480 STUDY: Phase 2b Study of Locteron Plus Ribavirin to Treat Hepatitis C Virus (HCV) (480S)
Primary Purpose
Hepatitis C, Chronic
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
ribavirin
Sponsored by
About this trial
This is an interventional treatment trial for Hepatitis C, Chronic focused on measuring treatment naive
Eligibility Criteria
Inclusion Criteria:
- Male and female subjects 18 through 69 years of age, inclusive
- Chronic hepatitis C genotype 1
- HCV ribonucleic acid (RNA) level > 10,000 IU/mL (by RT-PCR) at screening
- Creatine clearance ≥ 50 mL/min
- Neutrophil count > 1500 cells/mm3
- Platelet count > 90,000/mm3
- Hemoglobin > 12 g/dL for females and > 13 g/dL for males
- Female subjects of child-bearing potential agreeing to use dual methods for contraception
- Male subjects with female sexual partners agreeing to use effective birth control methods
- Negative serum pregnancy test for women of child-bearing potential
- Compensated liver disease defined as INR < 1.5, conjugated bilirubin < 1.5 x ULN, serum albumin > 3.0 g/dL
- Histologic evidence of Chronic Hepatitis C (CHC) (inflammation, fibrosis and/or cirrhosis on a standardized histologic grading system) as shown by biopsy within 2 years of screening or agrees to have a liver biopsy performed prior to randomization.
Exclusion Criteria:
- Prior antiviral treatment for hepatitis C
- Co-infection with HIV or hepatitis B virus
- Subjects with a body mass index (BMI) above 32 kg/m2
- Current or prior history of clinical hepatic decompensation
- Evidence of HCC
- Uncontrolled diabetes mellitus as evidenced by HbA1C ≥ 8.5% at screening
- Known hypersensitivity to interferon alfa or ribavirin
- Chronic liver disease other than HCV
- Clinically significant hemoglobinopathy
- History of moderate, severe or uncontrolled psychiatric disease including depression and prior suicide attempts
- History of immune-mediated disease
- Significant renal or neurological disease
- Severe degree (> GOLD stage III) of chronic pulmonary disease (COPD) or active, severe asthma
- Subjects with severe cardiac disease
- History of significant central nervous system (including CNS trauma) or seizure disorders
- Cancer within the last 5 years, or previous cancer with a high risk of recurrence
- History of solid organ or bone marrow transplantation
- Clinical or laboratory evidence of uncontrolled thyroid disease, e.g., by thyroid stimulating hormone (TSH) level > 1.2 x upper limit of normal
- Clinically significant retinopathy; this needs to have been excluded by an eye exam performed by an ophthalmologist within the last 6 months prior to screening for subjects with hypertension or diabetes mellitus
- Drug abuse or alcohol consumption within the last 6 months which, in the opinion of the investigator, may affect study participation or outcome. Subjects in a supervised methadone treatment program on a stable regimen for > 6 months may be considered
- Taken any experimental agent within 12 weeks prior to screening
- More than 30 days of systemic immunosuppressive medication to include steroids in doses equivalent to or greater than 10 mg prednisone per day within 30 days prior to screening (inhaled corticosteroids are allowed)
- Nursing mother or male partner of pregnant female.
Sites / Locations
- Tokuda Hospital
- UMHAT "Alexandrovska"
- UMHAT "St Ivan Rilski"
- UMHAT "Queen Giovanna - ISUL" EAD
- Medical Institute Ministry of Interior
- UMHAT "St Maria"
- Carmel Medical Center
- Holy Family Hospital Nazareth
- Rabin Medical Center
- Sourasky Medical Center
- Rebekah Ziv Medical Center Safed
- Institute of Infectious Diseases
- Fundeni Clinical Institute
- "Victor Babes" Clinical Hospital Craiova
- Gastroenterology and Hepatology Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Active Comparator
Active Comparator
Arm Label
Locteron ® PANEL A
Locteron ® PANEL B
PEG-Intron® PANEL A
PEG-Intron® PANEL B
Arm Description
PANEL A: Locteron™ 480 µg dosed every 2 weeks in two subcutaneous injections (160 µg and 320 µg)
PANEL B: Locteron™ 480 µg dosed every two weeks in single subcutaneous injections
PEG-Intron® 1.5 µg/kg body weight weekly subcutaneous injection
PEG-Intron® 1.5 µg/kg body weight weekly subcutaneous injection
Outcomes
Primary Outcome Measures
Primary efficacy endpoint: EVR: the proportion of subjects in each arm that have at least a 2 log drop in HCV RNA from Baseline
Secondary Outcome Measures
the proportion of subjects in each arm demonstrating HCV RNA undetectable (< 10 IU/mL) after 12 weeks of randomized treatment
Full Information
NCT ID
NCT00953589
First Posted
August 5, 2009
Last Updated
February 1, 2012
Sponsor
Biolex Therapeutics, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT00953589
Brief Title
480 STUDY: Phase 2b Study of Locteron Plus Ribavirin to Treat Hepatitis C Virus (HCV)
Acronym
480S
Official Title
480 STUDY: Phase 2b Open-label, Randomized Study in Treatment Naïve Subjects With HCV G1 to Compare the Efficacy, Safety, and Tolerability of the 480 µg Dose of Locteron™ Plus Ribavirin Given Bi-Weekly to PEG-Intron™ Plus Ribavirin Given Weekly
Study Type
Interventional
2. Study Status
Record Verification Date
February 2012
Overall Recruitment Status
Completed
Study Start Date
July 2009 (undefined)
Primary Completion Date
May 2010 (Actual)
Study Completion Date
January 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biolex Therapeutics, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this 12-week study was to assess in subjects with chronic hepatitis C (treatment-naïve, genotype 1) receiving weight-based doses of ribavirin the early virologic response to the 480 ug dose level of Locteron™, dosed every 2 weeks, in comparison with 1.5 ug/kg PEG-Intron™ dosed weekly.
Detailed Description
The aim of the 480 STUDY was to compare efficacy and safety of 480ug Locteron dosed every other week to 1.5 ug/kg PegIntron dosed weekly in treatment-naïve genotype-1 chronic HCV subjects treated with weight-based ribavirin. This 12-week study was comprised of two panels (Panel A and Panel B). The designs of both panels were identical. HCV RNA was measured weekly for three weeks and then every other week. Adverse events including flu-like events and depression were collected during weekly clinic visits for 12 weeks. Flu-like events were also collected daily for 12 weeks by subject self-report using the internet (ePRO). Beck Depression Inventory (BDI) and Short Form-36 scores were measured at baseline and monthly through Week 12.
In Panel A of 480 STUDY, 42 treatment-naïve subjects with chronic genotype-1 HCV in Bulgaria and Romania were randomized and dosed with either Locteron q2weeks or weekly PegIntron, both in combination with weight-based ribavirin (13). In Panel A, 19 subjects received 480ug Locteron and 23 subjects received PegIntron.
In Panel B of 480 STUDY, 32 treatment-naïve subjects with genotype-1 HCV in Israel were randomized and dosed with either Locteron q2weeks or weekly PegIntron, both in combination with weight-based ribavirin (13). In Panel B, 16 subjects received 480ug Locteron and 16 subjects received PegIntron.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C, Chronic
Keywords
treatment naive
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
74 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Locteron ® PANEL A
Arm Type
Experimental
Arm Description
PANEL A: Locteron™ 480 µg dosed every 2 weeks in two subcutaneous injections (160 µg and 320 µg)
Arm Title
Locteron ® PANEL B
Arm Type
Experimental
Arm Description
PANEL B: Locteron™ 480 µg dosed every two weeks in single subcutaneous injections
Arm Title
PEG-Intron® PANEL A
Arm Type
Active Comparator
Arm Description
PEG-Intron® 1.5 µg/kg body weight weekly subcutaneous injection
Arm Title
PEG-Intron® PANEL B
Arm Type
Active Comparator
Arm Description
PEG-Intron® 1.5 µg/kg body weight weekly subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
ribavirin
Other Intervention Name(s)
Ribasphere
Intervention Description
Ribavirin - oral administration Subjects with body weight < 65 kg: 800 mg/day Subjects with body weight 65-85 kg: 1000 mg/day Subjects with body weight 86-105 kg: 1200 mg/day Subjects with body weight > 105 kg: 1400 mg/day
Primary Outcome Measure Information:
Title
Primary efficacy endpoint: EVR: the proportion of subjects in each arm that have at least a 2 log drop in HCV RNA from Baseline
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
the proportion of subjects in each arm demonstrating HCV RNA undetectable (< 10 IU/mL) after 12 weeks of randomized treatment
Time Frame
Week 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
69 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female subjects 18 through 69 years of age, inclusive
Chronic hepatitis C genotype 1
HCV ribonucleic acid (RNA) level > 10,000 IU/mL (by RT-PCR) at screening
Creatine clearance ≥ 50 mL/min
Neutrophil count > 1500 cells/mm3
Platelet count > 90,000/mm3
Hemoglobin > 12 g/dL for females and > 13 g/dL for males
Female subjects of child-bearing potential agreeing to use dual methods for contraception
Male subjects with female sexual partners agreeing to use effective birth control methods
Negative serum pregnancy test for women of child-bearing potential
Compensated liver disease defined as INR < 1.5, conjugated bilirubin < 1.5 x ULN, serum albumin > 3.0 g/dL
Histologic evidence of Chronic Hepatitis C (CHC) (inflammation, fibrosis and/or cirrhosis on a standardized histologic grading system) as shown by biopsy within 2 years of screening or agrees to have a liver biopsy performed prior to randomization.
Exclusion Criteria:
Prior antiviral treatment for hepatitis C
Co-infection with HIV or hepatitis B virus
Subjects with a body mass index (BMI) above 32 kg/m2
Current or prior history of clinical hepatic decompensation
Evidence of HCC
Uncontrolled diabetes mellitus as evidenced by HbA1C ≥ 8.5% at screening
Known hypersensitivity to interferon alfa or ribavirin
Chronic liver disease other than HCV
Clinically significant hemoglobinopathy
History of moderate, severe or uncontrolled psychiatric disease including depression and prior suicide attempts
History of immune-mediated disease
Significant renal or neurological disease
Severe degree (> GOLD stage III) of chronic pulmonary disease (COPD) or active, severe asthma
Subjects with severe cardiac disease
History of significant central nervous system (including CNS trauma) or seizure disorders
Cancer within the last 5 years, or previous cancer with a high risk of recurrence
History of solid organ or bone marrow transplantation
Clinical or laboratory evidence of uncontrolled thyroid disease, e.g., by thyroid stimulating hormone (TSH) level > 1.2 x upper limit of normal
Clinically significant retinopathy; this needs to have been excluded by an eye exam performed by an ophthalmologist within the last 6 months prior to screening for subjects with hypertension or diabetes mellitus
Drug abuse or alcohol consumption within the last 6 months which, in the opinion of the investigator, may affect study participation or outcome. Subjects in a supervised methadone treatment program on a stable regimen for > 6 months may be considered
Taken any experimental agent within 12 weeks prior to screening
More than 30 days of systemic immunosuppressive medication to include steroids in doses equivalent to or greater than 10 mg prednisone per day within 30 days prior to screening (inhaled corticosteroids are allowed)
Nursing mother or male partner of pregnant female.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Walker A. Long, MD
Organizational Affiliation
Biolex Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
Tokuda Hospital
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
Facility Name
UMHAT "Alexandrovska"
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
UMHAT "St Ivan Rilski"
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
UMHAT "Queen Giovanna - ISUL" EAD
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
Facility Name
Medical Institute Ministry of Interior
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
Facility Name
UMHAT "St Maria"
City
Varna
ZIP/Postal Code
9010
Country
Bulgaria
Facility Name
Carmel Medical Center
City
Haifa
ZIP/Postal Code
34341
Country
Israel
Facility Name
Holy Family Hospital Nazareth
City
Nazareth
ZIP/Postal Code
16100
Country
Israel
Facility Name
Rabin Medical Center
City
Petah-Tiqwa
ZIP/Postal Code
49100
Country
Israel
Facility Name
Sourasky Medical Center
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
Facility Name
Rebekah Ziv Medical Center Safed
City
Zefat
ZIP/Postal Code
13100
Country
Israel
Facility Name
Institute of Infectious Diseases
City
Bucharest
ZIP/Postal Code
021105
Country
Romania
Facility Name
Fundeni Clinical Institute
City
Bucharest
ZIP/Postal Code
022328
Country
Romania
Facility Name
"Victor Babes" Clinical Hospital Craiova
City
Craiova
ZIP/Postal Code
200515
Country
Romania
Facility Name
Gastroenterology and Hepatology Institute
City
Iasi
ZIP/Postal Code
700111
Country
Romania
12. IPD Sharing Statement
Citations:
Citation
Krastev Z, Kotzev I, Tchernev K, Rigney A, Nikolovska D, Vladimirov B, Caruntu FA, Diaconescu IG, Voiculescu XX, Long, WA. Randomized, open-label, 12-week comparison of controlled-release interferon alpha2b + ribavirin vs. pegylated interferon alpha 2b +ribavirin in treatment-naïve genotype1 hepatitis C: 4 week results from 480STUDY (Panel A). J Hepatology 52:S27 (abstract 58), 2010. (Presented to 45th Annual Meeting of the European Association for the Study of the Liver, April 16, 2010, Vienna, Austria.)
Results Reference
background
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480 STUDY: Phase 2b Study of Locteron Plus Ribavirin to Treat Hepatitis C Virus (HCV)
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