AzTrials
AzTrials

Hepatitis CPhase 3NCT00627926

A Phase 3 Study of Telaprevir in Combination With Pegasys® and Copegus® in Treatment-Naive Subjects With Genotype 1 Hepatitis C Virus (HCV)

A Phase 3 study testing Pegylated Interferon Alfa 2a, Telaprevir and Ribavirin in people with Hepatitis C, run by Vertex Pharmaceuticals Incorporated at 116 sites in 13 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

A Phase 3 study to evaluate the efficacy and safety of two dosing regimens of telaprevir in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) and ribavirin (RBV). 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?
Pegylated Interferon Alfa 2a, Telaprevir and Ribavirin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,095 participants
Where
116 sitesin 13 countries
Study dates
Mar 2008to May 2010
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has not received any previous treatment with any approved or investigational drug or drug regimen for the treatment of hepatitis C
  • Male and female subjects, 18 to 70 years of age, inclusive
  • Genotype 1, chronic hepatitis C with detectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
  • Screening laboratory values, tests, and physical exam within acceptable ranges
  • Able and willing to follow contraception requirements
  • Able to read and understand, and willing to sign the informed consent form and abide by the study restrictions

Who cannot join

  • Subject has any contraindications to Pegasys® or Copegus® therapy
  • Evidence of hepatic decompensation in cirrhotic subjects
  • History of organ transplant
  • History of, or any current medical condition which could impact the safety of the subject in participation in the study

Trial locations and contacts

116 sites in 13 countries.

116 sites in 13 countries

United States65 sites
  • Study site

    Albuquerque, New Mexico, 87131

  • Study site

    Annandale, Virginia, 22003

  • Study site

    Atlanta, Georgia, 30308

  • Study site

    Aurora, Colorado, 80045

  • Study site

    Baltimore, Maryland, 21287

  • Study site

    Birmingham, Alabama, 35209

  • Study site

    Birmingham, Alabama, 35294

  • Study site

    Boston, Massachusetts, 02114

  • Study site

    Boston, Massachusetts, 02215

  • Study site

    Carmel, Indiana, 46032

  • Study site

    Chapel Hill, North Carolina, 27599

  • Study site

    Charlotte, North Carolina, 28203

  • Study site

    Charlottesville, Virginia, 22908

  • Study site

    Chicago, Illinois, 60637

  • Study site

    Cincinnati, Ohio, 45219

  • Study site

    Cincinnati, Ohio, 45267

  • Study site

    Cleveland, Ohio, 44195

  • Study site

    Columbia, South Carolina, 29204

  • Study site

    Dallas, Texas, 75203

  • Study site

    Dallas, Texas, 75246

  • Study site

    Dallas, Texas, 75390

  • Study site

    Detroit, Michigan, 48202

  • Study site

    Durham, North Carolina, 27710

  • Study site

    Fayetteville, North Carolina, 28304

  • Study site

    Fresno, California, 93721

  • Study site

    Gainesville, Florida, 32610

  • Study site

    Germantown, Tennessee, 38138

  • Study site

    Hershey, Pennsylvania, 17033

  • Study site

    Honolulu, Hawaii, 96817

  • Study site

    Houston, Texas, 77030

  • Study site

    Indianapolis, Indiana, 46202

  • Study site

    Jacksonville, Florida, 32224

  • Study site

    Jacksonville, Florida, 32256

  • Study site

    Kansas City, Missouri, 64131

  • Study site

    La Jolla, California, 92037

  • Study site

    Laurel, Maryland, 20707

  • Study site

    Long Beach, California, 90822

  • Study site

    Los Angeles, California, 90033

  • Study site

    Los Angeles, California, 90048

  • Study site

    Manhasset, New York, 11030

  • Study site

    Miami, Florida, 33136

  • Study site

    New York, New York, 10003

  • Study site

    New York, New York, 10021

  • Study site

    New York, New York, 10029

  • Study site

    New York, New York, 10032

  • Study site

    Omaha, Nebraska, 68105

  • Study site

    Orlando, Florida, 32803

  • Study site

    Philadelphia, Pennsylvania, 19104

  • Study site

    Phoenix, Arizona, 85054

  • Study site

    Pittsburgh, Pennsylvania, 15213

  • Study site

    Portland, Maine, 04102

  • Study site

    Richmond, Virginia, 23249

  • Study site

    San Antonio, Texas, 78215

  • Study site

    San Diego, California, 92103

  • Study site

    San Diego, California, 92123

  • Study site

    San Diego, California, 92154

  • Study site

    San Francisco, California, 94115

  • Study site

    San Francisco, California, 94121

  • Study site

    San Francisco, California, 94143

  • Study site

    Sarasota, Florida, 34243

  • Study site

    Savannah, Georgia, 31405

  • Study site

    South Miami, Florida, 33143

  • Study site

    St Louis, Missouri, 63104

  • Study site

    Valhalla, New York, 10595

  • Study site

    Worcester, Massachusetts, 01655

Other trials in United States

Germany9 sites
  • Study site

    Berlin

  • Study site

    Bochum

  • Study site

    Cologne

  • Study site

    Düsseldorf

  • Study site

    Frankfurt

  • Study site

    Freiburg im Breisgau

  • Study site

    Hamburg

  • Study site

    Hanover

  • Study site

    München

Other trials in Germany

France8 sites
  • Study site

    Clichy

  • Study site

    Créteil

  • Study site

    Grenoble

  • Study site

    Lyon

  • Study site

    Nice

  • Study site

    Paris

  • Study site

    Pessac

  • Study site

    Toulouse

Other trials in France

Australia7 sites
  • Study site

    Darlinghurst

  • Study site

    Fitzroy

  • Study site

    Greenslopes

  • Study site

    Melbourne

  • Study site

    Perth

  • Study site

    Westmead

  • Study site

    Woolloongabba

Other trials in Australia

Poland6 sites
  • Study site

    Bialystok

  • Study site

    Czeladź

  • Study site

    Kielce

  • Study site

    Krakow

  • Study site

    Lodz

  • Study site

    Wroclaw

Other trials in Poland

Israel5 sites
  • Study site

    Haifa

  • Study site

    Jerusalem

  • Study site

    Nazareth

  • Study site

    Petah Tikva

  • Study site

    Tel HaShomer

Other trials in Israel

Canada4 sites
  • Study site

    Calgary

  • Study site

    Toronto

  • Study site

    Vancouver

  • Study site

    Winnipeg

Other trials in Canada

Italy3 sites
  • Study site

    Bologna

  • Study site

    Milan

  • Study site

    Torino

Other trials in Italy

United Kingdom3 sites
  • Study site

    Glasgow

  • Study site

    Hampstead

  • Study site

    London

Other trials in United Kingdom

Austria2 sites
  • Study site

    Linz

  • Study site

    Vienna

Other trials in Austria

Spain2 sites
  • Study site

    Barcelona

  • Study site

    Valencia

Other trials in Spain

Argentina1 site
  • Study site

    Buenos Aires

Other trials in Argentina

Puerto Rico1 site
  • Study site

    Santurce, 00909

Other trials in Puerto Rico

About this study

Official title: A Phase 3 Study of 2 Dose Regimens of Telaprevir in Combination With Peginterferon Alfa-2a (Pegasys®) and Ribavirin (Copegus®) in Treatment-Naive Subjects With Genotype 1 Chronic Hepatitis C

A Phase 3 study to evaluate the efficacy and safety of two dosing regimens of telaprevir in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) and ribavirin (RBV).

Conditions
Hepatitis C
Being tested
Pegylated Interferon Alfa 2a, Telaprevir, Ribavirin, 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.

  • Pegylated Interferon Alfa 2aBiological

    Also called Pegasys, Peg-IFN-alfa-2a

    subcutaneous injection, 180 micrograms once per week

  • TelaprevirDrug

    Also called VX-950

    375 mg tablets administered orally every 8 hours at a dose of 750 mg

  • RibavirinDrug

    Also called Copegus, RBV

    200 mg tablets administered orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing ≥75 kg

  • PlaceboOther

    Telaprevir matching placebo

Study groups in NCT00627926
Study groupRoleWhat they receive
PBO 12 Week+Peg-IFN-alfa-2a, RBV 48 WeekPlacebo comparatorPlacebo (PBO) matched to telaprevir 750 mg 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 48 weeks.
Receives: Biological: Pegylated Interferon Alfa 2a; Drug: Ribavirin; Other: Placebo
Telaprevir 8 Week, PBO 4 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekExperimentalTelaprevir 750 mg tablet thrice daily for 8 weeks, then PBO matched to Telaprevir 750 mg tablet thrice daily for 4 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 24 to 48 weeks depending on individual response to telaprevir treatment.
Receives: Biological: Pegylated Interferon Alfa 2a; Drug: Telaprevir; Drug: Ribavirin; Other: Placebo
Telaprevir 12 Week+Peg-IFN-alfa-2a, RBV 24/48 WeekExperimentalTelaprevir 750 mg tablet thrice daily for 12 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 24 to 48 weeks depending on individual response to telaprevir treatment.
Receives: Biological: Pegylated Interferon Alfa 2a; Drug: Telaprevir; Drug: Ribavirin

What is being measured

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

  1. Number of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study Treatment

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. Two results are reported: 1) Protocol defined SVR: undetectable HCV RNA at 24 weeks after the last planned dose of study treatment without any confirmed detectable HCV RNA between end of treatment visit (up to Week 48) and 24 weeks after last planned dose (up to Week 72); 2) SVR as per FDA guidance (snapshot analysis): undetectable HCV RNA at 24 weeks after the last planned dose of study treatment. Analysis was based only on the HCV RNA assessment in visit window (+/-2 weeks); if there were more than 1 assessment in the window, the last measurement was used.

    Measured: 24 weeks after last planned dose of study treatment (up to Week 72)

Secondary outcomes (12)
  1. Number of Subjects With Undetectable HCV RNA at Week 72

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

    Measured: Week 72 (24 weeks after last dose for subjects with a planned treatment duration of 48 weeks and 48 weeks after last dose for subjects with planned treatment duration of 24 weeks)

  2. Number of Subjects Achieving Rapid Viral Response (RVR), Demonstrated by Achieving Undetectable HCV RNA 4 Weeks After Starting Study Treatment

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. RVR was defined as undetectable HCV RNA 4 weeks after the start of study treatment.

    Measured: Week 4

  3. Number of Subjects Achieving Extended Rapid Viral Response (eRVR), Demonstrated by Achieving Undetectable HCV RNA at Week 4 and at Week 12

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. eRVR was defined as undetectable HCV RNA at both Week 4 and Week 12.

    Measured: Week 4 and Week 12

  4. Number of Subjects With Undetectable HCV RNA at Week 12

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

    Measured: Week 12

  5. Number of Subjects With Undetectable HCV RNA at End of Treatment (EOT)

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

    Measured: End of treatment (up to Week 48)

  6. Number of Subjects With Undetectable HCV RNA 12 Weeks After Last Planned Dose of Study Treatment

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

    Measured: 12 weeks after last planned dose of study treatment (up to Week 60)

  7. Number of Subjects With Undetectable HCV RNA 24 Weeks After Last Actual Dose of Study Treatment

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL.

    Measured: 24 weeks after last actual dose of study treatment (up to Week 72)

  8. Number of Subjects With Viral Relapse Planned and Viral Relapse Actual

    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 quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. For viral relapse, 2 analyses were performed: planned and actual. The planned analyses was measured from the end of treatment (EOT) visit to 24 weeks after the last planned dose of study treatment. The actual analyses was measured from the EOT visit to 24 weeks after the last actual dose of study treatment.

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

  9. Biochemical Response: Number of Subjects With Grade 3 and 4 Shifts From Baseline in Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) Levels

    Criteria for grading severity (toxicity) of ALT and AST: Grade 0 (<1.25*upper limit of normal [ULN]); Grade 1 (mild=1.25 to 2.5*ULN); Grade 2 (moderate=2.6 to 5.0*ULN); Grade 3 (severe= greater than 5.0 to 20.0*ULN); Grade 4 (life-threatening= greater than 20.0*ULN). Number of subjects with Grade 3 shift (from Grade 0, Grade 1 or Grade 2 baseline) and Grade 4 shift (from Grade 0, Grade 1, Grade 2 or Grade 3 baseline) are reported. If a subject experienced more than 1 severity grade shifts during post baseline assessments, the maximum severity grade shift was considered.

    Measured: Baseline up to Week 48

  10. Noninvasive Markers of Fibrosis: Number of Subjects With Improvement in FibroTest Analysis

    FibroTest analysis was a biomarker analysis test used to generate a score that was correlated with the degree of liver damage. The FibroTest score was calculated from the results of a six-parameter blood test, combining six serum markers (alpha-2-macroglobulin, haptoglobin, apolipoprotein A1, gamma-glutamyl transpeptidase, total bilirubin, and alanine transaminase). The FibroTest score (F score) may range from 0.00 (Grade F0) to 1.00 (Grade F4), where F0= no fibrosis and F4=cirrhosis. Results were presented separately for subjects who achieved SVR at 24 weeks after the last planned dose of study treatment and those who did not achieve SVR at 24 weeks after the last planned dose of study treatment. Improvement was defined as decrease of at least 1 grade relative to baseline.

    Measured: Baseline through 24 weeks after last planned dose of study treatment (up to Week 72)

  11. Fatigue Severity Scale (FSS) Total Score

    FSS was a 9-item questionnaire where each item was scored on a scale of 1 to 7 (higher scores indicated higher influence of fatigue). FSS total score was calculated as the average of individual items on the questionnaire and FSS total score ranged from 1 to 7, where higher score indicated higher influence of fatigue.

    Measured: Baseline, Week 4, 12, 24, 36, 48, 72

  12. 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 Week 48

Timeline

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

  1. First posted4 Mar 2008 (estimated)
  2. Study startMar 2008
  3. Primary completionMay 2010
  4. Study completionMay 2010

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,095 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00627926
Sponsor's protocol ID
VX07-950-108
Status last verified
Jul 2014
First submitted
22 Feb 2008
Last updated
8 Aug 2014
Data monitoring committee
Yes

Publications

  • Jacobson IM, McHutchison JG, Dusheiko G, Di Bisceglie AM, Reddy KR, Bzowej NH, Marcellin P, Muir AJ, Ferenci P, Flisiak R, George J, Rizzetto M, Shouval D, Sola R, Terg RA, Yoshida EM, Adda N, Bengtsson L, Sankoh AJ, Kieffer TL, George S, Kauffman RS, Zeuzem S; ADVANCE Study Team. Telaprevir for previously untreated chronic hepatitis C virus infection. N Engl J Med. 2011 Jun 23;364(25):2405-16. doi: 10.1056/NEJMoa1012912.

    PubMed 21696307

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pegylated Interferon Alfa 2a, Telaprevir and Ribavirin in people with Hepatitis C, run by Vertex Pharmaceuticals Incorporated at 116 sites in 13 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 6 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 8 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 116 sites in United States, Germany, France, Australia, Poland and 8 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. 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 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 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?

Number of Subjects Achieving Sustained Viral Response (SVR), Demonstrated by Achieving Undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels 24 Weeks After Last Planned Dose of Study Treatment (time frame: 24 weeks after last planned dose of study treatment (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 NCT00627926, 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 8 Aug 2014.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in