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Efficacy of Polyethylene Glycol-Interferon Alfa-2B (PEG-Intron, SCH 54031) Compared to Interferon Alfa-2B in Participants With Chronic Hepatitis C (MK-4031-016)

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
PEG-Intron
Interferon Alfa-2B
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:

  • Be serum positive for hepatitis C virus.
  • Have liver biopsy within 1 year prior to entry, with a pathology report confirming a histological diagnosis consistent with chronic hepatitis.
  • Have one abnormal historic ALT at least 6 months prior to screening, with elevated ALT at entry.
  • Have compensated liver disease, testing negative for HIV and serum hepatitis B surface antigen (HBsAg) at entry.
  • If male or female of childbearing potential, be practicing adequate contraception during treatment.

Exclusion Criteria:

  • Be female who is currently pregnant or nursing.
  • Have prior treatment with any interferon.
  • Have suspected hypersensitivity to alpha interferon.
  • Have participated in any other clinical trial within 30 days of entry
  • Have received treatment with any investigational drug within 30 days of entry.
  • Have received prior treatment for hepatitis with any other antiviral or immunomodulatory drug within the previous 2 years.
  • Have any other cause for the liver disease other than chronic hepatitis C including but not limited to: co-infection with hepatitis B virus; Hemochromatosis; alpha-1 antitrypsin deficiency; Wilson's disease; autoimmune hepatitis; alcoholic liver disease; obesity-induced liver disease; and drug-related liver disease.
  • Have hemophilia or any other condition that would prevent the participant from having a liver biopsy, including anticoagulant therapy.
  • Have hemoglobinopathies (e.g., Thalassemia)
  • Have evidence of advanced liver disease such as history or presence of ascites, bleeding varices, spontaneous encephalopathy.
  • Have received organ transplants.
  • Have a preexisting psychiatric condition, especially severe depression, or a history of severe psychiatric disorder, such as major psychoses, suicidal ideation and/or attempt.
  • Have central nervous system trauma or active seizure disorders requiring medication.
  • Have significant cardiovascular dysfunction within the past 6 months (e.g., angina, congestive heart failure, recent myocardial infarction, severe hypertension or significant arrhythmia).
  • Have poorly controlled diabetes mellitus.
  • Have chronic pulmonary disease (e.g., chronic obstructive pulmonary disease).
  • Have immunologically mediated disease (e.g., inflammatory bowel disease [Crohn's disease, ulcerative colitis], rheumatoid arthritis, idiopathic thrombocytopenia purpura, systemic lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, clinical cryoglobulinemia with vasculitis).
  • Have any medical condition requiring, or likely to require during the course of the study, chronic systemic administration of steroids.
  • Have history of substance abuse, such as alcohol, intravenous drugs and inhaled drugs.
  • Have clinically significant retinal abnormalities.
  • Be unable to abstain from the consumption of alcohol.
  • Have any other condition which in the opinion of the investigator would make the patient unsuitable for enrollment, or could interfere with the patient participating in and completing the protocol.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Active Comparator

    Arm Label

    PEG-Intron, 0.5 mg/kg

    PEG-Intron, 1.0 mg/kg

    PEG-Intron, 1.5 mg/kg

    Interferon Alfa-2b

    Arm Description

    PEG-Intron administered once weekly (QW) for 48 weeks at 0.5 mg/kg by subcutaneous (SC) injection.

    PEG-Intron administered QW for 48 weeks at 1.0 mg/kg by SC injection.

    PEG-Intron administered QW for 48 weeks at 1.5 mg/kg by SC injection.

    Interferon Alfa-2b administered three times per week (TIW) for 48 weeks at 3 million international units (MIU) by SC injection.

    Outcomes

    Primary Outcome Measures

    Number of Participants Achieving Responder Status at 24 Weeks of Treatment
    The number of participants achieving responder status at 24 weeks of treatment was assessed. A participant was classified as a responder if, at 24 weeks of treatment, they met both of the following criteria: 1) HCV-Ribonucleic Acid (RNA) negative (defined as <100 copies/mL serum by quantitative polymerase chain reaction [qPCR] assay); and 2) alanine transaminase (ALT) level normal.
    Number of Participants Achieving Sustained Responder Status at 24 Weeks of Follow-up
    The number of participants achieving sustained responder status at 24 weeks of follow-up was assessed. A participant was classified as a sustained responder if, at 24 weeks of follow-up, they met both of the following criteria: 1) HCV-RNA negative (defined as <100 copies/mL serum by qPCR assay); and 2) ALT level normal.

    Secondary Outcome Measures

    Full Information

    First Posted
    May 15, 2018
    Last Updated
    January 10, 2019
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03537274
    Brief Title
    Efficacy of Polyethylene Glycol-Interferon Alfa-2B (PEG-Intron, SCH 54031) Compared to Interferon Alfa-2B in Participants With Chronic Hepatitis C (MK-4031-016)
    Official Title
    Comparison of Polyethylene Glycol-Interferon Alfa-2B (PEG-Intron, SCH 54031) vs. Interferon Alfa-2B for Treatment of Adult Subjects With Chronic Hepatitis C Not Previously Treated With Interferon: Dose Finding Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    August 5, 1997 (Actual)
    Primary Completion Date
    July 23, 1999 (Actual)
    Study Completion Date
    July 23, 1999 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study will determine the efficacy of PEG-Intron (SCH 54031) in participants with chronic Hepatitis C virus (HCV) infection who have not been previously treated with interferon. Participants are randomized to receive one of three doses of PEG-Intron (0.5, 1.0, and 1.5 mg/kg) or Interferon Alfa-2B for 48 weeks. The primary objective of this study is to evaluate the efficacy of PEG-Intron (compared to Interferon Alfa-2B) with respect to response based on loss of detectable HCV ribonucleic acid (HCV-RNA) and normalization of alanine transaminase (ALT) level after 24 weeks of therapy and at 24 weeks of follow-up.

    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 2, Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    1224 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    PEG-Intron, 0.5 mg/kg
    Arm Type
    Experimental
    Arm Description
    PEG-Intron administered once weekly (QW) for 48 weeks at 0.5 mg/kg by subcutaneous (SC) injection.
    Arm Title
    PEG-Intron, 1.0 mg/kg
    Arm Type
    Experimental
    Arm Description
    PEG-Intron administered QW for 48 weeks at 1.0 mg/kg by SC injection.
    Arm Title
    PEG-Intron, 1.5 mg/kg
    Arm Type
    Experimental
    Arm Description
    PEG-Intron administered QW for 48 weeks at 1.5 mg/kg by SC injection.
    Arm Title
    Interferon Alfa-2b
    Arm Type
    Active Comparator
    Arm Description
    Interferon Alfa-2b administered three times per week (TIW) for 48 weeks at 3 million international units (MIU) by SC injection.
    Intervention Type
    Biological
    Intervention Name(s)
    PEG-Intron
    Other Intervention Name(s)
    SCH 54031
    Intervention Description
    PEG-Intron is administered QW for 48 weeks by SC injection at 0.5, 1.0, and 1.5 mg/kg body weight. Body weight obtained at the baseline visit is used to calculate dosing.
    Intervention Type
    Biological
    Intervention Name(s)
    Interferon Alfa-2B
    Intervention Description
    Interferon alfa-2b is administered TIW for 48 weeks by SC injection at 3 MIU regardless of participant body weight.
    Primary Outcome Measure Information:
    Title
    Number of Participants Achieving Responder Status at 24 Weeks of Treatment
    Description
    The number of participants achieving responder status at 24 weeks of treatment was assessed. A participant was classified as a responder if, at 24 weeks of treatment, they met both of the following criteria: 1) HCV-Ribonucleic Acid (RNA) negative (defined as <100 copies/mL serum by quantitative polymerase chain reaction [qPCR] assay); and 2) alanine transaminase (ALT) level normal.
    Time Frame
    Up to 24 weeks
    Title
    Number of Participants Achieving Sustained Responder Status at 24 Weeks of Follow-up
    Description
    The number of participants achieving sustained responder status at 24 weeks of follow-up was assessed. A participant was classified as a sustained responder if, at 24 weeks of follow-up, they met both of the following criteria: 1) HCV-RNA negative (defined as <100 copies/mL serum by qPCR assay); and 2) ALT level normal.
    Time Frame
    Up to 72 weeks (up to 48 weeks treatment and 24 weeks follow-up)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Be serum positive for hepatitis C virus. Have liver biopsy within 1 year prior to entry, with a pathology report confirming a histological diagnosis consistent with chronic hepatitis. Have one abnormal historic ALT at least 6 months prior to screening, with elevated ALT at entry. Have compensated liver disease, testing negative for HIV and serum hepatitis B surface antigen (HBsAg) at entry. If male or female of childbearing potential, be practicing adequate contraception during treatment. Exclusion Criteria: Be female who is currently pregnant or nursing. Have prior treatment with any interferon. Have suspected hypersensitivity to alpha interferon. Have participated in any other clinical trial within 30 days of entry Have received treatment with any investigational drug within 30 days of entry. Have received prior treatment for hepatitis with any other antiviral or immunomodulatory drug within the previous 2 years. Have any other cause for the liver disease other than chronic hepatitis C including but not limited to: co-infection with hepatitis B virus; Hemochromatosis; alpha-1 antitrypsin deficiency; Wilson's disease; autoimmune hepatitis; alcoholic liver disease; obesity-induced liver disease; and drug-related liver disease. Have hemophilia or any other condition that would prevent the participant from having a liver biopsy, including anticoagulant therapy. Have hemoglobinopathies (e.g., Thalassemia) Have evidence of advanced liver disease such as history or presence of ascites, bleeding varices, spontaneous encephalopathy. Have received organ transplants. Have a preexisting psychiatric condition, especially severe depression, or a history of severe psychiatric disorder, such as major psychoses, suicidal ideation and/or attempt. Have central nervous system trauma or active seizure disorders requiring medication. Have significant cardiovascular dysfunction within the past 6 months (e.g., angina, congestive heart failure, recent myocardial infarction, severe hypertension or significant arrhythmia). Have poorly controlled diabetes mellitus. Have chronic pulmonary disease (e.g., chronic obstructive pulmonary disease). Have immunologically mediated disease (e.g., inflammatory bowel disease [Crohn's disease, ulcerative colitis], rheumatoid arthritis, idiopathic thrombocytopenia purpura, systemic lupus erythematosus, autoimmune hemolytic anemia, scleroderma, severe psoriasis, clinical cryoglobulinemia with vasculitis). Have any medical condition requiring, or likely to require during the course of the study, chronic systemic administration of steroids. Have history of substance abuse, such as alcohol, intravenous drugs and inhaled drugs. Have clinically significant retinal abnormalities. Be unable to abstain from the consumption of alcohol. Have any other condition which in the opinion of the investigator would make the patient unsuitable for enrollment, or could interfere with the patient participating in and completing the protocol.
    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

    Efficacy of Polyethylene Glycol-Interferon Alfa-2B (PEG-Intron, SCH 54031) Compared to Interferon Alfa-2B in Participants With Chronic Hepatitis C (MK-4031-016)

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