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An Efficacy and Safety Study of Telaprevir in Patients With Genotype 1 Hepatitis C Infection After Liver Transplantation (REPLACE)

Primary Purpose

Chronic Hepatitis C Virus (HCV) Infection

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Telaprevir
Pegylated interferon alfa-2a
Ribavirin
Sponsored by
Janssen-Cilag International NV
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis C Virus (HCV) Infection focused on measuring Chronic HCV infection, Genotype 1 chronic HCV, Liver transplantation, Hepatitis C, Hep C, HCV, Telaprevir, Pegylated-Interferon-alfa-2a, Ribavirin

Eligibility Criteria

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

Inclusion Criteria:

  • First time liver transplant recipient whose primary pre-transplant diagnosis was chronic hepatitis C genotype 1
  • More than 6 months to 10 years post-liver transplant
  • Patient did or did not receive treatment for HCV prior to liver transplantation
  • Patient must agree to have a liver graft biopsy during the screening period unless they had a biopsy within three months of the screening period (for patients between 6 months and one year post transplant) or within six months of the screening period (for patients who are more than one year post transplant)
  • A female patient of childbearing potential and a nonvasectomized male patient who has a female partner of childbearing potential must agree to the use of 2 effective methods of birth control from screening until 6 months (female patient) or 7 months (male patient) after the last dose of ribavirin

Exclusion Criteria:

  • Patient is currently infected or co-infected with HCV of another genotype than genotype 1
  • Patient received treatment for hepatitis C following liver transplantation
  • Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C
  • Patient with human immunodeficiency virus or hepatitis B virus co-infection
  • Patient with active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma or hepatocellular carcinoma)

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Telaprevir+Peg-IFN-alfa-2a+Ribavirin

Arm Description

Patients will be treated for 12 weeks with telaprevir in combination with Pegylated interferon alfa-2a (Peg-IFN-alfa-2a) and ribavirin followed by 36 weeks of treatment with Peg-IFN-alfa-2a and ribavirin alone.

Outcomes

Primary Outcome Measures

Number of patients achieving sustained virologic response (SVR) 12 planned
SVR12 planned is defined as having plasma hepatitis C virus (HCV ) ribonucleic acid (RNA) level less than 25 IU/mL 12 weeks after the last planned dose of study medication.

Secondary Outcome Measures

Number of patients achieving SVR12 planned(c)
SVR12 planned(c) is defined as having undetectable plasma HCV RNA levels 12 weeks after the last planned dose of study drugs.
Number of patients achieving SVR24 planned
SVR24 planned is defined as having plasma HCV RNA levels less than 25 IU/mL 24 weeks after the last planned dose of study medication.
Number of patients achieving SVR24 planned(c)
SVR24 planned(c) is defined as having an undetectable plasma HCV RNA level 24 weeks after the last planned dose of study medication.
Number of patients having an undetectable HCV RNA level at Week 4 of treatment
Number of patients having an undetectable HCV RNA level at Week 12 of treatment
Number of patients having undetectable HCV RNA levels at Week 4 and Week 12 of treatment
Number of patients having an undetectable HCV RNA level at the actual end of treatment
Number of patients having an undetectable HCV RNA level at the planned end of treatment
Number of patients having less than 25 IU/mL at the planned end of treatment
Number of patients with on-treatment virologic failure
Virologic failure is defined as patients who meet a virologic stopping rule and/or meet the definition of viral breakthrough.
Number of patients with relapse after undetectable HCV RNA at actual end of treatment
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous undetectable HCV RNA (less than 25 IU/mL, target not detected) at actual end of treatment.
Number of patients with relapse after undetectable HCV RNA at planned end of treatment
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous undetectable HCV RNA (less than 25 IU/mL, target not detected) at planned end of treatment.
Number of patients with relapse after previous HCV RNA less than 25 IU/mL at planned end of treatment
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous HCV RNA less than 25 IU/mL at planned end of treatment.
Number of patients with viral breakthrough
Number of patients with viral breakthrough (defined as an increase more than 1 log in HCV RNA level from the lowest level reached, or a value of HCV RNA more than 100 IU/mL in patients whose HCV RNA has previously become less than 25 IU/mL during treatment).
Change from baseline in log HCV RNA values
Change from baseline in log HCV RNA values at each time point during treatment.
Number of patients who have changes in liver graft biopsy histology
Number of patients with adverse events

Full Information

First Posted
December 16, 2011
Last Updated
June 29, 2016
Sponsor
Janssen-Cilag International NV
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1. Study Identification

Unique Protocol Identification Number
NCT01571583
Brief Title
An Efficacy and Safety Study of Telaprevir in Patients With Genotype 1 Hepatitis C Infection After Liver Transplantation
Acronym
REPLACE
Official Title
Open-Label, Phase 3b Study To Determine Efficacy and Safety of Telaprevir, Pegylated-Interferon-alfa-2a and Ribavirin in Hepatitis C Genotype 1 Infected, Stable Liver Transplant Subjects
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen-Cilag International NV

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effectiveness of telaprevir in combination with Peg-IFN-alfa-2a and ribavirin in stable liver transplant patients with chronic hepatitis C virus (HCV) genotype 1.
Detailed Description
This is an open-label (all people know the identity of the intervention), multicenter study in genotype 1 chronic HCV infected liver transplant patients who will be treated for 12 weeks with telaprevir 750 mg every 8 hours given in combination with Peg-IFN-alfa-2a and ribavirin followed by 36 weeks of treatment with Peg-IFN-alfa-2a and ribavirin alone. The total treatment duration will be 48 weeks. Safety will be evaluated throughout the study and will include evaluations of adverse events, clinical laboratory tests, electrocardiogram, vital signs, and physical examination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis C Virus (HCV) Infection
Keywords
Chronic HCV infection, Genotype 1 chronic HCV, Liver transplantation, Hepatitis C, Hep C, HCV, Telaprevir, Pegylated-Interferon-alfa-2a, Ribavirin

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Telaprevir+Peg-IFN-alfa-2a+Ribavirin
Arm Type
Experimental
Arm Description
Patients will be treated for 12 weeks with telaprevir in combination with Pegylated interferon alfa-2a (Peg-IFN-alfa-2a) and ribavirin followed by 36 weeks of treatment with Peg-IFN-alfa-2a and ribavirin alone.
Intervention Type
Drug
Intervention Name(s)
Telaprevir
Intervention Description
Type=exact number, unit=mg, number=375, form=tablet, route=oral. Patients will receive 2 oral tablets (750 mg) every 8 hours for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Pegylated interferon alfa-2a
Intervention Description
Type=exact number, unit=µg, number=180, form=injection, route=subcutaneous. 180 microgram (µg) per week, subcutaneous injection, for 48 weeks.
Intervention Type
Drug
Intervention Name(s)
Ribavirin
Intervention Description
Type=exact number, unit=mg, number=200, form=tablet, route=oral. Starting from 600 mg (3 tablets) per day on Day 1. This dose will become higher or lower based on blood results and the investigators opinion (to a goal of 1000 to 1200 mg/day [5 to 6 tablets] based on subject weight), twice daily regimen, for 48 weeks.
Primary Outcome Measure Information:
Title
Number of patients achieving sustained virologic response (SVR) 12 planned
Description
SVR12 planned is defined as having plasma hepatitis C virus (HCV ) ribonucleic acid (RNA) level less than 25 IU/mL 12 weeks after the last planned dose of study medication.
Time Frame
Week 60
Secondary Outcome Measure Information:
Title
Number of patients achieving SVR12 planned(c)
Description
SVR12 planned(c) is defined as having undetectable plasma HCV RNA levels 12 weeks after the last planned dose of study drugs.
Time Frame
Week 60
Title
Number of patients achieving SVR24 planned
Description
SVR24 planned is defined as having plasma HCV RNA levels less than 25 IU/mL 24 weeks after the last planned dose of study medication.
Time Frame
Week 72
Title
Number of patients achieving SVR24 planned(c)
Description
SVR24 planned(c) is defined as having an undetectable plasma HCV RNA level 24 weeks after the last planned dose of study medication.
Time Frame
Week 72
Title
Number of patients having an undetectable HCV RNA level at Week 4 of treatment
Time Frame
Week 4
Title
Number of patients having an undetectable HCV RNA level at Week 12 of treatment
Time Frame
Week 12
Title
Number of patients having undetectable HCV RNA levels at Week 4 and Week 12 of treatment
Time Frame
Week 4 and Week 12
Title
Number of patients having an undetectable HCV RNA level at the actual end of treatment
Time Frame
Week 48
Title
Number of patients having an undetectable HCV RNA level at the planned end of treatment
Time Frame
Week 48
Title
Number of patients having less than 25 IU/mL at the planned end of treatment
Time Frame
Week 48
Title
Number of patients with on-treatment virologic failure
Description
Virologic failure is defined as patients who meet a virologic stopping rule and/or meet the definition of viral breakthrough.
Time Frame
Week 48
Title
Number of patients with relapse after undetectable HCV RNA at actual end of treatment
Description
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous undetectable HCV RNA (less than 25 IU/mL, target not detected) at actual end of treatment.
Time Frame
Week 48
Title
Number of patients with relapse after undetectable HCV RNA at planned end of treatment
Description
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous undetectable HCV RNA (less than 25 IU/mL, target not detected) at planned end of treatment.
Time Frame
Week 48
Title
Number of patients with relapse after previous HCV RNA less than 25 IU/mL at planned end of treatment
Description
Number of patients who relapse, defined as having confirmed detectable HCV RNA during the follow-up period after previous HCV RNA less than 25 IU/mL at planned end of treatment.
Time Frame
Week 48
Title
Number of patients with viral breakthrough
Description
Number of patients with viral breakthrough (defined as an increase more than 1 log in HCV RNA level from the lowest level reached, or a value of HCV RNA more than 100 IU/mL in patients whose HCV RNA has previously become less than 25 IU/mL during treatment).
Time Frame
Week 48
Title
Change from baseline in log HCV RNA values
Description
Change from baseline in log HCV RNA values at each time point during treatment.
Time Frame
Up to Week 52
Title
Number of patients who have changes in liver graft biopsy histology
Time Frame
Up to Week 72
Title
Number of patients with adverse events
Time Frame
Up to 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: First time liver transplant recipient whose primary pre-transplant diagnosis was chronic hepatitis C genotype 1 More than 6 months to 10 years post-liver transplant Patient did or did not receive treatment for HCV prior to liver transplantation Patient must agree to have a liver graft biopsy during the screening period unless they had a biopsy within three months of the screening period (for patients between 6 months and one year post transplant) or within six months of the screening period (for patients who are more than one year post transplant) A female patient of childbearing potential and a nonvasectomized male patient who has a female partner of childbearing potential must agree to the use of 2 effective methods of birth control from screening until 6 months (female patient) or 7 months (male patient) after the last dose of ribavirin Exclusion Criteria: Patient is currently infected or co-infected with HCV of another genotype than genotype 1 Patient received treatment for hepatitis C following liver transplantation Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C Patient with human immunodeficiency virus or hepatitis B virus co-infection Patient with active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma or hepatocellular carcinoma)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen-Cilag International NV, Belgium Clinical Trial
Organizational Affiliation
Janssen-Cilag International NV
Official's Role
Study Director
Facility Information:
City
Linz
Country
Austria
City
Wien
Country
Austria
City
Brussels
Country
Belgium
City
Gent
Country
Belgium
City
Leuven
Country
Belgium
City
Liege
Country
Belgium
City
Clichy
Country
France
City
Marseille
Country
France
City
Montpellier
Country
France
City
Rennes Cedex N/A
Country
France
City
Villejuif Cedex
Country
France
City
Essen
Country
Germany
City
Frankfurt A. M.
Country
Germany
City
Hannover
Country
Germany
City
Leipzig
Country
Germany
City
Münster
Country
Germany
City
Barcelona
Country
Spain
City
Madrid
Country
Spain
City
Valencia
Country
Spain
City
Birmingham
Country
United Kingdom
City
London
Country
United Kingdom

12. IPD Sharing Statement

Links:
URL
http://filehosting.pharmacm.com/DownloadService.ashx?client=CTR_JNJ_6051&studyid=3339&filename=20150616_VX-950HPC3006(CR018721)_PRF.pdf
Description
Open-Label, Phase 3b Study To Determine Efficacy and Safety of Telaprevir, Pegylated-Interferon-alfa-2a and Ribavirin in Hepatitis C Genotype 1 Infected, Stable Liver Transplant Subjects(18137).

Learn more about this trial

An Efficacy and Safety Study of Telaprevir in Patients With Genotype 1 Hepatitis C Infection After Liver Transplantation

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