Hepatitis C, ChronicPhase 4NCT01258101
A Study of PEGASYS (Peginterferon Alfa-2a) Plus Ribavirin in Patients With Chronic Hepatitis C (CHC), Genotype 2 or 3
A Phase 4 study testing peginterferon alfa-2a [Pegasys] and ribavirin in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 18 sites in Austria.
Trial summary
This randomized, parallel arm study will evaluate the efficacy and safety of Pegasys (peginterferon alfa-2a) in combination with 2 different doses of ribavirin in patients with chronic hepatitis C, genotype 2 or 3. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- peginterferon alfa-2a [Pegasys] and ribavirin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 395 participants
- Where
- 18 sitesAustria
- Study dates
- May 2003to Jul 2008
- Phase
- Phase 4
- 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 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients, 18-65 years of age
- Chronic hepatitis C, genotype 2 or 3
- Positive HCV RNA level in serum at screening (COBAS AMPLICOR MONITOR HCV test)
- Abdominal sonography within 3 months prior to study start
Who cannot join
- Previous interferon and/or pegylated interferon and ribavirin therapy
- Liver cirrhosis, class B or C (Child-Pugh)
- Systemic anti-neoplastic or immunomodulatory treatment <=6 months before study drug
- History or evidence of medical condition associated with chronic liver disease other than chronic hepatitis C
- Decompensated liver disease
- Positive for HIV
Trial locations and contacts
18 sites in 1 country.
18 sites in 1 country
Austria18 sites
Study site
Gratwein, 8112
Study site
Graz, 8036
Study site
Innsbruck, 6020
Study site
Linz, 4010
Study site
Linz, 4020
Study site
Oberndorf, 5110
Study site
Ried-innkreis, 4910
Study site
Salzburg, 5020
Study site
Vienna, 1030
Study site
Vienna, 1090
Study site
Vienna, 1100
Study site
Vienna, 1130
Study site
Vienna, 1140
Study site
Vienna, 1160
Study site
Vienna, 1220
Study site
Villach, 9500
Study site
Wels, 4600
Study site
Wiener Neustadt, 2700
About this study
Official title: Randomized, Multicenter Study to Compare the Efficacy of Pegylated Interferon Alfa (PEG-IFN) in Combination With Two Different Doses of Ribavirin in Patients With Chronic Hepatitis C and Subtype 2/3
This randomized, parallel arm study will evaluate the efficacy and safety of Pegasys (peginterferon alfa-2a) in combination with 2 different doses of ribavirin in patients with chronic hepatitis C, genotype 2 or 3. Patients will be randomized to 4 treatment groups receiving Pegasys (180 mcg subcutaneously weekly) for either 16 or 24 weeks with one of two doses of ribavirin (400 mg or 800 mg orally daily). The anticipated time on study treatment is 16 or 24 weeks with a 24-week follow-up.
- Conditions
- Hepatitis C, Chronic
- Being tested
- peginterferon alfa-2a [Pegasys], ribavirin
- Medical subject headings
- Hepatitis C, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
peginterferon alfa-2a [Pegasys]Drug
180 mcg sc weekly, 24 weeks
peginterferon alfa-2a [Pegasys]Drug
180 mcg sc weekly, 16 weeks
ribavirinDrug
800 mg orally daily
ribavirinDrug
400 mg orally daily
| Study group | Role | What they receive |
|---|---|---|
| Peginterferon/Ribavirin 800 mg (24 Weeks) | Experimental | Participants received peginterferon alfa-2a (PEG-IFNα-2a) 180 mcg once weekly + Ribavirin 800 mg daily for 24 weeks (W). Receives: Drug: peginterferon alfa-2a [Pegasys]; Drug: ribavirin |
| Peginterferon/Ribavirin 400 mg (24 Weeks) | Experimental | Participants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 400 mg daily for 24 W. Receives: Drug: peginterferon alfa-2a [Pegasys]; Drug: ribavirin |
| Peginterferon/Ribavirin 800 mg (16 Weeks) | Experimental | Participants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 800 mg daily for 16 W. Receives: Drug: peginterferon alfa-2a [Pegasys]; Drug: ribavirin |
| Peginterferon/Ribavirin 400 mg (16 Weeks) | Experimental | Participants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 400 mg daily for 16 W. Receives: Drug: peginterferon alfa-2a [Pegasys]; Drug: ribavirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Achieve Sustained Virologic Response Rate At 24 Weeks Post Completion of the Treatment
Sustained virological response was defined as the percentage of participants in each group with undetectable Hepatitis C virus-Ribonucleic acid (HCV-RNA) measurement at 24 weeks post completion of the treatment.
Measured: Up to Week 48 (24 weeks post completion of the treatment)
Percentage of Participants With Hepatitis C Virus-RNA Determined by AMPLICOR HCV Test At Week 24 and Week 48
Serum Hepatitis C Virus-RNA (HCV-RNA) was done by Polymerase chain reaction (PCR). Samples for a qualitative PCR (AMPLICOR® HCV Test v2.0) were obtained at Week 24 and Week 48. 'G2' and 'G3' indicates Genotype 2 and Genotype 3 respectively.
Measured: At Week 24 and Week 48
Secondary outcomes (9)
Percentage of Participants With Virological Response at the End of the Treatment
Virological response at the end of the treatment (ETR) was defined as the percentage of participants with negative qualitative PCR in each group at completion of the treatment. ETR is defined as Week 16 and Week 24.
Measured: At Week 16 and Week 24
Percentage of Participants With Virologic Response Rates as Per Genotype at End of Treatment
Virologic Response was defined as undetectable HCV-RNA levels (determined by AMPLICOR HCV test) at Week 16 and Week 24. Virologic response rates based on genotype (G2 and G3) were reported. ETR is defined as Week 16 and Week 24.
Measured: At Week 16 and Week 24
Number of Participants With Any Adverse Events and Any Serious Adverse Events
An adverse event (AE) was defined as any untoward medical occurrence that occurred during the course of the trial after study treatment had started. An adverse event was therefore any unfavourable and unintended sign, symptom, or disease temporally associated with the use of study drug, whether or not considered related to the study drug. A Serious adverse event (SAE) is any untoward medical occurrence that at any dose results in death, are life threatening, requires hospitalization or prolongation of hospitalization or results in disability/incapacity, and congenital anomaly/birth defect.
Measured: Up to Week 48
Median Hemoglobin Levels at End of Treatment
Hemoglobin (Hb) levels at end of treatment (Week 16 and Week 24) were reported. The mean lowest Hb value after treatment starts with a median of 129 gram (g)/Litre (L). The far most frequent hemoglobin class was >=100 g/L. The purpose of assessing the Hb levels is associated with ribavirin dose. The primary toxicity of ribavirin dose (1000-1200 mg/day, maximum tolerated dose) is anemia with a reduction in hemoglobin levels generally occurring within the first 1-2 weeks of initiating therapy. Decreases in hemoglobin seen in the combination treatment of ribavirin and Interferon-alfa are managed with reduction in ribavirin dosage to 600 mg/day.
Measured: At Week 16 and Week 24
Mean SF-36 Scores at Baseline and Weeks 16, 24 and 48
Short-Form Health Survey (SF-36) is a 36-item questionnaire measuring eight domains (physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health). Each domain score ranges from 0 (worst) to 100 (best), with higher scores reflecting better health-related functional status. Where Baseline (BS) is Week 0.
Measured: At Baseline (Week 0) and Weeks 16, 24 and 48
Mean FSS Scores at Baseline and Weeks 16, 24 and 48
The Fatigue Severity Scale (FSS) is a self-administered instrument that includes 9 items rated on a 7-point scale, measuring fatigue severity. The participants were asked to score each statement, based on how the statement applied to them over the preceding week. The fatigue severity score is the average of the scores on the 9 questions; scores range from 1-7, with lower scores indicating less fatigue. Baseline is defined as Week 0.
Measured: At Baseline (Week 0) and Weeks 16, 24 and 48
Mean Beschwerdeliste Score for Participants Receiving an Opioid Maintenance Therapy At Baseline and Weeks 16, 24 and 48
Psychiatric assessment were performed using Beschwerdeliste (BL) questionnaires. BL results were analyzed descriptively by visit, treatment group, genotype and opioid maintenance therapy status. The BL questionnaire items were scored by calculating the average response to all answered items. Items were graded 1="stark" (affliction is strong) to 4="gar nicht" (not present). The higher the BL score, the less afflictions were present for a participant. Baseline is defined as Week 0.
Measured: At Baseline (Week 0) and Weeks 16, 24 and 48
Beck Depression Inventory Mean Score for Participants Receiving an Opioid Maintenance Therapy At Baseline and Weeks 4, 8, 12, 24 and 48
For the psychiatric assessment, the results of the Beck Depression Inventory (BDI) questionnaires were evaluated. BDI results were analyzed descriptively by visit, treatment group, genotype and opioid maintenance therapy status. BDI is 21 item participant rated inventory evaluates depression symptoms, cognition, and physical symptoms of fatigue, weight loss, lack of interest in sex. Individual items are scored on a 4 point scale (0 to 3), with 0=none/absent and 3=most severe. Total score: 0 to 63; higher score indicates more depression. Mean scores are presented by visit. Baseline is defined as Week 0.
Measured: At Baseline (Week 0) and Weeks 4, 8, 12, 24 and 48
Time to Viral Response
Time to viral response was calculated as Date of first negative PCR result after screening - date of PCR screening sample + 1 [in days]. Mean of number of days to viral response for overall population were reported.
Measured: 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.
- First posted10 Dec 2010 (estimated)
- Study startMay 2003
- Primary completionJul 2008
- Study completionJul 2008
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 (1)Papers the sponsor has linked to this study.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 395 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study chair, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01258101
- Sponsor's protocol ID
- ML17087
- Status last verified
- May 2016
- First submitted
- 29 Nov 2010
- Last updated
- 11 Jul 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Maieron A, Metz-Gercek S, Scherzer TM, Laferl H, Fischer G, Bischof M, Gschwantler M, Ferenci P. Shortening of treatment duration in patients with chronic hepatitis C genotype 2 and 3 - impact of ribavirin dose - a randomized multicentre trial. BMC Res Notes. 2011 Jun 29;4:220. doi: 10.1186/1756-0500-4-220.
PubMed 21714878
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Multicenter Study to Compare the Efficacy of Pegylated Interferon Alfa (PEG-IFN) in Combination With Two Different Doses of Ribavirin in Patients With Chronic Hepatitis C and Subtype 2/3
- ClinicalTrials.gov ID
- NCT01258101
- Acronym / sponsor ID
- ML17087
- Conditions
- Hepatitis C, Chronic
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 395 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- May 2003
- Primary completion
- Jul 2008 (actual)
- Study completion
- Jul 2008 (actual)
- First posted
- 10 Dec 2010 (estimated)
- Results
- Posted 11 Jul 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized, parallel arm study will evaluate the efficacy and safety of Pegasys (peginterferon alfa-2a) in combination with 2 different doses of ribavirin in patients with chronic hepatitis C, genotype 2 or 3. Patients will be randomized to 4 treatment groups receiving Pegasys (180 mcg subcutaneously weekly) for either 16 or 24 weeks with one of two doses of ribavirin (400 mg or 800 mg orally daily). The anticipated time on study treatment is 16 or 24 weeks with a 24-week follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Peginterferon/Ribavirin 800 mg (24 Weeks) | Experimental | Drug: peginterferon alfa-2a [Pegasys], Drug: ribavirinParticipants received peginterferon alfa-2a (PEG-IFNα-2a) 180 mcg once weekly + Ribavirin 800 mg daily for 24 weeks (W). |
| Peginterferon/Ribavirin 400 mg (24 Weeks) | Experimental | Drug: peginterferon alfa-2a [Pegasys], Drug: ribavirinParticipants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 400 mg daily for 24 W. |
| Peginterferon/Ribavirin 800 mg (16 Weeks) | Experimental | Drug: peginterferon alfa-2a [Pegasys], Drug: ribavirinParticipants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 800 mg daily for 16 W. |
| Peginterferon/Ribavirin 400 mg (16 Weeks) | Experimental | Drug: peginterferon alfa-2a [Pegasys], Drug: ribavirinParticipants received PEG-IFNα-2a 180 mcg once weekly + Ribavirin 400 mg daily for 16 W. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Adult patients, 18-65 years of age
- Chronic hepatitis C, genotype 2 or 3
- Positive HCV RNA level in serum at screening (COBAS AMPLICOR MONITOR HCV test)
- Abdominal sonography within 3 months prior to study start
Key exclusion criteria (6 listed)
- Previous interferon and/or pegylated interferon and ribavirin therapy
- Liver cirrhosis, class B or C (Child-Pugh)
- Systemic anti-neoplastic or immunomodulatory treatment <=6 months before study drug
- History or evidence of medical condition associated with chronic liver disease other than chronic hepatitis C
- Decompensated liver disease
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]180 mcg sc weekly, 24 weeks | Drug | Peginterferon/Ribavirin 400 mg (24 Weeks), Peginterferon/Ribavirin 800 mg (24 Weeks) |
| peginterferon alfa-2a [Pegasys]180 mcg sc weekly, 16 weeks | Drug | Peginterferon/Ribavirin 400 mg (16 Weeks), Peginterferon/Ribavirin 800 mg (16 Weeks) |
| ribavirin800 mg orally daily | Drug | Peginterferon/Ribavirin 800 mg (16 Weeks), Peginterferon/Ribavirin 800 mg (24 Weeks) |
| ribavirin400 mg orally daily | Drug | Peginterferon/Ribavirin 400 mg (16 Weeks), Peginterferon/Ribavirin 400 mg (24 Weeks) |
Primary outcome
Percentage of Participants Who Achieve Sustained Virologic Response Rate At 24 Weeks Post Completion of the Treatment
Time frame: Up to Week 48 (24 weeks post completion of the treatment)
Sustained virological response was defined as the percentage of participants in each group with undetectable Hepatitis C virus-Ribonucleic acid (HCV-RNA) measurement at 24 weeks post completion of the treatment.
Percentage of Participants With Hepatitis C Virus-RNA Determined by AMPLICOR HCV Test At Week 24 and Week 48
Time frame: At Week 24 and Week 48
Serum Hepatitis C Virus-RNA (HCV-RNA) was done by Polymerase chain reaction (PCR). Samples for a qualitative PCR (AMPLICOR® HCV Test v2.0) were obtained at Week 24 and Week 48. 'G2' and 'G3' indicates Genotype 2 and Genotype 3 respectively.
9 secondary outcomes
Percentage of Participants With Virological Response at the End of the Treatment
Time frame: At Week 16 and Week 24
Percentage of Participants With Virologic Response Rates as Per Genotype at End of Treatment
Time frame: At Week 16 and Week 24
Number of Participants With Any Adverse Events and Any Serious Adverse Events
Time frame: Up to Week 48
Median Hemoglobin Levels at End of Treatment
Time frame: At Week 16 and Week 24
Mean SF-36 Scores at Baseline and Weeks 16, 24 and 48
Time frame: At Baseline (Week 0) and Weeks 16, 24 and 48
Mean FSS Scores at Baseline and Weeks 16, 24 and 48
Time frame: At Baseline (Week 0) and Weeks 16, 24 and 48
Mean Beschwerdeliste Score for Participants Receiving an Opioid Maintenance Therapy At Baseline and Weeks 16, 24 and 48
Time frame: At Baseline (Week 0) and Weeks 16, 24 and 48
Beck Depression Inventory Mean Score for Participants Receiving an Opioid Maintenance Therapy At Baseline and Weeks 4, 8, 12, 24 and 48
Time frame: At Baseline (Week 0) and Weeks 4, 8, 12, 24 and 48
Time to Viral Response
Time frame: Up to Week 48
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 21714878Maieron A, Metz-Gercek S, Scherzer TM, Laferl H, Fischer G, Bischof M, Gschwantler M, Ferenci P. Shortening of treatment duration in patients with chronic hepatitis C genotype 2 and 3 - impact of ribavirin dose - a randomized multicentre trial. BMC Res Notes. 2011 Jun 29;4:220. doi: 10.1186/1756-0500-4-220.
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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 chair
Hoffmann-La Roche
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing peginterferon alfa-2a [Pegasys] and ribavirin in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 18 sites in Austria.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 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 11 Jul 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in Austria. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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 11 Jul 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 Who Achieve Sustained Virologic Response Rate At 24 Weeks Post Completion of the Treatment (time frame: Up to Week 48 (24 weeks post completion of the treatment)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01258101, 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 11 Jul 2016.