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Hepatitis CPhase 3NCT01318694

Efficacy and Safety of Alisporivir Triple Therapy in Chronic Hepatitis C Genotype 1 Treatment-naïve Participants

A Phase 3 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 146 sites in 21 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will assess the safety and efficacy of alisporivir (ALV; DEB025) triple therapy [i.e., when added to peginterferon alfa-2a (PEG) and ribavirin (RBV)] to optimize treatment in treatment-naïve participants with hepatitis C virus (HCV) genotype 1 (GT1) 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
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,081 participants
Where
146 sitesin 21 countries
Study dates
Mar 2011to Aug 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Chronic HCV infection
  • HCV genotype 1
  • No previous treatment for hepatitis C infection
  • Serum HCV RNA level ≥ 1000 IU/ml assessed by quantitative polymerase chain reaction or equivalent at screening, no upper limit
  • Liver evaluation prior to baseline: liver biopsy within 3 years or Fibroscan within 6 months

Who cannot join

  • HCV genotype different from genotype 1 or co-infection with other HCV genotype
  • Co-infection with Hepatitis B or HIV
  • Any other cause of relevant liver disease other than HCV
  • Presence or history of hepatic decompensation
  • Alanine aminotransferase (ALT) ≥ 10 times upper limit of normal (ULN), more than 1 episode of elevated bilirubin (> ULN) in past 6 months
  • Other protocol-defined inclusion/exclusion criteria may apply.

Trial locations and contacts

146 sites in 21 countries.

146 sites in 21 countries

United States32 sites
  • Novartis Investigative Site

    Arlington, Texas, 76012

  • Novartis Investigative Site

    Baltimore, Maryland, 21202

  • Novartis Investigative Site

    Baltimore, Maryland, 21229

  • Novartis Investigative Site

    Beverly Hills, California, 90211

  • Novartis Investigative Site

    Bradenton, Florida, 34209

  • Novartis Investigative Site

    Brooklyn, New York, 11230

  • Novartis Investigative Site

    Charlotte, North Carolina, 28203

  • Novartis Investigative Site

    Dallas, Texas, 75246-2096

  • Novartis Investigative Site

    Dallas, Texas, 75390

  • Novartis Investigative Site

    Fairfax, Virginia, 22031

  • Novartis Investigative Site

    Fayetteville, North Carolina, 28304

  • Novartis Investigative Site

    Houston, Texas, 77030

  • Novartis Investigative Site

    Indianapolis, Indiana, 46237

  • Novartis Investigative Site

    Maitland, Florida, 32751

  • Novartis Investigative Site

    Minneapolis, Minnesota, 55404

  • Novartis Investigative Site

    New York, New York, 10016

  • Novartis Investigative Site

    New York, New York, 10021

  • Novartis Investigative Site

    Newark, New Jersey, 07102

  • Novartis Investigative Site

    Newport News, Virginia, 23602

  • Novartis Investigative Site

    Oakland, California, 94612

  • Novartis Investigative Site

    Omaha, Nebraska, 68198

  • Novartis Investigative Site

    Salt Lake City, Utah, 84124

  • Novartis Investigative Site

    San Antonio, Texas, 78215

  • Novartis Investigative Site

    San Diego, California, 92101

  • Novartis Investigative Site

    San Diego, California, 92123

  • Novartis Investigative Site

    San Diego, California, 92128

  • Novartis Investigative Site

    Shreveport, Louisiana, 71130-3932

  • Novartis Investigative Site

    Springfield, Illinois, 62703

  • Novartis Investigative Site

    St Louis, Missouri, 63110

  • Novartis Investigative Site

    St Louis, Missouri, 63128

  • Novartis Investigative Site

    Tampa, Florida, 33607

  • Novartis Investigative Site

    Ventura, California, 93003

Other trials in United States

Italy13 sites
  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Bologna, 40138

  • Novartis Investigative Site

    Genova, GE, 16132

  • Novartis Investigative Site

    Milan, MI, 20121

  • Novartis Investigative Site

    Milan, MI, 20122

  • Novartis Investigative Site

    Milan, MI, 20162

  • Novartis Investigative Site

    Naples, 80135

  • Novartis Investigative Site

    Padova, PD, 35128

  • Novartis Investigative Site

    Palermo, PA, 90127

  • Novartis Investigative Site

    Pavia, PV, 27100

  • Novartis Investigative Site

    Roma, RM, 00133

  • Novartis Investigative Site

    Rozzano, MI, 20089

  • Novartis Investigative Site

    Torino, TO, 10126

Other trials in Italy

Germany11 sites
  • Novartis Investigative Site

    Berlin, 10969

  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Cologne, 50937

  • Novartis Investigative Site

    Essen, 45147

  • Novartis Investigative Site

    Frankfurt, 60590

  • Novartis Investigative Site

    Freiburg im Breisgau, 79106

  • Novartis Investigative Site

    Hamburg, 20099

  • Novartis Investigative Site

    Hanover, 30625

  • Novartis Investigative Site

    Kiel, 24146

  • Novartis Investigative Site

    Leipzig, 04103

  • Novartis Investigative Site

    Mainz, 55131

Other trials in Germany

Canada8 sites
  • Novartis Investigative Site

    Calgary, Alberta, T2N 4n1

  • Novartis Investigative Site

    Downsview, Ontario, M3N 2Z9

  • Novartis Investigative Site

    London, Ontario, N6A 4G5

  • Novartis Investigative Site

    Toronto, Ontario, M5G 2C4

  • Novartis Investigative Site

    Toronto, Ontario, M5T 2S8

  • Novartis Investigative Site

    Vancouver, British Columbia, V5Z 1J4

  • Novartis Investigative Site

    Vancouver, British Columbia, V5Z 1M9

  • Novartis Investigative Site

    Vancouver, British Columbia, v6z 2k5

Other trials in Canada

Hungary8 sites
  • Novartis Investigative Site

    Békéscsaba, H-5600

  • Novartis Investigative Site

    Budapest, 1083

  • Novartis Investigative Site

    Budapest, 1097

  • Novartis Investigative Site

    Budapest, 1126

  • Novartis Investigative Site

    Debrecen, 4032

  • Novartis Investigative Site

    Kaposvár, 7400

  • Novartis Investigative Site

    Pécs, 7624

  • Novartis Investigative Site

    Székesfehérvár, 8000

Other trials in Hungary

South Korea8 sites
  • Novartis Investigative Site

    Busan, Busan, 602-739

  • Novartis Investigative Site

    Busan, 602-715

  • Novartis Investigative Site

    Incheon, 22332

  • Novartis Investigative Site

    Kyunggi, Kyeonggi, 463-712

  • Novartis Investigative Site

    Pusan, 614-735

  • Novartis Investigative Site

    Seoul, Korea, 03722

  • Novartis Investigative Site

    Seoul, Korea, 05505

  • Novartis Investigative Site

    Yangsan, Gyeongsangnam-do, 626-770

Other trials in South Korea

Romania7 sites
  • Novartis Investigative Site

    Bucharest, District 1, 050524

  • Novartis Investigative Site

    Bucharest, District 3, 030317

  • Novartis Investigative Site

    Bucharest, 020125

  • Novartis Investigative Site

    Cluj-Napoca, 400006

  • Novartis Investigative Site

    Craiova, 200515

  • Novartis Investigative Site

    Iași, Iaşi, 700506

  • Novartis Investigative Site

    Iași, Jud. Iasi, 700111

Other trials in Romania

Australia6 sites
  • Novartis Investigative Site

    Darlinghurst, New South Wales, 2010

  • Novartis Investigative Site

    Fitzroy, Victoria, 3065

  • Novartis Investigative Site

    Greenslopes, Queensland, 4120

  • Novartis Investigative Site

    Kingswood, New South Wales, 2747

  • Novartis Investigative Site

    Kogarah, New South Wales, 2217

  • Novartis Investigative Site

    Westmead, New South Wales, 2145

Other trials in Australia

Russia6 sites
  • Novartis Investigative Site

    Moscow, 111123

  • Novartis Investigative Site

    Moscow, 119333

  • Novartis Investigative Site

    Moscow, 119992

  • Novartis Investigative Site

    Moscow, 127473

  • Novartis Investigative Site

    Saint Petersburg, 194044

  • Novartis Investigative Site

    Saint Petersburg, 197376

Other trials in Russia

Spain6 sites
  • Novartis Investigative Site

    Barcelona, Catalonia, 08003

  • Novartis Investigative Site

    Barcelona, Catalonia, 08035

  • Novartis Investigative Site

    Madrid, Madrid, 28029

  • Novartis Investigative Site

    Majadahonda, Madrid, 28222

  • Novartis Investigative Site

    Seville, Andalusia, 41014

  • Novartis Investigative Site

    Valencia, Valencia, 46014

Other trials in Spain

Taiwan6 sites
  • Novartis Investigative Site

    Chiayi City, Taiwan, 600

  • Novartis Investigative Site

    Douliu, 640

  • Novartis Investigative Site

    Kaohsiung City, 807

  • Novartis Investigative Site

    Niaosong Township, Taiwan, 83301

  • Novartis Investigative Site

    Taichung, Taiwan, 40447

  • Novartis Investigative Site

    Taipei, Taiwan, 10002

Other trials in Taiwan

United Kingdom6 sites
  • Novartis Investigative Site

    Birmingham, B15 2TT

  • Novartis Investigative Site

    London, E1 1BB

  • Novartis Investigative Site

    London, SE5 9RS

  • Novartis Investigative Site

    London, W2 1NY

  • Novartis Investigative Site

    Newcastle upon Tyne, NE7 7DN

  • Novartis Investigative Site

    Nottingham, NG7 2UH

Other trials in United Kingdom

Argentina5 sites
  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1125ABE

  • Novartis Investigative Site

    Buenos Aires, Buenos Aires, C1405BCK

  • Novartis Investigative Site

    Córdoba, Córdoba Province, X5004BAL

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2000DSV

  • Novartis Investigative Site

    Rosario, Santa Fe Province, S2002KDS

Other trials in Argentina

France5 sites
  • Novartis Investigative Site

    Clichy, 92110

  • Novartis Investigative Site

    Grenoble, 38043

  • Novartis Investigative Site

    Lyon, 69317

  • Novartis Investigative Site

    Toulouse, 31059

  • Novartis Investigative Site

    Villejuif, 94805

Other trials in France

Poland5 sites
  • Novartis Investigative Site

    Bialystok, 15-540

  • Novartis Investigative Site

    Bydgoszcz, 85-030

  • Novartis Investigative Site

    Chorzów, 41-500

  • Novartis Investigative Site

    Kielce, 25-317

  • Novartis Investigative Site

    Lódz, 91-347

Other trials in Poland

Thailand5 sites
  • Novartis Investigative Site

    Bangkok, 10330

  • Novartis Investigative Site

    Bangkok, 10700

  • Novartis Investigative Site

    Chiang Mai, 50200

  • Novartis Investigative Site

    Khon Kaen, 40002

  • Novartis Investigative Site

    Songkhla, 90110

Other trials in Thailand

Belgium3 sites
  • Novartis Investigative Site

    Brussels, 1070

  • Novartis Investigative Site

    Brussels, 1090

  • Novartis Investigative Site

    Ghent, 9000

Other trials in Belgium

Mexico2 sites
  • Novartis Investigative Site

    Mexico City, Mexico City, 14000

  • Novartis Investigative Site

    Monterrey, Nuevo León, 64020

Other trials in Mexico

Vietnam2 sites
  • Novartis Investigative Site

    Hanoi

  • Novartis Investigative Site

    Ho Chi Minh City

Other trials in Vietnam

Hong Kong1 site
  • Novartis Investigative Site

    Hong Kong, Hong Kong

Other trials in Hong Kong

Puerto Rico1 site
  • Novartis Investigative Site

    San Juan, 00909

Other trials in Puerto Rico

About this study

Official title: A Randomized, Double-blind, Placebo-controlled Trial of the Efficacy and Safety of DEB025/Alisporivir in Combination With Peg-IFNα2a and Ribavirin in Hepatitis C Genotype 1 Treatment-naïve Patients

This study will assess the safety and efficacy of alisporivir (ALV; DEB025) triple therapy [i.e., when added to peginterferon alfa-2a (PEG) and ribavirin (RBV)] to optimize treatment in treatment-naïve participants with hepatitis C virus (HCV) genotype 1 (GT1)

Conditions
Hepatitis C
Being tested
Alisporivir, Peginterferon alfa-2a, Ribavirin, ALV 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

  • ALV PlaceboDrug

    Also called Placebo

    ALV placebo soft gel capsules administered orally

Study groups in NCT01318694
Study groupRoleWhat they receive
Treatment Arm AExperimentalAlisporivir (ALV) 600 mg twice daily (BID) with Peginterferon alfa-2a (PEG) and ribavirin (RBV) for 1 week, followed by an additional 23 or 47 weeks according to response-guided treatment duration (RGT): * Participants with a viral load below the level of detection (< LOD) at Week 4 stop study treatment after 24 weeks * Participants with a viral load ≥ LOD at Week 4 complete 48 weeks of study treatment
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin
Treatment Arm BExperimentalAlisporivir (ALV) 400 mg twice daily (BID) with PEG and RBV for 24 or 48 weeks according to response-guided treatment duration (RGT)
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin
Treatment Arm CExperimentalAlisporivir (ALV) 600 mg BID with PEG and RBV for 1 week, followed by 600 mg once daily (QD) for 47 weeks
Receives: Drug: Alisporivir; Drug: Peginterferon alfa-2a; Drug: Ribavirin
Treatment Arm DActive comparatorALV Placebo with PEG and RBV for 48 weeks
Receives: Drug: Peginterferon alfa-2a; Drug: Ribavirin; Drug: ALV Placebo

What is being measured

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

  1. Percentage of Participants Who Achieved Sustained Virologic Response (SVR) 12 Weeks After the End of Treatment (SVR12)

    SVR12 was defined as hepatitis C virus (HCV) RNA laboratory value below the level of quantification (< LOQ; i.e., 25 IU/ml) 12 weeks after the end of treatment.

    Measured: 12 weeks after the end of treatment

Secondary outcomes (11)
  1. Percentage of Participants Who Achieved SVR 24 Weeks After the End of Treatment (SVR24)

    SVR24 was defined as HCV RNA laboratory value < LOQ 24 weeks after the end of treatment.

    Measured: 24 weeks after the end of treatment

  2. Percentage of Participants With Rapid Virologic Response (RVR) After 4 Weeks of Treatment (RVR4)

    RVR4 was defined as serum HCV RNA < LOQ after 4 weeks of treatment.

    Measured: after 4 weeks of treatment

  3. Percentage of Participants With Early Virologic Response (EVR) After 12 Weeks of Treatment

    EVR was defined as a ≥ 2 log10 decrease in HCV RNA or HCV RNA < LOQ after 12 weeks of treatment.

    Measured: after 12 weeks of treatment

  4. Percentage of Participants With Partial Early Virologic Response (pEVR) After 12 Weeks of Treatment

    pEVR was defined as a ≥ 2 log10 decrease in HCV RNA and still detectable (≥ LOQ) after 12 weeks of treatment.

    Measured: after 12 weeks of treatment

  5. Percentage of Participants With Complete Early Virologic Response (cEVR) After 12 Weeks of Treatment

    cEVR was defined as serum HCV RNA < LOQ after 12 weeks of treatment.

    Measured: after 12 weeks of treatment

  6. Percentage of Participants With Extended Rapid Virologic Response (eRVR) From 4 to 12 Weeks of Treatment

    eRVR was defined as achieving RVR4 and maintaining HCV RNA < LOQ until Week 12.

    Measured: from 4 to 12 weeks of treatment

  7. Percentage of Participants With End of Treatment Response (ETR) at Treatment End Within 48 Weeks

    ETR was defined as serum HCV RNA < LOQ at treatment end (completed or prematurely discontinued).

    Measured: at treatment end within 48 weeks

  8. Percentage of Participants With Alanine Aminotransferase (ALT) Abnormalities Within 48 Weeks

    ALT abnormalities were summarized as participants who had either:

    • ALT > 2 x upper limit of normal (ULN) during the study and > 2 x ULN at baseline
    • ALT > 3 x ULN during the study and > 2 x ULN at baseline

    Measured: within 48 weeks

  9. Percentage of Participants With Grade 3 or 4 Anemia During Treatment Within 48 Weeks

    Grading was according to the Modified Division of Microbiology \& Infectious Diseases (DMID) Toxicity Tables (version 2.0).

    Participants with multiple abnormalities were counted only once in the worst category.

    Measured: within 48 weeks

  10. Percentage of Participants With Grade 3 or 4 Neutropenia During Treatment Within 48 Weeks

    Grading was according to the DMID Toxicity Tables (version 2.0). Participants with multiple abnormalities were counted only once in the worst category.

    Measured: within 48 weeks

  11. Percentage of Participants With Grade 3 or 4 Thrombocytopenia During Treatment Within 48 Weeks

    Grading was according to the DMID Toxicity Tables (version 2.0). Participants with multiple abnormalities were counted only once in the worst category.

    Measured: within 48 weeks

Timeline

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

  1. First posted18 Mar 2011 (estimated)
  2. Study startMar 2011
  3. Primary completionAug 2013
  4. Study completionAug 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,081 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01318694
Sponsor's protocol ID
CDEB025A2301
Other IDs
2010-022867-37
Status last verified
Aug 2016
First submitted
17 Mar 2011
Last updated
30 Sep 2016
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alisporivir, Peginterferon alfa-2a and Ribavirin in people with Hepatitis C, run by Debiopharm International SA at 146 sites in 21 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 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 30 Sep 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 146 sites in United States, Italy, Germany, Canada, Hungary and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 30 Sep 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 Achieved Sustained Virologic Response (SVR) 12 Weeks After the End of Treatment (SVR12) (time frame: 12 weeks after the end 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 30 Sep 2016.

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