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Peginterferon Dose Evaluations for Previously Untreated Subjects With Chronic Hepatitis C Infected With Genotype 1 (Study P03471)

Primary Purpose

Hepatitis C, Chronic

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
PegIntron (peginterferon alfa-2b; SCH 54031)
PegIntron (peginterferon alfa-2b; SCH 54031)
REBETOL (ribavirin; SCH 18908)
PEGASYS (peginterferon alfa-2a)
COPEGUS (ribavirin)
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C, Chronic

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA: Previously untreated adults with chronic hepatitis C (hepatitis C virus ribonucleic acid [HCV RNA] quantitative polymerase chain reaction [qPCR] plasma positive) Individuals with HCV genotype 1 (mixed 1a/1b is acceptable) Compensated liver disease Pretreatment liver biopsy slides available Adults aged 18-70 Individuals weighing 88-275 pounds (40-125 kg) Free from substance abuse for past 2 years Those suffering from diabetes and/or hypertension must have normal eye exams and retinal photographs (these will be done as part of the study before hepatitis C treatment is given) Patients and partners of patients willing to use adequate contraception during the course of the study Hematology laboratory results of: Hemoglobin (HGB) ≥ 12 g/dL for females or ≥ 13g/dL for males White Blood Cell Count (WBC) ≥ 3,000/mm^3 Neutrophils ≥ 1,500/mm^3 Platelets ≥ 80,000/mm^3 Chemistry laboratory results of: Normal Thyroid Stimulating Hormone (TSH), albumin, creatinine, and direct bilirubin Antinuclear antibody (ANA) ≤ 1:320 Fasting Glucose 70-140 mg/dL Note: If glucose levels are between 116-140 mg/dL or an individual has diabetes, glycosylated hemoglobin [HbA1C] must be ≤ 8.5% EXCLUSION CRITERIA: Previous hepatitis C treatment Pregnant women or partners of pregnant women Patients or partners of patients who intend to become pregnant any time during the 48 weeks Women who are breastfeeding Individuals with liver disease not caused by hepatitis C Individuals infected with the hepatitis B virus and/or human immunodeficiency virus (HIV) Patients with a history of liver cancer (hepatocellular carcinoma) Known blood disorders such as hemoglobinopathy, coagulopathy, or glucose-6-phosphate dehydrogenase [G6PD] deficiency Body organ transplant Any known or suspected cancer within the past 5 years Individuals who currently use epoetin [EPO], granulocyte colony stimulating factor [G-CSF] and/or granulocyte monocyte colony stimulating factor [GM-CSF] Those having a history of or active clinical gout Individuals who have chronic pulmonary disease Individuals who have a medical condition that would likely require systemic steroids Those with a history of central nervous system (CNS trauma) or seizure disorders Current or previous use of lithium or antipsychotic drugs Individuals who currently have or show signs of moderate to severe depression or history of significant psychiatric disorders Patients with clinically significant electrocardiogram (ECG) abnormalities Individuals with serious heart problems such as those who have had a heart attack, uncontrolled high blood pressure, or other heart problems Patients that weigh > 231-275 pounds (105-125 kg) AND have a body mass index (BMI) > 30 AND have 3 or more of the risk factors below: (a) Strong family history of coronary heart disease (CHD) which includes 2 or more first-degree relatives with CHD or family history of early CHD at age < 55 for male relatives or < 65 for female relatives (b) Individuals with abnormal total cholesterol and/or sub fractions (uncontrolled hypercholesterolemia) (c) Diabetes (d) Hypertension (e) Smoking

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    PegIntron 1.5 ug/kg/wk plus REBETOL

    PegIntron 1.0 ug/kg/wk plus REBETOL

    PEGASYS 180 ug/wk Plus COPEGUS

    Arm Description

    PegIntron (peginterferon alfa-2b; SCH 54031) 1.5 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up

    PegIntron (peginterferon alfa-2b; SCH 54031) 1.0 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up

    PEGASYS (peginterferon alfa-2a) 180 ug/week plus COPEGUS (ribavirin) 1000-1200 mg/day administered for 48 weeks with 24-week post-treatment follow-up

    Outcomes

    Primary Outcome Measures

    Sustained Virologic Response (SVR) Rate
    SVR rate is the percentage of participants with undetectable hepatitis C virus ribonucleic acid (HCV-RNA) at the end of the 24-week post-treatment follow-up.

    Secondary Outcome Measures

    Mean Change From Baseline in the Log Viral Load at Treatment Week 4
    The difference between viral load levels in the blood at the start of the study and Treatment Week 4, expressed in terms of a logarithmic scale with base 10, and averaged for all the participants in each treatment group.
    Virologic Response Rate at Treatment Week 12
    Percentage of participants with undetectable hepatitis C RNA (HCV-RNA) at Treatment Week 12
    Mean Change From Baseline in the Log Viral Load at Treatment Week 2
    The difference between viral load levels in the blood at the start of the study and Treatment Week 2, expressed in terms of a logarithmic scale with base 10, and averaged for all the participants in each treatment group.

    Full Information

    First Posted
    April 20, 2004
    Last Updated
    March 7, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00081770
    Brief Title
    Peginterferon Dose Evaluations for Previously Untreated Subjects With Chronic Hepatitis C Infected With Genotype 1 (Study P03471)
    Official Title
    Comparison of PEG-Intron 1.5µg/kg/wk Plus REBETOL vs PEG-Intron 1µg/kg/wk Plus REBETOL vs PEGASYS 180µg/wk Plus COPEGUS in Previously Untreated Adult Subjects With Chronic Hepatitis C Infected With Genotype 1
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2004 (undefined)
    Primary Completion Date
    November 2007 (Actual)
    Study Completion Date
    November 2007 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The objective is to compare the safety and efficacy of the following three treatment regimens in previously untreated adult subjects with chronic hepatitis C infected with Genotype 1: (1) PegIntron 1.5 µg/kg/wk in combination with weight based REBETOL (800-1400 mg/day); (2) PegIntron 1µg/kg/wk in combination with weight based REBETOL (800-1400 mg/day); and (3) PEGASYS 180 µg/wk plus COPEGUS 1000-1200 mg/day.
    Detailed Description
    PegIntron Dose will be administered once weekly subcutaneously on the same day of the week: Screening 2 Weight 40-50 kg Volume to Inject (mL) 0.22; Screening 2 Weight 51-60 kg Volume to Inject (mL) 0.28; Screening 2 Weight 61-75 kg Volume to Inject (mL) 0.33; Screening 2 Weight 76-85 kg Volume to Inject (mL) 0.41; Screening 2 Weight 86-104 kg Volume to Inject (mL) 0.48; Screening 2 Weight 105-125 kg Volume to Inject (mL) 0.58 from two vials REBETOL Dosage (for Use With PegIntron): Screening 2 Weight 40-65 kg Daily Dose 800 mg; Screening 2 Weight >65-85 kg Daily Dose 1000 mg; Screening 2 Weight >85-105 kg Daily Dose 1200 mg; Screening 2 Weight >105-125 kg Daily Dose 1400 mg The PEGASYS dose of 1 mL (180 µg) will be administered once weekly subcutaneously on the same day of the week COPEGUS Dosage (for Use With PEGASYS): Screening 2 Weight <75 kg Daily Dose 1000 mg; Screening 2 Weight > or = 75 kg Daily Dose 1200mg NOTE: Double Blind for PegIntron; Open Label for REBETOL, PEGASYS and COPEGUS NOTE: REBETOL is the Schering-Plough brand name for ribavirin. COPEGUS is the Hoffman-La Roche brand name for ribavirin.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis C, Chronic

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    4469 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    PegIntron 1.5 ug/kg/wk plus REBETOL
    Arm Type
    Experimental
    Arm Description
    PegIntron (peginterferon alfa-2b; SCH 54031) 1.5 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up
    Arm Title
    PegIntron 1.0 ug/kg/wk plus REBETOL
    Arm Type
    Experimental
    Arm Description
    PegIntron (peginterferon alfa-2b; SCH 54031) 1.0 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up
    Arm Title
    PEGASYS 180 ug/wk Plus COPEGUS
    Arm Type
    Active Comparator
    Arm Description
    PEGASYS (peginterferon alfa-2a) 180 ug/week plus COPEGUS (ribavirin) 1000-1200 mg/day administered for 48 weeks with 24-week post-treatment follow-up
    Intervention Type
    Biological
    Intervention Name(s)
    PegIntron (peginterferon alfa-2b; SCH 54031)
    Other Intervention Name(s)
    PegIntron
    Intervention Description
    1.5 ug/kg/week subcutaneously (SC) for 48 weeks
    Intervention Type
    Biological
    Intervention Name(s)
    PegIntron (peginterferon alfa-2b; SCH 54031)
    Other Intervention Name(s)
    PegIntron
    Intervention Description
    1.0 ug/kg/week SC for 48 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    REBETOL (ribavirin; SCH 18908)
    Other Intervention Name(s)
    REBETOL [the Schering-Plough brand name for ribavirin]
    Intervention Description
    weight based dose 800-1400 mg/day orally (PO) for 48 weeks
    Intervention Type
    Biological
    Intervention Name(s)
    PEGASYS (peginterferon alfa-2a)
    Other Intervention Name(s)
    PEGASYS
    Intervention Description
    180 ug/week SC administered for 48 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    COPEGUS (ribavirin)
    Other Intervention Name(s)
    COPEGUS [the Hoffman-La Roche brand name for ribavirin]
    Intervention Description
    1000-1200 mg/day PO for 48 weeks
    Primary Outcome Measure Information:
    Title
    Sustained Virologic Response (SVR) Rate
    Description
    SVR rate is the percentage of participants with undetectable hepatitis C virus ribonucleic acid (HCV-RNA) at the end of the 24-week post-treatment follow-up.
    Time Frame
    Assessed at the end of a 24-week post-treatment follow-up
    Secondary Outcome Measure Information:
    Title
    Mean Change From Baseline in the Log Viral Load at Treatment Week 4
    Description
    The difference between viral load levels in the blood at the start of the study and Treatment Week 4, expressed in terms of a logarithmic scale with base 10, and averaged for all the participants in each treatment group.
    Time Frame
    Assessed at Baseline and Treatment Week 4
    Title
    Virologic Response Rate at Treatment Week 12
    Description
    Percentage of participants with undetectable hepatitis C RNA (HCV-RNA) at Treatment Week 12
    Time Frame
    Assessed at Treatment Week 12
    Title
    Mean Change From Baseline in the Log Viral Load at Treatment Week 2
    Description
    The difference between viral load levels in the blood at the start of the study and Treatment Week 2, expressed in terms of a logarithmic scale with base 10, and averaged for all the participants in each treatment group.
    Time Frame
    Assessed at Baseline and Treatment Week 2

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    INCLUSION CRITERIA: Previously untreated adults with chronic hepatitis C (hepatitis C virus ribonucleic acid [HCV RNA] quantitative polymerase chain reaction [qPCR] plasma positive) Individuals with HCV genotype 1 (mixed 1a/1b is acceptable) Compensated liver disease Pretreatment liver biopsy slides available Adults aged 18-70 Individuals weighing 88-275 pounds (40-125 kg) Free from substance abuse for past 2 years Those suffering from diabetes and/or hypertension must have normal eye exams and retinal photographs (these will be done as part of the study before hepatitis C treatment is given) Patients and partners of patients willing to use adequate contraception during the course of the study Hematology laboratory results of: Hemoglobin (HGB) ≥ 12 g/dL for females or ≥ 13g/dL for males White Blood Cell Count (WBC) ≥ 3,000/mm^3 Neutrophils ≥ 1,500/mm^3 Platelets ≥ 80,000/mm^3 Chemistry laboratory results of: Normal Thyroid Stimulating Hormone (TSH), albumin, creatinine, and direct bilirubin Antinuclear antibody (ANA) ≤ 1:320 Fasting Glucose 70-140 mg/dL Note: If glucose levels are between 116-140 mg/dL or an individual has diabetes, glycosylated hemoglobin [HbA1C] must be ≤ 8.5% EXCLUSION CRITERIA: Previous hepatitis C treatment Pregnant women or partners of pregnant women Patients or partners of patients who intend to become pregnant any time during the 48 weeks Women who are breastfeeding Individuals with liver disease not caused by hepatitis C Individuals infected with the hepatitis B virus and/or human immunodeficiency virus (HIV) Patients with a history of liver cancer (hepatocellular carcinoma) Known blood disorders such as hemoglobinopathy, coagulopathy, or glucose-6-phosphate dehydrogenase [G6PD] deficiency Body organ transplant Any known or suspected cancer within the past 5 years Individuals who currently use epoetin [EPO], granulocyte colony stimulating factor [G-CSF] and/or granulocyte monocyte colony stimulating factor [GM-CSF] Those having a history of or active clinical gout Individuals who have chronic pulmonary disease Individuals who have a medical condition that would likely require systemic steroids Those with a history of central nervous system (CNS trauma) or seizure disorders Current or previous use of lithium or antipsychotic drugs Individuals who currently have or show signs of moderate to severe depression or history of significant psychiatric disorders Patients with clinically significant electrocardiogram (ECG) abnormalities Individuals with serious heart problems such as those who have had a heart attack, uncontrolled high blood pressure, or other heart problems Patients that weigh > 231-275 pounds (105-125 kg) AND have a body mass index (BMI) > 30 AND have 3 or more of the risk factors below: (a) Strong family history of coronary heart disease (CHD) which includes 2 or more first-degree relatives with CHD or family history of early CHD at age < 55 for male relatives or < 65 for female relatives (b) Individuals with abnormal total cholesterol and/or sub fractions (uncontrolled hypercholesterolemia) (c) Diabetes (d) Hypertension (e) Smoking

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    19625712
    Citation
    McHutchison JG, Lawitz EJ, Shiffman ML, Muir AJ, Galler GW, McCone J, Nyberg LM, Lee WM, Ghalib RH, Schiff ER, Galati JS, Bacon BR, Davis MN, Mukhopadhyay P, Koury K, Noviello S, Pedicone LD, Brass CA, Albrecht JK, Sulkowski MS; IDEAL Study Team. Peginterferon alfa-2b or alfa-2a with ribavirin for treatment of hepatitis C infection. N Engl J Med. 2009 Aug 6;361(6):580-93. doi: 10.1056/NEJMoa0808010. Epub 2009 Jul 22. Erratum In: N Engl J Med. 2009 Sep 3;361(10):1027.
    Results Reference
    result
    PubMed Identifier
    21488082
    Citation
    Melia MT, Muir AJ, McCone J, Shiffman ML, King JW, Herrine SK, Galler GW, Bloomer JR, Nunes FA, Brown KA, Mullen KD, Ravendhran N, Ghalib RH, Boparai N, Jiang R, Noviello S, Brass CA, Albrecht JK, McHutchison JG, Sulkowski MS; IDEAL Study Team. Racial differences in hepatitis C treatment eligibility. Hepatology. 2011 Jul;54(1):70-8. doi: 10.1002/hep.24358.
    Results Reference
    derived

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    Peginterferon Dose Evaluations for Previously Untreated Subjects With Chronic Hepatitis C Infected With Genotype 1 (Study P03471)

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