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TMC435HPC3001 - An Efficacy, Safety and Tolerability Study for TMC435 vs Telaprevir in Combination With PegINFα-2a and Ribavirin in Chronic Hepatitis C Patients Who Were Null or Partial Responders to Prior PegINFα-2a and Ribavirin Therapy (ATTAIN)

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
TMC435
TVR
Sponsored by
Janssen R&D Ireland
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C focused on measuring Hepatitis C, TMC435HPC3001, TMC435, Hepatitis C Virus (HCV), HEP C, Genotype 1, Treatment experienced, Null responders, Partial responders

Eligibility Criteria

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

Inclusion Criteria:

  • Patient must have had a liver biopsy before screening (or between the screening and baseline visit), unless patient cannot undergo such a procedure or has evidence of portal hypertension not associated with cirrhosis. For patients who had a liver biopsy performed more than 2 years prior to screening or without a biopsy (because of a contraindication or portal hypertension), a non-invasive staging assessment needs to be available. Non-invasive staging assessments include FibroScan, MR-Elastography, or FibroTest/FibroSure and must not be older than 6 months prior to screening
  • Chronicity of hepatitis C virus (HCV) infection, as confirmed by one or both of the following: presence of anti-HCV antibody and/or HCV ribonucleic acid (RNA) at least 6 months prior to the screening visit and/or presence of fibrosis on biopsy
  • Genotype 1 HCV infection with plasma HCV RNA of >10,000 IU/mL (both confirmed at screening)
  • Patient must have had at least 1 documented previous course of treatment with PegINFα-2a or PegINFα-2b in combination with ribavirin (RBV) (at least 12 weeks for null responder and 20 weeks for partial responder)

Exclusion Criteria:

  • Hepatic decompensation (impaired functioning of the liver), as indicated by significant laboratory abnormalities or other active diseases
  • Infection with Human Immunodeficiency Virus (HIV) or non genotype 1 hepatitis C
  • Liver disease not related to hepatitis C infection
  • Previous chronic hepatitis C treatment, other than PegIFN and RBV

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

TMC435/PR

TVR/PR

Arm Description

Outcomes

Primary Outcome Measures

Percentage of Participants With Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
Participants are considered to have reached SVR12 if both conditions below are met: 1) HCV RNA levels less than (<) 25 International unit per milliliter (IU/mL) undetectable; 2) HCV RNA levels <25 IU/mL undetectable or HCV RNA levels <25 IU/mL detectable.

Secondary Outcome Measures

Percentage of Participants With Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)
Participants are considered to have reached SVR24 if both conditions below are met: 1) HCV RNA levels less than <25 International unit per milliliter (IU/mL) undetectable (at the actual end of treatment);2) HCV RNA levels <25 IU/mL undetectable or HCV RNA levels <25 IU/mL detectable (24 weeks after the planned EOT).
Percentage of Participants With Viral Relapse
Participants are considered to have a viral relapse if both conditions as specified are met: 1) <25 IU/mL undetectable HCV RNA at the actual end of study drug treatment; 2) confirmed HCV RNA greater than or equal to (>=) 25 IU/mL during follow-up.

Full Information

First Posted
November 25, 2011
Last Updated
March 24, 2016
Sponsor
Janssen R&D Ireland
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1. Study Identification

Unique Protocol Identification Number
NCT01485991
Brief Title
TMC435HPC3001 - An Efficacy, Safety and Tolerability Study for TMC435 vs Telaprevir in Combination With PegINFα-2a and Ribavirin in Chronic Hepatitis C Patients Who Were Null or Partial Responders to Prior PegINFα-2a and Ribavirin Therapy
Acronym
ATTAIN
Official Title
Phase III in Partial and Null Responders
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
February 2012 (undefined)
Primary Completion Date
April 2014 (Actual)
Study Completion Date
April 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen R&D Ireland

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to demonstrate the efficacy of TMC435 in combination with peginterferon (PegIFN) + ribavirin (RBV) by means of establishing its non- inferiority compared to an approved regimen of telaprevir + PegIFN + RBV in patients who have previously failed PegIFN.
Detailed Description
This study is a randomized (study drug assigned by chance like flipping a coin), double-blind (neither physician nor patient knows the name of the assigned drug), double-dummy (patients receive both active and inactive pills also called placebo), 2-arm, multicenter Phase III clinical study in adult treatment experienced Chronic Hepatitis C (CHC) genotype-1 infected patients who failed to respond during at least 1 previous course of PegINFα-2a/ RBV therapy. The purpose of the trial is to study the efficacy of TMC435 in combination with PegINFα-2a and RBV for 48 weeks of treatment compared to the approved regimen of telaprevir in combination with PegINFα-2a and RBV for 48 weeks of treatment. The study will consist of a screening period (maximum 6 weeks), treatment period (48 weeks) and post-treatment period (until 72 weeks after the start of treatment). For the first 12 weeks one group of patients will take TMC435 and TVR placebo, plus PegINFα-2a and RBV. The other group will take TMC435 placebo and TVR, plus PegINFα-2a and RBV. After 12 weeks, patients in both arms will only take PegINFα-2a and RBV up to week 48. After patients stop taking study medication, they will continue to go to the doctor's office for study visits until a total of 72 weeks after they start study treatment. Patients will be monitored for safety throughout the study. Study assessments at each study visit may include, but are not limited to: blood and urine collection for testing, electrocardiogram (ECG) assessments (a measurement of the electrical activity of your heart), patient questionnaires, and physical examinations.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatitis C
Keywords
Hepatitis C, TMC435HPC3001, TMC435, Hepatitis C Virus (HCV), HEP C, Genotype 1, Treatment experienced, Null responders, Partial responders

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
771 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TMC435/PR
Arm Type
Experimental
Arm Title
TVR/PR
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
TMC435
Intervention Description
TMC435 Type=exact number, unit=mg, number=150, form=capsule, route=oral use. TVR placebo Form=tablet, route=oral use. TMC435 capsule is taken once daily in addition to 2 TVR placebo tablets 3 times a day for 12 weeks, and peginterferon alfa-2a and ribavirin for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
TVR
Intervention Description
TVR Type=exact number, unit=mg, number=375, form=tablet, route=oral use. TMC435 placebo Form=capsule, route=oral use. 2 TVR tablets are taken 3 times a day together with 150 mg TMC435 placebo capsule once daily for 12 weeks, in addition to peginterferon alfa-2a and ribavirin for 48 weeks
Primary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
Description
Participants are considered to have reached SVR12 if both conditions below are met: 1) HCV RNA levels less than (<) 25 International unit per milliliter (IU/mL) undetectable; 2) HCV RNA levels <25 IU/mL undetectable or HCV RNA levels <25 IU/mL detectable.
Time Frame
12 Weeks After the Planned End of Treatment (EOT: Week 48)
Secondary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)
Description
Participants are considered to have reached SVR24 if both conditions below are met: 1) HCV RNA levels less than <25 International unit per milliliter (IU/mL) undetectable (at the actual end of treatment);2) HCV RNA levels <25 IU/mL undetectable or HCV RNA levels <25 IU/mL detectable (24 weeks after the planned EOT).
Time Frame
24 Weeks After the Planned EOT (Week 48)
Title
Percentage of Participants With Viral Relapse
Description
Participants are considered to have a viral relapse if both conditions as specified are met: 1) <25 IU/mL undetectable HCV RNA at the actual end of study drug treatment; 2) confirmed HCV RNA greater than or equal to (>=) 25 IU/mL during follow-up.
Time Frame
End of Treatment (Week 48) up to Follow-up Period (until Week 72)

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: Patient must have had a liver biopsy before screening (or between the screening and baseline visit), unless patient cannot undergo such a procedure or has evidence of portal hypertension not associated with cirrhosis. For patients who had a liver biopsy performed more than 2 years prior to screening or without a biopsy (because of a contraindication or portal hypertension), a non-invasive staging assessment needs to be available. Non-invasive staging assessments include FibroScan, MR-Elastography, or FibroTest/FibroSure and must not be older than 6 months prior to screening Chronicity of hepatitis C virus (HCV) infection, as confirmed by one or both of the following: presence of anti-HCV antibody and/or HCV ribonucleic acid (RNA) at least 6 months prior to the screening visit and/or presence of fibrosis on biopsy Genotype 1 HCV infection with plasma HCV RNA of >10,000 IU/mL (both confirmed at screening) Patient must have had at least 1 documented previous course of treatment with PegINFα-2a or PegINFα-2b in combination with ribavirin (RBV) (at least 12 weeks for null responder and 20 weeks for partial responder) Exclusion Criteria: Hepatic decompensation (impaired functioning of the liver), as indicated by significant laboratory abnormalities or other active diseases Infection with Human Immunodeficiency Virus (HIV) or non genotype 1 hepatitis C Liver disease not related to hepatitis C infection Previous chronic hepatitis C treatment, other than PegIFN and RBV
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tibotec Pharmaceuticals Limited Clinical Trial
Organizational Affiliation
Tibotec Pharmaceutical Limited
Official's Role
Study Director
Facility Information:
City
Bakersfield
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California
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United States
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San Diego
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California
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United States
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Aurora
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Colorado
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Washington
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Jacksonville
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Orlando
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West Palm Beach
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Atlanta
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Honolulu
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Chicago
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Illinois
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Crestview Hills
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Kentucky
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New Orleans
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Chevy Chase
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Jackson
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Tupelo
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Kansas City
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Missoula
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Newark
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New Jersey
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New York
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New York
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Rochester
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New York
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Cincinnati
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Cleveland
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Allentown
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Philadelphia
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Pittsburgh
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Arlington
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Houston
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United States
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Odessa
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San Antonio
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Falls Church
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Virginia
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Bellevue
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Seattle
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Buenos Aires N/A
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Argentina
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Buenos Aires
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Argentina
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Rosario, Santa Fe
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Argentina
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Darlinghurst
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Australia
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Greenslopes
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Australia
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Kingswood
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Australia
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Melbourne
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Australia
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Parkville - Vic
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Australia
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Perth
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Australia
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Sydney
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Woolloongabba N/A
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Australia
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Linz
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Austria
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Wien
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Austria
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Brussels
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Belgium
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Brussel
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Belgium
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Haine-Saint-Paul, La Louviere
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Belgium
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Leuven
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Belgium
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Liège
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Belgium
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Campinas
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Brazil
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Ribeirão Preto
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Brazil
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Salvador
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Sao Paulo
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Brazil
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Sofia
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Bulgaria
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Varna
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Bulgaria
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Calgary
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Edmonton
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Vancouver
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Toronto
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Ontario
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Canada
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Montreal
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Quebec
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Canada
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Brno
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Czech Republic
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Karlovy Vary
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Czech Republic
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Plzen
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Czech Republic
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Praha 2
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Czech Republic
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Praha 4
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Czech Republic
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Copenhagen
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Denmark
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Hvidovre N/A
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Denmark
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Odense N/A
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Denmark
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Grenoble
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France
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Lyon
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France
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Marseille
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France
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Nice
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France
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Paris Cedex 12
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France
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Paris
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France
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Pessac
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France
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Vandoeuvre Les Nancy
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France
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Berlin
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Germany
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Frankfurt N/A
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Germany
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Freiburg
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Germany
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Hamburg
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Germany
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Hannover
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Germany
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Heidelberg
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Germany
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Kiel
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Germany
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Mainz
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Germany
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München
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Stuttgart
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Germany
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Ulm
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Würzburg
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Germany
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Alexandroupolis
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Greece
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Athens
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Greece
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Larissa
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Greece
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Budapest
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Hungary
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Debrecen
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Hungary
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Kaposvár
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Hungary
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Pecs
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Hungary
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Szeged N/A
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Hungary
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Haifa
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Israel
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Jerusalem
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Israel
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Petah Tiqva
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Israel
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Ramat-Gan
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Israel
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Tel-Aviv
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Israel
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Zefat
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Israel
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Fredrikstad
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Norway
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Nordbyhagen
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Norway
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Stavanger
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Norway
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Tromsø
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Norway
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Bydgoszcz
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Poland
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Chorzow
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Poland
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Kielce
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Poland
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Lodz
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Poland
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Lublin
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Poland
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Myslowice
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Poland
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Raciborz
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Poland
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Warszawa
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Poland
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Lisboa
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Portugal
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Lisbon
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Portugal
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Porto
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Portugal
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Santurce
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Puerto Rico
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Bucuresti
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Romania
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Constanta
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Romania
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Iasi
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Romania
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Timisoara
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Romania
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Barcelona
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Spain
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Madrid
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Spain
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Santander N/A
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Spain
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Sevilla N/A
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Spain
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Valencia
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Spain
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Göteborg
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Sweden
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Lund
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Sweden
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Malmö
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Sweden
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Stockholm
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Sweden
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Örebro
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Sweden
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Lugano
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Switzerland
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St Gallen
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Switzerland
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Zurich N/A
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Switzerland
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Glasgow
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United Kingdom
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Leeds
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United Kingdom
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London
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United Kingdom
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Newcastle Upon Tyne
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United Kingdom
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Plymouth
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United Kingdom
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Southampton
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
25482330
Citation
Reddy KR, Zeuzem S, Zoulim F, Weiland O, Horban A, Stanciu C, Villamil FG, Andreone P, George J, Dammers E, Fu M, Kurland D, Lenz O, Ouwerkerk-Mahadevan S, Verbinnen T, Scott J, Jessner W. Simeprevir versus telaprevir with peginterferon and ribavirin in previous null or partial responders with chronic hepatitis C virus genotype 1 infection (ATTAIN): a randomised, double-blind, non-inferiority phase 3 trial. Lancet Infect Dis. 2015 Jan;15(1):27-35. doi: 10.1016/S1473-3099(14)71002-3. Epub 2014 Dec 5. Erratum In: Lancet Infect Dis. 2016 Apr;16(4):404.
Results Reference
derived

Learn more about this trial

TMC435HPC3001 - An Efficacy, Safety and Tolerability Study for TMC435 vs Telaprevir in Combination With PegINFα-2a and Ribavirin in Chronic Hepatitis C Patients Who Were Null or Partial Responders to Prior PegINFα-2a and Ribavirin Therapy

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