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Sustained Virological Response (SVR)Rate of Pegasys Plus Ribavirin in Patients With Chronic Hepatitis C

Primary Purpose

Chronic Hepatitis C

Status
Terminated
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
Peginterferon alfa-2a plus Ribavirin
Sponsored by
Chang Gung Memorial Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Chronic Hepatitis C focused on measuring PEGASYS® PLUS RIBAVIRIN

Eligibility Criteria

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

Inclusion Criteria:

  • 20~70 years old
  • Patients have never been treated with traditional interferon plus ribavirin or peginterferon plus ribarivin
  • Chronic hepatitis C, genotype 1, HCV-RNA > 0.8x106 IU/ml, achieving RVR (undetectable HCV RNA at week 4) in the SoC treatment
  • Patient must be able to comply with the assessments during the study
  • Compensated liver disease (Child-Pugh Grade A clinical classification for patients with cirrhosis: total score ≦ 6)
  • All fertile males and females receiving ribavirin must be using two forms of effective contraception during treatment with study drugs and 6 months post treatment completion

Exclusion Criteria:

  • History or other evidence of a medical condition associated with chronic liver disease other than HCV (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures)
  • History or other evidence of decompensated liver disease
  • Signs or symptoms of hepatocellular carcinoma
  • Co-infection with hepatitis A, hepatitis B or human immunodeficiency virus (HIV)
  • Not adequately controlled thyroid dysfunction, diabetes mellitus (HbA1c >8.5%) or psychiatric disorders, especially depression. Severe psychiatric disease is defined as treatment with an antidepressant medication or a major tranquilizer at therapeutic doses for major depression or psychosis, respectively, for at least 3 months at any previous time or any history of the following: a suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease
  • History of a severe seizure disorder or current anticonvulsant use
  • History of immunologically mediated disease, chronic pulmonary disease associated with functional limitation, severe cardiac disease, major organ transplantation or other evidence of severe illness, malignancy, or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study
  • Evidence of severe retinopathy (e.g. CMV retinitis, macula degeneration) or clinically relevant ophthalmological disorder (e.g. due to diabetes mellitus or hypertension)
  • Women with on-going pregnancy or breast feeding
  • Male partners of women who are pregnant
  • Subjects with any of the following laboratory abnormalities

    • Platelet count < 90,000/mm3
    • Absolute neutrophil count < 1,500 /mm3
    • Hemoglobin < 12 g/dL (F), 13 g/dL (M)
    • Creatinine > ULN
    • ALT and/or AST > 10X ULN
    • Total serum bilirubin > 1.5 x ULN
  • Inability or unwillingness to provide written informed consent or abide by the requirements of the study

Sites / Locations

  • Show Chwan Memorial Hospital
  • Changhua Christian Hospital
  • Keelung Chang Gung Memorial Hospital
  • China Medical University Hospital
  • Tungs' Taichung MetroHarbor Hospital
  • Taipei Medical University - Shuang Ho Hospital
  • Linkou Medical Center, Chang Gung Memorial Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

PEGASYS® plus ROBATROL® for 36 weeks

PEGASYS® plus ROBATROL® for 48 weeks

Arm Description

Outcomes

Primary Outcome Measures

Sustained virological response
Sustained virological response (SVR) defined as percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test at 24 weeks post completion of the 36 or 48 week treatment periods.

Secondary Outcome Measures

Virological Response Rate at week 2
Virological Response Rate at week 2 defined as the percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV at 2 weeks post treatment.
Virological response at end of treatment
Virological response at end of treatment defined as the percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test after the last dose of study medication(± 28 days).
Correlation of virological response and SVR rate
Correlation of virological response (HCV RNA < 15 IU/ML) at week 2 and SVR rate in each group.

Full Information

First Posted
June 28, 2012
Last Updated
July 27, 2015
Sponsor
Chang Gung Memorial Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01639547
Brief Title
Sustained Virological Response (SVR)Rate of Pegasys Plus Ribavirin in Patients With Chronic Hepatitis C
Official Title
A Randomized, Open-lable, Multicenter, Parallel Group Study to Compare SVR Rate of Pegasys Plus Ribavirin for 48 Weeks vs. 36 Weeks in Patients With Chronic Hepatitis C
Study Type
Interventional

2. Study Status

Record Verification Date
July 2015
Overall Recruitment Status
Terminated
Why Stopped
early termination due to difficult collection of patients
Study Start Date
July 2012 (undefined)
Primary Completion Date
July 2014 (Actual)
Study Completion Date
July 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Chang Gung Memorial Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effect of PEGASYS® (peginterferon alfa-2a 40KD) plus Robatrol® (ribavirin) combination therapy given for 36 weeks versus 48 weeks on the clearance of HCV viremia 24 weeks after treatment end
Detailed Description
Pegylated interferon plus ribavirin brings a good therapeutic response and curability. However, the adverse effects and sufferings are lots. Response-guided, personalized treatment is current principle. In patients of CHC, GT1 PR treatment for 24 weeks is established in rapid virologic responders (RVR) who have low viral load before treatment. As to patients with RVR but high viral load (HVL), the treatment duration is 48 weeks that is the same as patients with complete early virologic response (cEVR). Is a shorter duration of treatment feasible for those with a good virokinetic response? The ideal treatment duration for patients of chronic hepatitis C, GT-1, high viral load with RVR has had no enough data yet. Is it really necessary to double the treatment duration (48 weeks) for patients of chronic hepatitis C, GT-1, high viral load with RVR? Is 36-week adequate for them? A multicenter trial of INDIV-2 was presented at EASL 2010. They treated CHC patients of naïve GT1 HVL and RVR for 30 weeks and got similarly good SVR as those treated for 48 weeks (85% vs. 82%). Therefore, investigators design a randomized controlled study to investigate the SVR rates between treatment for 36 weeks and for 48 weeks in patients of CHC, GT1, HVL and RVR.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis C
Keywords
PEGASYS® PLUS RIBAVIRIN

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
410 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
PEGASYS® plus ROBATROL® for 36 weeks
Arm Type
Experimental
Arm Title
PEGASYS® plus ROBATROL® for 48 weeks
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Peginterferon alfa-2a plus Ribavirin
Other Intervention Name(s)
PEGASYS® plus ROBATROL®
Intervention Description
Peginterferon alfa-2a(pre-filled syringes 180 mcg/0.5 ml once a week) plus ribavirin(200 mg/Capsules, 1000~1200 mg daily in split doses (morning/evening)) for 36 or 48 weeks
Primary Outcome Measure Information:
Title
Sustained virological response
Description
Sustained virological response (SVR) defined as percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test at 24 weeks post completion of the 36 or 48 week treatment periods.
Time Frame
At 24 weeks after end of treatment
Secondary Outcome Measure Information:
Title
Virological Response Rate at week 2
Description
Virological Response Rate at week 2 defined as the percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV at 2 weeks post treatment.
Time Frame
At treatment week 2
Title
Virological response at end of treatment
Description
Virological response at end of treatment defined as the percentage of patients with HCV RNA < 15 IU/ML as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test after the last dose of study medication(± 28 days).
Time Frame
At end of treatment
Title
Correlation of virological response and SVR rate
Description
Correlation of virological response (HCV RNA < 15 IU/ML) at week 2 and SVR rate in each group.
Time Frame
At 24 weeks after end of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 20~70 years old Patients have never been treated with traditional interferon plus ribavirin or peginterferon plus ribarivin Chronic hepatitis C, genotype 1, HCV-RNA > 0.8x106 IU/ml, achieving RVR (undetectable HCV RNA at week 4) in the SoC treatment Patient must be able to comply with the assessments during the study Compensated liver disease (Child-Pugh Grade A clinical classification for patients with cirrhosis: total score ≦ 6) All fertile males and females receiving ribavirin must be using two forms of effective contraception during treatment with study drugs and 6 months post treatment completion Exclusion Criteria: History or other evidence of a medical condition associated with chronic liver disease other than HCV (e.g., hemochromatosis, autoimmune hepatitis, metabolic liver disease, alcoholic liver disease, toxin exposures) History or other evidence of decompensated liver disease Signs or symptoms of hepatocellular carcinoma Co-infection with hepatitis A, hepatitis B or human immunodeficiency virus (HIV) Not adequately controlled thyroid dysfunction, diabetes mellitus (HbA1c >8.5%) or psychiatric disorders, especially depression. Severe psychiatric disease is defined as treatment with an antidepressant medication or a major tranquilizer at therapeutic doses for major depression or psychosis, respectively, for at least 3 months at any previous time or any history of the following: a suicidal attempt, hospitalization for psychiatric disease, or a period of disability due to a psychiatric disease History of a severe seizure disorder or current anticonvulsant use History of immunologically mediated disease, chronic pulmonary disease associated with functional limitation, severe cardiac disease, major organ transplantation or other evidence of severe illness, malignancy, or any other conditions which would make the patient, in the opinion of the investigator, unsuitable for the study Evidence of severe retinopathy (e.g. CMV retinitis, macula degeneration) or clinically relevant ophthalmological disorder (e.g. due to diabetes mellitus or hypertension) Women with on-going pregnancy or breast feeding Male partners of women who are pregnant Subjects with any of the following laboratory abnormalities Platelet count < 90,000/mm3 Absolute neutrophil count < 1,500 /mm3 Hemoglobin < 12 g/dL (F), 13 g/dL (M) Creatinine > ULN ALT and/or AST > 10X ULN Total serum bilirubin > 1.5 x ULN Inability or unwillingness to provide written informed consent or abide by the requirements of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
I-Shyan Sheen, M.D.
Organizational Affiliation
Linkou Medical Center, Chang Gung Memorial Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Show Chwan Memorial Hospital
City
Changhua City
ZIP/Postal Code
500
Country
Taiwan
Facility Name
Changhua Christian Hospital
City
Changhua County
ZIP/Postal Code
500
Country
Taiwan
Facility Name
Keelung Chang Gung Memorial Hospital
City
Keelung City
ZIP/Postal Code
222
Country
Taiwan
Facility Name
China Medical University Hospital
City
Taichung City
ZIP/Postal Code
404
Country
Taiwan
Facility Name
Tungs' Taichung MetroHarbor Hospital
City
Taichung City
ZIP/Postal Code
435
Country
Taiwan
Facility Name
Taipei Medical University - Shuang Ho Hospital
City
Taipei County
ZIP/Postal Code
235
Country
Taiwan
Facility Name
Linkou Medical Center, Chang Gung Memorial Hospital
City
Taoyuan County
ZIP/Postal Code
333
Country
Taiwan

12. IPD Sharing Statement

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Sustained Virological Response (SVR)Rate of Pegasys Plus Ribavirin in Patients With Chronic Hepatitis C

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