Hepatitis C, ChronicNCT01070550
PROPHESYS 1: An Observational Study on Predictors of Response in Treatment-naïve Patients With Chronic Hepatitis C Virus (HCV)Treated With Pegasys (Peginterferon Alfa-2a)
An observational study of Hepatitis C, Chronic, run by Hoffmann-La Roche at 266 sites in 14 countries.
Trial summary
This observational study will assess predictors of early on-treatment and sustained virological response in treatment-naïve patients with chronic hepatitis C initiated on treatment with Pegasys (peginterferon alfa-2a) and ribavirin. 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 (Pegasys®)
- How many people
- 4,680 participants
- Where
- 266 sitesin 14 countries
- Study dates
- Jun 2007to Jul 2011
- Phase
- Observational
- 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
Study population: Patients receiving peginterferon alfa-2a treatment at a medical centre
Who may be able to join
- adult patients, >/= 18 years of age
- chronic hepatitis C
- informed consent to data collection
Who cannot join
- co-infection with HIV or Hepatitis B Virus (HBV)
- previous treatment with peginterferon and/or ribavirin
Trial locations and contacts
266 sites in 14 countries.
266 sites in 14 countries
France113 sites
Study site
Agen, 47002
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Aix-en-Provence, 13616
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Albi, 81000
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Amiens, 80054
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Angers, 49033
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Annecy, 74000
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Antibes, 06600
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Argenteuil, 95100
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Argenteuil, 95107
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Aulnay-sous-Bois, 93600
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Aulnay-sous-Bois, 93602
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Bastia, 20200
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Beaumont, 63110
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Beausoleil, 06240
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Beauvais, 60021
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Besançon, 25000
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Besançon, 25030
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Béziers, 34500
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Béziers, 34525
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Bordeaux, 33000
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Bordeaux, 33300
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Boulogne-Billancourt, 92104
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Bourgoin, 38317
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Caen, 14033
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Chambéry, 73000
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Clermont-Ferrand, 63023
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Clichy, 92118
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Colmar, 68024
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Cornebarrieu, 31700
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Creil, 60100
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Créteil, 94000
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Créteil, 94010
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Dijon, 21000
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Dijon, 21079
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Druex, 28107
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Évreux, 27000
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Fréjus, 83608
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Freyming-Merlebach, 57800
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Grasse, 06130
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Grenoble, 38043
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Hérouville-Saint-Clair, 14200
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Hyères, 83400
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La Rochelle, 17100
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La Valette-du-Var, 83160
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Lagny-sur-Marne, 77405
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Le Chesnay, 78157
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Le Havre, 76600
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Le Kremlin-Bicêtre, 94276
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Lille, 59037
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Limoges, 87042
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Lomme, 59160
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Lorient, 56322
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Lyon, 69009
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Lyon, 69288
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Lyon, 69437
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Marseille, 13002
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Marseille, 13013
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Marseille, 13015
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Marseille, 13285
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Marseille, 13385
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Martigues, 13500
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Meaux, 77104
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Melun, 77011
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Menton, 06507
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Metz, 57038
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Metz, 57045
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Monaco, 98012
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Montauban, 82013
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Montpellier, 34000
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Montpellier, 34295
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Mulhouse, 68070
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Muret, 31607
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Nanterre, 92000
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Nantes, 44000
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Nantes, 44035
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Nice, 06000
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Nice, 06202
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Nîmes, 30029
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Nîmes, 30900
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Ollioules, 83190
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Orange, 84100
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Orléans, 45100
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Paris, 75014
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Paris, 75018
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Paris, 75571
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Paris, 75651
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Paris, 75970
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Périgueux, 24019
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Perpignan, 66046
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Pessac, 33604
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Poissy, 78303
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Poitiers, 86021
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Pont-à-Mousson, 54700
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Reims, 51092
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Rennes, 35033
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Rouen, 76031
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Saint-Dizier, 52115
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Saint-Jean-de-Verges, 09000
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Saint-Laurent-du-Var, 06700
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Saint-Mandé, 94163
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Sète, 34207
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Ste Maxime, 83120
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Strasbourg, 67091
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Tarbes, 65951
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Toulon, 83000
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Toulouse, 31054
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Toulouse, 31059
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Toulouse, 31076
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Toulouse, 31077
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Tourcoing, 59200
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Valenciennes, 59322
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Vandœuvre-lès-Nancy, 54511
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Villejuif, 94804
Canada34 sites
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Barrie, Ontario, L4M 5G1
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Brampton, Ontario, L6S 1C0
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Calgary, Alberta, T2G 0H5
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Edmonton, Alberta, T6G 2C8
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Etobicoke, Ontario, M9V 4B8
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Greater Sudbury, Ontario, P3E 1B8
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Guelph, Ontario, N1E 6Z1
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Kelowna, British Columbia, V1Y 1T2
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Lévis, Quebec, G6V 3Z1
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London, Ontario, N6A 5R9
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Montreal, Quebec, H2L 4P9
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Montreal, Quebec, H2L 5B1
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Nanaimo, British Columbia, V9R 5N9
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New Westminster, British Columbia, V3L 3W5
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Newmarket, Ontario, L3Y 2P6
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North Bay, Ontario, P1B 2H3
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Oakville, Ontario, L6J 1X8
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Oshawa, Ontario, L1G 2B9
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Oshawa, Ontario, L1J 2J9
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Ottawa, Ontario, K2B 8E8
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Prince George, British Columbia, V2M 5J6
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Québec, Quebec, G1L 3L5
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Québec, Quebec, G1R 1S9
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Québec, Quebec, QC G1S 4L8
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Saint-Charles-Borromée, Quebec, J6E 2C3
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Saint-Jean-sur-Richelieu, Quebec, J2X 4C7
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Scarborough Village, Ontario, M1T 3V3
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St. John's, Newfoundland and Labrador, A1E 2Z1
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Toronto, Ontario, M5A 1L5
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Toronto, Ontario, M6A 3B2
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Vancouver, British Columbia, V6Z 2C7
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Victoria, British Columbia, V8R 6R3
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Windsor, Ontario, N8X 5A6
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Winnipeg, Manitoba, R2W 5L4
Hungary28 sites
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Ajka, H-8400
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Békéscsaba, 5600
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Budapest, 1083
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Budapest, 1088
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Budapest, 1097
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Budapest, 1135
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Budapest, H-1125
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Debrecen, 4032
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Debrecen, H-4031
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Eger, 3300
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Győr, 9024
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Gyula, 5700
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Kaposvár, 7400
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Kecskemét, 6000
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Kistarcsa, 2143
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Miskolc, 3529
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Miskolc, H-3501
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Nyíregyháza, 4400
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Pécs, 7623
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Pécs, 7654
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Szeged, 6720
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Székesfehérvár, 8000
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Szekszárd, 7100
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Szolnok, 5000
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Szombathely, 9700
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Tatabánya, 2800
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Zalaegerszeg, 8900
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Zalaegerszeg, 8901
Brazil22 sites
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Belém, Pará, 66035-080
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Belo Horizonte, Minas Gerais, 31270-901
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Botucatu, São Paulo, 18600-400
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Campinas, São Paulo, 13026-210
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Campinas, São Paulo, 13081-970
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Goiânia, Goiás, 74535170
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Porto Alegre, Rio Grande do Sul, 90035-003
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Recife, Pernambuco, 50100-130
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Recife, Pernambuco, 50670-420
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Ribeirão Preto, São Paulo, 14085-410
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Rio de Janeiro, Rio de Janeiro, 20270-004
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Rio de Janeiro, Rio de Janeiro, 20529-900
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Rio de Janeiro, Rio de Janeiro, 22410002
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Rio Grande, Rio Grande do Sul, 96200-310
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Salvador, Estado de Bahia, 41110-170
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Santos, São Paulo, 11015470
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São Paulo, São Paulo, 01246-900
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São Paulo, São Paulo, 01246-903
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São Paulo, São Paulo, 04040-002
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São Paulo, São Paulo, 1246-000
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São Paulo, São Paulo, 1323020
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São Paulo, São Paulo, 4029000
Romania22 sites
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Arad, 310037
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Brasov, 500007
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Brasov, 500174
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Brasov, 500326
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Bucharest, 005098
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Bucharest, 010825
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Bucharest, 020475
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Bucharest, 021105
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Bucharest, 022328
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Bucharest, 030303
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Bucharest, 21105
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Cluj-Napoca, 400015
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Cluj-Napoca, 400162
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Constanța, 8700
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Constanța, 900900
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Constanța
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Iași, 700111
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Iași, 700116
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Sector 2, 020125
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Târgu Mureş, 540136
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Timișoara, 293406
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Timișoara, 300310
Mexico11 sites
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Chihuahua City, 31000
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Chihuahua City, 31170
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Culiacán, 80230
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Guadalajara, 44650
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Hermosillo, 83150
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Mexicali, 21000
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Mexico City, 11649
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Mexico City, 14050
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Monterrey, 64710
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Puebla City, 72550
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Puebla City, 72560
Austria9 sites
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Gratwein, 8112
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Graz, 8036
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Innsbruck, 6020
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Linz, 4010
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Linz, 4020
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Vienna, 1030
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Vienna, 1090
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Vienna, 1100
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Vienna, 1160
Sweden6 sites
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Eskilstuna, 63188
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Halmstad, S301 85
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Huddinge, 14186
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Linköping, 58185
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Lund, 22185
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Örebro, 70185
Croatia5 sites
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Osijek, 31000
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Pula, 52000
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Split, 21000
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Zadar, 23000
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Zagreb, 10000
Poland5 sites
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Bydgoszcz, 85-030
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Lodz, 91-347
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Warsaw, 01-201
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Warsaw, 02-507
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Wroclaw, 51-124
Slovenia4 sites
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Celje, 3000
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Ljubljana, 1000
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Maribor, 2000
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Novo Mesto, 8000
Morocco3 sites
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Casablanca, 20000
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Casablanca, 20100
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Rabat, 504
Serbia3 sites
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Belgrade, 11000
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Niš, 18000
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Novi Sad, 21000
About this study
Official title: Prospective Observational Study on Predictors of Early On-treatment Response and Sustained Virological Response in a Cohort of Treatment naïve HCV-infected Patients Treated With Pegylated Interferons.
This observational study will assess predictors of early on-treatment and sustained virological response in treatment-naïve patients with chronic hepatitis C initiated on treatment with Pegasys (peginterferon alfa-2a) and ribavirin. Data will be collected during the treatment period (24 or 48 weeks) and 12 and 24 weeks after the end of treatment. Target sample size is <5000.
- Conditions
- Hepatitis C, Chronic
- Being tested
- Peginterferon 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.
Peginterferon alfa-2a (Pegasys®)Drug
Peginterferon (PEG-IFN) alfa-2a Peginterferon/ribavirin treatment period as prescribed by treating physician (e.g. 24 or 48 weeks) and treatment-free follow-up period of 24 weeks.
| Study group | Role | What they receive |
|---|---|---|
| Cohort | Participants chronically infected with the hepatitis C virus including Genotypes 1 to 6. Receives: Drug: Peginterferon alfa-2a (Pegasys®) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Sustained Virological Response by Genotype in Modified All Treated Population
Sustained virological response (SVR) was defined as virological response (VR) at 24 weeks after end of treatment (EOT). Virological response was defined as hepatitis C virus ribonucleic acid (HCV RNA) of <15 international units per milliliter (IU/mL) as assessed by COBAS AmpliPrep/COBAS TaqMan (CAP/CTM) or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (lower limit of detection [LLOD] 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The SVR is reported in treatment naive hepatitis C virus (HCV) mono-infected modified all-treated (mTRT) who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Sustained Virological Response by Genotype in Per-Protocol Population
Sustained virological response was defined as VR at 24 weeks after EOT. Virological response was defined as HCV RNA of <15 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The SVR is reported in treatment naive HCV mono-infected per protocol (PP) population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Modified Sustained Virological Response by Genotype in Modified All-Treated Population
Modified sustained virological response (mSVR) was defined as modified virological response (mVR) of HCV RNA <50 IU/mL at 24 weeks after EOT. The mSVR is reported in treatment naive HCV mono-infected mTRT who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Modified Sustained Virological Response by Genotype in Per-Protocol Population
Modified sustained virological response is defined as mVR of HCV RNA <50 IU/mL at 24 weeks after EOT. The mSVR is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 4 and Week 12 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Modified All-Treated Population
The probability that a participant who developed VR by Week 4 and 12 and also achieved mSVR at 24 weeks after EOT was called the positive predictive value (PPV) of the VR by Wk 4 for mSVR. The probability that a participant who failed to develop VR by Wk 4 and 12 and also failed to achieve mSVR at 24 weeks after EOT was called the negative predictive value (NPV) of the VR by Wk 4 and 12 for mSVR. Predictive values of VR are reported in treatment naive HCV mono-infected mTRT participants who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 4 and 12 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Per-Protocol Population
The probability that a participant who developed VR by Week 4 and 12 and also achieved mSVR at 24 weeks after EOT was called the PPV of the VR by Wk 4 for mSVR. The probability that a participant who failed to develop VR by Wk 4 and 12 and also failed to achieve mSVR at 24 weeks after EOT was called the NPV of the VR by Wk 4 and 12 for mSVR. Predictive values of VR are reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Secondary outcomes (16)
Percentage of Participants With Virological Response by Genotype in Modified All-Treated Population Over Time
Virological response was defined as HCV RNA <15 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The VR is reported in treatment naive HCV mono-infected mTRT population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At Week 2, Week 4, and Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Virological Response by Genotype in Per-Protocol Population Over Time
Virological response was defined as HCV RNA <15 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The VR is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Modified Virological Response by Genotype in Modified All-Treated Population Over Time
Modified virological response was defined as HCV RNA <50 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The mVR is reported in treatment naive HCV mono-infected mTRT population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Modified Virological Response by Genotype in Per-Protocol Population Over Time
Modified virological response is defined as HCV RNA <50 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The mVR is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With At Least 2-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Modified All-Treated Population at Week 2, Week 4 and Week 12
Participants with 2-logarithm (log) drop in HCV RNA including HCV RNA values <50 IU/mL in the serum from baseline to Week 2, Week 4 and Week 12, expressed in terms of a logarithmic scale with base 10 were evaluated and reported. A 2 log drop in HCV RNA was defined as drop of HCV viral load by 99%. The 2 log drop in HCV RNA is reported in treatment naive HCV mono-infected mTRT population who received PEG-IFN alfa-2a.
Measured: At Week 2, Week 4, and Week 12
Percentage of Participants With At Least a 2-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Per-Protocol Population at Week 2, Week 4 and Week 12
Participants with 2-log drop in HCV RNA including HCV RNA values <50 IU/mL in the serum from baseline to Week 2, Week 4 and Week 12, expressed in terms of a logarithmic scale with base 10 were evaluated and reported. A 2 log drop in HCV RNA was defined as drop of HCV viral load by 99%. The 2 log drop in HCV RNA is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a.
Measured: Week 2, Week 4, and Week 12
Percentage of Participants With At Least 1-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Modified All-Treated Population at Week 2, Week 4 and Week 12
Participants with 1-log drop in HCV RNA including HCV RNA values <50 IU/mL in the serum from baseline to Week 2, Week 4 and Week 12, expressed in terms of a logarithmic scale with base 10 were evaluated and reported. A 1- log drop in HCV RNA was defined as drop of HCV viral load by 90%. The 1- log drop in HCV RNA was reported in treatment naive HCV mono-infected mTRT population who received PEG-IFN alfa-2a.
Measured: Week 2, Week 4, and Week 12
Percentage of Participants With At Least 1 Log Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Per-Protocol Population at Week 2, Week 4 and Week 12
Participants with 1-log drop in HCV RNA including HCV RNA values <50 IU/mL in the serum from baseline to Week 2, Week 4 and Week 12, expressed in terms of a logarithmic scale with base 10 were evaluated and reported. A 1- log drop in HCV RNA was defined as drop of HCV viral load by 90%. The 1- log drop in HCV RNA was reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a.
Measured: Week 2, Week 4, and Week 12
Number of Participants With Response by Disjoint Categories by Genotype in Modified All-Treated Population at Week 4 and Week 12
Rapid virological response (RVR) was defined as VR by Week 4, Modified rapid virological response (mRVR) was defined as mVR by Week 4, Complete early virological response (cEVR) was defined as VR by Week 12, but no RVR, Modified complete early virological response (mcEVR) was defined as mVR by Week 12, but no mRVR, Partial early virological response (pEVR) was defined as at least a 2-log10 drop in HCV RNA as compared to baseline (including HCV RNA values <50 IU/mL) by, Week 12, but no RVR and no cEVR, Modified partial early virological response (mpEVR) was defined as at least a 2-log10 drop in HCV RNA as compared to baseline by Week 12, but no mRVR and no mcEVR. The data is reported in treatment naive HCV mono-infected mTRT participants who received PEG-IFN alfa-2a.
Measured: Week 4 and Week 12
Number of Participants With Response by Disjoint Categories by Genotype in Per-Protocol Population at Week 4 and Week 12
RVR defined was as VR by Week 4, mRVR was defined as mVR by Week 4, cEVR was defined as VR by Week 12, but no RVR, mcEVR was defined as mVR by Week 12, but no mRVR, pEVR was defined as at least a 2-log10 drop in HCV RNA as compared to baseline (including HCV RNA values <50 IU/mL) by Week 12, but no RVR and no cEVR, mpEVR was defined as at least a 2-log10 drop in HCV RNA as compared to baseline by Week 12, but no mRVR and no mcEVR. The data is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a.
Measured: At Week 4 and Week 12
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Modified All-Treated Population at 12 Weeks After End of Treatment
Participants whose last test result in their respective follow-up time window showed mVR were considered to have maintained their modified end of treatment response (mEOT-R). Participants whose last test result in the respective follow-up time window did not show mVR, or who did not have a test result in the respective follow-up time window but whose last follow-up test result before the time window did not show mVR, were considered to have relapsed. Only participants with mEOT-R who had a HCV RNA measurement in the follow-up time window (without use of backward imputation), or whose last HCV RNA measurement at a follow-up time point before the time window did not show mVR, were included in the calculations. The percentage of participants with relapse is reported in treatment naive mTRT population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 12 Weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Per Protocol Population at 12 Weeks After End of Treatment
Participants whose last test result in their respective follow-up time window showed mVR were considered to have maintained their mEOT-R. Participants whose last test result in the respective follow-up time window did not show mVR, or who did not have a test result in the respective follow-up time window but whose last follow-up test result before the time window did not show mVR, were considered to have relapsed. Only participants with mEOT-R who had a HCV RNA measurement in the follow-up time window (without use of backward imputation), or whose last HCV RNA measurement at a follow-up time point before the time window did not show mVR, were included in the calculations. The percentage of participants with relapse is reported in treatment naive PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 12 weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Modified All-Treated Population at 24 Weeks After End of Treatment
Participants whose last test result in the follow-up time window showed mVR were considered to have maintained their mEOT-R. Participants whose last test result in the respective follow-up time window did not show mVR, or who did not have a test result in the respective follow-up time window but whose last follow-up test result before the time window did not show mVR, were considered to have relapsed. Only participants with mEOT-R who had a HCV RNA measurement in the follow-up time window (without use of backward imputation), or whose last HCV RNA measurement at a follow-up time point before the time window did not show mVR, were included in the calculations. The percentage of participants with relapse was reported in treatment naive mTRT population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Per Protocol Population at 24 Weeks After End of Treatment
Participants whose last test result in the follow-up time window showed mVR were considered to have maintained their mEOT-R. Participants whose last test result in the respective follow-up time window did not show mVR, or who did not have a test result in the respective follow-up time window but whose last follow-up test result before the time window did not show mVR, were considered to have relapsed. Only participants with mEOT-R who had a HCV RNA measurement in the follow-up time window (without use of backward imputation), or whose last HCV RNA measurement at a follow-up time point before the time window did not show mVR, were included in the calculations. The percentage of participants with relapse is reported in treatment naive PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 2 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Modified All-Treated Population
The probability that a participant who developed VR by Wk 2 also achieved mSVR at 24 weeks after EOT was called the PPV of the VR by Wk 2 for mSVR. The probability that a participant who failed to develop VR by Wk 2 and also failed to achieve mSVR at 24 weeks after EOT was called the NPV of the VR by Wk 2 for mSVR. Predictive Values of VR was reported in treatment naive HCV mono-infected mTRT population receiving PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 2 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Per-Protocol Population
The probability that a participant who developed VR by Wk 2 and also achieved mSVR at 24 weeks after EOT was called the PPV of the VR by Wk 2 for mSVR. The probability that a participant who failed to develop VR by Wk 2 and also failed to achieve mSVR at 24 weeks after EOT was called the NPV of the VR by Wk 2 for mSVR. Predictive values of VR are reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Measured: At 24 weeks after EOT
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Feb 2010 (estimated)
- Study startJun 2007
- Primary completionJul 2011
- Study completionJul 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 4,680 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
- NCT01070550
- Sponsor's protocol ID
- MV21012
- Status last verified
- May 2016
- First submitted
- 9 Feb 2010
- Last updated
- 15 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Ascione A, Bruno S, Coppola C, Mangia A, Orlandini A, Schmitz M, Deodato B, Puoti M. Treatment Outcomes and Predictors of Response in Treatment-Naive HCV Patients Treated with Peginterferon Alfa/Ribavirin in Real-World Italian Clinics: Sub-Analysis from the PROPHESYS Cohort. Hepatogastroenterology. 2014 Jun;61(132):1094-106.
PubMed 26158171Ferenci P, Aires R, Ancuta I, Arohnson A, Cheinquer H, Delic D, Gschwantler M, Larrey D, Tallarico L, Schmitz M, Tatsch F, Ouzan D. A tool for selecting patients with a high probability of sustained virological response to peginterferon alfa-2a (40kD)/ribavirin. Liver Int. 2014 Nov;34(10):1550-9. doi: 10.1111/liv.12439. Epub 2014 Jan 9.
PubMed 24329937
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Observational Study on Predictors of Early On-treatment Response and Sustained Virological Response in a Cohort of Treatment naïve HCV-infected Patients Treated With Pegylated Interferons.
- ClinicalTrials.gov ID
- NCT01070550
- Acronym / sponsor ID
- MV21012
- Conditions
- Hepatitis C, Chronic
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,680 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Jun 2007
- Primary completion
- Jul 2011 (actual)
- Study completion
- Jul 2011 (actual)
- First posted
- 18 Feb 2010 (estimated)
- Results
- Posted 15 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This observational study will assess predictors of early on-treatment and sustained virological response in treatment-naïve patients with chronic hepatitis C initiated on treatment with Pegasys (peginterferon alfa-2a) and ribavirin. Data will be collected during the treatment period (24 or 48 weeks) and 12 and 24 weeks after the end of treatment. Target sample size is <5000.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Cohort | – | Drug: Peginterferon alfa-2a (Pegasys®)Participants chronically infected with the hepatitis C virus including Genotypes 1 to 6. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients receiving peginterferon alfa-2a treatment at a medical centre
Key inclusion criteria (3 listed)
- adult patients, >/= 18 years of age
- chronic hepatitis C
- informed consent to data collection
Key exclusion criteria (2 listed)
- co-infection with HIV or Hepatitis B Virus (HBV)
- previous treatment with peginterferon and/or ribavirin
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 |
|---|---|---|
| Peginterferon alfa-2a (Pegasys®)Peginterferon (PEG-IFN) alfa-2a Peginterferon/ribavirin treatment period as prescribed by treating physician (e.g. 24 or 48 weeks) and treatment-free follow-up period of 24 weeks. | Drug | Cohort |
Primary outcome
Percentage of Participants With Sustained Virological Response by Genotype in Modified All Treated Population
Time frame: At 24 weeks after EOT
Sustained virological response (SVR) was defined as virological response (VR) at 24 weeks after end of treatment (EOT). Virological response was defined as hepatitis C virus ribonucleic acid (HCV RNA) of <15 international units per milliliter (IU/mL) as assessed by COBAS AmpliPrep/COBAS TaqMan (CAP/CTM) or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (lower limit of detection [LLOD] 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The SVR is reported in treatment naive hepatitis C virus (HCV) mono-infected modified all-treated (mTRT) who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Percentage of Participants With Sustained Virological Response by Genotype in Per-Protocol Population
Time frame: At 24 weeks after EOT
Sustained virological response was defined as VR at 24 weeks after EOT. Virological response was defined as HCV RNA of <15 IU/mL as assessed by CAP/CTM or another HCV RNA test with at least the same degree of sensitivity. The CAP/CTM test is an in vitro nucleic acid amplification test for the quantification of HCV. This test possesses a high sensitivity (LLOD 15 IU/mL) and a broad linear range of quantification (43 IU/mL up to 69 million IU/mL) in all HCV genotypes. The SVR is reported in treatment naive HCV mono-infected per protocol (PP) population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Percentage of Participants With Modified Sustained Virological Response by Genotype in Modified All-Treated Population
Time frame: At 24 weeks after EOT
Modified sustained virological response (mSVR) was defined as modified virological response (mVR) of HCV RNA <50 IU/mL at 24 weeks after EOT. The mSVR is reported in treatment naive HCV mono-infected mTRT who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Percentage of Participants With Modified Sustained Virological Response by Genotype in Per-Protocol Population
Time frame: At 24 weeks after EOT
Modified sustained virological response is defined as mVR of HCV RNA <50 IU/mL at 24 weeks after EOT. The mSVR is reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Percentage of Participants With Predictive Values of Virological Response by Week 4 and Week 12 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Modified All-Treated Population
Time frame: At 24 weeks after EOT
The probability that a participant who developed VR by Week 4 and 12 and also achieved mSVR at 24 weeks after EOT was called the positive predictive value (PPV) of the VR by Wk 4 for mSVR. The probability that a participant who failed to develop VR by Wk 4 and 12 and also failed to achieve mSVR at 24 weeks after EOT was called the negative predictive value (NPV) of the VR by Wk 4 and 12 for mSVR. Predictive values of VR are reported in treatment naive HCV mono-infected mTRT participants who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
Percentage of Participants With Predictive Values of Virological Response by Week 4 and 12 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Per-Protocol Population
Time frame: At 24 weeks after EOT
The probability that a participant who developed VR by Week 4 and 12 and also achieved mSVR at 24 weeks after EOT was called the PPV of the VR by Wk 4 for mSVR. The probability that a participant who failed to develop VR by Wk 4 and 12 and also failed to achieve mSVR at 24 weeks after EOT was called the NPV of the VR by Wk 4 and 12 for mSVR. Predictive values of VR are reported in treatment naive HCV mono-infected PP population who received PEG-IFN alfa-2a. The EOT was 12, 24, 48 or 72 weeks after initiation of treatment.
16 secondary outcomes
Percentage of Participants With Virological Response by Genotype in Modified All-Treated Population Over Time
Time frame: At Week 2, Week 4, and Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Virological Response by Genotype in Per-Protocol Population Over Time
Time frame: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Modified Virological Response by Genotype in Modified All-Treated Population Over Time
Time frame: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With Modified Virological Response by Genotype in Per-Protocol Population Over Time
Time frame: At Week 2, Week 4, Week 12, EOT, and 12 weeks after EOT
Percentage of Participants With At Least 2-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Modified All-Treated Population at Week 2, Week 4 and Week 12
Time frame: At Week 2, Week 4, and Week 12
Percentage of Participants With At Least a 2-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Per-Protocol Population at Week 2, Week 4 and Week 12
Time frame: Week 2, Week 4, and Week 12
Percentage of Participants With At Least 1-logarithm10 Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Modified All-Treated Population at Week 2, Week 4 and Week 12
Time frame: Week 2, Week 4, and Week 12
Percentage of Participants With At Least 1 Log Drop in Hepatitis C Virus Deoxyribonucleic Acid by Genotype in Per-Protocol Population at Week 2, Week 4 and Week 12
Time frame: Week 2, Week 4, and Week 12
Number of Participants With Response by Disjoint Categories by Genotype in Modified All-Treated Population at Week 4 and Week 12
Time frame: Week 4 and Week 12
Number of Participants With Response by Disjoint Categories by Genotype in Per-Protocol Population at Week 4 and Week 12
Time frame: At Week 4 and Week 12
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Modified All-Treated Population at 12 Weeks After End of Treatment
Time frame: At 12 Weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Per Protocol Population at 12 Weeks After End of Treatment
Time frame: At 12 weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Modified All-Treated Population at 24 Weeks After End of Treatment
Time frame: At 24 weeks after EOT
Percentage of Participants With Relapse After Modified End of Treatment Response by Genotype in Per Protocol Population at 24 Weeks After End of Treatment
Time frame: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 2 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Modified All-Treated Population
Time frame: At 24 weeks after EOT
Percentage of Participants With Predictive Values of Virological Response by Week 2 on Modified Sustained Virological Response by Genotype After Treatment Initiation in Per-Protocol Population
Time frame: At 24 weeks after EOT
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26158171Ascione A, Bruno S, Coppola C, Mangia A, Orlandini A, Schmitz M, Deodato B, Puoti M. Treatment Outcomes and Predictors of Response in Treatment-Naive HCV Patients Treated with Peginterferon Alfa/Ribavirin in Real-World Italian Clinics: Sub-Analysis from the PROPHESYS Cohort. Hepatogastroenterology. 2014 Jun;61(132):1094-106.
- Derived from this study: PubMed 24329937Ferenci P, Aires R, Ancuta I, Arohnson A, Cheinquer H, Delic D, Gschwantler M, Larrey D, Tallarico L, Schmitz M, Tatsch F, Ouzan D. A tool for selecting patients with a high probability of sustained virological response to peginterferon alfa-2a (40kD)/ribavirin. Liver Int. 2014 Nov;34(10):1550-9. doi: 10.1111/liv.12439. Epub 2014 Jan 9.
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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
266 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hepatitis C, Chronic, run by Hoffmann-La Roche at 266 sites in 14 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 3 inclusion and 2 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 15 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 266 sites in France, Canada, Hungary, Brazil, Romania and 9 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.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Jun 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?
Percentage of Participants With Sustained Virological Response by Genotype in Modified All Treated Population (time frame: At 24 weeks after EOT). The study lists 6 primary outcomes in all. 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 NCT01070550, 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 15 Jun 2016.