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Hepatitis CPhase 2NCT00420784

A Study of Telaprevir (VX-950), Pegasys and Copegus in Hepatitis C (PROVE3)

A Phase 2 study testing Telaprevir, Ribavirin and Pegylated Interferon Alfa 2a in people with Hepatitis C, run by Vertex Pharmaceuticals Incorporated at 53 sites in 5 countries.

Completed

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

Official record
Search all trials

Trial summary

The PROVE3 trial is a partially double blinded, randomized, Phase 2 research study of an investigational drug, Telaprevir (VX-950) or Placebo, with Pegylated Interferon Alfa 2a (Peg-IFN-alfa-2a, Pegasys®), and Ribavirin (RBV, Copegus®) in people with genotype 1 hepatitis C who have not achieved a Sustained Viral… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C
What is being tested?
Telaprevir, Ribavirin and Pegylated Interferon Alfa 2a
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
465 participants
Where
53 sitesin 5 countries
Study dates
Feb 2007to Apr 2009
Phase
Phase 2
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females between 18 and 70 years old
  • Detectable plasma hepatitis C virus (HCV) ribonucleic acid (RNA) greater than or equal to (>=) 10,000 international units per milliliter (IU/mL)
  • Must have chronic hepatitis C (genotype 1) and have already received at least one prior course of pegylated interferon alfa 2a with ribavirin
  • Cannot also be infected with Human Immunodeficiency Virus or hepatitis B
  • Must be judged to be in general good health and able to receive Pegasys® and Copegus®
  • No drug or alcohol abuse in the last year
  • Must agree to use two effective methods of birth control during the study and for 6 months after you stop taking study medication. One of the methods needs to be a 'barrier' method (condom or diaphragm)
  • If you are a woman, you cannot be in this study if you are pregnant or nursing

Who cannot join

  • Participation in any clinical trial of a HCV protease inhibitor of any duration
  • Prior response to therapy and failure to achieve SVR which was due to treatment non-compliance
  • Any other cause of significant liver disease in addition to hepatitis C; this may include but is not limited to, hepatitis B, drug or alcohol-related cirrhosis, autoimmune hepatitis, hemochromatosis, Wilson's disease, nonalcoholic steatohepatitis, or primary biliary cirrhosis
  • Diagnosed or suspected hepatocellular carcinoma
  • History of or current evidence of decompensated liver disease
  • Participation in any clinical trial of an investigational drug within 90 days before drug administration or participation in more than 2 drug studies in the last 12 months (exclusive of the current study)

Trial locations and contacts

53 sites in 5 countries.

53 sites in 5 countries

United States41 sites
  • Study site

    Albuquerque, New Mexico

  • Study site

    Annandale, Virginia

  • Study site

    Atlanta, Georgia

  • Johns Hopkins University

    Baltimore, Maryland

  • Study site

    Bardenton, Florida

  • Gulf Coast Research, LLC

    Baton Rouge, Louisiana

  • Birmingham Gastroenterology Associates

    Birmingham, Alabama

  • Beth Isreal Deaconess Medical Center

    Boston, Massachusetts

  • Study site

    Chicago, Illinois

  • University Internal Medicine Associates, Inc.

    Cincinnati, Ohio

  • Cleveland Clinic

    Cleveland, Ohio

  • Columbia Gastroenterology Associates, PA

    Columbia, South Carolina

  • Liver Institute at Methodist Dallas

    Dallas, Texas

  • University of Colorado Health Sciences Center

    Denver, Colorado

  • Henry Ford Hospital

    Detroit, Michigan

  • Study site

    Durham, North Carolina

  • Study site

    Englewood, Colorado

  • Metropolitan Research

    Fairfax, Virginia

  • University of Florida

    Gainesville, Florida

  • Memphis Gastroenterology Group

    Germantown, Tennessee

  • Study site

    Hershey, Pennsylvania

  • Advanced Liver Therapies

    Houston, Texas

  • Study site

    Indianapolis, Indiana

  • Borland-Groover Clinic

    Jacksonville, Florida

  • Mayo Clinic Jacksonville

    Jacksonville, Florida

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • USC

    Los Angeles, California

  • North Shore University Hospital

    Manhasset, New York

  • Study site

    Miami, Florida

  • Study site

    New York, New York

  • Study site

    Omaha, Nebraska

  • Study site

    Pittsburgh, Pennsylvania

  • Virology Treatment Center, Maine Medical Center

    Portland, Maine

  • Study site

    Richmond, Virginia

  • Alamo Medical Research

    San Antonio, Texas

  • Kaiser Permanente Hepatology Research

    San Diego, California

  • University of California, San Diego

    San Diego, California

  • University of California San Francisco

    San Francisco, California

  • University Hepatitis Center at Bach & Godofsky

    Sarasota, Florida

  • Study site

    Seattle, Washington

  • Saint Louis University

    St Louis, Missouri

Other trials in United States

Canada6 sites
  • University of Calgary Medical Clinic - Health Science Centre

    Calgary, Alberta, T2N 4N1

  • Study site

    Edmonton, Alberta

  • Toronto Western Hospital

    Toronto, Ontario

  • Study site

    Toronto, Ontario

  • BC Hepatitis Program

    Vancouver, British Columbia

  • Study site

    Winnipeg, Manitoba

Other trials in Canada

Netherlands3 sites
  • Academic Medical Center

    Amsterdam

  • Leiden University Medical Center

    Leiden

  • Erasmus MC University Medical Center

    Rotterdam

Other trials in Netherlands

Germany2 sites
  • Universitatsmedizin Berlin

    Berlin

  • University Clinic Frankfurt, Department of Internal Medicine

    Frankfurt

Other trials in Germany

Puerto Rico1 site
  • Study site

    Santurce

Other trials in Puerto Rico

About this study

Official title: A Phase 2 Study of Telaprevir (VX-950) in Combination With Peginterferon Alfa-2a (Pegasys®), and Ribavirin (Copegus®) in Subjects With Genotype 1 Hepatitis C Who Have Not Achieved Sustained Viral Response With a Prior Course of Interferon Based Therapy

The PROVE3 trial is a partially double blinded, randomized, Phase 2 research study of an investigational drug, Telaprevir (VX-950) or Placebo, with Pegylated Interferon Alfa 2a (Peg-IFN-alfa-2a, Pegasys®), and Ribavirin (RBV, Copegus®) in people with genotype 1 hepatitis C who have not achieved a Sustained Viral Response (SVR) with a previous treatment of interferon therapy.

Conditions
Hepatitis C
Being tested
Telaprevir, Ribavirin, Pegylated Interferon Alfa 2a, Matching Placebo
Keywords
Genotype 1
Medical subject headings
Hepatitis C

What participants receive

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

  • TelaprevirDrug

    Also called VX-950

    tablet

  • RibavirinDrug

    Also called RBV

    tablet

  • Pegylated Interferon Alfa 2aDrug

    Also called Peg-IFN-alfa-2a

    Solution for injection

  • Matching PlaceboDrug

    Tablet

Study groups in NCT00420784
Study groupRoleWhat they receive
Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 WeekExperimentalSingle loading dose of telaprevir 1125 milligram (mg) tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (>=) 75 kg, for 24 weeks.
Receives: Drug: Telaprevir; Drug: Ribavirin; Drug: Pegylated Interferon Alfa 2a
Telaprevir 24 Week+Peg-IFN-alfa-2a,RBV 48 WeekExperimentalSingle loading dose of telaprevir 1125 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily for 24 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 48 weeks.
Receives: Drug: Telaprevir; Drug: Ribavirin; Drug: Pegylated Interferon Alfa 2a
Telaprevir 24 Week+Peg-IFN-alfa-2a 24 WeekExperimentalSingle loading dose of telaprevir 1125 mg tablet orally on Day 1 followed by 750 mg telaprevir tablet thrice daily in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection, for 24 weeks.
Receives: Drug: Telaprevir; Drug: Pegylated Interferon Alfa 2a
PBO 24 Week+Peg-IFN-alfa-2a, RBV 48 WeekPlacebo comparatorPlacebo (PBO) matched to telaprevir tablet orally thrice daily for 24 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 48 weeks.
Receives: Drug: Ribavirin; Drug: Pegylated Interferon Alfa 2a; Drug: Matching Placebo

What is being measured

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

  1. Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Measured: 24 weeks after the completion of study drug dosing (up to Week 72)

Secondary outcomes (5)
  1. Percentage of Subjects With Undetectable Plasma HCV RNA at Completion of Study Drug Dosing

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Measured: Completion of study drug dosing (up to Week 48)

  2. Percentage of Subjects With Undetectable Plasma HCV RNA

    Percentage of subjects with undetectable HCV RNA at 24 weeks after last dose of study drug for treatment group "PBO 24 Week+Peg-IFN-alfa-2a, RBV 48 Week" and at 48 weeks after last dose of study drug for treatment groups "Telaprevir 12 Week+Peg-IFN-alfa-2a,RBV 24 Week", "Telaprevir 24 Week+Peg-IFN-alfa-2a,RBV 48 Week" and "Telaprevir 24 Week+Peg-IFN-alfa-2a 24 Week" were presented. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Measured: Up to Week 96 (24 weeks after last dose of study drug for PBO group; 48 weeks after last dose of study drug for telaprevir groups)

  3. Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents (including placebo, if applicable) administered during the course of the study.

    Measured: Baseline up to 2 weeks after last dose of study drug (up to Week 50)

  4. Number of Subjects With Viral Relapse

    Viral relapse was defined as having detectable HCV RNA during antiviral follow-up. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of detection was 10 international units per milliliter (IU/mL).

    Measured: After last dose of study drug up to 24 week antiviral follow-up (up to Week 72)

  5. Maximum (Cmax), Minimum (Cmin) and Average (Cavg) Plasma Concentration of Telaprevir

    Only subjects who received telaprevir were to be analyzed for this outcome. Maximum, minimum and average plasma concentrations observed during assessment period were reported.

    Measured: Week 2, 4, 8, 12, 16, 24

Timeline

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

  1. First posted11 Jan 2007 (estimated)
  2. Study startFeb 2007
  3. Primary completionDec 2008
  4. Study completionApr 2009

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
465 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00420784
Sponsor's protocol ID
VX06-950-106
Status last verified
Jul 2014
First submitted
8 Jan 2007
Last updated
5 Aug 2014
Data monitoring committee
Yes

Publications

  • Li S, Zhu J, Zhang W, Chen Y, Zhang K, Popescu LM, Ma X, Lau WB, Rong R, Yu X, Wang B, Li Y, Xiao C, Zhang M, Wang S, Yu L, Chen AF, Yang X, Cai J. Signature microRNA expression profile of essential hypertension and its novel link to human cytomegalovirus infection. Circulation. 2011 Jul 12;124(2):175-84. doi: 10.1161/CIRCULATIONAHA.110.012237. Epub 2011 Jun 20.

    PubMed 21690488
  • McHutchison JG, Manns MP, Muir AJ, Terrault NA, Jacobson IM, Afdhal NH, Heathcote EJ, Zeuzem S, Reesink HW, Garg J, Bsharat M, George S, Kauffman RS, Adda N, Di Bisceglie AM; PROVE3 Study Team. Telaprevir for previously treated chronic HCV infection. N Engl J Med. 2010 Apr 8;362(14):1292-303. doi: 10.1056/NEJMoa0908014.

    PubMed 20375406

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Telaprevir, Ribavirin and Pegylated Interferon Alfa 2a in people with Hepatitis C, run by Vertex Pharmaceuticals Incorporated at 53 sites in 5 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 8 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 5 Aug 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Canada, Netherlands, Germany, 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 21 Jul 2011). 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?

Percentage of Subjects With Undetectable Plasma Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) at Week 24 After the Completion of Study Drug Dosing (time frame: 24 weeks after the completion of study drug dosing (up to Week 72)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00420784, which also lists 2 linked publications.

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 5 Aug 2014.

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