic failure.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Bemnifosbuvir/Ruzasvir Fixed Dose Combination (FDC)

PRD12154491 · Product

Active substance
Ruzasvir
Substance synonyms
MK-8408
Other product name
BEM/RZR FDC
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Not Authorised
MA holder
ATEA PHARMACEUTICALS, INC
Paediatric formulation
No
Orphan designation
No

Comparator 1

Sofosbuvir / Velpatasvir

PRD13006359 · Product

Active substance
Sofosbuvir
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
0 mg milligram(s)
Max total dose
0 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Not Authorised
MA holder
ATEA PHARMACEUTICALS, INC.
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Atea Pharmaceuticals Inc.

Sponsor organisation
Atea Pharmaceuticals Inc.
Address
225 Franklin Street Suite 2100
City
Boston
Postcode
02110-2856
Country
United States

Scientific contact point

Organisation
Atea Pharmaceuticals Inc.
Contact name
Atea Clinical Trial Information

Public contact point

Organisation
Atea Pharmaceuticals Inc.
Contact name
Atea Clinical Trial Information

Third parties 10

OrganisationCity, countryDuties
Altasciences Compagnie Inc.
ORG-100037610
Laval, Canada Other
IQVIA RDS Hellas Single Member S.A.
ORG-100048380
Chalandri, Greece Other
Quipment
ORG-100043496
Nancy, France Other
Ceeri Clinical Research S.R.L.
ORG-100046995
Bucharest, Romania Other
Almac Clinical Services Limited
ORG-100017464
Craigavon, United Kingdom (Northern Ireland) Code 14
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring, Code 12, Code 13, Other, Code 2, Code 5, Data management, Code 8
DDL Diagnostic Laboratory B.V.
ORG-100046406
Rijswijk Zh, Netherlands Laboratory analysis
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Other, Laboratory analysis
Medidata Solutions Inc.
ORG-100016256
New York, United States E-data capture
Yprime LLC
ORG-100042888
Malvern, United States Interactive response technologies (IRT)

Locations

6 EU/EEA countries · 38 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruitment ended 50 6
Germany Ongoing, recruitment ended 25 4
Greece Ongoing, recruitment ended 25 6
Poland Ongoing, recruitment ended 50 8
Romania Ongoing, recruitment ended 100 10
Spain Ongoing, recruitment ended 25 4
Rest of world
South Africa, Pakistan, India, Thailand, Moldova, Republic of, Turkey, Korea, Republic of, Egypt, Malaysia, Vietnam
605

Investigational sites

France

6 sites · Ongoing, recruitment ended
Les Hopitaux Universitaires De Strasbourg
Hepato-gastroenterology and endoscopy, 1 Place De L Hopital, Cs 80426, Strasbourg Cedex
Centre Hospitalier Universitaire De Montpellier
Hepato-gastroenterology, 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5
University Hospital Of Clermont-Ferrand
Digestive and Hepatobiliary Medicine, 1 Place Lucie Et Raymond Aubrac, 63100, Clermont-Ferrand
Assistance Publique Hopitaux De Paris
Hepatology, 51 Avenue Du Mal De Lattre De Tassigny, 94010, Creteil Cedex
Hopital Beaujon
Hepatology, 100 Boulevard Du General Leclerc, 92110, Clichy
Centre Hospitalier Universitaire De Nice
Hepato-Gastro-enterology and Digestive Oncology, 151 Route De Saint Antoine, 06200, Nice

Germany

4 sites · Ongoing, recruitment ended
Goethe University Frankfurt
Medizinische Klinik I, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
University Medical Center Hamburg-Eppendorf
Zentrum für Innere Medizin I, Martinistrasse 52, Eppendorf, Hamburg
Eugastro GmbH
na, Johannisplatz 1, Zentrum Sudost, Leipzig
Medizinische Hochschule Hannover
Gastroenterologie, Hepatologie, Infektiologie, Endokrinologie, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover

Greece

6 sites · Ongoing, recruitment ended
University General Hospital Of Alexandroupoli
1st Department of Internal Medicine, 6th Km Alex Polis Makris, Dragana, Alexandroupoli
General Hospital of Rhodes Andreas Papandreou
1st Department of Internal Medicine, Christian Barnard 1, 85133, Rhodes
Hippokration Hospital
2nd Department of Internal Medicine - National and Kapodistrian University of Athens, Vassilissas Sofias Avenue 114, 115 27, Athens
Laiko General Hospital Of Athens
First Department of Internal Medicine, Agiou Thoma (goudi) 17, 115 27, Athens
Evangelismos S.A.
3rd Department of Internal Medicine, Ipsiladou 45-47, 106 76, Athens
University General Hospital Of Heraklion
Gastroenterology Department, Stavrakia And Voutes, 715 00, Heraklion

Poland

8 sites · Ongoing, recruitment ended
Centrum Medyczne W Lancucie Sp. z o.o.
Poradnia Chorób Zakaźnych, Ul. Ignacego Paderewskiego 5, 37-100, Lancut
Centrum Badan Klinicznych Piotr Napora Lekarze sp.p.
N/A, Ul. Ul. Jana Dlugosza 4, 51-162, Wroclaw
5 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ
N/A, ul. Wrocławska 1-3, 30-901, Cracow
Globe Badania Kliniczne Sp. z o.o.
N/A, Ul. Janusza Kusocinskiego 3a, 57-300, Klodzko
Gyncentrum Sp. z o.o.
N/A, Rondo Organizacji Narodow Zjednoczonych 1, 00-124, Warsaw
ID Clinic
N/A, Ul. Janowska 19, 41-400, Myslowice
Medrise Sp. z o.o.
N/A, Ul. Onyksowa 10, 20-582, Lublin
Med Polonia Sp. z o.o.
N/A, Obornicka 262, 60-693, Poznan

Romania

10 sites · Ongoing, recruitment ended
Spitalul Clinic De Boli Infectioase Si Tropicale Dr. Victor Babes
Infectious and Tropical Diseases Adults V Department, Soseaua Mihai Bravu Nr 281 Sector 3, 030303, Bucharest
Institutul Clinic Fundeni
Department of Internal Medicine II, Soseaua Fundeni 258, 022328, Bucharest
Spitalul Clinic Judetean De Urgenta Sibiu
Infectious Disease, Bulevardul Coposu Corneliu 2-4, 550245, Sibiu
Centrul Medical Renasterea S.R.L.
Infectious Disease Department, Strada Doljului No 35, 200073, Craiova
Spitalul Clinic De Boli Infectioase Constanta
Infectious Disease Department, Bulevardul Ferdinand 100, 900709, Constanta
Clinic Hospital For Infectious Diseases Sf. Cuvioasa Parascheva Galati
Infectious Diseases Clinic Section I, Traian Street No 393, 800179, Galati
Spitalul Clinic Colentina Bucuresti
Gastroenterology Department, Soseaua Stefan Cel Mare 19-21, 020125, Bucharest
Spitalul Clinic De Urgenta Prof Dr Agrippa Ionescu
Infectious Disease, 149th Ic Bratianu Street, 077015, Balotesti
Spitalul Judetean De Urgenta Sfantul Ioan Cel Nou Suceava
Infectious Diseases Department, Bulevardul 1 Decembrie 1918 21, 720237, Suceava
Spitalul Clinic De Boli Infectioase Sf. Parascheva Iasi
Department of Infectious Diseases III, Strada Botez Octav Nr 2, 700116, Jassi

Spain

4 sites · Ongoing, recruitment ended
Hospital Universitario Marques De Valdecilla
Gastroenterology and Hepatology, Avenida Valdecilla Sn, 39008, Santander
Hospital Povisa S.A.
Internal Medicine Service, Rua Salamanca 5, 36211, Vigo
Hospital Universitario Virgen De La Victoria
Gastroenterology and Hepatology, Calle Del Arroyo Teatinos Sn, 29010, Malaga
Hospital Universitari Vall D Hebron
Liver Unit, Passeig De La Vall D'Hebron 119-129, 08035, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2025-10-02 2025-11-04 2026-05-21
Germany 2025-10-22 2025-11-05 2026-05-20
Greece 2025-12-04 2025-12-17 2026-05-20
Poland 2025-10-10 2025-10-17 2026-05-20
Romania 2025-10-06 2025-10-13 2026-05-20
Spain 2025-11-13 2025-12-15 2026-05-20

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 60 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_EL_2025-521096-31-00_Red 3.0 Am2
Protocol (for publication) D1_Protocol_EN_2025-521096-31-00_Red 3.0 Am 2
Recruitment arrangements (for publication) K1_2025-521096-31-00_Recruitment and consent V1.0FRA1.0
Recruitment arrangements (for publication) K1_Recruitment and Informed consent procedure 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_Recruitment and Informed consent procedure 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_san 2.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements_san 1.0
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Banner Ads NA
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Dr-to-Patient Letter_red V03FRAfr01
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Patient Advocacy Group Letter_red V02FRAfr01
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Patient Brochure_red V03FRAfr
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Patient Poster_red V01FRAfr
Recruitment arrangements (for publication) K2_2025-521096-31-00_Recruitment tools_Social Media Clinical Trial Posts_red V01FRAfr
Recruitment arrangements (for publication) K2_Banner ads 01
Recruitment arrangements (for publication) K2_Banner Ads_san NA
Recruitment arrangements (for publication) K2_Dr to Patient Letter_Redacted 02
Recruitment arrangements (for publication) K2_Dr-to-Patient Letter_red-san V03DEU(de)
Recruitment arrangements (for publication) K2_Patient Advocacy Group Letter_red-san V02DEU(de)
Recruitment arrangements (for publication) K2_Patient Advocacy Group Letter_Redacted 02
Recruitment arrangements (for publication) K2_Patient Brochure_red-san V03DEU(de)
Recruitment arrangements (for publication) K2_Patient Brochure_Redacted 01
Recruitment arrangements (for publication) K2_Patient Poster_red-san V01DEU(de)
Recruitment arrangements (for publication) K2_Patient Poster_Redacted 01
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Banner Ads_ES N/A
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Dr-to-Patient Letter_V03ESV1_28Apr2025_Redacted V03ESV1
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Patient Advocacy Group Letter_ES_V2ESPV1_28Apr2025_Redacted V2ESPV1
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Patient Brochure_ES_V3_4Apr2025_Redacted 3
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Patient Poster_ES_V1_4Mar2025_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_C-FORWARD_Social Media and Clinical Trial Posts_ES_V1_10Mar2025_Redacted 1
Recruitment arrangements (for publication) K2_Recruitment material_Dr-to-Patient Letter_red 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Dr-to-Patient Letter_red 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Brochure_red 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Brochure_red 3.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_red 1.0
Recruitment arrangements (for publication) K2_Recruitment material_Patient Poster_red 1.0
Recruitment arrangements (for publication) K2_Social Media_Clinical Trial Posts_red-san V01DEU(de)
Subject information and informed consent form (for publication) L1 SIS and ICF Main_Redacted V2.0ESP2.0
Subject information and informed consent form (for publication) L1 SIS and ICF Pregnant Partner_Redacted 1.0ESP1.0
Subject information and informed consent form (for publication) L1_2025-521096-31-00_ICF_Main_red V2.0FRA2.1
Subject information and informed consent form (for publication) L1_2025-521096-31-00_ICF_Pregnancy_red V1.0FRA1.1
Subject information and informed consent form (for publication) L1_Main ICF_red-san V2.0DEU2.0
Subject information and informed consent form (for publication) L1_Pregnancy Follow-up ICF_red-san V1.0DEU2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_EN_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_GR_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_EN_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_GR_Redacted 1.0
Subject information and informed consent form (for publication) L1_Sis and ICF_Main ICF_EN_red 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_red 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_red 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant partner and pregnant participant ICF_EN_red 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant partner and pregnant participant ICF_red 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant partner and pregnant participant ICF_red 1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SOF_VEL placeholder NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_EL_2025-521096-31-00 NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_EN_2025-521096-31-00 NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_ES_2025-521096-31-00 NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2025-521096-31-00 NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_PL_2025-521096-31-00 NA
Synopsis of the protocol (for publication) D1_Protocol synopsis_RO_2025-521096-31-00 NA

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-05-22 Germany Acceptable
2025-09-05
2025-09-08
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-09-25 Germany Acceptable
2025-09-05
2025-09-25
3 SUBSTANTIAL MODIFICATION SM-1 2025-09-30 Germany Acceptable
2025-11-27
2025-11-28
4 NON SUBSTANTIAL MODIFICATION NSM-2 2025-12-15 Germany Acceptable
2025-11-27
2025-12-15
5 NON SUBSTANTIAL MODIFICATION NSM-3 2026-01-21 Germany Acceptable
2025-11-27
2026-01-21