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Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Boceprevir/Pegylated Interferon/Ribavarin for Chronic Hepatitis C Infection (MK-5172-066)

Primary Purpose

Hepatitis C

Status
Withdrawn
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Grazoprevir/Elbasvir
Boceprevir
PegIntron
Ribavarin
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C

Eligibility Criteria

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

Inclusion Criteria:

  • Has HCV RNA ≥ 10,000 IU/mL at the time of screening
  • Has documented chronic HCV GT 1 with no evidence of non-typeable or mixed GT infection
  • Is cirrhotic or non-cirrhotic
  • Has HCV treatment status that is treatment naïve, PR null responder; PR partial responder; or prior PR relapser
  • If human immunodeficiency virus (HIV) co-infected (HIV-1) must be naïve to treatment with any antiretroviral therapy (ART) and have no plans to initiate ART treatment while participating in this trial, or be on HIV ART for at least 8 weeks prior to trial entry (no changes in HIV regimen are allowed within 4 weeks of registration); must also have at least one viable antiretroviral therapy alternative beyond their current regimens in the event of HIV virologic failure and the development of antiretroviral drug resistance
  • Use an acceptable method of contraception or not be of childbearing potential

Exclusion Criteria:

  • Has evidence of decompensated liver disease manifested by the presence of or history of ascites, esophageal or gastric variceal bleeding, hepatic encephalopathy or other signs or symptoms of advanced liver disease
  • Is co-infected with hepatitis B virus (e.g., hepatitis B surface antigen [HBsAg] positive)
  • Has a history of malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer or carcinoma in situ; or is under evaluation for other active or suspected malignancy
  • Has cirrhosis and liver imaging within 6 months of Day 1 showing evidence of hepatocellular carcinoma (HCC) or is under evaluation for HCC
  • Has pre-existing psychiatric condition(s)
  • Has clinically-relevant drug or alcohol abuse within 12 months of screening
  • Is a female and is pregnant or breast-feeding, or expecting to become pregnant or donate eggs from Day 1 throughout treatment and until at least 6 months after the last dose of study medication, or longer if dictated by local regulations; or is a male subject and is planning to impregnate or provide sperm donation
  • Has any preexisting condition or prestudy laboratory abnormality, electrocardiogram (ECG) abnormality or history of any illness, which, in the opinion of the investigator, might confound the results of the trial or pose additional risk in administering the study drug(s) to the subject
  • Has a life-threatening severe AE (SAE) during the screening period
  • Has evidence of history of chronic hepatitis not caused by HCV, including but not limited to nonalcoholic steatohepatitis (NASH), drug-induced hepatitis, and autoimmune hepatitis

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    BOC/PR

    Grazoprevir/Elbasvir

    Arm Description

    All participants begin treatment with a 4-week lead-in of PR followed by 24 weeks of BOC/PR. At Treatment Week (TW) 28 TN participants who have undetectable HCV RNA at TW 8 will complete BOC/PR therapy. At TW 28 TN participants who have detectable HCV RNA at TW 8, as well as prior relapsers and prior partial responders, will continue on BOC/PR for an additional 8 weeks and then continue on PR for an additional 12 weeks. At TW 28 all cirrhotics and previous null responders will continue on BOC/PR for an additional 20 weeks.

    Participants will undergo treatment with grazoprevir 100 mg + elbasvir 50 mg for 12 weeks.

    Outcomes

    Primary Outcome Measures

    Proportion of participants achieving SVR12

    Secondary Outcome Measures

    Proportion of TN participants achieving SVR12
    Number of participants experiencing an adverse event (AE)
    Number of participants withdrawing from study treatment due to AEs
    Proportion of PTF participants achieving SVR12

    Full Information

    First Posted
    July 28, 2014
    Last Updated
    October 13, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02204475
    Brief Title
    Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Boceprevir/Pegylated Interferon/Ribavarin for Chronic Hepatitis C Infection (MK-5172-066)
    Official Title
    A Phase III, Open-Label Clinical Trial to Study the Efficacy and Safety of the Combination Regimen of MK-5172/MK-8742 Versus Boceprevir/Pegylated Interferon/Ribavirin (PR) in Treatment-Naïve and PR Prior Treatment Failure Subjects With Chronic HCV GT1 Infection
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2015
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    November 2014 (undefined)
    Primary Completion Date
    June 2016 (Anticipated)
    Study Completion Date
    September 2016 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This is a randomized, multi-site, open-label trial of a fixed-dose combination of Grazoprevir (MK-5172) and Elbasvir (MK-8742) versus Boceprevir (BOC) / Pegylated Interferon (P) and Ribavirin (R) in treatment-naive and prior treatment failure genotype (GT) 1 hepatitis C virus (HCV)-infected participants. The primary hypothesis is that the proportion of treatment-naive (TN) and prior treatment failure (PTF) participants treated with grazoprevir + elbasvir achieving sustained virologic response (undetectable HCV ribonucleic acid [RNA]) 12 weeks after the end of study therapy (SVR12) will be greater than the proportion of BOC/PR-treated participants achieving SVR12.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis C

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BOC/PR
    Arm Type
    Active Comparator
    Arm Description
    All participants begin treatment with a 4-week lead-in of PR followed by 24 weeks of BOC/PR. At Treatment Week (TW) 28 TN participants who have undetectable HCV RNA at TW 8 will complete BOC/PR therapy. At TW 28 TN participants who have detectable HCV RNA at TW 8, as well as prior relapsers and prior partial responders, will continue on BOC/PR for an additional 8 weeks and then continue on PR for an additional 12 weeks. At TW 28 all cirrhotics and previous null responders will continue on BOC/PR for an additional 20 weeks.
    Arm Title
    Grazoprevir/Elbasvir
    Arm Type
    Experimental
    Arm Description
    Participants will undergo treatment with grazoprevir 100 mg + elbasvir 50 mg for 12 weeks.
    Intervention Type
    Drug
    Intervention Name(s)
    Grazoprevir/Elbasvir
    Intervention Description
    Participants take a fixed-dose combination of grazoprevir 100 mg and elbasvir 50 mg once daily (QD) by mouth (PO).
    Intervention Type
    Drug
    Intervention Name(s)
    Boceprevir
    Intervention Description
    Participants take Boceprevir (BOC) 800 mg three times daily (TID) PO.
    Intervention Type
    Drug
    Intervention Name(s)
    PegIntron
    Other Intervention Name(s)
    Pegylated Interferon
    Intervention Description
    Participants take 1.5 mcg/kg PegIntron (P) once weekly (QW) via subcutaneous injection.
    Intervention Type
    Drug
    Intervention Name(s)
    Ribavarin
    Intervention Description
    Participants take Ribavarin (R) 800-1400 mg (depending on body weight) twice daily (BID) PO.
    Primary Outcome Measure Information:
    Title
    Proportion of participants achieving SVR12
    Time Frame
    Up to Week 60
    Secondary Outcome Measure Information:
    Title
    Proportion of TN participants achieving SVR12
    Time Frame
    Up to Week 60
    Title
    Number of participants experiencing an adverse event (AE)
    Time Frame
    Up to Week 72
    Title
    Number of participants withdrawing from study treatment due to AEs
    Time Frame
    Up to Week 72
    Title
    Proportion of PTF participants achieving SVR12
    Time Frame
    Up to Week 60

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Has HCV RNA ≥ 10,000 IU/mL at the time of screening Has documented chronic HCV GT 1 with no evidence of non-typeable or mixed GT infection Is cirrhotic or non-cirrhotic Has HCV treatment status that is treatment naïve, PR null responder; PR partial responder; or prior PR relapser If human immunodeficiency virus (HIV) co-infected (HIV-1) must be naïve to treatment with any antiretroviral therapy (ART) and have no plans to initiate ART treatment while participating in this trial, or be on HIV ART for at least 8 weeks prior to trial entry (no changes in HIV regimen are allowed within 4 weeks of registration); must also have at least one viable antiretroviral therapy alternative beyond their current regimens in the event of HIV virologic failure and the development of antiretroviral drug resistance Use an acceptable method of contraception or not be of childbearing potential Exclusion Criteria: Has evidence of decompensated liver disease manifested by the presence of or history of ascites, esophageal or gastric variceal bleeding, hepatic encephalopathy or other signs or symptoms of advanced liver disease Is co-infected with hepatitis B virus (e.g., hepatitis B surface antigen [HBsAg] positive) Has a history of malignancy ≤5 years prior to signing informed consent except for adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer or carcinoma in situ; or is under evaluation for other active or suspected malignancy Has cirrhosis and liver imaging within 6 months of Day 1 showing evidence of hepatocellular carcinoma (HCC) or is under evaluation for HCC Has pre-existing psychiatric condition(s) Has clinically-relevant drug or alcohol abuse within 12 months of screening Is a female and is pregnant or breast-feeding, or expecting to become pregnant or donate eggs from Day 1 throughout treatment and until at least 6 months after the last dose of study medication, or longer if dictated by local regulations; or is a male subject and is planning to impregnate or provide sperm donation Has any preexisting condition or prestudy laboratory abnormality, electrocardiogram (ECG) abnormality or history of any illness, which, in the opinion of the investigator, might confound the results of the trial or pose additional risk in administering the study drug(s) to the subject Has a life-threatening severe AE (SAE) during the screening period Has evidence of history of chronic hepatitis not caused by HCV, including but not limited to nonalcoholic steatohepatitis (NASH), drug-induced hepatitis, and autoimmune hepatitis
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Grazoprevir (MK-5172)/Elbasvir (MK-8742) Versus Boceprevir/Pegylated Interferon/Ribavarin for Chronic Hepatitis C Infection (MK-5172-066)

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