A Study of Sustained Virological Response in Relation to IL28-b Expression in Treatment-Naïve Patients With Chronic Hepatitis C Genotype 1 on Combination Treatment With Pegasys (Peginterferon Alfa-2a) and Copegus (Ribavirin)
Primary Purpose
Hepatitis C, Chronic
Status
Completed
Phase
Phase 4
Locations
Brazil
Study Type
Interventional
Intervention
peginterferon alfa-2a
ribavirin [Copegus]
Sponsored by
About this trial
This is an interventional treatment trial for Hepatitis C, Chronic
Eligibility Criteria
Inclusion Criteria:
- Adult patients, >/=18 and <70 years of age at initiation of treatment
- Body weight between 50 kg and 125 kg at baseline
- Chronic hepatitis C, genotype 1
- Chronic liver disease consistent with HCV infection
- Compensated liver disease (Child-Pugh Grade A)
Exclusion Criteria:
- Pregnant or lactating women, and male partners of pregnant women
- Chronic hepatitis C, genotype 2, 3, 4, 5 or 6
- Previous treatment with interferon or ribavirin
- Positive for hepatitis A, hepatitis B or HIV infection
- History or evidence of a medical condition associated with liver disease other than chronic hepatitis C
- Decompensated liver disease and/or liver disease Child-Pugh classification >6
- Hepatocellular carcinoma
- History or evidence of esophageal bleeding
- Hemoglobinopathy, or any other cause for possible hemolysis
- Hb <11 g/dL in women, <12 g/L in males
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Peginterferon Alfa-2a Plus Ribavirin
Arm Description
Outcomes
Primary Outcome Measures
Percentage of Participants With Sustained Virological Response Rate in Relation to Interleukin 28B Expression
Participants with sustained virological response (SVR) rate in relation to interleukin 28B expression were reported. SVR rate is defined as the percentage of participants with undetectable HCV Ribonucleic acid (RNA), measured at least 24 weeks after the end of treatment (48 weeks) in terms of the expression profile of Interleukin 28B (IL-28B) (CC, CT or TT) in participants with genotype 1 hepatitis C virus (HCV) chronic infection. Participants with detectable HCV RNA or without measurement at the end of the follow-up period were considered as non-responders.
Percentage of Participants With Incidence of Anemia
Anemia is a condition marked by a deficiency of red blood cells (RBCs) or of hemoglobin (Hb) in the blood, resulting in pallor and weariness anemia (Hb < 11 gram per decilitre (g/dL) for women and Hb < 12 g/dL for men). Incidence of anemia was calculated by dividing the number of participants who experienced the event by the number of participants in the safety population.
Secondary Outcome Measures
Number of Participants With Viral Response Rate (Rapid/Early/End of Treatment) in Relation to IL28-B Expression
Viral Response rate (rapid/early/end of treatment) in relation to IL28-B expression (measured by the rate of non-detection of HCV RNA at treatment Weeks 4, 12, 24 and after the End of Treatment (EOT, i.e. Week 48) based on the expression profile of IL-28B (CC, CT or TT) were reported. Rapid virologic response (RVR) was defined as undetectable HCV RNA at treatment Week 4. Partial early virological response (pEVR) was defined as positive HCV viral load, but with a >= 2 log10 international units (IU) per millilitre (mL) reduction at treatment Week 12 from Baseline (Week 0); Complete early virologic response (cEVR) was defined as undetectable HCV RNA at treatment Week 12; Virologic response at treatment Week 24 (VR 24) was defined as undetectable HCV RNA at treatment Week 24; Virologic response at end of treatment (EOT) was defined as undetectable HCV RNA at treatment Week 48; SVR at 24 weeks after end of treatment was defined as undetectable HCV RNA at 24 weeks after EOT.
Number of Participants With Sustained Virological Response and Occurrence of Anemia During The First Month of Treatment and After the First Month of Treatment
Participants with sustained virological response (SVR) and development of anemia during the first month and after the first month of treatment according to the different expression profiles of IL-28B were reported.
Number of Participants With Viral Load Reduction (HCV-RNA Levels) at Week 4 and 12
Viral load reduction at Week 4 and Week 12 relative to the Baseline (Week 0) in terms of the expression profile of IL-28b was reported. The reduction was measured according to the following ranges: < 1.0 log IU/ml; >= 1.0 and < 2.0 log IU/ml; >= 2.0 and < 3.0 log IU/ml; >= 3.0 and <4.0 log IU/ml; >= 4.0 log IU/ml. Changes in viral load are usually reported as a log change (in powers of 10). For example, a two log decrease in viral load (2 Log10) is a decrease of 10^2 or 100 times to the previously reported levels. N = number of participants, for Week 0 to Week 4 (n = 34, 68, 17) and Week 0 to Week 12 (n = 35, 69, 18) for CC, CT and TT genotypes respectively.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01447420
Brief Title
A Study of Sustained Virological Response in Relation to IL28-b Expression in Treatment-Naïve Patients With Chronic Hepatitis C Genotype 1 on Combination Treatment With Pegasys (Peginterferon Alfa-2a) and Copegus (Ribavirin)
Official Title
A Clinical Trial Comparing the Sustained Virological Response in Terms of Expression Profile of IL- 28B in Genotype 1 HCV-Infected Treatment-Naïve Subjects With Chronic Hepatitis C on Pegasys® (Peginterferon Alfa-2A) Plus Copegus® (Ribavirin)
Study Type
Interventional
2. Study Status
Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
November 2012 (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 multi-center, open-label study will evaluate the efficacy and safety of Pegasys (peginterferon alfa-2a) and Copegus (ribavirin) in relation to IL28-b gene expression in treatment-naïve patients with chronic hepatitis C genotype 1. Patients will receive Pegasys (180 mcg sc weekly) and Copegus ( 1'000 or 1'200 mg orally daily) for 48 weeks. Anticipated time of study treatment is 48 weeks, follow-up is 24 weeks.
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
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
129 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Peginterferon Alfa-2a Plus Ribavirin
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
peginterferon alfa-2a
Intervention Description
180 mcg sc weekly, 48 weeks
Intervention Type
Drug
Intervention Name(s)
ribavirin [Copegus]
Intervention Description
1'000 or 1'200 mg orally daily, 48 weeks
Primary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virological Response Rate in Relation to Interleukin 28B Expression
Description
Participants with sustained virological response (SVR) rate in relation to interleukin 28B expression were reported. SVR rate is defined as the percentage of participants with undetectable HCV Ribonucleic acid (RNA), measured at least 24 weeks after the end of treatment (48 weeks) in terms of the expression profile of Interleukin 28B (IL-28B) (CC, CT or TT) in participants with genotype 1 hepatitis C virus (HCV) chronic infection. Participants with detectable HCV RNA or without measurement at the end of the follow-up period were considered as non-responders.
Time Frame
At Week 72
Title
Percentage of Participants With Incidence of Anemia
Description
Anemia is a condition marked by a deficiency of red blood cells (RBCs) or of hemoglobin (Hb) in the blood, resulting in pallor and weariness anemia (Hb < 11 gram per decilitre (g/dL) for women and Hb < 12 g/dL for men). Incidence of anemia was calculated by dividing the number of participants who experienced the event by the number of participants in the safety population.
Time Frame
Up to Week 72
Secondary Outcome Measure Information:
Title
Number of Participants With Viral Response Rate (Rapid/Early/End of Treatment) in Relation to IL28-B Expression
Description
Viral Response rate (rapid/early/end of treatment) in relation to IL28-B expression (measured by the rate of non-detection of HCV RNA at treatment Weeks 4, 12, 24 and after the End of Treatment (EOT, i.e. Week 48) based on the expression profile of IL-28B (CC, CT or TT) were reported. Rapid virologic response (RVR) was defined as undetectable HCV RNA at treatment Week 4. Partial early virological response (pEVR) was defined as positive HCV viral load, but with a >= 2 log10 international units (IU) per millilitre (mL) reduction at treatment Week 12 from Baseline (Week 0); Complete early virologic response (cEVR) was defined as undetectable HCV RNA at treatment Week 12; Virologic response at treatment Week 24 (VR 24) was defined as undetectable HCV RNA at treatment Week 24; Virologic response at end of treatment (EOT) was defined as undetectable HCV RNA at treatment Week 48; SVR at 24 weeks after end of treatment was defined as undetectable HCV RNA at 24 weeks after EOT.
Time Frame
Weeks 4, 12, 24, 48, 60 and 72
Title
Number of Participants With Sustained Virological Response and Occurrence of Anemia During The First Month of Treatment and After the First Month of Treatment
Description
Participants with sustained virological response (SVR) and development of anemia during the first month and after the first month of treatment according to the different expression profiles of IL-28B were reported.
Time Frame
Up to Week 72
Title
Number of Participants With Viral Load Reduction (HCV-RNA Levels) at Week 4 and 12
Description
Viral load reduction at Week 4 and Week 12 relative to the Baseline (Week 0) in terms of the expression profile of IL-28b was reported. The reduction was measured according to the following ranges: < 1.0 log IU/ml; >= 1.0 and < 2.0 log IU/ml; >= 2.0 and < 3.0 log IU/ml; >= 3.0 and <4.0 log IU/ml; >= 4.0 log IU/ml. Changes in viral load are usually reported as a log change (in powers of 10). For example, a two log decrease in viral load (2 Log10) is a decrease of 10^2 or 100 times to the previously reported levels. N = number of participants, for Week 0 to Week 4 (n = 34, 68, 17) and Week 0 to Week 12 (n = 35, 69, 18) for CC, CT and TT genotypes respectively.
Time Frame
From Baseline (Week 0) to 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:
Adult patients, >/=18 and <70 years of age at initiation of treatment
Body weight between 50 kg and 125 kg at baseline
Chronic hepatitis C, genotype 1
Chronic liver disease consistent with HCV infection
Compensated liver disease (Child-Pugh Grade A)
Exclusion Criteria:
Pregnant or lactating women, and male partners of pregnant women
Chronic hepatitis C, genotype 2, 3, 4, 5 or 6
Previous treatment with interferon or ribavirin
Positive for hepatitis A, hepatitis B or HIV infection
History or evidence of a medical condition associated with liver disease other than chronic hepatitis C
Decompensated liver disease and/or liver disease Child-Pugh classification >6
Hepatocellular carcinoma
History or evidence of esophageal bleeding
Hemoglobinopathy, or any other cause for possible hemolysis
Hb <11 g/dL in women, <12 g/L in males
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Director
Facility Information:
City
Salvador
State/Province
BA
ZIP/Postal Code
41110-170
Country
Brazil
City
Vitoria
State/Province
ES
ZIP/Postal Code
29043-260
Country
Brazil
City
Juiz de Fora
State/Province
MG
ZIP/Postal Code
36038-330
Country
Brazil
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
20020-022
Country
Brazil
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
20270-004
Country
Brazil
City
Joinville
State/Province
SC
ZIP/Postal Code
89202-050
Country
Brazil
City
Sao Jose Do Rio Preto
State/Province
SC
ZIP/Postal Code
15090-000
Country
Brazil
City
Botucatu
State/Province
SP
ZIP/Postal Code
18600-400
Country
Brazil
City
Campinas
State/Province
SP
ZIP/Postal Code
13026-210
Country
Brazil
City
Campinas
State/Province
SP
ZIP/Postal Code
13060-803
Country
Brazil
City
Santos
State/Province
SP
ZIP/Postal Code
11015470
Country
Brazil
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
04040-003
Country
Brazil
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
04119-001
Country
Brazil
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
04266-010
Country
Brazil
City
Sorocaba
State/Province
SP
ZIP/Postal Code
18047-600
Country
Brazil
12. IPD Sharing Statement
Learn more about this trial
A Study of Sustained Virological Response in Relation to IL28-b Expression in Treatment-Naïve Patients With Chronic Hepatitis C Genotype 1 on Combination Treatment With Pegasys (Peginterferon Alfa-2a) and Copegus (Ribavirin)
We'll reach out to this number within 24 hrs