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Daily-Dose Consensus Interferon and Ribavirin: Efficacy of Combined Therapy

Primary Purpose

Chronic Hepatitis C

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Daily Infergen (Interferon Alfacon-1, CIFN) (9 or 15 µg) + Ribavirin (1000-1200 mg, based on body weight) PO Daily for up to 48 wks
Sponsored by
Bausch Health Americas, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis C focused on measuring Chronic Hepatitis C, Liver, Pegylated, Interferon, Alpha, Ribavirin, Combination, Nonresponder, HCV, Infergen, SVR

Eligibility Criteria

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

(Abbreviated due to space constraints.) Inclusion Criteria: Signed informed consent form Male or female 18 yrs. of age or older Chronic HCV infection based on documented history of positive serum anti-HCV antibody test and/or detectable levels of HCV RNA Documented virologic nonresponse to past treatment with PEGASYS plus ribavirin or PEG-Intron plus ribavirin Previously treated w/either of the following starting doses of pegylated interferon alpha: ≥ 1.5 µg/kg/week PEG-Intron or dose consistent with the package insert or, ≥ 180 µg/week PEGASYS Detectable plasma HCV RNA level at screening visit Liver biopsy histologically documenting chronic liver disease consistent with chronic HCV infection All patients and all potentially fertile sexual partners of patients must use 2 reliable forms of effective contraception during the study & for 6 months after cessation of the study drugs Exclusion Criteria: Any history of decompensated liver disease Any of a variety of laboratory abnormalities assessed through blood sample at screening Patients who prematurely discontinued, interrupted, or reduced the dose of their previous pegylated interferon alpha-based combination therapy due to noncompliance or safety and/or tolerability issues Patients who had undetectable HCV RNA levels during prior pegylated interferon alfa plus ribavirin treatment but who relapsed during follow-up Significant depression in the last 2 years Patients treated for HCV infection within 3 months before screening (w/the exclusion of over-the-counter therapies) Patients who have been on any experimental protocol or therapy within 28 days before screening Use of colony-stimulating factor agents or other therapeutic agents that might artificially elevate laboratory parameters within 3 months before screening Known human immunodeficiency virus (HIV) infection or positive HIV antibody test at screening Chronic hepatitis B infection or positive hepatitis B surface antigen (HBsAg) at screening New onset diabetes Unstable or uncontrolled thyroid disease Presence or history of non-HCV chronic liver disease History of unstable or deteriorating cardiac or cerebrovascular disease within 6 months before Screening Current or history of neurologic disorder within the last 2 years History of seizures within the past 5 years History of hemoglobinopathies History of malignancy within the last 5 years with the exception of localized basal or squamous cell carcinoma & fully resected, localized malignancy not requiring active treatment & with no evidence of recurrence A disease known to cause significant alteration in immunologic function including hematologic malignancy, sarcoidosis or autoimmune disorder History or evidence of retinopathy History of major organ transplantation with an existing functional graft Concurrent therapy with immunosuppressive drugs or cytotoxic agents Alcohol and/or drug abuse w/in the past year, that in the opinion of the Investigator or the Sponsor may negatively affect patient compliance Pregnant or lactating women Male partners of women who are pregnant Known sensitivity to Infergen or IFN-α or to E. coli-derived products Patients who, in the opinion of the Investigator or the Sponsor, are not suitable candidates for enrollment or who would not comply w/the requirements of the study Patients who have not responded to a course of daily Infergen (9 or 15 µg) with or without ribavirin or who have relapsed after a course of daily Infergen (9 or 15 µg).

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Evaluate sustained virologic response (SVR) rate of daily Infergen at two dose levels plus ribavirin and no treatment in chronically HCV-infected patients who are nonresponders to previous pegylated interferon alfa plus ribavirin therapy.

    Secondary Outcome Measures

    Evaluate safety & tolerability of therapy detailed in primary objective, and proportion of patients with (a) undetectable plasma HCV RNA levels at weeks 24 & 48 (b) abnormal baseline serum ALT levels that are normal at week 24, week 48 and weeks 48 & 72.

    Full Information

    First Posted
    July 2, 2004
    Last Updated
    November 21, 2019
    Sponsor
    Bausch Health Americas, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00086541
    Brief Title
    Daily-Dose Consensus Interferon and Ribavirin: Efficacy of Combined Therapy
    Official Title
    A Phase 3, Randomized, Open-Label Study of the Safety and Efficacy of Two Dose Levels of Interferon Alfacon-1 (Infergen, CIFN) Plus Ribavirin Administered Daily for 48 Weeks Versus No Treatment in Hepatitis C Infected Patients Who Are Nonresponders to Previous Pegylated Interferon Alfa Plus Ribavirin Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2004 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    January 2007 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Bausch Health Americas, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    This Phase 3 clinical study is designed to evaluate the safety, tolerability, and efficacy of two dose levels of Infergen (interferon alfacon-1, CIFN) plus Ribavirin administered daily for 48 weeks and no treatment in patients chronically infected with hepatitis C who are nonresponders to previous pegylated interferon alfa plus ribavirin therapy. Patients are randomized 1:1:1 to receive Interferon Alfacon-1 (9 or 15 µg) + Ribavirin (both administered daily) or no treatment for up to 48 weeks. The protocol and informed consent form that will be used must be approved by the Investigator's Institutional Review Board (IRB)/Independent Ethics Committee (IEC) before the study is initiated.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Hepatitis C
    Keywords
    Chronic Hepatitis C, Liver, Pegylated, Interferon, Alpha, Ribavirin, Combination, Nonresponder, HCV, Infergen, SVR

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    Daily Infergen (Interferon Alfacon-1, CIFN) (9 or 15 µg) + Ribavirin (1000-1200 mg, based on body weight) PO Daily for up to 48 wks
    Primary Outcome Measure Information:
    Title
    Evaluate sustained virologic response (SVR) rate of daily Infergen at two dose levels plus ribavirin and no treatment in chronically HCV-infected patients who are nonresponders to previous pegylated interferon alfa plus ribavirin therapy.
    Secondary Outcome Measure Information:
    Title
    Evaluate safety & tolerability of therapy detailed in primary objective, and proportion of patients with (a) undetectable plasma HCV RNA levels at weeks 24 & 48 (b) abnormal baseline serum ALT levels that are normal at week 24, week 48 and weeks 48 & 72.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    (Abbreviated due to space constraints.) Inclusion Criteria: Signed informed consent form Male or female 18 yrs. of age or older Chronic HCV infection based on documented history of positive serum anti-HCV antibody test and/or detectable levels of HCV RNA Documented virologic nonresponse to past treatment with PEGASYS plus ribavirin or PEG-Intron plus ribavirin Previously treated w/either of the following starting doses of pegylated interferon alpha: ≥ 1.5 µg/kg/week PEG-Intron or dose consistent with the package insert or, ≥ 180 µg/week PEGASYS Detectable plasma HCV RNA level at screening visit Liver biopsy histologically documenting chronic liver disease consistent with chronic HCV infection All patients and all potentially fertile sexual partners of patients must use 2 reliable forms of effective contraception during the study & for 6 months after cessation of the study drugs Exclusion Criteria: Any history of decompensated liver disease Any of a variety of laboratory abnormalities assessed through blood sample at screening Patients who prematurely discontinued, interrupted, or reduced the dose of their previous pegylated interferon alpha-based combination therapy due to noncompliance or safety and/or tolerability issues Patients who had undetectable HCV RNA levels during prior pegylated interferon alfa plus ribavirin treatment but who relapsed during follow-up Significant depression in the last 2 years Patients treated for HCV infection within 3 months before screening (w/the exclusion of over-the-counter therapies) Patients who have been on any experimental protocol or therapy within 28 days before screening Use of colony-stimulating factor agents or other therapeutic agents that might artificially elevate laboratory parameters within 3 months before screening Known human immunodeficiency virus (HIV) infection or positive HIV antibody test at screening Chronic hepatitis B infection or positive hepatitis B surface antigen (HBsAg) at screening New onset diabetes Unstable or uncontrolled thyroid disease Presence or history of non-HCV chronic liver disease History of unstable or deteriorating cardiac or cerebrovascular disease within 6 months before Screening Current or history of neurologic disorder within the last 2 years History of seizures within the past 5 years History of hemoglobinopathies History of malignancy within the last 5 years with the exception of localized basal or squamous cell carcinoma & fully resected, localized malignancy not requiring active treatment & with no evidence of recurrence A disease known to cause significant alteration in immunologic function including hematologic malignancy, sarcoidosis or autoimmune disorder History or evidence of retinopathy History of major organ transplantation with an existing functional graft Concurrent therapy with immunosuppressive drugs or cytotoxic agents Alcohol and/or drug abuse w/in the past year, that in the opinion of the Investigator or the Sponsor may negatively affect patient compliance Pregnant or lactating women Male partners of women who are pregnant Known sensitivity to Infergen or IFN-α or to E. coli-derived products Patients who, in the opinion of the Investigator or the Sponsor, are not suitable candidates for enrollment or who would not comply w/the requirements of the study Patients who have not responded to a course of daily Infergen (9 or 15 µg) with or without ribavirin or who have relapsed after a course of daily Infergen (9 or 15 µg).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Ralph T. Doyle
    Organizational Affiliation
    Bausch Health Americas, Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Daily-Dose Consensus Interferon and Ribavirin: Efficacy of Combined Therapy

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