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Pegasys Long-Term Anti-Fibrotic Effect Co-Infection Trial (PERFECT)

Primary Purpose

HIV/HCV Coinfection

Status
Terminated
Phase
Phase 3
Locations
Belgium
Study Type
Interventional
Intervention
Peginterferon Alfa-2
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for HIV/HCV Coinfection

Eligibility Criteria

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

Inclusion Criteria:

  • Serologic evidence of chronic hepatitis C infection by anti-HCV antibody test
  • Received peginterferon alfa-2a for at least 12 weeks and either did not reach a 2-log drop in HCV RNA after 12 weeks of treatment, did not reach an undetectable HCV RNA after 24 weeks of treatment, or reached undetectable HCV RNA that was detectable again at the end of 48 weeks of treatment
  • Detectable serum HCV RNA at Screening
  • Serologic evidence of HIV infection by HIV RNA detection
  • CD4 cell count greater than or equal to (>/=) 100 cells/mcL during therapy with peginterferon alfa-2a plus ribavirin for at least 12 weeks
  • Stable HIV status and, if on antiretroviral therapy, a stable regimen for at least 6 weeks prior to Baseline
  • Compensated liver disease
  • No evidence of hepatocellular carcinoma

Exclusion Criteria:

  • Pregnant or breastfeeding
  • Antineoplastic or immunomodulatory treatment within 6 months prior to first dose
  • Any investigational drug within 6 weeks prior to first dose
  • Positive for hepatitis A immunoglobulin M antibody
  • Severe neutropenia or thrombocytopenia at Screening while still on therapy with peginterferon alfa-2a plus ribavirin
  • Severe psychiatric or neurologic comorbidity
  • History of any significant medical conditions, such as immune disorders or disease of the major organ systems
  • Uncontrolled thyroid disease
  • Severe retinopathy
  • Evidence of drug abuse

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Peginterferon Alfa-2a

Arm Description

Participants will receive a low dose of peginterferon alfa-2a for 18 months.

Outcomes

Primary Outcome Measures

Percentage of Participants with Adverse Events (AEs)

Secondary Outcome Measures

Percentage of Participants with Histological Response According to Paired Biopsy
HIV RNA Viral Load in Copies per Milliliter (copies/mL)
Cluster of Differentiation (CD) 4 Cell Count in Cells per Microliter (cells/mcL)
Percentage of Participants with Virological Response According to HCV RNA Viral Load
Percentage of Participants with Biochemical Response According to Alanine Aminotransferase (ALT) Level
Percentage of Participants with Sustained Biochemical Response According to ALT Level

Full Information

First Posted
May 3, 2016
Last Updated
September 6, 2016
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT02762383
Brief Title
Pegasys Long-Term Anti-Fibrotic Effect Co-Infection Trial (PERFECT)
Official Title
A Pilot, Open-Label, Multicentre Study Evaluating the Long-Term Safety and Tolerability of a Low-Dose Peginterferon Alfa-2a Maintenance Monotherapy in Chronic Hepatitis C Patients Co-Infected With Human Immunodeficiency Virus and Who Do Not Respond to a Standard Regimen of Peginterferon Alfa-2a Plus Ribavirin
Study Type
Interventional

2. Study Status

Record Verification Date
May 2016
Overall Recruitment Status
Terminated
Why Stopped
Low recruitment
Study Start Date
March 2005 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
June 2009 (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 is an uncontrolled, open-label, Phase III trial of peginterferon alfa-2a (Pegasys) in participants coinfected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). Participants with HIV/HCV who do not show negative or reduced HCV ribonucleic acid (RNA) after at least 12 weeks of treatment with peginterferon alfa-2a plus ribavirin will receive a low dose of peginterferon alfa-2a for 18 months. The primary objective is to evaluate safety and tolerability. Secondary objectives are to evaluate histological, virological, and biochemical effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
HIV/HCV Coinfection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Peginterferon Alfa-2a
Arm Type
Experimental
Arm Description
Participants will receive a low dose of peginterferon alfa-2a for 18 months.
Intervention Type
Drug
Intervention Name(s)
Peginterferon Alfa-2
Other Intervention Name(s)
Pegasys
Intervention Description
Peginterferon alfa-2a will be administered as 90 micrograms (mcg) via subcutaneous (SC) injection once weekly.
Primary Outcome Measure Information:
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
From Baseline to end of treatment (up to 18 months)
Secondary Outcome Measure Information:
Title
Percentage of Participants with Histological Response According to Paired Biopsy
Time Frame
At end of treatment (up to 18 months)
Title
HIV RNA Viral Load in Copies per Milliliter (copies/mL)
Time Frame
At end of treatment (up to 18 months)
Title
Cluster of Differentiation (CD) 4 Cell Count in Cells per Microliter (cells/mcL)
Time Frame
At end of treatment (up to 18 months)
Title
Percentage of Participants with Virological Response According to HCV RNA Viral Load
Time Frame
At 6, 12, and 18 months during treatment, and at 24 weeks after end of treatment (up to 2 years overall)
Title
Percentage of Participants with Biochemical Response According to Alanine Aminotransferase (ALT) Level
Time Frame
At end of treatment (up to 18 months)
Title
Percentage of Participants with Sustained Biochemical Response According to ALT Level
Time Frame
At 24 weeks after end of treatment (up to 2 years overall)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Serologic evidence of chronic hepatitis C infection by anti-HCV antibody test Received peginterferon alfa-2a for at least 12 weeks and either did not reach a 2-log drop in HCV RNA after 12 weeks of treatment, did not reach an undetectable HCV RNA after 24 weeks of treatment, or reached undetectable HCV RNA that was detectable again at the end of 48 weeks of treatment Detectable serum HCV RNA at Screening Serologic evidence of HIV infection by HIV RNA detection CD4 cell count greater than or equal to (>/=) 100 cells/mcL during therapy with peginterferon alfa-2a plus ribavirin for at least 12 weeks Stable HIV status and, if on antiretroviral therapy, a stable regimen for at least 6 weeks prior to Baseline Compensated liver disease No evidence of hepatocellular carcinoma Exclusion Criteria: Pregnant or breastfeeding Antineoplastic or immunomodulatory treatment within 6 months prior to first dose Any investigational drug within 6 weeks prior to first dose Positive for hepatitis A immunoglobulin M antibody Severe neutropenia or thrombocytopenia at Screening while still on therapy with peginterferon alfa-2a plus ribavirin Severe psychiatric or neurologic comorbidity History of any significant medical conditions, such as immune disorders or disease of the major organ systems Uncontrolled thyroid disease Severe retinopathy Evidence of drug abuse
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-La Roche
Official's Role
Study Chair
Facility Information:
City
Bruxelles
ZIP/Postal Code
1000
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1020
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1090
Country
Belgium
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
City
Gent
ZIP/Postal Code
9000
Country
Belgium
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
City
Liege
ZIP/Postal Code
4000
Country
Belgium

12. IPD Sharing Statement

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Pegasys Long-Term Anti-Fibrotic Effect Co-Infection Trial (PERFECT)

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