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Hepatitis C, ChronicPhase 3CONCISENCT01459913

Efficacy of a 12-Week Regimen of Telaprevir, Pegylated Interferon, and Ribavirin in Treatment-Naive and Prior Relapser Subjects With Interleukin28B (IL28B) CC Genotype

A Phase 3 study testing Telaprevir, Pegylated Interferon Alfa-2a and Ribavirin in people with Hepatitis C, Chronic, run by Vertex Pharmaceuticals Incorporated at 83 sites in 6 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate if a 12-week total regimen of telaprevir in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) and ribavirin (RBV) (T12/PR12) is safe and effective in subjects who have the interleukin-28B (IL28B) CC genotype. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Hepatitis C, Chronic
What is being tested?
Telaprevir, Pegylated Interferon Alfa-2a and Ribavirin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
239 participants
Where
83 sitesin 6 countries
Study dates
Nov 2011to Jan 2014
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

  • Male and female subjects, 18 to 70 years of age, inclusive
  • Treatment-naive OR subjects (prior relapsers) may be included who did not achieve sustained viral response 24 weeks after last planned dose of study drug (SVR24) after at least 1 prior course of Peg-IFN/RBV therapy of standard duration and had a documented undetectable HCV RNA level at the planned end of treatment of at least 42-week duration
  • Subjects have IL28B CC genotype determined during screening
  • Subjects have genotype 1 chronic hepatitis C and laboratory evidence of HCV infection for at least 6 months, defined by (1) documented HCV serology test at least 6 months before the first screening visit demonstrating the presence of anti-HCV antibody, or (2) documented presence of HCV RNA by a sensitive and specific assay at least 6 months before the first screening visit, or (3) documented histologic evidence of chronic hepatitis C demonstrated by fibrosis on a standardized histologic grading system at least 6 months before the first screening visit. If only inflammation is present in the liver histologic report, then 6 months of laboratory evidence is required

Who cannot join

  • Subjects have received previous treatment with telaprevir or any other protease inhibitor(s) for chronic hepatitis C
  • Subjects who did not achieve SVR24 after at least 1 prior course of Peg-IFN/RBV therapy of standard duration and never achieved undetectable HCV RNA while on treatment
  • Subjects have evidence of hepatic decompensation
  • Subjects have evidence of cirrhosis
  • Subjects have diagnosed or suspected hepatocellular carcinoma
  • Subjects have any other cause of significant liver disease in addition to hepatitis C, which may include but is not limited to malignancy with hepatic involvement, hepatitis B, drug or alcohol-related cirrhosis, autoimmune hepatitis, hemochromatosis, Wilson's disease, nonalcoholic steatohepatitis, or primary biliary cirrhosis. Steatosis is allowed if clinically asymptomatic

Trial locations and contacts

83 sites in 6 countries.

83 sites in 6 countries

United States55 sites
  • Study site

    Arlington, Texas, 76012

  • Study site

    Atlanta, Georgia, 30308

  • Study site

    Baltimore, Maryland, 21202

  • Study site

    Baltimore, Maryland, 21287

  • Study site

    Birmingham, Alabama, 35209

  • Study site

    Birmingham, Alabama, 35294

  • Study site

    Boston, Massachusetts, 02215

  • Study site

    Bradenton, Florida, 34209

  • Study site

    Brockton, Massachusetts, 02302

  • Study site

    Burlington, Massachusetts, 01805

  • Study site

    Chapel Hill, North Carolina, 27599

  • Study site

    Charlotte, North Carolina, 28203

  • Study site

    Chicago, Illinois, 60611

  • Study site

    Chicago, Illinois, 60612

  • Study site

    Columbia, Maryland, 21045

  • Study site

    Durham, North Carolina, 27710

  • Study site

    Egg Harbor, New Jersey, 08234

  • Virginia

    Fairfax, Virginia, 22031

  • Study site

    Falls Church, Virginia, 22042

  • Study site

    Farmington, Connecticut, 06030

  • Study site

    Flushing, New York, 11355

  • Study site

    Gainesville, Florida, 32224

  • Pennsylvania

    Hershey, Pennsylvania, 17033

  • Study site

    Honolulu, Hawaii, 96817

  • Study site

    Houston, Texas, 77030

  • Study site

    Jacksonville, Florida, 32224

  • Study site

    Jacksonville, Florida, 32256

  • Study site

    Kansas City, Missouri, 64131

  • Study site

    La Jolla, California, 93037

  • Study site

    Lebanon, New Hampshire, 03756

  • Study site

    Los Angeles, California, 90027

  • California

    Los Angeles, California, 90048

  • Study site

    Madison, Wisconsin, 53715

  • Study site

    Madison, Wisconsin, 53792

  • Study site

    Manhasset, New York, 10030

  • Study site

    Marietta, Georgia, 30060

  • Study site

    Milwaukee, Wisconsin, 53226

  • Study site

    New Haven, Connecticut, 06511

  • Study site

    New York, New York, 10003

  • Study site

    New York, New York, 10021

  • Study site

    New York, New York, 10029

  • Study site

    Norfolk, Virginia, 23502

  • Study site

    Novi, Michigan, 48202

  • Study site

    Orlando, Florida, 32803

  • Study site

    Phoenix, Arizona, 85054

  • Study site

    Richmond, Virginia, 23249

  • Study site

    Sacramento, California, 95817

  • Study site

    San Antonio, Texas, 78215

  • Study site

    San Diego, California, 92103

  • Study site

    San Diego, California, 92105

  • Study site

    San Diego, California, 92154

  • California

    San Francisco, California, 94115

  • Study site

    Seattle, Washington, 98101

  • Study site

    Vineland, New Jersey, 08360

  • Study site

    Worcester, Massachusetts, 01605

Other trials in United States

Germany8 sites
  • Study site

    Berlin, 10969

  • Study site

    Cologne, 50937

  • Study site

    Düsseldorf, 40237

  • Study site

    Frankfurt, 60590

  • Study site

    Hamburg, 20099

  • Study site

    Hanover, 30625

  • Study site

    Leipzig, 4103

  • Study site

    Munich, 81377

Other trials in Germany

Canada7 sites
  • Study site

    Calgary, Alberta, T2N 4Z6

  • Study site

    Edmonton, Alberta, T5M 1J7

  • Study site

    Edmonton, Alberta, T6G 2X8

  • Study site

    Toronto, Ontario, M5G 2N2

  • Study site

    Toronto, Ontario, M5T 2S8

  • Study site

    Vancouver, British Columbia, V6T 1Z3

  • Study site

    Winnipeg, Manitoba, R3E 3P4

Other trials in Canada

Israel6 sites
  • Study site

    Haifa, 31096

  • Study site

    Haifa, 34362

  • Israel

    Jerusalem, 91120

  • Study site

    Nazareth, 16100

  • Study site

    Petah Tikva, 49100

  • Study site

    Tel HaShomer, 52621

Other trials in Israel

Poland4 sites
  • Study site

    Bialystok, 16-540

  • Study site

    Czeladź, 41-250

  • Study site

    Mysłowice, 41-400

  • Study site

    Wroclaw, 50-220

Other trials in Poland

Austria3 sites
  • Study site

    Linz, 4010

  • Study site

    Vienna, 1090

  • Study site

    Vienna, 1160

Other trials in Austria

About this study

Official title: A Phase 3b Study of 2 Treatment Durations of Telaprevir, Peg-IFN (Pegasys®), and Ribavirin (Copegus®) in Treatment-Naive and Prior Relapser Subjects With Genotype 1 Chronic Hepatitis C and IL28B CC Genotype

The purpose of this study is to evaluate if a 12-week total regimen of telaprevir in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) and ribavirin (RBV) (T12/PR12) is safe and effective in subjects who have the interleukin-28B (IL28B) CC genotype. The subjects enrolled in this study will have chronic hepatitis C virus (HCV) infection and will not have cirrhosis of the liver.

Being tested
Telaprevir, Pegylated Interferon Alfa-2a, Ribavirin
Keywords
VX-950, INCIVEK, INCIVO
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.

  • TelaprevirDrug

    Also called INCIVEK, INCIVO, VX-950

    Tablet

  • Pegylated Interferon Alfa-2aDrug

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

    Subcutaneous Injection

  • RibavirinDrug

    Also called Copegus, RBV

    Tablet

Study groups in NCT01459913
Study groupRoleWhat they receive
Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)ExperimentalTelaprevir 1125 milligram (mg) tablet twice daily for 12 weeks in combination with pegylated interferon alfa 2a (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (RBV) tablet orally twice daily at a dose of 1000 milligram per day (mg/day) for subjects weighing less than (<) 75 kilogram (kg) and 1200 mg/day for subjects weighing greater than or equal to (>=) 75 kg, for 12 weeks. Only subjects who completed initial 12 week of telaprevir and Peg-IFN/RBV and met rapid viral response (RVR, undetectable Hepatitis C Virus [HCV] Ribonucleic Acid [RNA] at Week 4) criteria, were randomized in this group, as planned, and did not receive any further treatment.
Receives: Drug: Telaprevir; Drug: Pegylated Interferon Alfa-2a; Drug: Ribavirin
Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)ExperimentalTelaprevir 1125 mg tablet twice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 24 weeks. Only subjects who completed initial 12 week of telaprevir and Peg-IFN/RBV and met RVR criteria, were randomized in this group, as planned.
Receives: Drug: Telaprevir; Drug: Pegylated Interferon Alfa-2a; Drug: Ribavirin
Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Non Randomized)ExperimentalTelaprevir 1125 mg tablet twice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 24 weeks. Only subjects with RVR who permanently discontinued telaprevir, Peg-IFN-alfa-2a, or RBV treatment before Week 12, and had extended rapid viral response (eRVR, undetectable HCV RNA at Weeks 4 and 12), were included in this group, as planned.
Receives: Drug: Telaprevir; Drug: Pegylated Interferon Alfa-2a; Drug: Ribavirin
Telaprevir 12 Wk +Peg-IFN-alfa-2a,RBV 48 Wk (Non Randomized)ExperimentalTelaprevir 1125 mg tablet twice daily for 12 weeks in combination with Peg-IFN-alfa-2a 180 mcg/week subcutaneous injection and RBV tablet orally twice daily at a dose of 1000 mg/day for subjects weighing <75 kg and 1200 mg/day for subjects weighing >=75 kg, for 48 weeks. Only subjects with no RVR or no RVR assessment, and subjects with RVR who permanently discontinued telaprevir, Peg-IFN-alfa-2a, or RBV treatment before Week 12, who did not have eRVR or eRVR assessment, were included in this group, as planned.
Receives: Drug: Telaprevir; Drug: Pegylated Interferon Alfa-2a; Drug: Ribavirin

What is being measured

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

  1. Percentage of Subjects With Sustained Viral Response 12 Weeks After Last Planned Dose of Study Drug (SVR12)

    SVR12 was defined as an undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at 12 weeks after last planned dose of study drug. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: 12 weeks after last planned dose of study drug (up to Week 36)

Secondary outcomes (8)
  1. Percentage of Subjects With Sustained Viral Response 4 Weeks After Last Planned Dose of Study Drug (SVR4)

    SVR4 was defined as an undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at 4 weeks after last planned dose of study treatment. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: 4 weeks after last planned dose of study drug (up to Week 28)

  2. Percentage of Subjects With Sustained Viral Response 24 Weeks After Last Planned Dose of Study Drug (SVR24)

    SVR24 was defined as an undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at 24 weeks after last planned dose of study treatment. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: 24 weeks after last planned dose of study drug (up to Week 48)

  3. Percentage of Subjects With Sustained Viral Response at Week 72 (SVR72)

    SVR72 was defined as an undetectable Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels at Week 72. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 international units per milliliter (IU/mL) and the lower limit of detection was 10 IU/mL. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: Week 72

  4. Percentage of Subjects With Viral Relapse

    Viral relapse was defined as having detectable HCV RNA during antiviral follow-up in subjects who had HCV RNA less than (<) lower limit of quantification (LLOQ) at end of treatment. The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The LLOQ was 25 IU/mL and the lower limit of detection was 10 IU/mL. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: After last dose of study drug up to 4 weeks (up to Week 28), 12 weeks (up to Week 36), 24 weeks (up to Week 48) antiviral follow-up

  5. Percentage of Subjects With On-Treatment Virologic Failure

    On-treatment virologic failure was defined as subjects who met futility (as per investigator discretion) or who completed the assigned treatment duration and had detectable HCV RNA at planned end of treatment (up to 48 weeks). This outcome was planned to be assessed in all reporting groups and results were to be reported for total arm as well.

    Measured: Baseline up to Week 48

  6. Number of Subjects With Rapid Viral Response (RVR)

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. RVR was defined as undetectable HCV RNA 4 weeks after the start of study treatment. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: Week 4

  7. Number of Subjects With Extended Rapid Viral Response (eRVR)

    The plasma HCV RNA level was measured using Roche TaqMan HCV RNA assay. The lower limit of quantification was 25 IU/mL and the lower limit of detection was 10 IU/mL. eRVR was defined as undetectable HCV RNA at both 4 weeks and 12 weeks after the start of study treatment. This outcome was planned to be assessed only in "Telaprevir 12 Week (Wk)+Peg-IFN-alfa-2a,RBV 12 Wk (Randomized)" and "Telaprevir 12 Wk+Peg-IFN-alfa-2a,RBV 24 Wk (Randomized)" reporting groups.

    Measured: Week 4 and Week 12

  8. Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AE: any adverse change from the subject's baseline (pre-treatment) condition, including any adverse experience, abnormal recording or clinical laboratory assessment value which occurs during the course of the study, whether it is considered related to the study drug or not. An adverse event includes any newly occurring event or previous condition that has increased in severity or frequency since the administration of study drug. SAE: medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. "Study drug" includes all investigational agents administered during the course of the study.

    Measured: Baseline up to Week 48

Timeline

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

  1. First posted26 Oct 2011 (estimated)
  2. Study startNov 2011
  3. Primary completionJan 2014
  4. Study completionJan 2014

Why it stopped: The study was terminated early by the sponsor on 13 January 2014 due to a decision to modify the drug development plan.

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
None (open label)
Enrolment
239 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01459913
Sponsor's protocol ID
VX11-950-114
Acronym
CONCISE
Status last verified
May 2015
First submitted
24 Oct 2011
Last updated
10 Jun 2015
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Telaprevir, Pegylated Interferon Alfa-2a and Ribavirin in people with Hepatitis C, Chronic, run by Vertex Pharmaceuticals Incorporated at 83 sites in 6 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 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: stopped early, as of the sponsor's last update on 10 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 83 sites in United States, Germany, Canada, Israel, Poland and 1 more country. 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 11 Feb 2015). 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 Subjects With Sustained Viral Response 12 Weeks After Last Planned Dose of Study Drug (SVR12) (time frame: 12 weeks after last planned dose of study drug (up to Week 36)). 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 10 Jun 2015.

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