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Peg-Intron and Rebetol Therapy in Treatment of Naive Hepatitis C Patients: A Comparison of Race and Genotype on Treatment Outcome (Study P04212)

Primary Purpose

Hepatitis C, Chronic

Status
Terminated
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
peginterferon alfa-2b
ribavirin
peginterferon alfa-2b
ribavirin
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, Chronic focused on measuring chronic hepatitis C, pegylated interferon alfa-2b, ribavirin, Asia

Eligibility Criteria

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

Inclusion Criteria: Comply with all current Australian Schedule of Pharmaceutical Benefits S100 eligibility criteria. Able to give written informed consent and adhere to study visit schedule. South East Asian ethnicity (except for Caucasian Gt1/1b in comparator arm) i.e. born in Vietnam, Cambodia, Laos, Thailand, Hong Kong, and China or have both parents born in these countries. Genotype 1, 1a, 1b, 6, 6a, 6b, 7, 8, or 9, as classified by INNO-LiPA assay. Hemoglobin >=120 g/L (females), >=130 g/L (males). Platelet count >=100 x 10^9/L. Neutrophil count >=1.5 x 10^9/L. Negative pregnancy test for females. Thyroid stimulating hormone (TSH) within normal limits. Exclusion Criteria: Participation in any other investigational drug program within 30 days of the Screening Visit. Human immunodeficiency virus (HIV) antibody positive or hepatitis B surface antigen (HBsAg) positive. Genotype 2, 3, 4, or 5, as classified by INNO-LiPA assay. Non South East Asian ethnicity (unless recruited to Caucasian GT1 comparator arm). Evidence of liver disease due to other disorders (e.g., hemachromatosis, Wilson's disease). Ongoing drug or alcohol abuse which in the opinion of the investigator would jeopardize the patient's ability to comply with study requirements. Inability to comply with study requirements for other reasons. Decompensated cirrhosis (Ascites, history of encephalopathy or bleeding varices, serum albumin <35 g/L, prothrombin time (PT) prolonged by greater than 3 sec). Present or prior history of severe psychiatric disease requiring hospitalization or medication. History of severe seizure disorder. History of autoimmune disorders (e.g., rheumatoid arthritis, inflammatory bowel disease, immune thrombocytopenic purpura, systemic lupus erythematosus, or other mixed connective tissue disease, psoriasis, optic neuritis). Poorly controlled thyroid disease. Creatinine clearance <50 mL/min. Severe cardiovascular disease. Hepatocellular cancer. Clinically significant ophthalmologic disorders. Hemoglobinopathies (e.g., thalassemia, sickle-cell anemia). Treatment or recent treatment with immunosuppressive agents (excluding short-term corticosteroid withdrawal), and immunosuppressed transplant recipients scheme.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Active Comparator

    Active Comparator

    Experimental

    Active Comparator

    Arm Label

    Genotype 1 SEA PEG-IFN/RIB 48 w

    Genotype 1 Caucasian PEG-IFN/RIB 48 w

    Genotype 6, 7, 8, 9 SEA PEG-IFN/RIB 24 w

    Genotype 6, 7, 8, 9 SEA PEG-IFN/RIB 48 w

    Arm Description

    Genotype 1 hepatitis C virus (HCV)-infected Southeastern Asian (SEA) subjects treated for up to 48 weeks with PEG-Intron (peginterferon alfa-2b; PEG-IFN) REDIPEN and REBETOL (ribavirin; RIB) combination therapy

    Genotype 1 HCV-infected Caucasian subjects treated for up to 48 weeks with PEG-Intron REDIPEN and REBETOL combination therapy

    Genotype 6, 7, 8, 9 HCV-infected SEA subjects randomized to treatment for 24 weeks with PEG-Intron REDIPEN and REBETOL combination therapy

    Genotype 6, 7, 8, 9 HCV-infected SEA subjects randomized to treatment for 48 weeks with PEG-Intron REDIPEN and REBETOL combination therapy

    Outcomes

    Primary Outcome Measures

    Number of Subjects Who Achieved a Sustained Virologic Response (SVR)
    SVR is defined as negative hepatitis C virus ribonucleic acid (HCV RNA) in serum at 24 weeks after therapy completion. The study was terminated early due to slow enrollment. The primary outcome measure could not be assessed.

    Secondary Outcome Measures

    Full Information

    First Posted
    November 15, 2005
    Last Updated
    March 8, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00255008
    Brief Title
    Peg-Intron and Rebetol Therapy in Treatment of Naive Hepatitis C Patients: A Comparison of Race and Genotype on Treatment Outcome (Study P04212)
    Official Title
    SEASON South East Asian Study Of Novel Genotypes in Hepatitis C Infection: Pegylated-Interferon and Ribavirin Therapy (PEGATRON REDIPEN Combination Therapy (PEG-Intron® REDIPEN Plus REBETOL®)) in Treatment Naive Patients With Genotypes 1, 6, 7, 8, 9: A Comparison of Race and Genotype on Treatment Outcome.
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2017
    Overall Recruitment Status
    Terminated
    Why Stopped
    Slow enrollment
    Study Start Date
    March 2005 (undefined)
    Primary Completion Date
    December 2007 (Actual)
    Study Completion Date
    December 2007 (Actual)

    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 multicenter clinical trial designed to compare the efficacy of 48 weeks of therapy with pegylated (PEG)-Interferon/ribavirin in Southeastern Asian patients with genotype 1 chronic hepatitis C with 48 weeks of therapy with PEG-Interferon/ribavirin in Caucasian patients with genotype 1 chronic hepatitis C. This study is also designed to provide a randomized comparison of 24 weeks versus 48 weeks of therapy with PEG-Interferon/ribavirin in Southeastern Asian patients with genotypes 6-9. The primary endpoint is sustained virologic response, as defined by negative hepatitis C virus (HCV) ribonucleic acid (RNA) in serum at 24 weeks after therapy completion.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis C, Chronic
    Keywords
    chronic hepatitis C, pegylated interferon alfa-2b, ribavirin, Asia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    121 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Genotype 1 SEA PEG-IFN/RIB 48 w
    Arm Type
    Active Comparator
    Arm Description
    Genotype 1 hepatitis C virus (HCV)-infected Southeastern Asian (SEA) subjects treated for up to 48 weeks with PEG-Intron (peginterferon alfa-2b; PEG-IFN) REDIPEN and REBETOL (ribavirin; RIB) combination therapy
    Arm Title
    Genotype 1 Caucasian PEG-IFN/RIB 48 w
    Arm Type
    Active Comparator
    Arm Description
    Genotype 1 HCV-infected Caucasian subjects treated for up to 48 weeks with PEG-Intron REDIPEN and REBETOL combination therapy
    Arm Title
    Genotype 6, 7, 8, 9 SEA PEG-IFN/RIB 24 w
    Arm Type
    Experimental
    Arm Description
    Genotype 6, 7, 8, 9 HCV-infected SEA subjects randomized to treatment for 24 weeks with PEG-Intron REDIPEN and REBETOL combination therapy
    Arm Title
    Genotype 6, 7, 8, 9 SEA PEG-IFN/RIB 48 w
    Arm Type
    Active Comparator
    Arm Description
    Genotype 6, 7, 8, 9 HCV-infected SEA subjects randomized to treatment for 48 weeks with PEG-Intron REDIPEN and REBETOL combination therapy
    Intervention Type
    Biological
    Intervention Name(s)
    peginterferon alfa-2b
    Other Intervention Name(s)
    SCH 54031, PegIntron REDIPEN
    Intervention Description
    Powder for injection in Redipen (50, 80, 100, 120, and 150 microgram strengths), subcutaneous, dose of 1.5 micrograms/kg, weekly for up to 48 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    ribavirin
    Other Intervention Name(s)
    SCH 18908, REBETOL
    Intervention Description
    200 mg capsules, oral, weight-based dose of 800, 1000, or 1200 mg daily for up to 48 weeks
    Intervention Type
    Biological
    Intervention Name(s)
    peginterferon alfa-2b
    Other Intervention Name(s)
    SCH 54031, PegIntron REDIPEN
    Intervention Description
    Powder for injection in Redipen (50, 80, 100, 120, and 150 microgram strengths), subcutaneous, dose of 1.5 micrograms/kg, weekly for up to 24 weeks
    Intervention Type
    Drug
    Intervention Name(s)
    ribavirin
    Other Intervention Name(s)
    SCH 18908, REBETOL
    Intervention Description
    200 mg capsules, oral, weight-based dose of 800, 1000, or 1200 mg daily for up to 24 weeks
    Primary Outcome Measure Information:
    Title
    Number of Subjects Who Achieved a Sustained Virologic Response (SVR)
    Description
    SVR is defined as negative hepatitis C virus ribonucleic acid (HCV RNA) in serum at 24 weeks after therapy completion. The study was terminated early due to slow enrollment. The primary outcome measure could not be assessed.
    Time Frame
    24 weeks after completion of either up to 24 or 48 weeks of therapy

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Comply with all current Australian Schedule of Pharmaceutical Benefits S100 eligibility criteria. Able to give written informed consent and adhere to study visit schedule. South East Asian ethnicity (except for Caucasian Gt1/1b in comparator arm) i.e. born in Vietnam, Cambodia, Laos, Thailand, Hong Kong, and China or have both parents born in these countries. Genotype 1, 1a, 1b, 6, 6a, 6b, 7, 8, or 9, as classified by INNO-LiPA assay. Hemoglobin >=120 g/L (females), >=130 g/L (males). Platelet count >=100 x 10^9/L. Neutrophil count >=1.5 x 10^9/L. Negative pregnancy test for females. Thyroid stimulating hormone (TSH) within normal limits. Exclusion Criteria: Participation in any other investigational drug program within 30 days of the Screening Visit. Human immunodeficiency virus (HIV) antibody positive or hepatitis B surface antigen (HBsAg) positive. Genotype 2, 3, 4, or 5, as classified by INNO-LiPA assay. Non South East Asian ethnicity (unless recruited to Caucasian GT1 comparator arm). Evidence of liver disease due to other disorders (e.g., hemachromatosis, Wilson's disease). Ongoing drug or alcohol abuse which in the opinion of the investigator would jeopardize the patient's ability to comply with study requirements. Inability to comply with study requirements for other reasons. Decompensated cirrhosis (Ascites, history of encephalopathy or bleeding varices, serum albumin <35 g/L, prothrombin time (PT) prolonged by greater than 3 sec). Present or prior history of severe psychiatric disease requiring hospitalization or medication. History of severe seizure disorder. History of autoimmune disorders (e.g., rheumatoid arthritis, inflammatory bowel disease, immune thrombocytopenic purpura, systemic lupus erythematosus, or other mixed connective tissue disease, psoriasis, optic neuritis). Poorly controlled thyroid disease. Creatinine clearance <50 mL/min. Severe cardiovascular disease. Hepatocellular cancer. Clinically significant ophthalmologic disorders. Hemoglobinopathies (e.g., thalassemia, sickle-cell anemia). Treatment or recent treatment with immunosuppressive agents (excluding short-term corticosteroid withdrawal), and immunosuppressed transplant recipients scheme.

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php

    Learn more about this trial

    Peg-Intron and Rebetol Therapy in Treatment of Naive Hepatitis C Patients: A Comparison of Race and Genotype on Treatment Outcome (Study P04212)

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