Hepatitis C, ChronicPhase 2NCT00517439
A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS Plus COPEGUS Compared With PEGASYS Plus COPEGUS in Patients With Chronic Hepatitis C Genotype 1 Infection.
A Phase 2 study testing Copegus, Pegasys and RO4588161 in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 63 sites in 9 countries.
Trial summary
This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- Copegus, Pegasys and RO4588161
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 516 participants
- Where
- 63 sitesin 9 countries
- Study dates
- Dec 2007to Jan 2010
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- adult patients, 18-65 years of age;
- chronic hepatitis C, genotype 1;
- chronic liver disease consistent with CHC;
- compensated liver disease.
Who cannot join
- infection with any HCV genotype other than genotype 1;
- previous treatment for CHC;
- medical condition associated with chronic liver disease other than CHC;
- HIV, hepatitis A, hepatitis B infection.
Trial locations and contacts
63 sites in 9 countries.
63 sites in 9 countries
United States30 sites
Study site
Aurora, Colorado, 80045
Study site
Baltimore, Maryland, 21287
Study site
Bradenton, Florida, 34209
Study site
Chapel Hill, North Carolina, 27599-7584
Study site
Chicago, Illinois, 60637
Study site
Cincinnati, Ohio, 45267-0595
Study site
Dallas, Texas, 75203
Study site
Englewood, Colorado, 80110
Study site
Fairfax, Virginia, 22031
Study site
Fort Sam Houston, Texas, 78234-3879
Study site
Gainesville, Florida, 32610-0214
Study site
Hershey, Pennsylvania, 17033
Study site
La Jolla, California, 92037-1030
Study site
Long Beach, California, 90822
Study site
Manhasset, New York, 11030
Study site
Miami, Florida, 33136-1051
Study site
Nashville, Tennessee, 37211
Study site
New York, New York, 10021
Study site
Phoenix, Arizona, 85054
Study site
Plymouth, Minnesota, 55446
Study site
Portland, Oregon, 97239
Study site
Providence, Rhode Island, 02905
Study site
Richmond, Virginia, 23249
Study site
Sacramento, California, 95817
Study site
Salt Lake City, Utah, 84121
Study site
San Antonio, Texas, 78215
Study site
San Diego, California, 92103-8465
Study site
San Diego, California, 92154
Study site
San Francisco, California, 94115
Study site
The Bronx, New York, 10468
France7 sites
Study site
Clichy, 92118
Study site
Créteil, 94010
Study site
Marseille, 13285
Study site
Paris, 75014
Study site
Paris, 75651
Study site
Pessac, 33604
Study site
Vandœuvre-lès-Nancy, 54511
Germany6 sites
Study site
Berlin, 13353
Study site
Cologne, 50937
Study site
Frankfurt am Main, 60590
Study site
Freiburg im Breisgau, 79106
Study site
Hamburg, 20246
Study site
Hanover, 30625
Australia5 sites
Study site
Adelaide, 5000
Study site
Greenslopes, 4120
Study site
Melbourne, 3004
Study site
Sydney, 2050
Study site
Sydney, 2145
Canada5 sites
Study site
Calgary, Alberta, T2N 4N1
Study site
Ottawa, Ontario, K1H 8L6
Study site
Toronto, Ontario, M5G 1L7
Study site
Vancouver, British Columbia, V5Z 1H2
Study site
Vancouver, British Columbia, V5Z 1M9
Spain5 sites
Study site
Badalona, 08915
Study site
Barcelona, 08003
Study site
Madrid, 28222
Study site
Seville, 41014
Study site
Valencia, 46014
Italy3 sites
Study site
Bologna, 40138
Study site
Naples, 80131
Study site
Torino, 10126
About this study
Official title: A Randomized, Double-blinded Study to Evaluate the Safety and Effect on Sustained Virological Response of HCV Polymerase Inhibitor Pro-drug in Combination With PEGASYS Plus Copegus, Compared With the Currently Approved Combination of PEGASYS Plus Copegus, in Treatment-naïve Patients With Chronic he
This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
- Conditions
- Hepatitis C, Chronic
- Being tested
- Copegus, Pegasys, RO4588161
- 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.
CopegusDrug
1000/1200mg po daily for 24 weeks
PegasysDrug
180 micrograms sc weekly for 24 weeks
PegasysDrug
90 micrograms sc weekly for 24 weeks
RO4588161Drug
1000mg po bid for 24 weeks
RO4588161Drug
500mg po bid for 24 weeks
RO4588161Drug
1500mg po bid for 24 weeks
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Experimental | Group 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 2 | Experimental | Group 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 3 | Experimental | Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 4 | Experimental | Group 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 5 | Experimental | Group 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 6 | Experimental | Group 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Receives: Drug: Copegus; Drug: Pegasys; Drug: RO4588161 |
| Group 7 | Active comparator | Standard of care (SOC) Receives: Drug: Copegus; Drug: Pegasys |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sustained virological response (SVR)
Measured: 24 weeks post treatment end (ie weeks 48 or 72)
Secondary outcomes (4)
Virological response over time
Measured: Throughout study
SVR
Measured: 12 weeks post treatment end (ie weeks 36 or 60)
Relapse rate
Measured: End of treatment (ie weeks 24 or 48)
Adverse events (AEs), laboratory parameters.
Measured: Throughout treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2007 (estimated)
- Study startDec 2007
- Primary completionJan 2010
- Study completionJan 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 516 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00517439
- Sponsor's protocol ID
- NV19865
- Status last verified
- Nov 2016
- First submitted
- 16 Aug 2007
- Last updated
- 2 Nov 2016
- Results posted
- No
Publications
Nelson DR, Zeuzem S, Andreone P, Ferenci P, Herring R, Jensen DM, Marcellin P, Pockros PJ, Rodriguez-Torres M, Rossaro L, Rustgi VK, Sepe T, Sulkowski M, Thomason IR, Yoshida EM, Chan A, Hill G. Balapiravir plus peginterferon alfa-2a (40KD)/ribavirin in a randomized trial of hepatitis C genotype 1 patients. Ann Hepatol. 2012 Jan-Feb;11(1):15-31.
PubMed 22166557
Study at a glance
From the registry record, last updated by the sponsor on 2 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blinded Study to Evaluate the Safety and Effect on Sustained Virological Response of HCV Polymerase Inhibitor Pro-drug in Combination With PEGASYS Plus Copegus, Compared With the Currently Approved Combination of PEGASYS Plus Copegus, in Treatment-naïve Patients With Chronic he
- ClinicalTrials.gov ID
- NCT00517439
- Acronym / sponsor ID
- NV19865
- Conditions
- Hepatitis C, Chronic
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 516 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Dec 2007
- Primary completion
- Jan 2010 (actual)
- Study completion
- Jan 2010 (actual)
- First posted
- 17 Aug 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). |
| Group 2 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). |
| Group 3 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. |
| Group 4 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). |
| Group 5 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). |
| Group 6 | Experimental | Drug: Copegus, Drug: Pegasys, Drug: RO4588161Group 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). |
| Group 7 | Active comparator | Drug: Copegus, Drug: PegasysStandard of care (SOC) |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- adult patients, 18-65 years of age;
- chronic hepatitis C, genotype 1;
- chronic liver disease consistent with CHC;
- compensated liver disease.
Key exclusion criteria (4 listed)
- infection with any HCV genotype other than genotype 1;
- previous treatment for CHC;
- medical condition associated with chronic liver disease other than CHC;
- HIV, hepatitis A, hepatitis B infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Copegus1000/1200mg po daily for 24 weeks | Drug | Group 1, Group 2, Group 3, Group 4, Group 5, Group 6, Group 7 |
| Pegasys180 micrograms sc weekly for 24 weeks | Drug | Group 1, Group 2, Group 3, Group 7 |
| Pegasys90 micrograms sc weekly for 24 weeks | Drug | Group 4, Group 5, Group 6 |
| RO45881611000mg po bid for 24 weeks | Drug | Group 1, Group 5 |
| RO4588161500mg po bid for 24 weeks | Drug | Group 2, Group 3, Group 6 |
| RO45881611500mg po bid for 24 weeks | Drug | Group 4 |
Primary outcome
Sustained virological response (SVR)
Time frame: 24 weeks post treatment end (ie weeks 48 or 72)
4 secondary outcomes
Virological response over time
Time frame: Throughout study
SVR
Time frame: 12 weeks post treatment end (ie weeks 36 or 60)
Relapse rate
Time frame: End of treatment (ie weeks 24 or 48)
Adverse events (AEs), laboratory parameters.
Time frame: Throughout treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Nov 2016.
- Derived from this study: PubMed 22166557Nelson DR, Zeuzem S, Andreone P, Ferenci P, Herring R, Jensen DM, Marcellin P, Pockros PJ, Rodriguez-Torres M, Rossaro L, Rustgi VK, Sepe T, Sulkowski M, Thomason IR, Yoshida EM, Chan A, Hill G. Balapiravir plus peginterferon alfa-2a (40KD)/ribavirin in a randomized trial of hepatitis C genotype 1 patients. Ann Hepatol. 2012 Jan-Feb;11(1):15-31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
63 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Copegus, Pegasys and RO4588161 in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 63 sites in 9 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 4 inclusion and 4 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 2 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 63 sites in United States, France, Germany, Australia, Canada and 4 more countries. 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 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Sustained virological response (SVR) (time frame: 24 weeks post treatment end (ie weeks 48 or 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 NCT00517439, which also lists 1 linked publication.
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 2 Nov 2016.