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Antiviral Effect, Safety, and Pharmacokinetics of BI201335 +PegIFN/RBV in HCV-GT1 (SILEN-C1&2)

Primary Purpose

Hepatitis C, Chronic

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
BI 201335 NA 240 mg QD / LI
PegIFN/RBV
BI 201335 NA 120mg QD / LI
PegIFN/RBV
BI 201335 NA 240 mg QD
PegIFN/RBV
BI 201335 NA 240 mg QD
PegIFN/RBV
BI 201335 NA 240 mg BID
PegIFN/RBV
PegIFN/RBV
BI 201335 NA 240 mg QD
PegIFN/RBV
Placebo
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C, Chronic

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

chronic HCV GT1; therapy-naive to IFN, PegIFN, or RBV; HCV VL >=100,000 IU/mL Liver biopsy within 2 years prior to study enrolment showing necroinflammatory activity or presence of fibrosis Normal retinal finding on fundoscopy within 6 months prior to Day 1 age 18-65 years Females and males with adequate contraception

Exclusion criteria:

Mixed genotype (1/2, 1/3, or 1/4), diagnosed by genotypic testing at screening Previous treatment with protease inhibitor Evidence of liver disease due to causes other than chronic HCV infection HIV-1 or HIV-2 positive HBV positive Decompensated liver disease, or history of decompensated liver disease Active or suspected malignancy or history of malignancy within the last 5 years History of alcohol or drug abuse within the past 12 months. Usage of any investigational drug within 30 days prior to enrolment, or 5 half-lives, whichever is longer Known hypersensitivity to any ingredient of the study drugs Condition that is defined as one which in the opinion of the investigator may put the patient at risk because of participation in the study or may influence the results of the study or the patient's ability to participate in the study Alpha-fetoprotein value > 100ng/mL at screening; if >20ng/mL and <=100ng/mL, patients can be included if there is no evidence of liver cancer in two congruent imaging studies Total bilirubin > 1.5x ULN wiht ratio of direct/indirect >1. ALT or AST levels > 5x ULN INR prolonged to >1.5x ULN Exclusion criteria related to PegIFN and/or RBV restrictions.

Sites / Locations

  • 1220.5.0001 Boehringer Ingelheim Investigational Site
  • 1220.5.0008 Boehringer Ingelheim Investigational Site
  • 1220.5.0005 Boehringer Ingelheim Investigational Site
  • 1220.5.0006 Boehringer Ingelheim Investigational Site
  • 1220.5.0002 Boehringer Ingelheim Investigational Site
  • 1220.5.0003 Boehringer Ingelheim Investigational Site
  • 1220.5.0007 Boehringer Ingelheim Investigational Site
  • 1220.5.0010 Boehringer Ingelheim Investigational Site
  • 1220.5.0009 Boehringer Ingelheim Investigational Site
  • 1220.5.0004 Boehringer Ingelheim Investigational Site
  • 1220.5.5401 Boehringer Ingelheim Investigational Site
  • 1220.5.5403 Boehringer Ingelheim Investigational Site
  • 1220.5.5405 Boehringer Ingelheim Investigational Site
  • 1220.5.5402 Boehringer Ingelheim Investigational Site
  • 1220.5.5406 Boehringer Ingelheim Investigational Site
  • 1220.5.6110 Boehringer Ingelheim Investigational Site
  • 1220.5.6109 Boehringer Ingelheim Investigational Site
  • 1220.5.6105 Boehringer Ingelheim Investigational Site
  • 1220.5.6101 Boehringer Ingelheim Investigational Site
  • 1220.5.6103 Boehringer Ingelheim Investigational Site
  • 1220.5.6104 Boehringer Ingelheim Investigational Site
  • 1220.5.6102 Boehringer Ingelheim Investigational Site
  • 1220.5.6107 Boehringer Ingelheim Investigational Site
  • 1220.5.6108 Boehringer Ingelheim Investigational Site
  • 1220.5.4303 Boehringer Ingelheim Investigational Site
  • 1220.5.4301 Boehringer Ingelheim Investigational Site
  • 1220.5.4302 Boehringer Ingelheim Investigational Site
  • 1220.5.1003 Boehringer Ingelheim Investigational Site
  • 1220.5.1007 Boehringer Ingelheim Investigational Site
  • 1220.5.1006 Boehringer Ingelheim Investigational Site
  • 1220.5.1001 Boehringer Ingelheim Investigational Site
  • 1220.5.1002 Boehringer Ingelheim Investigational Site
  • 1220.5.1004 Boehringer Ingelheim Investigational Site
  • 1220.5.4202 Boehringer Ingelheim Investigational Site
  • 1220.5.4203 Boehringer Ingelheim Investigational Site
  • 1220.5.3301A Boehringer Ingelheim Investigational Site
  • 1220.5.3307A Boehringer Ingelheim Investigational Site
  • 1220.5.3309A Boehringer Ingelheim Investigational Site
  • 1220.5.3304A Boehringer Ingelheim Investigational Site
  • 1220.5.3306A Boehringer Ingelheim Investigational Site
  • 1220.5.3308A Boehringer Ingelheim Investigational Site
  • 1220.5.3302A Boehringer Ingelheim Investigational Site
  • 1220.5.3303A Boehringer Ingelheim Investigational Site
  • 1220.5.3305A Boehringer Ingelheim Investigational Site
  • 1220.5.4902 Boehringer Ingelheim Investigational Site
  • 1220.5.4903 Boehringer Ingelheim Investigational Site
  • 1220.5.4917 Boehringer Ingelheim Investigational Site
  • 1220.5.4914 Boehringer Ingelheim Investigational Site
  • 1220.5.4913 Boehringer Ingelheim Investigational Site
  • 1220.5.4915 Boehringer Ingelheim Investigational Site
  • 1220.5.4905 Boehringer Ingelheim Investigational Site
  • 1220.5.4912 Boehringer Ingelheim Investigational Site
  • 1220.5.4906 Boehringer Ingelheim Investigational Site
  • 1220.5.4908 Boehringer Ingelheim Investigational Site
  • 1220.5.4904 Boehringer Ingelheim Investigational Site
  • 1220.5.4910 Boehringer Ingelheim Investigational Site
  • 1220.5.4909 Boehringer Ingelheim Investigational Site
  • 1220.5.4907 Boehringer Ingelheim Investigational Site
  • 1220.5.8210 Boehringer Ingelheim Investigational Site
  • 1220.5.8205 Boehringer Ingelheim Investigational Site
  • 1220.5.8201 Boehringer Ingelheim Investigational Site
  • 1220.5.8202 Boehringer Ingelheim Investigational Site
  • 1220.5.8206 Boehringer Ingelheim Investigational Site
  • 1220.5.8207 Boehringer Ingelheim Investigational Site
  • 1220.5.8208 Boehringer Ingelheim Investigational Site
  • 1220.5.8204 Boehringer Ingelheim Investigational Site
  • 1220.5.8203 Boehringer Ingelheim Investigational Site
  • 1220.5.8209 Boehringer Ingelheim Investigational Site
  • 1220.5.8211 Boehringer Ingelheim Investigational Site
  • 1220.5.3101 Boehringer Ingelheim Investigational Site
  • 1220.5.3102 Boehringer Ingelheim Investigational Site
  • 1220.5.3501 Boehringer Ingelheim Investigational Site
  • 1220.5.3504 Boehringer Ingelheim Investigational Site
  • 1220.5.3502 Boehringer Ingelheim Investigational Site
  • 1220.5.3503 Boehringer Ingelheim Investigational Site
  • 1220.5.3506 Boehringer Ingelheim Investigational Site
  • 1220.5.3507 Boehringer Ingelheim Investigational Site
  • 1220.5.4001 Boehringer Ingelheim Investigational Site
  • 1220.5.4002 Boehringer Ingelheim Investigational Site
  • 1220.5.4003 Boehringer Ingelheim Investigational Site
  • 1220.5.4004 Boehringer Ingelheim Investigational Site
  • 1220.5.3402 Boehringer Ingelheim Investigational Site
  • 1220.5.3405 Boehringer Ingelheim Investigational Site
  • 1220.5.3401 Boehringer Ingelheim Investigational Site
  • 1220.5.3403 Boehringer Ingelheim Investigational Site
  • 1220.5.3404 Boehringer Ingelheim Investigational Site
  • 1220.5.3406 Boehringer Ingelheim Investigational Site
  • 1220.5.4104 Boehringer Ingelheim Investigational Site
  • 1220.5.4102 Boehringer Ingelheim Investigational Site
  • 1220.5.4103 Boehringer Ingelheim Investigational Site
  • 1220.5.4101 Boehringer Ingelheim Investigational Site
  • 1220.5.4106 Boehringer Ingelheim Investigational Site
  • 1220.5.4405 Boehringer Ingelheim Investigational Site
  • 1220.5.4401 Boehringer Ingelheim Investigational Site
  • 1220.5.4402 Boehringer Ingelheim Investigational Site
  • 1220.5.4406 Boehringer Ingelheim Investigational Site
  • 1220.5.4409 Boehringer Ingelheim Investigational Site
  • 1220.5.4410 Boehringer Ingelheim Investigational Site
  • 1220.5.4408 Boehringer Ingelheim Investigational Site
  • 1220.5.4403 Boehringer Ingelheim Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Arm Label

240 mg QD TN

240 mg QD / LI-TN

Placebo

120 mg QD / LI-TN

240 mg QD TE

240 mg QD / LI-TE

240 mg BID / LI-TE

Arm Description

240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients

240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients

Placebo once daily combined with PegIFN/RBV for 24 weeks, followed by an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients

120 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in (LI) phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), followed by an additional 24 weeks of PegIFN/RBV in treatment naive (TN) patients

240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, followed by an additional 24 weeks of PegIFN/RBV in treatment experienced (TE) patients

240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-experienced (TE) patients

240mg BI 201335 NA (Faldaprevir) twice daily combined with PegIFN/RBV for 24 or 48 weeks, with 3-day lead-in phase of PegIFN/RBV, in treatment-experienced patients

Outcomes

Primary Outcome Measures

Virological Response 4 Weeks After the End of Treatment With BI 201335 or Placebo
An achieved virological response is defined as the plasma Hepatitis C Virus RiboNucleic Acid (HCV RNA) level below the lower limit of detection (BLD). This data was only collected for patients, who stopped trial participation at Week 24 and did not continue with PegIFN/RBV until Week 48. The lower limit of quantification (BLQ) of this assay was 25 IU/mL and the lower limit of detection (BLD) was 10 IU/mL at the time of the protocol finalisation. During the course of the trial, the manufacturer defined BLD as '< 25 IU/mL, not detectable' and BLQ as '< 25 IU/mL, detectable'.
Sustained Virological Response 24 Weeks (SVR24) After Completion of All Therapy
Virological (VL) response was defined as the plasma HCV RNA level below the lower limit of detection. The first VL measurement that occurred in the time window ≥ Day 155 (from End Of Treatment on) was selected for the determination of SVR24. Therefore, patients with virological load BLD 24 weeks after completion of therapy, who had a rebound after this time point (outside the defined time window of 155 days after end of all treatments) were identified as SVR24 achieved.

Secondary Outcome Measures

Virological Response at Week 2
Viral load (plasma HCV RNA level) below the lower limit of quantification at Week 2 (< 25 IU/ml, detectable or undetectable)
Virological Response at Week 4
Viral load (plasma HCV RNA level) below the lower limit of quantification at Week 4 (< 25 IU/ml, detectable or undetectable)
Early Virological Response (EVR)
Early Virological Response (EVR) is defined as ≥ 2 log 10 reduction in plasma HCV RNA level from baseline at Week 12
Extended Rapid Virological Response (eRVR)
Extended Rapid Virological Response (eRVR) is defined as plasma HCV RNA levels below the lower limit of quantification at Week 4 and below the lower limit of detection at Week 12
Complete Early Virological Response (cEVR)
Complete Early Virological Response (cEVR) is defined as plasma HCV RNA level below the lower limit of detection at Week 12
End of Treatment Response at Week 24
End of Treatment Response of BI 201335 or placebo (ETR BI 201335/placebo ) is defined as plasma HCV RNA level below the lower limit of detection at Week 24.
End of Treatment Response at End of All Therapy
End of Treatment Response (ETR) is defined as plasma HCV RNA level below the lower limit of detection at end of all therapy, i.e. at Week 24 or Week 48
Sustained Virological Response 12 Weeks (SVR12) After Completion of All Therapy
Sustained Virological Response 12 Weeks (SVR12) after completion of all therapy is defined as plasma HCV RNA level below the lower limit of detection at 12 weeks after completion of all therapy, i.e. at Week 36 or 60
Time to Reach a Plasma HCV RNA Level Below the Lower Limit of Detection
Summary of time (i.e Median number of days) to reach a plasma HCV RNA level below limit of detection (BLD)
Time to Loss of Virological Response
Time to loss of virological response, defined as the last value below the lower limit of detection in a patient who subsequently had 2 consecutive plasma HCV RNA level measurements ≥100 IU/mL. Patients that did not achieve suppression of plasma HCV RNA levels below the lower limit of detection until Week 24 were defined as having a time to failure of zero. Time is expressed in Median number of days.
Virological Rebound
Virological rebound is defined as increase of ≥ 1 log 10 in plasma HCV RNA level from a quantifiable nadir, or to ≥ 250 IU/mL after previous nadir < 25 IU/mL (detectable), or to ≥ 100 IU/mL after a previous viral load below the lower limit of detection. Note that this is numerical rebound, not requiring confirmation with a re-measurement.
Breakthrough on BI 201335/Placebo (Rebound While All 3 Treatments Were Still Ongoing)
Number of patients with Unconfirmed rebound ( ≥ 1log10 increase in HCV mRNA) while on BI201335/placebo + 5 days washout.
Breakthrough on PegIFN/RBV (Rebound While Only PegIFN/RBV Treatment Alone Was Still Ongoing)
Number of patients with Unconfirmed rebound (≥ 1log10 increase in HCV mRNA) while on PegIFN/RBV treatment + 5 days washout.
Relapse
Relapse was rebound after the viral load at end of all treatment had been below the lower limit of detection, or, if the value at end of all treatment was missing, after both the last value before End of Treatment (EOT) and the first value after End of Treatment were below the lower limit of detection. Patients could experience relapse at any point post-treatment.
Change From Baseline to Week 24 in Diastolic Blood Pressure and Systolic Blood Pressure
Baseline is defined as the last value before the initial drug administration of BI 201335 or placebo.
Change From Baseline to Week 24 in Pulse Rate
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Change From Baseline to Week 24 in Weight of the Patients
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Global Assessment of Tolerability
The investigator was to assess the tolerability of trial medication based on adverse events (AEs) and the laboratory evaluation. Tolerability was assessed by the investigator according to the categories 'good', 'satisfactory', 'not satisfactory', and 'bad'.
Change From Baseline to Week 24 in Haemoglobin of the Patients
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Haemoglobin
Number of patients with normal or high baseline moved to low .
Change From Baseline to Week 24 in Absolute Neutrophils of the Patients
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Absolute Neutrophils
Number of patients with normal or high baseline moved to low .
Change From Baseline to Week 24 in ALT/GPT,SGPT of the Patients
Baseline is defined as the last value before the drug administration of BI 201335 or placebo.
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter ALT/GPT,SGPT
Number of patients with normal or low baseline moved to high .
Change From Baseline to Week 24 in Total Bilirubin of the Patients
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Total Bilirubin
Number of patients with normal or low baseline moved to high .
Trough Concentration (Cpre,ss) of Faldaprevir at Steady State
C(pre,ss) is defined as pre-dose (trough) concentration of Faldaprevir in plasma at steady state immediately before administration of the next dose.
Trough Concentration (Cpre,ss) of Ribavirin at Steady State (Receiving 1000 mg/Day RBV)
C(pre,ss) is defined as pre-dose (trough) concentration of Ribavirin in plasma at steady state immediately before administration of the next dose.
Trough Concentration (Cpre,ss) of Ribavirin at Steady State (Receiving 1200 mg/Day RBV)
C(pre,ss) is defined as pre-dose (trough) concentration of Ribavirin in plasma at steady state immediately before administration of the next dose.
Trough Concentration (Cpre,ss) of PegIFN at Steady State
C(pre,ss) is defined as pre-dose (trough) concentration of PegIFN in plasma at steady state immediately before administration of the next dose.

Full Information

First Posted
October 16, 2008
Last Updated
October 14, 2015
Sponsor
Boehringer Ingelheim
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1. Study Identification

Unique Protocol Identification Number
NCT00774397
Brief Title
Antiviral Effect, Safety, and Pharmacokinetics of BI201335 +PegIFN/RBV in HCV-GT1 (SILEN-C1&2)
Official Title
Antiviral Effect, Safety and Pharmacokinetics of BI 201335 NA in Hepatitis C Virus Genotype 1 Infected Treatment-naïve and Treatment-experienced Patients for 24 Weeks as Combination Therapy With Pegylated Interferon-alpha 2a and Ribavirin (Double-blinded, Randomised, Placebo-controlled, Phase II)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boehringer Ingelheim

4. Oversight

5. Study Description

Brief Summary
The objective was to investigate the antiviral effect, safety, and pharmacokinetics of BI 201335 (Faldaprevir), given as a soft gelatine capsule, in patients with hepatitis C virus (HCV) genotype 1 infection. Combination therapy of BI 201335 (Faldaprevir) with pegylated interferon α-2a (PegIFN) and ribavirin (RBV), with or without a 3-day lead-in, was assessed in treatment-naïve (TN) and treatment experienced (TE) patients.

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 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
719 (Actual)

8. Arms, Groups, and Interventions

Arm Title
240 mg QD TN
Arm Type
Experimental
Arm Description
240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients
Arm Title
240 mg QD / LI-TN
Arm Type
Experimental
Arm Description
240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo once daily combined with PegIFN/RBV for 24 weeks, followed by an additional 24 weeks of PegIFN/RBV in treatment-naive (TN) patients
Arm Title
120 mg QD / LI-TN
Arm Type
Experimental
Arm Description
120 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in (LI) phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), followed by an additional 24 weeks of PegIFN/RBV in treatment naive (TN) patients
Arm Title
240 mg QD TE
Arm Type
Experimental
Arm Description
240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, followed by an additional 24 weeks of PegIFN/RBV in treatment experienced (TE) patients
Arm Title
240 mg QD / LI-TE
Arm Type
Experimental
Arm Description
240 mg BI 201335 NA (Faldaprevir) once daily (QD) combined with PegIFN/RBV for 24 weeks, with a 3-day lead-in phase of PegIFN/RBV (i.e. initiation of BI 201335 (Faldaprevir) three days after first administration of PegIFN/RBV), success-dependently followed by re-randomisation to stop or to an additional 24 weeks of PegIFN/RBV in treatment-experienced (TE) patients
Arm Title
240 mg BID / LI-TE
Arm Type
Experimental
Arm Description
240mg BI 201335 NA (Faldaprevir) twice daily combined with PegIFN/RBV for 24 or 48 weeks, with 3-day lead-in phase of PegIFN/RBV, in treatment-experienced patients
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 240 mg QD / LI
Other Intervention Name(s)
Faldaprevir
Intervention Description
240mg BI 201335 NA (Faldaprevir) once daily with a 3 days lead-in phase of PegIFN/RB, 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d), 24 or 48 weeks
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 120mg QD / LI
Other Intervention Name(s)
Faldaprevir
Intervention Description
120mg BI 201335 NA (Faldaprevir) once daily, for 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d),48 weeks
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 240 mg QD
Other Intervention Name(s)
Faldaprevir
Intervention Description
240mg BI 201335 NA (Faldaprevir) once daily, 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d),48 weeks
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 240 mg QD
Other Intervention Name(s)
Faldaprevir
Intervention Description
240mg BI 201335 NA (Faldaprevir) once daily, 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d), 24 or 48 weeks
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 240 mg BID
Other Intervention Name(s)
Faldaprevir
Intervention Description
240mg BI 201335 NA (Faldaprevir) twice, 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d),48 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d),48 weeks
Intervention Type
Drug
Intervention Name(s)
BI 201335 NA 240 mg QD
Other Intervention Name(s)
Faldaprevir
Intervention Description
240mg BI 201335 NA (Faldaprevir) once daily, 24 weeks
Intervention Type
Drug
Intervention Name(s)
PegIFN/RBV
Intervention Description
PegIFN (180 µg/wk) and RBV (1000/1200mg/d), 24 or 48 weeks
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Virological Response 4 Weeks After the End of Treatment With BI 201335 or Placebo
Description
An achieved virological response is defined as the plasma Hepatitis C Virus RiboNucleic Acid (HCV RNA) level below the lower limit of detection (BLD). This data was only collected for patients, who stopped trial participation at Week 24 and did not continue with PegIFN/RBV until Week 48. The lower limit of quantification (BLQ) of this assay was 25 IU/mL and the lower limit of detection (BLD) was 10 IU/mL at the time of the protocol finalisation. During the course of the trial, the manufacturer defined BLD as '< 25 IU/mL, not detectable' and BLQ as '< 25 IU/mL, detectable'.
Time Frame
Week 28
Title
Sustained Virological Response 24 Weeks (SVR24) After Completion of All Therapy
Description
Virological (VL) response was defined as the plasma HCV RNA level below the lower limit of detection. The first VL measurement that occurred in the time window ≥ Day 155 (from End Of Treatment on) was selected for the determination of SVR24. Therefore, patients with virological load BLD 24 weeks after completion of therapy, who had a rebound after this time point (outside the defined time window of 155 days after end of all treatments) were identified as SVR24 achieved.
Time Frame
Day 155 after the end of all treatment
Secondary Outcome Measure Information:
Title
Virological Response at Week 2
Description
Viral load (plasma HCV RNA level) below the lower limit of quantification at Week 2 (< 25 IU/ml, detectable or undetectable)
Time Frame
Week 2
Title
Virological Response at Week 4
Description
Viral load (plasma HCV RNA level) below the lower limit of quantification at Week 4 (< 25 IU/ml, detectable or undetectable)
Time Frame
Week 4
Title
Early Virological Response (EVR)
Description
Early Virological Response (EVR) is defined as ≥ 2 log 10 reduction in plasma HCV RNA level from baseline at Week 12
Time Frame
Baseline and Week 12
Title
Extended Rapid Virological Response (eRVR)
Description
Extended Rapid Virological Response (eRVR) is defined as plasma HCV RNA levels below the lower limit of quantification at Week 4 and below the lower limit of detection at Week 12
Time Frame
Week 4 and Week 12
Title
Complete Early Virological Response (cEVR)
Description
Complete Early Virological Response (cEVR) is defined as plasma HCV RNA level below the lower limit of detection at Week 12
Time Frame
Week 12
Title
End of Treatment Response at Week 24
Description
End of Treatment Response of BI 201335 or placebo (ETR BI 201335/placebo ) is defined as plasma HCV RNA level below the lower limit of detection at Week 24.
Time Frame
Week 24
Title
End of Treatment Response at End of All Therapy
Description
End of Treatment Response (ETR) is defined as plasma HCV RNA level below the lower limit of detection at end of all therapy, i.e. at Week 24 or Week 48
Time Frame
Week 24 or Week 48
Title
Sustained Virological Response 12 Weeks (SVR12) After Completion of All Therapy
Description
Sustained Virological Response 12 Weeks (SVR12) after completion of all therapy is defined as plasma HCV RNA level below the lower limit of detection at 12 weeks after completion of all therapy, i.e. at Week 36 or 60
Time Frame
Week 36 or Week 60
Title
Time to Reach a Plasma HCV RNA Level Below the Lower Limit of Detection
Description
Summary of time (i.e Median number of days) to reach a plasma HCV RNA level below limit of detection (BLD)
Time Frame
On or after day 155 post end of all treatment
Title
Time to Loss of Virological Response
Description
Time to loss of virological response, defined as the last value below the lower limit of detection in a patient who subsequently had 2 consecutive plasma HCV RNA level measurements ≥100 IU/mL. Patients that did not achieve suppression of plasma HCV RNA levels below the lower limit of detection until Week 24 were defined as having a time to failure of zero. Time is expressed in Median number of days.
Time Frame
Week 24
Title
Virological Rebound
Description
Virological rebound is defined as increase of ≥ 1 log 10 in plasma HCV RNA level from a quantifiable nadir, or to ≥ 250 IU/mL after previous nadir < 25 IU/mL (detectable), or to ≥ 100 IU/mL after a previous viral load below the lower limit of detection. Note that this is numerical rebound, not requiring confirmation with a re-measurement.
Time Frame
Week 24 or Week 48
Title
Breakthrough on BI 201335/Placebo (Rebound While All 3 Treatments Were Still Ongoing)
Description
Number of patients with Unconfirmed rebound ( ≥ 1log10 increase in HCV mRNA) while on BI201335/placebo + 5 days washout.
Time Frame
Up to Week 24
Title
Breakthrough on PegIFN/RBV (Rebound While Only PegIFN/RBV Treatment Alone Was Still Ongoing)
Description
Number of patients with Unconfirmed rebound (≥ 1log10 increase in HCV mRNA) while on PegIFN/RBV treatment + 5 days washout.
Time Frame
Week 24 through Week 48
Title
Relapse
Description
Relapse was rebound after the viral load at end of all treatment had been below the lower limit of detection, or, if the value at end of all treatment was missing, after both the last value before End of Treatment (EOT) and the first value after End of Treatment were below the lower limit of detection. Patients could experience relapse at any point post-treatment.
Time Frame
post-End of treatment (i.e. post 48 weeks)
Title
Change From Baseline to Week 24 in Diastolic Blood Pressure and Systolic Blood Pressure
Description
Baseline is defined as the last value before the initial drug administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Pulse Rate
Description
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Weight of the Patients
Description
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Global Assessment of Tolerability
Description
The investigator was to assess the tolerability of trial medication based on adverse events (AEs) and the laboratory evaluation. Tolerability was assessed by the investigator according to the categories 'good', 'satisfactory', 'not satisfactory', and 'bad'.
Time Frame
Week 24
Title
Change From Baseline to Week 24 in Haemoglobin of the Patients
Description
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Haemoglobin
Description
Number of patients with normal or high baseline moved to low .
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Absolute Neutrophils of the Patients
Description
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Absolute Neutrophils
Description
Number of patients with normal or high baseline moved to low .
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in ALT/GPT,SGPT of the Patients
Description
Baseline is defined as the last value before the drug administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter ALT/GPT,SGPT
Description
Number of patients with normal or low baseline moved to high .
Time Frame
Baseline and Week 24
Title
Change From Baseline to Week 24 in Total Bilirubin of the Patients
Description
Baseline is defined as the last value before the administration of BI 201335 or placebo.
Time Frame
Baseline and Week 24
Title
Number of Patients [N(%)] With Transitions Relative to Reference Range for Laboratory Parameter Total Bilirubin
Description
Number of patients with normal or low baseline moved to high .
Time Frame
Baseline and Week 24
Title
Trough Concentration (Cpre,ss) of Faldaprevir at Steady State
Description
C(pre,ss) is defined as pre-dose (trough) concentration of Faldaprevir in plasma at steady state immediately before administration of the next dose.
Time Frame
Week 8, week 10, week 12, week 24
Title
Trough Concentration (Cpre,ss) of Ribavirin at Steady State (Receiving 1000 mg/Day RBV)
Description
C(pre,ss) is defined as pre-dose (trough) concentration of Ribavirin in plasma at steady state immediately before administration of the next dose.
Time Frame
Week 8, week 10, week 12, week 24
Title
Trough Concentration (Cpre,ss) of Ribavirin at Steady State (Receiving 1200 mg/Day RBV)
Description
C(pre,ss) is defined as pre-dose (trough) concentration of Ribavirin in plasma at steady state immediately before administration of the next dose.
Time Frame
Week 8, week 10, week 12, week 24
Title
Trough Concentration (Cpre,ss) of PegIFN at Steady State
Description
C(pre,ss) is defined as pre-dose (trough) concentration of PegIFN in plasma at steady state immediately before administration of the next dose.
Time Frame
Week 8, week 10, week 12, week 24

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: chronic HCV GT1; therapy-naive to IFN, PegIFN, or RBV; HCV VL >=100,000 IU/mL Liver biopsy within 2 years prior to study enrolment showing necroinflammatory activity or presence of fibrosis Normal retinal finding on fundoscopy within 6 months prior to Day 1 age 18-65 years Females and males with adequate contraception Exclusion criteria: Mixed genotype (1/2, 1/3, or 1/4), diagnosed by genotypic testing at screening Previous treatment with protease inhibitor Evidence of liver disease due to causes other than chronic HCV infection HIV-1 or HIV-2 positive HBV positive Decompensated liver disease, or history of decompensated liver disease Active or suspected malignancy or history of malignancy within the last 5 years History of alcohol or drug abuse within the past 12 months. Usage of any investigational drug within 30 days prior to enrolment, or 5 half-lives, whichever is longer Known hypersensitivity to any ingredient of the study drugs Condition that is defined as one which in the opinion of the investigator may put the patient at risk because of participation in the study or may influence the results of the study or the patient's ability to participate in the study Alpha-fetoprotein value > 100ng/mL at screening; if >20ng/mL and <=100ng/mL, patients can be included if there is no evidence of liver cancer in two congruent imaging studies Total bilirubin > 1.5x ULN wiht ratio of direct/indirect >1. ALT or AST levels > 5x ULN INR prolonged to >1.5x ULN Exclusion criteria related to PegIFN and/or RBV restrictions.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Boehringer Ingelheim
Organizational Affiliation
Boehringer Ingelheim
Official's Role
Study Chair
Facility Information:
Facility Name
1220.5.0001 Boehringer Ingelheim Investigational Site
City
San Francisco
State/Province
California
Country
United States
Facility Name
1220.5.0008 Boehringer Ingelheim Investigational Site
City
San Francisco
State/Province
California
Country
United States
Facility Name
1220.5.0005 Boehringer Ingelheim Investigational Site
City
Chicago
State/Province
Illinois
Country
United States
Facility Name
1220.5.0006 Boehringer Ingelheim Investigational Site
City
Lutherville
State/Province
Maryland
Country
United States
Facility Name
1220.5.0002 Boehringer Ingelheim Investigational Site
City
New York
State/Province
New York
Country
United States
Facility Name
1220.5.0003 Boehringer Ingelheim Investigational Site
City
New York
State/Province
New York
Country
United States
Facility Name
1220.5.0007 Boehringer Ingelheim Investigational Site
City
Philadelphia
State/Province
Pennsylvania
Country
United States
Facility Name
1220.5.0010 Boehringer Ingelheim Investigational Site
City
Germantown
State/Province
Tennessee
Country
United States
Facility Name
1220.5.0009 Boehringer Ingelheim Investigational Site
City
Nashville
State/Province
Tennessee
Country
United States
Facility Name
1220.5.0004 Boehringer Ingelheim Investigational Site
City
Austin
State/Province
Texas
Country
United States
Facility Name
1220.5.5401 Boehringer Ingelheim Investigational Site
City
Capital Federal
Country
Argentina
Facility Name
1220.5.5403 Boehringer Ingelheim Investigational Site
City
Capital Federal
Country
Argentina
Facility Name
1220.5.5405 Boehringer Ingelheim Investigational Site
City
Derqui, Pilar
Country
Argentina
Facility Name
1220.5.5402 Boehringer Ingelheim Investigational Site
City
Rosario
Country
Argentina
Facility Name
1220.5.5406 Boehringer Ingelheim Investigational Site
City
Rosario
Country
Argentina
Facility Name
1220.5.6110 Boehringer Ingelheim Investigational Site
City
Camperdown
State/Province
New South Wales
Country
Australia
Facility Name
1220.5.6109 Boehringer Ingelheim Investigational Site
City
Kogarah
State/Province
New South Wales
Country
Australia
Facility Name
1220.5.6105 Boehringer Ingelheim Investigational Site
City
Randwick
State/Province
New South Wales
Country
Australia
Facility Name
1220.5.6101 Boehringer Ingelheim Investigational Site
City
Westmead
State/Province
New South Wales
Country
Australia
Facility Name
1220.5.6103 Boehringer Ingelheim Investigational Site
City
Herston
State/Province
Queensland
Country
Australia
Facility Name
1220.5.6104 Boehringer Ingelheim Investigational Site
City
Woolloongabba
State/Province
Queensland
Country
Australia
Facility Name
1220.5.6102 Boehringer Ingelheim Investigational Site
City
Clayton
State/Province
Victoria
Country
Australia
Facility Name
1220.5.6107 Boehringer Ingelheim Investigational Site
City
Fitzroy
State/Province
Victoria
Country
Australia
Facility Name
1220.5.6108 Boehringer Ingelheim Investigational Site
City
Parkville
State/Province
Victoria
Country
Australia
Facility Name
1220.5.4303 Boehringer Ingelheim Investigational Site
City
Linz
Country
Austria
Facility Name
1220.5.4301 Boehringer Ingelheim Investigational Site
City
Wien
Country
Austria
Facility Name
1220.5.4302 Boehringer Ingelheim Investigational Site
City
Wien
Country
Austria
Facility Name
1220.5.1003 Boehringer Ingelheim Investigational Site
City
Edmonton
State/Province
Alberta
Country
Canada
Facility Name
1220.5.1007 Boehringer Ingelheim Investigational Site
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
1220.5.1006 Boehringer Ingelheim Investigational Site
City
Hamilton
State/Province
Ontario
Country
Canada
Facility Name
1220.5.1001 Boehringer Ingelheim Investigational Site
City
Ottawa
State/Province
Ontario
Country
Canada
Facility Name
1220.5.1002 Boehringer Ingelheim Investigational Site
City
Toronto
State/Province
Ontario
Country
Canada
Facility Name
1220.5.1004 Boehringer Ingelheim Investigational Site
City
Montreal
State/Province
Quebec
Country
Canada
Facility Name
1220.5.4202 Boehringer Ingelheim Investigational Site
City
Melnik
Country
Czech Republic
Facility Name
1220.5.4203 Boehringer Ingelheim Investigational Site
City
Opava
Country
Czech Republic
Facility Name
1220.5.3301A Boehringer Ingelheim Investigational Site
City
Clichy
Country
France
Facility Name
1220.5.3307A Boehringer Ingelheim Investigational Site
City
Creteil
Country
France
Facility Name
1220.5.3309A Boehringer Ingelheim Investigational Site
City
Lyon
Country
France
Facility Name
1220.5.3304A Boehringer Ingelheim Investigational Site
City
Marseille
Country
France
Facility Name
1220.5.3306A Boehringer Ingelheim Investigational Site
City
Montpellier
Country
France
Facility Name
1220.5.3308A Boehringer Ingelheim Investigational Site
City
Paris Cedex 20
Country
France
Facility Name
1220.5.3302A Boehringer Ingelheim Investigational Site
City
Paris
Country
France
Facility Name
1220.5.3303A Boehringer Ingelheim Investigational Site
City
Paris
Country
France
Facility Name
1220.5.3305A Boehringer Ingelheim Investigational Site
City
Vandoeuvre Cedex
Country
France
Facility Name
1220.5.4902 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1220.5.4903 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1220.5.4917 Boehringer Ingelheim Investigational Site
City
Berlin
Country
Germany
Facility Name
1220.5.4914 Boehringer Ingelheim Investigational Site
City
Bochum
Country
Germany
Facility Name
1220.5.4913 Boehringer Ingelheim Investigational Site
City
Bonn
Country
Germany
Facility Name
1220.5.4915 Boehringer Ingelheim Investigational Site
City
Dortmund
Country
Germany
Facility Name
1220.5.4905 Boehringer Ingelheim Investigational Site
City
Düsseldorf
Country
Germany
Facility Name
1220.5.4912 Boehringer Ingelheim Investigational Site
City
Düsseldorf
Country
Germany
Facility Name
1220.5.4906 Boehringer Ingelheim Investigational Site
City
Frankfurt/Main
Country
Germany
Facility Name
1220.5.4908 Boehringer Ingelheim Investigational Site
City
Hamburg
Country
Germany
Facility Name
1220.5.4904 Boehringer Ingelheim Investigational Site
City
Hannover
Country
Germany
Facility Name
1220.5.4910 Boehringer Ingelheim Investigational Site
City
Leipzig
Country
Germany
Facility Name
1220.5.4909 Boehringer Ingelheim Investigational Site
City
Mainz
Country
Germany
Facility Name
1220.5.4907 Boehringer Ingelheim Investigational Site
City
Tübingen
Country
Germany
Facility Name
1220.5.8210 Boehringer Ingelheim Investigational Site
City
Busan
Country
Korea, Republic of
Facility Name
1220.5.8205 Boehringer Ingelheim Investigational Site
City
Daegu
Country
Korea, Republic of
Facility Name
1220.5.8201 Boehringer Ingelheim Investigational Site
City
Pusan
Country
Korea, Republic of
Facility Name
1220.5.8202 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1220.5.8206 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1220.5.8207 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1220.5.8208 Boehringer Ingelheim Investigational Site
City
Seoul
Country
Korea, Republic of
Facility Name
1220.5.8204 Boehringer Ingelheim Investigational Site
City
Seoungnam
Country
Korea, Republic of
Facility Name
1220.5.8203 Boehringer Ingelheim Investigational Site
City
Sungnam
Country
Korea, Republic of
Facility Name
1220.5.8209 Boehringer Ingelheim Investigational Site
City
Suwon
Country
Korea, Republic of
Facility Name
1220.5.8211 Boehringer Ingelheim Investigational Site
City
Yangsan
Country
Korea, Republic of
Facility Name
1220.5.3101 Boehringer Ingelheim Investigational Site
City
Amsterdam
Country
Netherlands
Facility Name
1220.5.3102 Boehringer Ingelheim Investigational Site
City
Leiden
Country
Netherlands
Facility Name
1220.5.3501 Boehringer Ingelheim Investigational Site
City
Coimbra
Country
Portugal
Facility Name
1220.5.3504 Boehringer Ingelheim Investigational Site
City
Coimbra
Country
Portugal
Facility Name
1220.5.3502 Boehringer Ingelheim Investigational Site
City
Lisboa
Country
Portugal
Facility Name
1220.5.3503 Boehringer Ingelheim Investigational Site
City
Lisboa
Country
Portugal
Facility Name
1220.5.3506 Boehringer Ingelheim Investigational Site
City
Porto
Country
Portugal
Facility Name
1220.5.3507 Boehringer Ingelheim Investigational Site
City
Porto
Country
Portugal
Facility Name
1220.5.4001 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1220.5.4002 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1220.5.4003 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1220.5.4004 Boehringer Ingelheim Investigational Site
City
Bucharest
Country
Romania
Facility Name
1220.5.3402 Boehringer Ingelheim Investigational Site
City
Barcelona
Country
Spain
Facility Name
1220.5.3405 Boehringer Ingelheim Investigational Site
City
Barcelona
Country
Spain
Facility Name
1220.5.3401 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1220.5.3403 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1220.5.3404 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1220.5.3406 Boehringer Ingelheim Investigational Site
City
Madrid
Country
Spain
Facility Name
1220.5.4104 Boehringer Ingelheim Investigational Site
City
Bern
Country
Switzerland
Facility Name
1220.5.4102 Boehringer Ingelheim Investigational Site
City
La Chaux-de-Fonds
Country
Switzerland
Facility Name
1220.5.4103 Boehringer Ingelheim Investigational Site
City
Lugano
Country
Switzerland
Facility Name
1220.5.4101 Boehringer Ingelheim Investigational Site
City
Zürich
Country
Switzerland
Facility Name
1220.5.4106 Boehringer Ingelheim Investigational Site
City
Zürich
Country
Switzerland
Facility Name
1220.5.4405 Boehringer Ingelheim Investigational Site
City
Bristol
Country
United Kingdom
Facility Name
1220.5.4401 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1220.5.4402 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1220.5.4406 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1220.5.4409 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1220.5.4410 Boehringer Ingelheim Investigational Site
City
London
Country
United Kingdom
Facility Name
1220.5.4408 Boehringer Ingelheim Investigational Site
City
Nottingham
Country
United Kingdom
Facility Name
1220.5.4403 Boehringer Ingelheim Investigational Site
City
Southampton
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://trials.boehringer-ingelheim.com/
Description
Related Info

Learn more about this trial

Antiviral Effect, Safety, and Pharmacokinetics of BI201335 +PegIFN/RBV in HCV-GT1 (SILEN-C1&2)

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