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A Study of Induction Dosing With Peginterferon Alfa-2a and Ribavirin in Participants With Chronic Hepatitis C (CHC) Genotype 1 Infection

Primary Purpose

Hepatitis C, Chronic

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
PEG-IFN alfa-2a
Ribavirin
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C, Chronic

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Diagnosis of chronic CHC, genotype 1 Chronic liver disease consistent with CHC on a biopsy sample obtained within the previous 36 months as judged by a local pathologist (all countries except Australia) Infection with Hepatitis C virus (Australian sites only had to meet Section 100 criteria for treatment with PEG-IFN alfa-2a plus ribavirin) Compensated liver disease Naive to interferon-based therapy for CHC infection Exclusion Criteria: Systemic antiviral, antineoplastic, or immunomodulatory treatment within 6 months of study drug Coinfection with active hepatitis A or B virus, or with human immunodeficiency virus (HIV) Chronic liver disease other than CHC infection

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

PEG-IFN alfa-2a+Ribavirin - Induction Treatment

PEG-IFN alfa-2a+Ribavirin - Standard Treatment

Arm Description

Participants will receive 12 weeks of induction therapy with PEG-IFN alfa-2a (Pegasys), 360 micrograms (mcg) subcutaneous (SC) once weekly, along with ribavirin, 1000 or 1200 milligrams (mg) orally daily in divided doses. Thereafter, the dose of PEG-IFN alfa-2a will be reduced to 180 mcg SC once weekly and the ribavirin dose maintained for the remaining 36 weeks of treatment.

Participants will receive 48 weeks of standard therapy with PEG-IFN alfa-2a, 180 mcg SC once weekly, along with ribavirin, 1000 or 1200 mg orally daily in divided doses.

Outcomes

Primary Outcome Measures

Percentage of Participants With Sustained Virological Response According to Scheduled Treatment Period
Sustained virological response was calculated as the percentage of participants with undetectable (less than [<] 15 international units per milliliter [IU/mL]) hepatitis C virus (HCV) ribonucleic acid (RNA) as measured by the Roche TaqMan HCV Test 24 weeks after completion of the scheduled 48-week treatment period.

Secondary Outcome Measures

Percentage of Participants With End-of-Treatment Virological Response According to Scheduled Treatment Period
Virological response at the end of the scheduled treatment period was defined as the percentage of participants with undetectable (<15 IU/mL) HCV RNA as measured by the Roche TaqMan HCV Test at Week 48.
Percentage of Participants With Virological Responses Over Time
Virological response was defined as undetectable HCV RNA (<15 IU/mL) as measured by the Roche TaqMan HCV Test. Participants without HCV RNA measurements at a study week are considered non responders at that study week.
Percentage of Participants With Relapse of End-of-treatment Virological Response
Relapse was determined based on virological response at the actual end of treatment and was calculated by dividing the number of participants who achieved a virological response at end of treatment but later had detectable HCV RNA at the last assessment post-treatment by the number of participants with a virological response at end of treatment, defined as undetectable HCV RNA (<15 IU/mL). Participants who achieved a virological response at end of treatment but did not have any HCV RNA assessment during follow-up were excluded and were not considered as having relapsed. However, if no assessment was available within the end of-treatment time window but the participant had a sustained virological response according to the actual treatment period, backward imputation was used and the participant was considered to have achieved an end-of-treatment virological response in the analysis.
Percentage of Participants With Predictive Values of Virological Response for Sustained Virological Response
The ability of virological responses to predict sustained virological response according to the scheduled treatment periods was assessed in terms of positive predictive value (PPV) and negative predictive value (NPV). The PPV indicates probability of achievement of viral suppression (undetectable HCV RNA) for achieving a sustained virological response and the NPV indicates probability of not achieving viral suppression for not achieving a sustained virological response. The PPV at Week 4 or 12 was calculated as the number of participants who achieved viral suppression both at Week 4 or 12 and at Week 72 divided by the number of participants who achieved viral suppression at Week 4 or 12, multiplied by 100. The NPV at Week 4 or 12 was calculated as the number of participants who failed to achieve viral suppression at Week 4 or 12 and at Week 72 divided by the number of participants who failed to achieve viral suppression at Week 4 or 12, multiplied by 100.
Change From Baseline in Log10 HCV RNA Values
The mean decrease in log10 HCV RNA levels from baseline was assessed in both the induction group and the standard group.

Full Information

First Posted
September 13, 2005
Last Updated
June 23, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT00192647
Brief Title
A Study of Induction Dosing With Peginterferon Alfa-2a and Ribavirin in Participants With Chronic Hepatitis C (CHC) Genotype 1 Infection
Official Title
A Phase IV, Randomised, Multicentre, Efficacy and Safety Study Examining the Effect of Induction Dosing With the Combination of Peginterferon Alfa-2a and Ribavirin in Patients With Chronic Hepatitis C Infected With Hepatitis C Genotype 1
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
August 2004 (undefined)
Primary Completion Date
March 2009 (Actual)
Study Completion Date
March 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This study will evaluate the addition of a higher-dose induction treatment period with peginterferon (PEG-IFN) alfa-2a (Pegasys) and ribavirin prior to standard-dose treatment with PEG-IFN alfa-2a and ribavirin, compared to standard-dose treatment, in treatment-naive participants with CHC, genotype 1 infection.

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 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
896 (Actual)

8. Arms, Groups, and Interventions

Arm Title
PEG-IFN alfa-2a+Ribavirin - Induction Treatment
Arm Type
Experimental
Arm Description
Participants will receive 12 weeks of induction therapy with PEG-IFN alfa-2a (Pegasys), 360 micrograms (mcg) subcutaneous (SC) once weekly, along with ribavirin, 1000 or 1200 milligrams (mg) orally daily in divided doses. Thereafter, the dose of PEG-IFN alfa-2a will be reduced to 180 mcg SC once weekly and the ribavirin dose maintained for the remaining 36 weeks of treatment.
Arm Title
PEG-IFN alfa-2a+Ribavirin - Standard Treatment
Arm Type
Experimental
Arm Description
Participants will receive 48 weeks of standard therapy with PEG-IFN alfa-2a, 180 mcg SC once weekly, along with ribavirin, 1000 or 1200 mg orally daily in divided doses.
Intervention Type
Drug
Intervention Name(s)
PEG-IFN alfa-2a
Other Intervention Name(s)
Pegasys
Intervention Description
PEG-IFN alfa-2a will be administered once weekly for 48 weeks, at doses specified in respective arms.
Intervention Type
Drug
Intervention Name(s)
Ribavirin
Other Intervention Name(s)
Copegus
Intervention Description
Ribavirin 1000 or 1200 mg orally daily in divided doses, with the dose determined based on body weight, for 48 weeks.
Primary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virological Response According to Scheduled Treatment Period
Description
Sustained virological response was calculated as the percentage of participants with undetectable (less than [<] 15 international units per milliliter [IU/mL]) hepatitis C virus (HCV) ribonucleic acid (RNA) as measured by the Roche TaqMan HCV Test 24 weeks after completion of the scheduled 48-week treatment period.
Time Frame
Week 72
Secondary Outcome Measure Information:
Title
Percentage of Participants With End-of-Treatment Virological Response According to Scheduled Treatment Period
Description
Virological response at the end of the scheduled treatment period was defined as the percentage of participants with undetectable (<15 IU/mL) HCV RNA as measured by the Roche TaqMan HCV Test at Week 48.
Time Frame
Weeks 48
Title
Percentage of Participants With Virological Responses Over Time
Description
Virological response was defined as undetectable HCV RNA (<15 IU/mL) as measured by the Roche TaqMan HCV Test. Participants without HCV RNA measurements at a study week are considered non responders at that study week.
Time Frame
Weeks 4, 8, 12, and 24
Title
Percentage of Participants With Relapse of End-of-treatment Virological Response
Description
Relapse was determined based on virological response at the actual end of treatment and was calculated by dividing the number of participants who achieved a virological response at end of treatment but later had detectable HCV RNA at the last assessment post-treatment by the number of participants with a virological response at end of treatment, defined as undetectable HCV RNA (<15 IU/mL). Participants who achieved a virological response at end of treatment but did not have any HCV RNA assessment during follow-up were excluded and were not considered as having relapsed. However, if no assessment was available within the end of-treatment time window but the participant had a sustained virological response according to the actual treatment period, backward imputation was used and the participant was considered to have achieved an end-of-treatment virological response in the analysis.
Time Frame
Actual end of treatment (Week 48) up to last follow up (maximum up to Week 72)
Title
Percentage of Participants With Predictive Values of Virological Response for Sustained Virological Response
Description
The ability of virological responses to predict sustained virological response according to the scheduled treatment periods was assessed in terms of positive predictive value (PPV) and negative predictive value (NPV). The PPV indicates probability of achievement of viral suppression (undetectable HCV RNA) for achieving a sustained virological response and the NPV indicates probability of not achieving viral suppression for not achieving a sustained virological response. The PPV at Week 4 or 12 was calculated as the number of participants who achieved viral suppression both at Week 4 or 12 and at Week 72 divided by the number of participants who achieved viral suppression at Week 4 or 12, multiplied by 100. The NPV at Week 4 or 12 was calculated as the number of participants who failed to achieve viral suppression at Week 4 or 12 and at Week 72 divided by the number of participants who failed to achieve viral suppression at Week 4 or 12, multiplied by 100.
Time Frame
Weeks 4, 12, and 72
Title
Change From Baseline in Log10 HCV RNA Values
Description
The mean decrease in log10 HCV RNA levels from baseline was assessed in both the induction group and the standard group.
Time Frame
Baseline, Weeks 4, 8, 12, 24, and at end of treatment (EoT) (maximum up to Week 48)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of chronic CHC, genotype 1 Chronic liver disease consistent with CHC on a biopsy sample obtained within the previous 36 months as judged by a local pathologist (all countries except Australia) Infection with Hepatitis C virus (Australian sites only had to meet Section 100 criteria for treatment with PEG-IFN alfa-2a plus ribavirin) Compensated liver disease Naive to interferon-based therapy for CHC infection Exclusion Criteria: Systemic antiviral, antineoplastic, or immunomodulatory treatment within 6 months of study drug Coinfection with active hepatitis A or B virus, or with human immunodeficiency virus (HIV) Chronic liver disease other than CHC infection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Chair
Facility Information:
City
Buenos Aires
ZIP/Postal Code
1640
Country
Argentina
City
Buenos Aires
ZIP/Postal Code
C1282AFE
Country
Argentina
City
La Plata
ZIP/Postal Code
B1902AVF
Country
Argentina
City
Rosario
ZIP/Postal Code
2000
Country
Argentina
City
Adelaide
ZIP/Postal Code
5000
Country
Australia
City
Adelaide
ZIP/Postal Code
5042
Country
Australia
City
Bankstown
ZIP/Postal Code
2200
Country
Australia
City
Box Hill
ZIP/Postal Code
3128
Country
Australia
City
Brisbane
ZIP/Postal Code
4029
Country
Australia
City
Cottontree
ZIP/Postal Code
4558
Country
Australia
City
Darlinghurst
ZIP/Postal Code
2010
Country
Australia
City
Douglas
Country
Australia
City
Fitzroy
ZIP/Postal Code
3065
Country
Australia
City
Fremantle
ZIP/Postal Code
6160
Country
Australia
City
Geelong
ZIP/Postal Code
3220
Country
Australia
City
Greenslopes
ZIP/Postal Code
4120
Country
Australia
City
Kingswood
Country
Australia
City
Lismore
ZIP/Postal Code
2480
Country
Australia
City
Liverpool
ZIP/Postal Code
1871
Country
Australia
City
Liverpool
ZIP/Postal Code
2170
Country
Australia
City
Melbourne
ZIP/Postal Code
3011
Country
Australia
City
Melbourne
ZIP/Postal Code
3084
Country
Australia
City
Melbourne
ZIP/Postal Code
3181
Country
Australia
City
Melbourne
ZIP/Postal Code
3186
Country
Australia
City
Miranda
ZIP/Postal Code
2228
Country
Australia
City
Nedlands
ZIP/Postal Code
6009
Country
Australia
City
New Lambton Heights
ZIP/Postal Code
2310
Country
Australia
City
Parkville
ZIP/Postal Code
3052
Country
Australia
City
Perth
ZIP/Postal Code
6001
Country
Australia
City
Sydney
ZIP/Postal Code
2010
Country
Australia
City
Sydney
ZIP/Postal Code
2050
Country
Australia
City
Sydney
ZIP/Postal Code
2139
Country
Australia
City
Sydney
ZIP/Postal Code
2145
Country
Australia
City
Victoria
ZIP/Postal Code
3199
Country
Australia
City
Woden
ZIP/Postal Code
2606
Country
Australia
City
Wollongong
ZIP/Postal Code
2500
Country
Australia
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N1
Country
Canada
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T5H 4B9
Country
Canada
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1M9
Country
Canada
City
Mississauga
State/Province
Ontario
ZIP/Postal Code
L5M 2V8
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
City
Guadalajara
ZIP/Postal Code
44280
Country
Mexico
City
Guadalajara
ZIP/Postal Code
44650
Country
Mexico
City
Monterrey
ZIP/Postal Code
64460
Country
Mexico
City
Auckland
ZIP/Postal Code
100
Country
New Zealand
City
Hamilton
Country
New Zealand
City
Riccarton, Christchurch
ZIP/Postal Code
8011
Country
New Zealand
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
City
Chiang Mai
ZIP/Postal Code
50202
Country
Thailand

12. IPD Sharing Statement

Learn more about this trial

A Study of Induction Dosing With Peginterferon Alfa-2a and Ribavirin in Participants With Chronic Hepatitis C (CHC) Genotype 1 Infection

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