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Hepatitis C, ChronicPhase 3NCT00623428

A Study of Combination Therapy With PEGASYS (Pegylated Interferon Alfa-2a (40KD)) and Copegus (Ribavirin) in Patients With Chronic Hepatitis C Genotype 2 or 3 Who Do Not Achieve a Rapid Viral Response

A Phase 3 study testing peginterferon alfa-2a and Ribavirin in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 101 sites in 10 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

This study will evaluate the efficacy and safety of peginterferon alfa-2a 40KD + ribavirin combination therapy given for 24 weeks versus 48 weeks in patients with chronic hepatitis C, genotype 2/3. 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?
peginterferon alfa-2a and Ribavirin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
235 participants
Where
101 sitesin 10 countries
Study dates
Jun 2008to May 2012
Phase
Phase 3
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;
  • serological evidence of chronic hepatitis C (CHC);
  • CHC genotype 2 or 3;
  • receiving PEGASYS + Copegus according to local standard of care and no rapid viral response (RVR);
  • compensated liver disease.

Who cannot join

  • pegylated interferon, standard interferon or ribavirin therapy at any time prior to initiation of current therapy with PEGASYS + Copegus;
  • coinfection with hepatitis A or B, or human immunodeficiency virus (HIV);
  • history or other evidence of decompensated liver disease.

Trial locations and contacts

101 sites in 10 countries.

101 sites in 10 countries

United States38 sites
  • Study site

    Albuquerque, New Mexico, 87131

  • Study site

    Asheville, North Carolina, 28801

  • Study site

    Atlanta, Georgia, 30308

  • Study site

    Aurora, Colorado, 80045

  • Study site

    Baton Rouge, Louisiana, 70890

  • Study site

    Birmingham, Alabama, 35294

  • Study site

    Boston, Massachusetts, 02114

  • Study site

    Chapel Hill, North Carolina, 27599-7080

  • Study site

    Charlottesville, Virginia, 22908

  • Study site

    Egg Harbour Township, New Jersey, 08234

  • Study site

    Fairfax, Virginia, 22031

  • Study site

    Fort Sam Houston, Texas, 78234-3879

  • Study site

    Hackensack, New Jersey, 07601

  • Study site

    Honolulu, Hawaii, 96813

  • Study site

    Jacksonville, Florida, 32256

  • Study site

    Kingsport, Tennessee, 37660

  • Study site

    La Jolla, California, 92037-1030

  • Study site

    Lancaster, California, 93534

  • Study site

    Long Beach, California, 90822

  • Study site

    Los Angeles, California, 90048

  • Study site

    Los Angeles, California, 90057

  • Study site

    Marietta, Georgia, 30060

  • Study site

    New York, New York, 10016

  • Study site

    Oklahoma City, Oklahoma, 73112-4481

  • Study site

    Opelousas, Louisiana, 70520

  • Study site

    Orlando, Florida, 32803

  • Study site

    Portland, Oregon, 97239

  • Study site

    Richmond, Virginia, 23249

  • Study site

    Sacramento, California, 95816

  • Study site

    Sacramento, California, 95817

  • Study site

    Salt Lake City, Utah, 84132

  • Study site

    San Diego, California, 92103-8465

  • Study site

    St Louis, Missouri, 63104

  • Study site

    St Louis, Missouri, 63110

  • Study site

    Syracuse, New York, 13210

  • Study site

    Torrance, California, 90505

  • Study site

    Tupelo, Mississippi, 38801

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Germany18 sites
  • Study site

    Berlin, 10969

  • Study site

    Berlin, 13353

  • Study site

    Bonn, 53127

  • Study site

    Cologne, 50937

  • Study site

    Düsseldorf, 40225

  • Study site

    Düsseldorf, 40237

  • Study site

    Frankfurt am Main, 60590

  • Study site

    Freiburg im Breisgau, 79106

  • Study site

    Giessen, 35392

  • Study site

    Hamburg, 20099

  • Study site

    Heidelberg, 69120

  • Study site

    Jena, 07747

  • Study site

    Kiel, 24105

  • Study site

    Mainz, 55101

  • Study site

    München, 81675

  • Study site

    Offenburg, 77654

  • Study site

    Tübingen, 72076

  • Study site

    Ulm, 89081

Other trials in Germany

Brazil12 sites
  • Study site

    Brasília, 70335-000

  • Study site

    Campinas, 13012-970

  • Study site

    Campinas, 13081-970

  • Study site

    Porto Alegre, 90020-090

  • Study site

    Porto Alegre, 90035-003

  • Study site

    Ribeirão Preto, 14049-900

  • Study site

    Rio de Janeiro, 20020-022

  • Study site

    Santo André, 09060-650

  • Study site

    São Luís, 78048-790

  • Study site

    São Paulo, 04040-003

  • Study site

    Sorocaba, 18047-600

  • Study site

    Vitória, 29043-260

Other trials in Brazil

Belgium7 sites
  • Study site

    Antwerp, 2650

  • Study site

    Brussels, 1000

  • Study site

    Brussels, 1020

  • Study site

    Brussels, 1070

  • Study site

    Ghent, 9000

  • Study site

    Kortrijk, 8500

  • Study site

    Liège, 4000

Other trials in Belgium

Austria6 sites
  • Study site

    Graz, 8036

  • Study site

    Innsbruck, 6020

  • Study site

    Linz, 4010

  • Study site

    Oberndorf, 5110

  • Study site

    Vienna, 1090

  • Study site

    Vienna, 1160

Other trials in Austria

Mexico6 sites
  • Study site

    Guadalajara, 44160

  • Study site

    Guadalajara, 44670

  • Study site

    Mexicali, 21000

  • Study site

    Mexico City, 11649

  • Study site

    Mexico City, 14050

  • Study site

    Puebla City, 72560

Other trials in Mexico

Australia5 sites
  • Study site

    Darlinghurst, 2010

  • Study site

    Fremantle, 6160

  • Study site

    Melbourne, 3186

  • Study site

    Nedlands, 6009

  • Study site

    Sydney, 2139

Other trials in Australia

Canada4 sites
  • Study site

    Edmonton, Alberta, T6G 2B7

  • Study site

    Hamilton, Ontario, L8N 4A6

  • Study site

    Mississauga, Ontario, L5M 4N4

  • Study site

    Vancouver, British Columbia, V6Z 2K5

Other trials in Canada

Switzerland4 sites
  • Study site

    Lausanne, 1005

  • Study site

    Lugano, 6903

  • Study site

    Sankt Gallen, 9007

  • Study site

    Zurich, 8091

Other trials in Switzerland

Puerto Rico1 site
  • Study site

    Santurce, 00909

Other trials in Puerto Rico

About this study

Official title: A Randomized, Open-label Study of the Effects of 24 vs 48 Weeks of Combination Therapy With PEGASYS (Peginterferon Alfa-2a 40KD) Plus COPEGUS (Ribavirin) on Sustained Virological Response in Patients With Chronic Hepatitis C, Genotype 2 or 3 Who do Not Achieve a Rapid Viral Response

This study will evaluate the efficacy and safety of peginterferon alfa-2a 40KD + ribavirin combination therapy given for 24 weeks versus 48 weeks in patients with chronic hepatitis C, genotype 2/3.

Read the detailed description

During a pre-study run-in phase patients with chronic hepatitis C genotype 2/3, who had started therapy with PEG-IFN alfa-2a plus ribavirin according to local standard of care and did not achieve a rapid viral response (RVR) (defined as Hepatitis C virus (HCV) RNA <15 IU/mL at Week 4 of treatment measured with the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test) were eligible for the study and entered the screening phase between treatment Week 4 and 8 as soon as the result of the Week 4 HCV RNA test was available.

Eligible patients entered the study and continued with the dose regimens of PEG-IFN alfa-2a and ribavirin they were taking prior to enrolment into the trial up to Week 24 of treatment. Patients who achieved at least a 2-log10 drop of HCV RNA at Week 12 (as compared to HCV RNA levels prior to treatment initiation) or had HCV RNA <15 IU/mL, and who were still taking study medication at treatment Week 24, were randomized at treatment Week 24 to one of the two study groups. Upon randomization, participants either stopped treatment (equaling 24 weeks of treatment) or continued treatment for another 24 weeks (equaling 48 weeks of treatment). A treatment free follow-up period of 24 weeks (for participants in the 48-week treatment group) or 48 weeks (participants in the 24-week treatment group) completed the study.

Being tested
peginterferon alfa-2a, Ribavirin
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.

  • peginterferon alfa-2aDrug

    Also called Pegasys®, PEG-IFN alfa-2a

  • RibavirinDrug

    Also called Copegus®

Study groups in NCT00623428
Study groupRoleWhat they receive
PEG-IFN alfa-2a + Ribavirin for 24 weeksExperimentalAfter 24 weeks of treatment with pegylated interferon alfa-2a (PEG-IFN alfa-2a) 180 μg/week plus ribavirin 800-1200 mg/day participants who achieved at least a 2-log10 drop of hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 (as compared to HCV RNA levels prior to treatment initiation) or had HCV RNA <15 IU/mL, and who were still taking study medication at treatment Week 24 were randomized into the study, at which time treatment was stopped. Participants were followed for an additional 48 weeks during the treatment-free follow-up period.
Receives: Drug: peginterferon alfa-2a; Drug: Ribavirin
PEG-IFN alfa-2a + Ribavirin for 48 weeksActive comparatorAfter 24 weeks of treatment with PEG-IFN alfa-2a 180 μg/week plus ribavirin 800-1200 mg/day participants who achieved at least a 2-log10 drop of HCV RNA at Week 12 (as compared to HCV RNA levels prior to treatment initiation) or had HCV RNA <15 IU/mL, and who were still taking study medication at treatment Week 24 were randomized into the study, and continued treatment for another 24 weeks (for a total of 48 weeks of treatment). Participants were followed for an additional 24 weeks during the treatment-free follow-up period.
Receives: Drug: peginterferon alfa-2a; Drug: Ribavirin

What is being measured

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

  1. Percentage of Participants With a Sustained Virologic Response 24 Weeks After Scheduled Completion of Treatment

    Sustained virological response (SVR) is defined as a single last HCV RNA measurement <15 IU/ml (measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test) 24 weeks after scheduled treatment completion, defined as Week 44 or later for participants randomized to the 24-week treatment period or Week 68 or later for participants randomized to the 48-week treatment period.

    Participants without measurements at the end of the 24-week untreated follow-up period were considered non-responders in the analysis.

    Measured: 24 weeks after scheduled treatment completion (approximately Week 48 for participants in the 24-week treatment group and Week 72 for participants in the 48-week treatment group.

  2. Percentage of Participants With a Sustained Virologic Response 24 Weeks After Actual End of Treatment

    Sustained virological response (SVR) is defined as a single last HCV RNA measurement <15 IU/ml (measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test) at 24 weeks after actual end of study treatment. For participants in the 48-week treatment group who stopped study treatment prior to Week 48 for any reason, the HCV RNA measurements 24 weeks after actual end of treatment were used in the analysis. Participants without a 24-week post treatment measurement are considered non-responders.

    Measured: 24 weeks after actual end of treatment (range from Week 48 to Week 72).

Secondary outcomes (5)
  1. Percentage of Participants With Virological Response 72 Weeks After Treatment Initiation

    Virological response 72 weeks after treatment initiation is defined as the percentage of participants with HCV RNA <15 IU/mL as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test at 48 weeks post completion of the 24 week treatment period and 24 weeks post completion of the 48 week treatment period.

    Participants without Week 72 measurements were considered non-responders in the analysis.

    Measured: Week 72

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

    Virological response at the end of treatment was defined as the percentage of participants with HCV RNA <15 IU/mL as measured by the Roche COBAS AmpliPrep / COBAS TaqMan® HCV Test after the last dose of study medication.

    Measured: End of Treatment (Week 24 and Week 48 for each treatment group respectively).

  3. Percentage of Participants With Virological Relapse

    Virological relapse defined as the percentage of participants with a virological response at end of treatment but who did not have a sustained virological response 24 weeks after the end of treatment.

    Virological response at end of treatment is defined as a single last HCV RNA measurement <15 IU/ml measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test at the day of last dose of study medication.

    Sustained virological response 24 weeks after the actual treatment end (SVR24) is defined as a single last HCV RNA measurement <15 IU/ml at least 20 weeks after treatment end.

    Measured: End of treatment (Weeks 24 or 48) and 24 weeks after the end of treatment (weeks 48 and 72 in each treatment group respectively).

  4. Percentage of Participants With a Sustained Virologic Response 12 Weeks After Actual End of Treatment

    Sustained virological response (SVR) is defined as a single last HCV RNA measurement <15 IU/ml (measured using the Roche COBAS AmpliPrep / COBAS TaqMan HCV Test) at 12 weeks after actual end of study treatment. For participants in the 48-week treatment group who stopped study treatment prior to Week 48 for any reason, the HCV RNA measurements 12 weeks after actual end of treatment were used in the analysis. Participants without a 12-week post treatment measurement are considered non-responders.

    Measured: 12 weeks after actual end of treatment (range from Week 36 to Week 60)

  5. Number of Participants With Adverse Events (AEs)

    An AE was defined as a sign or symptom, including intercurrent illness, that occurred during the course of the clinical study after treatment had started. A related AE is an event assessed by the Investigator to be remotely, possibly, or probably related to study treatment according to criteria provided in the protocol. A severe AE was an event graded by the Investigator as "incapacitating with inability to work or perform normal daily activity". A serious AE (SAE) was defined as any experience that suggests a significant hazard, contraindication, side effect or precaution. This includes any experience which was fatal; was life-threatening; required inpatient hospitalization or prolongation of an existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/ birth defect; was medically significant or required intervention to prevent one or other of the outcomes listed above.

    Measured: From Week 1 through 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 posted26 Feb 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionMay 2012
  4. Study completionMay 2012

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
235 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00623428
Sponsor's protocol ID
MV21371
Other IDs
2007-004993-15
Status last verified
Jul 2013
First submitted
18 Feb 2008
Last updated
22 Jul 2013

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing peginterferon alfa-2a and Ribavirin in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 101 sites in 10 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 3 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 22 Jul 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 101 sites in United States, Germany, Brazil, Belgium, Austria and 5 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 24 Jun 2013). 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 Participants With a Sustained Virologic Response 24 Weeks After Scheduled Completion of Treatment (time frame: 24 weeks after scheduled treatment completion (approximately Week 48 for participants in the 24-week treatment group and Week 72 for participants in the 48-week treatment group.). The study lists 2 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 22 Jul 2013.

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