Hepatitis CPhase 2NCT01183169
Efficacy and Safety of Adding Alisporivir (DEB025) to Peginterferon (IFN) Alfa-2a (Peg-IFN Alfa-2a) and Ribavirin in Chronic HCV Genotype 1 Patients Who Relapsed or Did Not Respond to Previous Treatment
A Phase 2 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 75 sites in 14 countries.
Trial summary
The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and 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?
- Alisporivir, Peginterferon alfa-2a and Ribavirin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 459 participants
- Where
- 75 sitesin 14 countries
- Study dates
- Aug 2010to May 2013
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Chronic HCV genotype 1 viral infection
- HCV RNA ≥ 1,000 IU/ml assessed by quantitative polymerase chain reaction (qPCR) or equivalent at screening
- Previous non-responders/relapsers to PEG and RBV after treatment for at least 12 weeks
Who cannot join
- Treatment with any anti-HCV drug (whether approved or investigational) within 3 months prior to screening
- Women of child-bearing potential unless using highly effective
- Any other cause of relevant liver disease other than HCV
- Other protocol-defined inclusion/exclusion criteria may apply
Trial locations and contacts
75 sites in 14 countries.
75 sites in 14 countries
United States18 sites
Novartis Investigative Site
Arlington, Texas, 76012
Novartis Investigative Site
Bradenton, Florida, 34209
Novartis Investigative Site
Brooklyn, New York, 11230
Novartis Investigative Site
Dallas, Texas, 75246-2096
Novartis Investigative Site
Egg Harbor Twp, New Jersey, 08234
Novartis Investigative Site
Honolulu, Hawaii, 96814
Novartis Investigative Site
Honolulu, Hawaii, 96817
Novartis Investigative Site
Houston, Texas, 77030
Novartis Investigative Site
New York, New York, 10021
Novartis Investigative Site
Orlando, Florida, 32804
Novartis Investigative Site
San Antonio, Texas, 78215
Novartis Investigative Site
San Diego, California, 92101
Novartis Investigative Site
San Diego, California, 92115
Novartis Investigative Site
Springfield, Illinois, 62703
Novartis Investigative Site
Springfield, Massachusetts, 01107
Novartis Investigative Site
Tampa, Florida, 33607
Novartis Investigative Site
Topeka, Kansas, 66606
Novartis Investigative Site
Ventura, California, 93003
Taiwan7 sites
Novartis Investigative Site
Douliu, 640
Novartis Investigative Site
Kaohsiung City, 807
Novartis Investigative Site
Keelung, 20401
Novartis Investigative Site
Lin-Ko, 33305
Novartis Investigative Site
Niaosong Township, Taiwan, 83301
Novartis Investigative Site
Taipei, Taiwan, 10002
Novartis Investigative Site
Taipei, Taiwan, ROC, 112
Germany6 sites
Novartis Investigative Site
Berlin, 10969
Novartis Investigative Site
Cologne, 50937
Novartis Investigative Site
Frankfurt, 60590
Novartis Investigative Site
Freiburg im Breisgau, 79106
Novartis Investigative Site
Hamburg, 20099
Novartis Investigative Site
Leipzig, 04103
Hungary6 sites
Novartis Investigative Site
Békéscsaba, H-5600
Novartis Investigative Site
Budapest, 1083
Novartis Investigative Site
Budapest, 1126
Novartis Investigative Site
Debrecen, 4032
Novartis Investigative Site
Kaposvár, 7400
Novartis Investigative Site
Székesfehérvár, 8000
Italy6 sites
Novartis Investigative Site
Antella - Bagno A Ripoli, FI, 50012
Novartis Investigative Site
Bologna, 40138
Novartis Investigative Site
Padova, PD, 35128
Novartis Investigative Site
Palermo, PA, 90127
Novartis Investigative Site
Parma, PR, 43100
Novartis Investigative Site
Roma, RM, 00161
Spain6 sites
Novartis Investigative Site
Barcelona, Catalonia, 08003
Novartis Investigative Site
Barcelona, Catalonia, 08035
Novartis Investigative Site
Barcelona, Catalonia, 08036
Novartis Investigative Site
Madrid, Madrid, 28029
Novartis Investigative Site
Majadahonda, Madrid, 28222
Novartis Investigative Site
Seville, Andalusia, 41014
Australia5 sites
Novartis Investigative Site
Clayton, Victoria, 3168
Novartis Investigative Site
Fitzroy, Victoria, 3065
Novartis Investigative Site
Kingswood, New South Wales, 2747
Novartis Investigative Site
Kogarah, New South Wales, 2217
Novartis Investigative Site
Westmead, New South Wales, 2145
Romania5 sites
Novartis Investigative Site
Bucharest, District 1, 050526
Novartis Investigative Site
Bucharest, District 3, 030317
Novartis Investigative Site
Bucharest, Romania, 021105
Novartis Investigative Site
Bucharest, 020125
Novartis Investigative Site
Iași, Iaşi, 700506
Turkey (Türkiye)4 sites
Novartis Investigative Site
Ankara, Turkey, 06100
Novartis Investigative Site
Ankara, Turkey, 06800
Novartis Investigative Site
Fatih / Istanbul, 34098
Novartis Investigative Site
Izmir, Turkey, 35040
United Kingdom4 sites
Novartis Investigative Site
London, E1 1BB
Novartis Investigative Site
London, NW3 2PR
Novartis Investigative Site
London, W2 1NY
Novartis Investigative Site
Nottingham, NG7 2UH
Poland3 sites
Novartis Investigative Site
Bialystok, 15-540
Novartis Investigative Site
Lódz, 91-347
Novartis Investigative Site
Warsaw, 01-201
Belgium2 sites
Novartis Investigative Site
Brussels, 1070
Novartis Investigative Site
Leuven, 3000
France2 sites
Novartis Investigative Site
Nice, 06202
Novartis Investigative Site
Paris, 75006
About this study
Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Phase II Study on Efficacy and Safety of DEB025 Combined With Peg-IFN Alfa-2a and Ribavirin in Chronic Hepatitis C Genotype 1 Relapsers and Non-responders to Previous Peg-IFN Alfa-2 Plus Ribavirin Treatment
The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and RBV.
- Conditions
- Hepatitis C
- Being tested
- Alisporivir, Peginterferon alfa-2a, Ribavirin, Placebo
- Keywords
- Chronic hepatitis C, Cyclophilin inhibitor
- Medical subject headings
- Hepatitis C, Hepatitis C, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AlisporivirDrug
Also called DEB025, ALV
ALV 200 mg soft gel capsules administered orally
Peginterferon alfa-2aDrug
Also called Pegasys®, PEG
PEG 180 μg administered via subcutaneous (s.c.) injection once weekly
RibavirinDrug
Also called Copegus®, RBV
RBV 200 mg tablets (weight-based dose: < 75 mg = 1000 mg/day; ≥ 75 kg = 1200 mg/day) administered orally in a divided daily dose
PlaceboDrug
Also called ALV Placebo
ALV placebo soft gel capsules administered orally
| Study group | Role | What they receive |
|---|---|---|
| Treatment A: ALV 600 mg QD | Experimental | Alisporivir (ALV) 600 mg once daily (QD) with Peginterferon alfa-2a (PEG) and Ribavirin (RBV) for up to 48 weeks Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin |
| Treatment B: ALV 800 mg QD | Experimental | Alisporivir (ALV) 800 mg QD with PEG and RBV for up to 48 weeks Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin |
| Treatment C1: ALV Placebo - 600 mg QD | Experimental | ALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving complete early virologic response (cEVR) after 12 weeks of treatment may switch to active ALV 600 mg QD with PEG and RBV. Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin; Drug: Placebo |
| Treatment C2: ALV Placebo - 400 mg BID | Experimental | ALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving cEVR after 12 weeks of treatment may switch to active ALV 400 mg twice daily (BID) with PEG and RBV. Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin; Drug: Placebo |
| Treatment D: ALV 400 mg BID | Experimental | Alisporivir (ALV) 400 mg twice daily BID with PEG and RBV for up to 48 weeks Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)
cEVR-LOQ was defined as serum HCV RNA below the limit of quantification (< LOQ; i.e., 25 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
Measured: after 12 weeks of treatment
Secondary outcomes (9)
Percentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)
cEVR-LOD was defined as serum HCV RNA below the limit of detection (< LOD; i.e., 10 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
Measured: after 12 weeks of treatment
Percentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LOD
SVR12-LOQ and SVR12-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD 12 weeks after treatment, respectively.
Measured: 12 weeks after treatment
Percentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LOD
SVR24-LOQ and SVR24-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD 24 weeks after treatment, respectively.
Measured: 24 weeks after treatment
Percentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LOD
RVR-LOQ and RVR-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD after 4 weeks of treatment, respectively. Post-switch groups were assessed 4 weeks after the switch.
Measured: after 4 weeks of treatment
Percentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LOD
pEVR-LOQ and pEVR-LOD were defined as a ≥ 2 log10 decrease in HCV RNA and still detectable (≥ LOQ and ≥ LOD, respectively) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
Measured: after 12 weeks of treatment
Percentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LOD
ETR-LOQ and ETR-LOD were defined as serum HCV RNA < LOQ and serum HCV RNA < LOD at treatment end (completed or prematurely discontinued), respectively.
Measured: within 48 weeks
Percentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study End
Measured: Up to 48 weeks
Percentage of Participants With On-treatment Viral Breakthrough
On-treatment viral breakthrough was defined as either:
- Confirmed increase of HCV RNA ≥1 log10 above nadir (nadir = lowest HCV RNA value during treatment), or
- HCV RNA becoming ≥ 100 IU/mL after previously being undetectable (< LOQ) during treatment
Measured: within 48 weeks
Percentage of Participants With Viral Relapse
Viral relapse was defined as reappearance of detectable HCV RNA after previously being undetectable (< LOQ) during treatment.
Measured: within 24 weeks after treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2010 (estimated)
- Study startAug 2010
- Primary completionMay 2013
- Study completionMay 2013
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.
- Other trials for Hepatitis CStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 459 participants (actual)
Sponsor and investigators
- Lead sponsor
- Debiopharm International SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01183169
- Sponsor's protocol ID
- CDEB025A2210
- Other IDs
- 2010-020033-14
- Status last verified
- Jul 2016
- First submitted
- 16 Aug 2010
- Last updated
- 25 Aug 2016
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 25 Aug 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Phase II Study on Efficacy and Safety of DEB025 Combined With Peg-IFN Alfa-2a and Ribavirin in Chronic Hepatitis C Genotype 1 Relapsers and Non-responders to Previous Peg-IFN Alfa-2 Plus Ribavirin Treatment
- ClinicalTrials.gov ID
- NCT01183169
- Acronym / sponsor ID
- CDEB025A2210
- Conditions
- Hepatitis C
- Keywords
- Chronic hepatitis C, Cyclophilin inhibitor
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 459 participants (actual)
- Lead sponsor
- Debiopharm International SAIndustry (pharma, biotech, devices)
- Study start
- Aug 2010
- Primary completion
- May 2013 (actual)
- Study completion
- May 2013 (actual)
- First posted
- 17 Aug 2010 (estimated)
- Results
- Posted 25 Aug 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is to investigate whether participants with hepatitis C virus (HCV) genotype 1 who have a history of non-response/relapse to peginterferon alfa-2a (PEG) and ribavirin (RBV) may benefit from treatment with triple therapy alisporivir (ALV; DEB025) with PEG and RBV versus placebo with PEG and RBV.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Treatment A: ALV 600 mg QD | Experimental | Drug: Alisporivir, Drug: Peginterferon alfa-2a, Drug: RibavirinAlisporivir (ALV) 600 mg once daily (QD) with Peginterferon alfa-2a (PEG) and Ribavirin (RBV) for up to 48 weeks |
| Treatment B: ALV 800 mg QD | Experimental | Drug: Alisporivir, Drug: Peginterferon alfa-2a, Drug: RibavirinAlisporivir (ALV) 800 mg QD with PEG and RBV for up to 48 weeks |
| Treatment C1: ALV Placebo - 600 mg QD | Experimental | Drug: Alisporivir, Drug: Peginterferon alfa-2a, Drug: Ribavirin, Drug: PlaceboALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving complete early virologic response (cEVR) after 12 weeks of treatment may switch to active ALV 600 mg QD with PEG and RBV. |
| Treatment C2: ALV Placebo - 400 mg BID | Experimental | Drug: Alisporivir, Drug: Peginterferon alfa-2a, Drug: Ribavirin, Drug: PlaceboALV Placebo with PEG and RBV for up to 48 weeks; participants not achieving cEVR after 12 weeks of treatment may switch to active ALV 400 mg twice daily (BID) with PEG and RBV. |
| Treatment D: ALV 400 mg BID | Experimental | Drug: Alisporivir, Drug: Peginterferon alfa-2a, Drug: RibavirinAlisporivir (ALV) 400 mg twice daily BID with PEG and RBV for up to 48 weeks |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Chronic HCV genotype 1 viral infection
- HCV RNA ≥ 1,000 IU/ml assessed by quantitative polymerase chain reaction (qPCR) or equivalent at screening
- Previous non-responders/relapsers to PEG and RBV after treatment for at least 12 weeks
Key exclusion criteria (4 listed)
- Treatment with any anti-HCV drug (whether approved or investigational) within 3 months prior to screening
- Women of child-bearing potential unless using highly effective
- Any other cause of relevant liver disease other than HCV
- Other protocol-defined inclusion/exclusion criteria may apply
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 |
|---|---|---|
| AlisporivirAlso: DEB025, ALVALV 200 mg soft gel capsules administered orally | Drug | Treatment A: ALV 600 mg QD, Treatment B: ALV 800 mg QD, Treatment C1: ALV Placebo - 600 mg QD, Treatment C2: ALV Placebo - 400 mg BID, Treatment D: ALV 400 mg BID |
| Peginterferon alfa-2aAlso: Pegasys®, PEGPEG 180 μg administered via subcutaneous (s.c.) injection once weekly | Drug | Treatment A: ALV 600 mg QD, Treatment B: ALV 800 mg QD, Treatment C1: ALV Placebo - 600 mg QD, Treatment C2: ALV Placebo - 400 mg BID, Treatment D: ALV 400 mg BID |
| RibavirinAlso: Copegus®, RBVRBV 200 mg tablets (weight-based dose: < 75 mg = 1000 mg/day; ≥ 75 kg = 1200 mg/day) administered orally in a divided daily dose | Drug | Treatment A: ALV 600 mg QD, Treatment B: ALV 800 mg QD, Treatment C1: ALV Placebo - 600 mg QD, Treatment C2: ALV Placebo - 400 mg BID, Treatment D: ALV 400 mg BID |
| PlaceboAlso: ALV PlaceboALV placebo soft gel capsules administered orally | Drug | Treatment C1: ALV Placebo - 600 mg QD, Treatment C2: ALV Placebo - 400 mg BID |
Primary outcome
Percentage of Participants With Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ)
Time frame: after 12 weeks of treatment
cEVR-LOQ was defined as serum HCV RNA below the limit of quantification (< LOQ; i.e., 25 IU/mL) after 12 weeks of treatment. Post-switch groups were assessed 12 weeks after the switch.
9 secondary outcomes
Percentage of Participants With Complete Early Viral Response Below the Limit of Detection (cEVR-LOD)
Time frame: after 12 weeks of treatment
Percentage of Participants Who Achieved Sustained Viral Response 12 Weeks After Treatment (SVR12)-LOQ and SVR12-LOD
Time frame: 12 weeks after treatment
Percentage of Participants Who Achieved Sustained Viral Response 24 Weeks After Treatment (SVR24)-LOQ and SVR24-LOD
Time frame: 24 weeks after treatment
Percentage of Participants With Rapid Viral Response (RVR)-LOQ and RVR-LOD
Time frame: after 4 weeks of treatment
Percentage of Participants With Partial Early Virologic Response After 12 Weeks of Treatment (pEVR)-LOQ and pEVR-LOD
Time frame: after 12 weeks of treatment
Percentage of Participants With End of Treatment Response (ETR)-LOQ and ETR-LOD
Time frame: within 48 weeks
Percentage of Participants With Abnormal Alanine Aminotransferase (ALT) at Baseline Who Had Normalized ALT at Treatment End and Study End
Time frame: Up to 48 weeks
Percentage of Participants With On-treatment Viral Breakthrough
Time frame: within 48 weeks
Percentage of Participants With Viral Relapse
Time frame: within 24 weeks after treatment
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Aug 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
75 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 75 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 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 25 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 75 sites in United States, Taiwan, Germany, Hungary, Italy 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Aug 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 Complete Early Viral Response Below the Limit of Quantification (cEVR-LOQ) (time frame: after 12 weeks of treatment). 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 25 Aug 2016.