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Hepatitis C, ChronicPhase 4NCT00077649

A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) in Combination With COPEGUS (Ribavirin) in Interferon-Naive Patients With Chronic Hepatitis C Infection (CHC).

A Phase 4 study testing ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 25 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The effects of treatment with different doses of PEGASYS in combination with different doses of ribavirin will be evaluated in patients with CHC genotype 1 who have a high viral titer, body weight greater than 85kg (187lbs) and no prior treatment with interferon. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Hepatitis C, Chronic
What is being tested?
ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
Could I receive a placebo?
No, everyone receives an active treatment
How many people
188 participants
Where
25 sitesin 2 countries
Study dates
Jan 2004to Dec 2005
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • adult patients >=18 years of age;
  • body weight >85kg (187lbs);
  • CHC (genotype 1);
  • liver biopsy (in <24 calendar months of first dose), with results consistent with CHC infection;
  • use of 2 forms of contraception during study and 6 months after the study in both men and women.

Who cannot join

  • women who are pregnant or breastfeeding;
  • male partners of women who are pregnant;
  • conditions associated with decompensated liver disease;
  • other forms of liver disease, including liver cancer;
  • human immunodeficiency virus infection;
  • previous treatment with an interferon, ribavirin, viramidine, levovirin or amantadine.

Trial locations and contacts

25 sites in 2 countries.

25 sites in 2 countries

United States24 sites
  • Study site

    Boston, Massachusetts, 02111

  • Study site

    Bradenton, Florida, 34209

  • Study site

    Chapel Hill, North Carolina, 27599-7584

  • Study site

    Charlottesville, Virginia, 22906-0013

  • Study site

    Chicago, Illinois, 60612

  • Study site

    Cincinnati, Ohio, 45267-0595

  • Study site

    Farmington, Connecticut, 06030

  • Study site

    Gainesville, Florida, 32610-0214

  • Study site

    Honolulu, Hawaii, 96817

  • Study site

    Houston, Texas, 77030

  • Study site

    Iowa City, Iowa, 52242

  • Study site

    Jacksonville, Florida, 32207

  • Study site

    La Jolla, California, 92037-1030

  • Study site

    Long Beach, California, 90822

  • Study site

    Manhasset, New York, 11030

  • Study site

    Philadelphia, Pennsylvania, 19104

  • Study site

    Pittsburgh, Pennsylvania, 15213

  • Study site

    Richmond, Virginia, 23249

  • Study site

    Salt Lake City, Utah, 84121

  • Study site

    San Diego, California, 92105

  • Study site

    San Diego, California, 92154

  • Study site

    St Louis, Missouri, 63104

  • Study site

    Statesville, North Carolina, 28677

  • Study site

    Wellington, Florida, 33414

Other trials in United States

Puerto Rico1 site
  • Study site

    Santurce, 00909

Other trials in Puerto Rico

About this study

Official title: Randomized, Multicenter, Double-blind, Phase IV Pilot Study Evaluating the Effect of PEGASYS Doses of 180 ug or 270 ug in Combination With Copegus Doses of 1200 mg or 1600 mg on Viral Kinetics, Virological Response, Pharmacokinetics, and Safety in Interferon-naïve Patients With Chronic Hepatitis C Genotype 1 Virus Infection of High Viral Titer and Body Weight Greater Than 85 kg

The effects of treatment with different doses of PEGASYS in combination with different doses of ribavirin will be evaluated in patients with CHC genotype 1 who have a high viral titer, body weight greater than 85kg (187lbs) and no prior treatment with interferon. The anticipated time on study treatment is 3-12 months and the target sample size is 100-500 individuals.

Being tested
ribavirin [Copegus], peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
Medical subject headings
Hepatitis C, Chronic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ribavirin [Copegus]Drug

    600mg po bid for 48 weeks

  • ribavirin [Copegus]Drug

    800mg po bid for 48 weeks

  • peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Drug

    180 micrograms sc weekly for 48 weeks

  • peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Drug

    270 micrograms sc weekly for 48 weeks

Study groups in NCT00077649
Study groupRoleWhat they receive
PEG-IFN Alfa-2a 180 μg +Ribavirin 1200 mgActive comparatorParticipants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks
Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
PEG-IFN Alfa-2a 180 μg + Ribavirin 1600 mgExperimentalParticipants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks
Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
PEG-IFN Alfa-2a 270 μg + Ribavirin 1200 mgExperimentalParticipants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered po daily in split doses for 48 weeks
Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
PEG-IFN Alfa-2a 270 μg + Ribavirin 1600 mgExperimentalParticipants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1600 mg of ribavirin (200 mg/tablet) administered po daily in split doses for 48 weeks.
Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. HCV RNA Profile During The First 24 Weeks

    Viral loads (quantitative HCV RNA) collected during the initial 24 weeks were first logarithmically (based 10) transformed. Results falling below the assay sensitivity level were set to the assay sensitivity level before the analyses. Thus, a qualitative HCV RNA negative result was set to 50 IU/mL (or 100 copies/mL). A qualitative HCV RNA positive result along with an unquantifiable HCV RNA result from the quantitative assay corresponded to a numeric HCV RNA result of 600 IU/mL (or 1000 copies/mL).

    Measured: Baseline (Day 1), At 72 hour (h), Week (W)-1, 2, 4, 12, 24

  2. Percentage of Participants With Virological Response Over Time to Week 24

    Virological response over time to Week 24 is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, V. 2.0 (detection limit = 50 IU/mL) at 72 hours and at weeks 1, 2, 12, and 24.

    Measured: 72 hours post-dose, Weeks 1, 2, 4, 12, and 24

  3. Percentage of Participants With Predicted Sustained Virological Response

    The predicted sustained virological response (SVR) for each treatment group, is determined using a model based on the log10-transformed HCV viral load in copies/mL at Week 4 and the virological response status at Week 12. Each participant was classified as a predicted SVR if p was ≥ 0.5 or as a non-SVR if p was <0.5. The percentage was calculated from the number of participant (N) analyzed under "Distribution of the predicted probability of an SVR."

    Measured: Week 4 and 12

Secondary outcomes (7)
  1. Percentage of Participants With Sustained Virological Response

    SVR is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/ml) at the end of the 24-week untreated follow-up period.

    Measured: Week 72

  2. Percentage of Participants With Virological Response at the End of the Treatment Period

    Virological response at the end of the treatment period is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/mL) at the completion of the treatment period.

    Measured: Week 48

  3. Percentage of Participants With Virological Response At 12 Weeks After The End of The Treatment Period

    Virological response at 12 weeks after the end of the treatment period is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/mL) at 12 weeks after completion of the treatment period.

    Measured: Week 60

  4. Percentage of Participants With Adverse Events and Serious Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. A serious adverse event is any adverse event (SAE) that can result in death or is Life-threatening or required in-patient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity; or is a congenital anomaly/birth defect; or is medically significant or requires intervention to prevent one or other of the outcomes listed above.

    Measured: Up to Week 72

  5. Percentage of Participants With Marked Laboratory Abnormalities

    Marked laboratory abnormalities are the values outside the roche defined reference range.It is hemoglobin 11.0 - 20.0 (g/dL),platelets 100 - 700 (10^9/L), lymphocyte 1.00 - 6.30 (10^9/L),neutrophils 1.50 or more (10^9/L), white blood cells(WBC) 3.0 - 18.0 (10^9/L),serum glutamic-pyruvic transaminase (SGPT) 0 - 60 (U/L), serum glutamic oxaloacetic transaminase (SGOT) 0 - 50 (U/L), alkaline phosphatase 0 - 190 (U/L),albumin was 27.0 or more (g/L),gamma glutamyl transferases (GGT) 0 - 120 (U/L),Total protein 55 - 87 (g/L),total bilirubin 0 - 34.2 (μmol/L),BUN 0 - 14.3 (mmol/L),creatinine 0 - 154 (μmol/L),chloride 95 - 115 (mmol/L),potassium 3.0 - 6.0 (mmol/L), sodium 130 - 150 (mmol/L),thyroid stimulating hormone (TSH) 0.0 - 10.0 (mU/L),triglycerides 0.00 - 2.83 (mmol/L), calcium 2.00 - 2.90 (mmol/L),phosphate 0.75 - 1.60 (mmol/L),Blood Glucose 2.80 - 11.10 (mmol/L),Uric Acid 0 - 600 (μmol/L),proteinuria 0 - 1 (0 to 4+), glycosuria 0 - 1 (0 to 4+), hematuria 0 - 1 (0 to 4+).

    Measured: Up to Week 60

  6. Percentage of Participants With Abnormal Vital Signs

    Vital signs (Systolic blood pressure, Diastolic blood pressure, Pulse rate) were considered to be abnormal and of potential clinical relevance if the values measured for these parameters represented a change from baseline of greater than 20% in the direction of worsening. High diastolic blood pressure is defined as >110 mmhg and >20% increase from baseline. High systolic blood pressure is defined as >180 mmhg and >20% increase from baseline. Low systolic blood pressure is defined as <85 mmhg and >20% decrease from baseline. High heart rate is defined as >120 beats/minute and >20% increase from baseline. Low heart rate is defined as < 50 beats/minute and >20% decrease from baseline.

    Measured: Up to Week 72

  7. Total BDI-II (Beck Depression Inventory) Scores

    The BDI-II is a self-reported assessment of 21 items which included sadness, pessimism, past failure, loss of pleasure, guilty feelings, punishment feelings, self-dislike, self-criticalness, suicidal thoughts or wishes, crying, agitation, loss of interest, indecisiveness, worthlessness, loss of energy, changes in sleeping pattern, irritability, changes in appetite, concentration difficulty, tiredness or fatigue, loss of interest in sex that are summarized by treatment group. All except two items had four statements that were scored on a scale ranging from 0 to 3. The maximum total score was 63. The scores for each item were summed to obtain the total for that assessment. The participants neurological status could then be categorized as follows: minimal depression: 0 to 13; mild depression: 14 to 19; moderate depression: 20 to 28; and severe depression: 29 to 63. The BDI-II questionnaire was self-administered by the patient at each visit.

    Measured: From Baseline (Day 1) to Week 72

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Feb 2004 (estimated)
  2. Study startJan 2004
  3. Primary completionDec 2005
  4. Study completionDec 2005

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
188 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00077649
Sponsor's protocol ID
NV17318
Status last verified
Mar 2016
First submitted
10 Feb 2004
Last updated
18 Apr 2016

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 25 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Apr 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

HCV RNA Profile During The First 24 Weeks (time frame: Baseline (Day 1), At 72 hour (h), Week (W)-1, 2, 4, 12, 24). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2016; AzTrials last refreshed its copy on 6 Nov 2026.

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