VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection
Primary Purpose
Genotype 1 Chronic Hepatitis C, Treatment Naive
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Ribavirin
Telaprevir
Pegylated interferon alfa-2a
Telaprevir
Sponsored by
About this trial
This is an interventional treatment trial for Genotype 1 Chronic Hepatitis C focused on measuring Genotype 1 chronic hepatitis C, VX-950-C211, VX-950, IL28B, Telaprevir, Hepatitis C, BID, Q8h, SOC
Eligibility Criteria
Inclusion Criteria:
- Patient has chronic HCV infection genotype 1 with HCV RNA level > 1,000 IU/mL
- Patients should not have had any previous treatment for hepatitis C
- Patient must have documentation of a liver biopsy within 2 years before the screening visit or the patient must agree to have a biopsy performed within the screening period
- Patients with cirrhosis should have serum alpha-fetoprotein (AFP) <= 50 ng/mL. If AFP > 50 ng/mL, absence of a mass must be demonstrated by ultrasound within the screening period
- 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 RBV.
Exclusion Criteria:
- Patient is infected or co-infected with HCV of another genotype than genotype 1 and/or patient is infected with more than one genotype subtype
- Patient has a pre-existing psychiatric condition
- Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C
- Patient has human immunodeficiency virus (HIV) or hepatitis B virus (HBV) co-infection
- Patient has active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
001 T(q8h) / PR
002 T(b.i.d.) / PR
Arm Description
Telaprevir (T) 750 mg (2 oral tablets) every 8 hours for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Telaprevir (T) 1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Outcomes
Primary Outcome Measures
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After the Last Planned Dose of Study Drugs (SVR12 Planned)
The table below shows the percentage of participants achieving Sustained Virologic Response 12 weeks after last planned dose of study medication (SVR12 planned). SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL).
Secondary Outcome Measures
Percentage of Participants With Sustained Virologic Response 24 Weeks After the Last Planned Dose of Study Drugs (SVR24 Planned)
The table below shows the percentage of participants achieving SVR 24 weeks after the last planned dose of study medication. SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL). The response for T12(b.i.d)/PR group is higher than that after 12 weeks because HCV RNA data for two participants were missing for SVR assessment at that time. Consequently, by definition of SVR12, they were counted as not having achieved SVR12.
Percentage of Participants With Sustained Virologic Response 72 Weeks After the Start of Study Medication (SVR72 Planned)
The table below shows the percentage of participants achieving SVR 72 weeks after the start of study medication (SVR72 planned). SVR was defined as having plasma Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 IU/mL, target not detected, at end of treatment and up to 72 weeks after start of study medication (i.e., no confirmed detectable HCV RNA in between).
Percentage of Participants Achieving Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Values of Less Than 25 IU/ml, Target Not Detected, at Different Time Points.
The table below shows the percentage of participants with undetectable hepatitis C virus (HCV) ribonucleic acid (RNA) levels, which means less than 25 IU/ml, target not detected, at different time points during the study.
Percentage of Participants With On-treatment Virologic Failure Which Required Them to Permanently Discontinue All Study Drugs
The table below shows the percentage of participants who met a stopping rule, defined as having a hepatitis C virus (HCV) ribonucleic acid (RNA) value at Week 4 >1000 IU/mL and at Weeks 12, 24, 32 and 40 ≥25 IU/mL.
Percentage of Participants Who Relapsed During Follow-up Period
The table below shows the percentage of participants who relapsed (ie, those having confirmed detectable hepatitis C virus [HCV] ribonucleic acid [RNA] during the 12-week follow-up period after previous HCV RNA <25 IU/mL, target not detected, at end of treatment).
Percentage of Participants of Each IL28B Genotype Achieving Sustained Virologic Response 12 Weeks After the Last Planned Dose of Study Medication (SVR12 Planned)
The table below shows the effect of interleukin 28B (IL28B) gene's subtype (CC, CT or TT genotype) on the primary outcome measure: SVR12 planned.
Full Information
NCT ID
NCT01241760
First Posted
October 28, 2010
Last Updated
May 14, 2014
Sponsor
Janssen Infectious Diseases BVBA
Collaborators
Vertex Pharmaceuticals Incorporated
1. Study Identification
Unique Protocol Identification Number
NCT01241760
Brief Title
VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection
Official Title
A Randomized, Open-Label, Phase 3 Study of Telaprevir Administered Twice Daily or Every 8 Hours in Combination With Pegylated Interferon Alfa-2a and Ribavirin in Treatment-Naïve Subjects With Genotype 1 Chronic Hepatitis C Virus Infection
Study Type
Interventional
2. Study Status
Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
December 2010 (undefined)
Primary Completion Date
August 2012 (Actual)
Study Completion Date
November 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Infectious Diseases BVBA
Collaborators
Vertex Pharmaceuticals Incorporated
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the effectiveness of telaprevir administered twice daily versus every 8 hours in combination with Peg-IFN-alfa-2a and ribavirin in treatment-naïve participants with chronic HCV genotype 1 infection.
Detailed Description
This is a randomized (study drug assigned by chance), open-label (all persons know the study drug assignment) multicenter study to evaluate the effectiveness of telaprevir administered orally as 1125 milligram (mg) twice daily versus 750mg every 8 hours in combination with Peg-IFN-alfa-2a, administered via intramuscular injection once a week, and ribavirin, administered as an oral tablet twice a day, in treatment-naïve study participants with chronic hepatitis C virus (HCV) genotype 1 infection.
Telaprevir will be given orally (by mouth) from Day 1 through Week 12 as 3 tablets (1125mg) twice daily or 2 tablets (750mg) every 8 hours. Peg-IFN-alfa-2a will be administered once a week as an injection under the skin (180 microgram/week) from Day 1 through Week 24 or 48 (based on the patient's treatment response on week 4). Ribavirin is administered orally (by mouth) twice daily from Day 1 through Week 24 or 48 (based on the participant's treatment response on week 4) as 1,000-1,200 mg per day. After the end of treatment (Week 24, Week 48, or at early discontinuation of all study drugs), participants with undetectable HCV RNA at end of treatment will be required to attend follow-up visits until Week 72 safety/tolerability assessments will be performed throughout the treatment period and during the follow-up period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Genotype 1 Chronic Hepatitis C, Treatment Naive
Keywords
Genotype 1 chronic hepatitis C, VX-950-C211, VX-950, IL28B, Telaprevir, Hepatitis C, BID, Q8h, SOC
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
744 (Actual)
8. Arms, Groups, and Interventions
Arm Title
001 T(q8h) / PR
Arm Type
Experimental
Arm Description
Telaprevir (T) 750 mg (2 oral tablets) every 8 hours for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Arm Title
002 T(b.i.d.) / PR
Arm Type
Experimental
Arm Description
Telaprevir (T) 1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
Intervention Type
Drug
Intervention Name(s)
Ribavirin
Intervention Description
Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4
Intervention Type
Drug
Intervention Name(s)
Telaprevir
Intervention Description
1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Pegylated interferon alfa-2a
Intervention Description
180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4
Intervention Type
Drug
Intervention Name(s)
Telaprevir
Intervention Description
750 mg (2 oral tablets) every 8 hours for 12 weeks
Primary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After the Last Planned Dose of Study Drugs (SVR12 Planned)
Description
The table below shows the percentage of participants achieving Sustained Virologic Response 12 weeks after last planned dose of study medication (SVR12 planned). SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL).
Time Frame
End of trial, 12 weeks after last planned dose
Secondary Outcome Measure Information:
Title
Percentage of Participants With Sustained Virologic Response 24 Weeks After the Last Planned Dose of Study Drugs (SVR24 Planned)
Description
The table below shows the percentage of participants achieving SVR 24 weeks after the last planned dose of study medication. SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL). The response for T12(b.i.d)/PR group is higher than that after 12 weeks because HCV RNA data for two participants were missing for SVR assessment at that time. Consequently, by definition of SVR12, they were counted as not having achieved SVR12.
Time Frame
End of trial, 24 weeks after last planned dose
Title
Percentage of Participants With Sustained Virologic Response 72 Weeks After the Start of Study Medication (SVR72 Planned)
Description
The table below shows the percentage of participants achieving SVR 72 weeks after the start of study medication (SVR72 planned). SVR was defined as having plasma Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 IU/mL, target not detected, at end of treatment and up to 72 weeks after start of study medication (i.e., no confirmed detectable HCV RNA in between).
Time Frame
End of trial, 72 weeks after the start of study medication
Title
Percentage of Participants Achieving Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Values of Less Than 25 IU/ml, Target Not Detected, at Different Time Points.
Description
The table below shows the percentage of participants with undetectable hepatitis C virus (HCV) ribonucleic acid (RNA) levels, which means less than 25 IU/ml, target not detected, at different time points during the study.
Time Frame
Baseline, Week 4 and Week 4+12.
Title
Percentage of Participants With On-treatment Virologic Failure Which Required Them to Permanently Discontinue All Study Drugs
Description
The table below shows the percentage of participants who met a stopping rule, defined as having a hepatitis C virus (HCV) ribonucleic acid (RNA) value at Week 4 >1000 IU/mL and at Weeks 12, 24, 32 and 40 ≥25 IU/mL.
Time Frame
Week 4, 12, 24, 32, 40
Title
Percentage of Participants Who Relapsed During Follow-up Period
Description
The table below shows the percentage of participants who relapsed (ie, those having confirmed detectable hepatitis C virus [HCV] ribonucleic acid [RNA] during the 12-week follow-up period after previous HCV RNA <25 IU/mL, target not detected, at end of treatment).
Time Frame
During Follow-Up (24 weeks after the last dose of study drug)
Title
Percentage of Participants of Each IL28B Genotype Achieving Sustained Virologic Response 12 Weeks After the Last Planned Dose of Study Medication (SVR12 Planned)
Description
The table below shows the effect of interleukin 28B (IL28B) gene's subtype (CC, CT or TT genotype) on the primary outcome measure: SVR12 planned.
Time Frame
End of trial, 12 weeks after the last planned dose
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:
Patient has chronic HCV infection genotype 1 with HCV RNA level > 1,000 IU/mL
Patients should not have had any previous treatment for hepatitis C
Patient must have documentation of a liver biopsy within 2 years before the screening visit or the patient must agree to have a biopsy performed within the screening period
Patients with cirrhosis should have serum alpha-fetoprotein (AFP) <= 50 ng/mL. If AFP > 50 ng/mL, absence of a mass must be demonstrated by ultrasound within the screening period
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 RBV.
Exclusion Criteria:
Patient is infected or co-infected with HCV of another genotype than genotype 1 and/or patient is infected with more than one genotype subtype
Patient has a pre-existing psychiatric condition
Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C
Patient has human immunodeficiency virus (HIV) or hepatitis B virus (HBV) co-infection
Patient has active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Infectious Diseases BVBA Clinical Trial
Organizational Affiliation
Janssen Infectious Diseases BVBA
Official's Role
Study Director
Facility Information:
City
La Jolla
State/Province
California
Country
United States
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Los Angeles
State/Province
California
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United States
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San Diego
State/Province
California
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United States
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Aurora
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Colorado
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United States
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New Haven
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Connecticut
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United States
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Bradenton
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Florida
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United States
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Jacksonville
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Florida
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Atlanta
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Georgia
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Marietta
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Georgia
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Chicago
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Illinois
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United States
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Downers Grove
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Illinois
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New Orleans
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Louisiana
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United States
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Lutherville
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Maryland
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Kansas City
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Missouri
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Lebanon
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New Hampshire
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Egg Harbor Twp
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New Jersey
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Santa Fe
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New Mexico
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New York
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New York
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Charlotte
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North Carolina
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Durham
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North Carolina
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Statesville
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North Carolina
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United States
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Winston Salem
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North Carolina
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Cincinnati
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Ohio
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Allentown
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Pennsylvania
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Hershey
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Philadelphia
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United States
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Pittsburgh
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Pennsylvania
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United States
City
Providence
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Rhode Island
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United States
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Charleston
State/Province
South Carolina
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United States
City
Columbia
State/Province
South Carolina
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United States
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Arlington
State/Province
Texas
Country
United States
City
Dallas
State/Province
Texas
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United States
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Houston
State/Province
Texas
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United States
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San Antonio
State/Province
Texas
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United States
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Falls Church
State/Province
Virginia
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United States
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Norfolk
State/Province
Virginia
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United States
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Seattle
State/Province
Washington
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United States
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Adelaide
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Australia
City
Camperdown
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Australia
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Clayton
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Australia
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Darlinghurst
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Australia
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Fitzroy
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Australia
City
Greenslopes
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Australia
City
Melbourne
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Australia
City
Perth
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Australia
City
Graz N/A
Country
Austria
City
Linz
Country
Austria
City
Wien
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Austria
City
Antwerpen
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Belgium
City
Brussels
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Belgium
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Genk
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Belgium
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Gent
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Belgium
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Leuven
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Belgium
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Liege
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Belgium
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Campinas
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Brazil
City
Salvador
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Brazil
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Santo Andre
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Brazil
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Sao Paulo
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Brazil
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São Paulo
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Brazil
City
Clichy
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France
City
Creteil
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France
City
Grenoble
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France
City
Lille
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France
City
Lyon
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France
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Paris
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France
City
Pessac
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France
City
Vandoeuvre Les Nancy
Country
France
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Villejuif Cedex
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France
City
Berlin
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Germany
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Bochum
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Germany
City
Essen
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Germany
City
Frankfurt
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Germany
City
Hamburg
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Germany
City
Kiel
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Germany
City
Mainz
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Germany
City
Regensburg
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Germany
City
Dublin 9
Country
Ireland
City
Dublin
Country
Ireland
City
Mex Ctity
Country
Mexico
City
Mexico
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Mexico
City
Monterrey
Country
Mexico
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Bialystok
Country
Poland
City
Bydgoszcz
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Poland
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Czeladz
Country
Poland
City
Kielce
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Poland
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Krakow
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Poland
City
Warszawa
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Poland
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Barcelona N/A
Country
Spain
City
Barcelona
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Spain
City
Madrid
Country
Spain
City
Malaga N/A
Country
Spain
City
Santander N/A
Country
Spain
City
Sevilla N/A
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Spain
City
Valencia
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Spain
City
Göteborg
Country
Sweden
City
Malmö
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Sweden
City
Stockholm
Country
Sweden
City
Birmingham
Country
United Kingdom
City
Edinburgh
Country
United Kingdom
City
Glasgow
Country
United Kingdom
City
London
Country
United Kingdom
City
Manchester
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
25653396
Citation
Sarrazin C, Dierynck I, Cloherty G, Ghys A, Janssen K, Luo D, Witek J, Buti M, Picchio G, De Meyer S. An OPTIMIZE study retrospective analysis for management of telaprevir-treated hepatitis C virus (HCV)-infected patients by use of the Abbott RealTime HCV RNA assay. J Clin Microbiol. 2015 Apr;53(4):1264-9. doi: 10.1128/JCM.03030-14. Epub 2015 Feb 4.
Results Reference
derived
PubMed Identifier
24316262
Citation
Buti M, Agarwal K, Horsmans Y, Sievert W, Janczewska E, Zeuzem S, Nyberg L, Brown RS Jr, Hezode C, Rizzetto M, Parana R, De Meyer S, De Masi R, Luo D, Bertelsen K, Witek J. Telaprevir twice daily is noninferior to telaprevir every 8 hours for patients with chronic hepatitis C. Gastroenterology. 2014 Mar;146(3):744-753.e3. doi: 10.1053/j.gastro.2013.11.047. Epub 2013 Dec 4.
Results Reference
derived
Learn more about this trial
VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection
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