An Efficacy, Safety, and Tolerability Study of TMC435 in Treatment-naive, Genotype 1 Hepatitis C-infected Participants (QUEST-2)
A Phase 3, Randomized, Double-blind, Placebo-controlled Study to Investigate the Efficacy, Safety and Tolerability of TMC435 Versus Placebo as Part of a Treatment Regimen Including Peginterferon α-2a (Pegasys®) and Ribavirin (Copegus®) or Peginterferon α-2b (PegIntron®) and Ribavirin (Rebetol®) in Treatment-naïve, Genotype 1, Hepatitis C-infected Subjects
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Buenos Aires, Argentina
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Rosario, Santa Fe, Argentina
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Wien, Austria
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Antwerpen, Belgium
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Brugge, Belgium
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Brussel, Belgium
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Brussels, Belgium
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Gent, Belgium
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Leuven, Belgium
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Salvador, Brazil
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Sao Paulo, Brazil
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São Paulo, Brazil
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Plovdiv, Bulgaria
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Sofia, Bulgaria
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Clichy, France
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Creteil N/A, France
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Nice N/A, France
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Paris, France
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Vandoeuvre Les Nancy, France
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Berlin, Germany
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Düsseldorf, Germany
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Freiburg, Germany
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Halle (Saale), Germany
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Hannover, Germany
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Kiel, Germany
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Leipzig, Germany
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Munchen, Germany
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Münster, Germany
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Ulm, Germany
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Amsterdam Zuidoost, Netherlands
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Leiden, Netherlands
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Bialystok, Poland
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Bydgoszcz, Poland
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Chorzow, Poland
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Czeladz, Poland
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Kielce, Poland
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Krakow, Poland
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Warszawa, Poland
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Coimbra, Portugal
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Lisboa, Portugal
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Porto, Portugal
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Santurce, Puerto Rico
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Bratislava, Slovakia
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Martin, Slovakia
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Barcelona, Spain
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Madrid, Spain
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Sevilla N/A, Spain
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Valencia, Spain
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Ankara, Turkey
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Istanbul, Turkey
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Izmir, Turkey
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California
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Los Angeles, California, United States
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Florida
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Jacksonville, Florida, United States
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Orlando, Florida, United States
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Georgia
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Atlanta, Georgia, United States
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Kentucky
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Crestview Hills, Kentucky, United States
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Louisiana
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New Orleans, Louisiana, United States
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Minnesota
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Saint Paul, Minnesota, United States
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Tennessee
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Germantown, Tennessee, United States
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Texas
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Houston, Texas, United States
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San Antonio, Texas, United States
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Virginia
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Falls Church, Virginia, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Genotype 1 hepatitis C infection (confirmed at screening)
- Participant has not received any prior treatment for hepatitis C
- Participant must have had a liver biopsy within 3 years before screening (or between the screening and baseline visit) showing chronic hepatitis C infection
- Must agree to use 2 forms of effective contraception throughout study (both males and females)
Exclusion Criteria:
- Infection with HIV or non genotype 1 hepatitis C
- Liver disease not related to hepatitic C infection
- Hepatic decompensation
- Significant laboratory abnormalities or other active diseases
- Pregnant or planning to become pregnant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: TMC435
TMC435 150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a (Pegasys) or peginterferon alfa-2b (PegIntron) (PegIFN alpha-2a/b) and ribavirin (Copegus or Rebetol) for 24 or 48 weeks
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150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 24 or 48 weeks
One subcutaneous (under the skin) injection of PegIFNα-2a (containing 0.5 mL solution with 180 mcg PegIFNα-2a) OR PegIFNα-2b (0.5 mL from a pre-filled pen) once weekly for up to 48 weeks.
Other Names:
200-mg tablets of ribavirin (Copegus or Rebetol) (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.
Other Names:
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Placebo Comparator: Placebo
Placebo 150 mg capsule once daily for 12 weeks in addition peginterferon alfa-2a (Pegasys) or peginterferon alfa-2b (PegIntron) (PegIFN alpha-2a/b) and ribavirin (Copegus or Rebetol) for 48 weeks
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One subcutaneous (under the skin) injection of PegIFNα-2a (containing 0.5 mL solution with 180 mcg PegIFNα-2a) OR PegIFNα-2b (0.5 mL from a pre-filled pen) once weekly for up to 48 weeks.
Other Names:
200-mg tablets of ribavirin (Copegus or Rebetol) (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.
Other Names:
150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a or peginterferon alfa-2b and ribavirin for 48 weeks
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
Time Frame: Week 36 or Week 60
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The table below shows the percentage of participants in each treatment group who achieved a SVR12, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.
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Week 36 or Week 60
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)
Time Frame: Week 72
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The table below shows the percentage of participants in each treatment group who achieved a SVRW72, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels at end of treatment (EOT) and at Week 72.
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Week 72
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The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)
Time Frame: Week 48 or Week 72
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The table below shows the percentage of participants in each treatment group who achieved a SVR24, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 24 weeks after planned end of treatment.
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Week 48 or Week 72
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The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)
Time Frame: Week 28 or Week 52
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The table below shows the percentage of participants in each treatment group who achieved a SVR4, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 4 weeks after planned end of treatment.
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Week 28 or Week 52
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The Percentage of Participants Achieving a Rapid Virologic Response (RVR)
Time Frame: Week 4
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The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels after receiving 4 weeks of treatment.
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Week 4
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The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)
Time Frame: Week 12
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The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 12.
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Week 12
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The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 4
Time Frame: Week 4
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The table below shows the percentage of participants in each treatment group with <1 log10 HCV RNA decrease at Week 4.
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Week 4
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Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 4
Time Frame: Week 4
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The table below shows the percentage of participants in each treatment group with HCV RNA levels >1000 IU/mL at Week 4.
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Week 4
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The Percentage of Participants With Viral Breakthrough at Different Time Points
Time Frame: Up to Week 48
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The table below shows the percentage of participants at different time points with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma HCV ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (<25 IU/mL undetectable).
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Up to Week 48
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Time From End-of-treatment to Viral Relapse
Time Frame: Up to Week 72
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The table below shows the mean number of days to viral relapse, defined as participants having confirmed detectable plasma level of Hepatitis C Virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (<25 IU/mL undetectable) at the end of treatment.
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Up to Week 72
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Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Time Frame: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48
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The table below shows changes from baseline in log10 HCV RNA.
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Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48
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Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Time Frame: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48
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The table below shows actual values of log10 HCV RNA levels.
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Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48
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Percentage of Participants With On-treatment Virologic Response at All Time Points
Time Frame: Day 3, Week 1, Week 2, Week 8, Week 16, Week 20, Week 28, Week 36, and Week 42
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The table below shows the percentage of participants with Hepatitis C Virus (HCV) ribonucleic acid (RNA) plasma levels below the limit of detection (ie, <25 IU/mL undetectable), the percentage of participants with a HCV RNA plasma level below the limit of quantification (ie, less than [<] 25 IU/mL detectable or undetectable), the percentage of participants with plasma levels of HCV RNA <100 IU/mL, the percentage of HCV-Infected participants with virologic responses of a greater than or equal to 2 log10 change from baseline in plasma levels of HCV RNA.
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Day 3, Week 1, Week 2, Week 8, Week 16, Week 20, Week 28, Week 36, and Week 42
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The Percentage of Participants Achieving a Early Virologic Response (EVR)
Time Frame: Week 12
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The table below shows the percentage of participants who achieved an EVR, defined as having a change from baseline in plasma Hepatitis C virus ribonucleic acid of 2 log10 at Week 12.
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Week 12
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The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)
Time Frame: Weeks 4 and 12
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The table below shows the percentage of participants in each treatment group who had a eRVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 4 and 12.
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Weeks 4 and 12
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Percentage of Participants With Null Response
Time Frame: Week 12
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The table below shows the percentage of participants with null response, defined as <2 log10 reduction in Hepatitis C virus ribonucleic acid at Week 12 compared to baseline.
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Week 12
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Percentage of Participants With Partial Response
Time Frame: Week 12
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The table below shows the percentage of participants with partial response, defined as =>2 log10 reduction in Hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 compared to baseline, but not achieving undetectable HCV RNA while on treatment.
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Week 12
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Percentage of Participants With Viral Breakthrough
Time Frame: Up to Week 48
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The table below shows the percentage of participants with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (<25 IU/mL undetectable).
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Up to Week 48
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Percentage of Participants With Viral Relapse
Time Frame: Up to Week 72
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The table below shows the percentage of participants with viral relapse, defined as having confirmed detectable plasma level of Hepatitis C virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (<25 IU/mL undetectable) at the end of treatment.
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Up to Week 72
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Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration Rule
Time Frame: Week 24
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The table below shows the percentage of participants in the TMC435 treatment group who met the treatment duration rule (ie, having hepatitis C virus [HCV] ribonucleic acid [RNA] levels <25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA levels at Week 12) and completed treatment with PegIFNα-2a and RBV for 24 weeks.
Participants in the TMC435 treatment group not meeting RGT criteria and participants in the placebo group were treated with PegIFNα-2a and RBV treatment for 48 weeks.
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Week 24
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Percentage of Participants With On-treatment Failure
Time Frame: Week 48
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The table below shows percentage of participants with on-treatment failure defined as confirmed detectable Hepatitis C virus ribonucleic acid levels at actual end of treatment.
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Week 48
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Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or Detectable
Time Frame: Up to Week 48
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The table below shows the median time in days to reach HCV RNA levels <25 IU/mL undetectable or detectable.
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Up to Week 48
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Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable
Time Frame: Up to Week 48
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The table below shows the median time in days to reach HCV RNA levels <25 IU/mL undetectable.
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Up to Week 48
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Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mL
Time Frame: Up to Week 48
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The table below shows the median time in days to reach HCV RNA levels <100 IU/mL.
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Up to Week 48
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Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mL
Time Frame: Up to Week 48
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The table below shows the median time in days to reach HCV RNA levels <1000 IU/mL.
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Up to Week 48
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The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)
Time Frame: Up to Week 48
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The percentage of participants analyzed were those with baseline ALT values out of the normal range (ie, 164 of 257 participants in the TMC435 treatment group and 79 of 134 participants in the Placebo group had ALT values at baseline that were out of the normal range.).
Normalization of ALT values means that ALT values out of the normal range returned to within the normal range.
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Up to Week 48
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Median Time to Normalization of Alanine Aminotransferase (ALT) Levels
Time Frame: Up to Week 48
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The table below shows the median time in weeks to normalization of ALT levels.
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Up to Week 48
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Plasma Concentration of TMC435: Area Under the Plasma Concentration-time Curve From the Time of Administration to 24 Hours After Dosing (AUC24h)
Time Frame: At protocol-specified time points from the time of administration up to 24 hours after dosing at Weeks 2, 4, 8, and 12
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The table below shows the mean (standard deviation) values of the area under the plasma concentration-time curve from time of administration to 24 hours after dosing for TMC435.
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At protocol-specified time points from the time of administration up to 24 hours after dosing at Weeks 2, 4, 8, and 12
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Plasma Concentration of TMC435: Predose Plasma Concentration (C0h)
Time Frame: Blood samples tested were taken before administration of TMC435 and at 2 random time points after dosing (taken atleast 2 hours apart from each other) at Week 2, 4, 8, and 12
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The table below shows the mean (standard deviation) of C0h values of TMC435.
NOTE: the timing of collection of blood samples post-dose for analysis at Week 2, 4, 8, and 12 was not specifed; only the interval was between blood samples was specified (ie, 2 samples collected 2 hours apart at Week 2, 4, 8, and 12).
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Blood samples tested were taken before administration of TMC435 and at 2 random time points after dosing (taken atleast 2 hours apart from each other) at Week 2, 4, 8, and 12
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Plasma Concentration of TMC435: Systemic Clearance (CL)
Time Frame: At protocol-specified time points at Weeks 2, 4, 8, and 12
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The table below shows the mean (standard deviation) of CL values of TMC435.
NOTE: the pre-dose CL values taken at Weeks, 2, 4, 8, and 12 were averaged and then the mean values from all participants were averaged to provide the final value reported below.
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At protocol-specified time points at Weeks 2, 4, 8, and 12
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Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for the Fatigue Severity Scale (FSS) Total Scores
Time Frame: Baseline to Week 60 and Week 72
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Study participants completed FSS questionnaires during study visits before treatment and throughout follow-up to rate the severity and impact of fatigue experienced in the preceding 2 weeks.
FSS total scores are the average of nine questions with a range from 1 [no fatigue] to 7 [worst fatigue]; the possible score range from baseline to Week 60 would be 60-420 and to Week 72 would be 72-504.
The average FSS total score from baseline to Week 60 and to Week 72 was calculated for each participant and then the average of those values were calculated to show the average FSS total score for each treatment group.
The null hypothesis was that there would be no difference between the treatment arms in the FSS total score.
The Table below shows the lease squares (LS) mean estimates of the area under the curve (AUC) at Week 72 (as well as at Week 60) and the statistical comparison between treatment groups.
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Baseline to Week 60 and Week 72
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Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Overall Work Productivity Due to Hepatitis C Virus (HCV) Infection and Its Treatment
Time Frame: Baseline to Week 60 and Week 72
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Impairment in overall work productivity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire completed by participants throughout the study.
WPAI Overall Productivity Scores ranged from 0% to 100% (higher WPAI scores indicated greater impairment in productivity).
The average WPAI score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI score for each treatment group.
The null hypothesis was there is no statistically significant difference between the treatment groups in the AUC for the change from baseline to Week 72 (AUC72) in WPAI Productivity Scores.
The Table below shows WPAI Productivity Scores at Week 72 (as well as at Week 60) from the model used to calculate the AUC and the statistical comparison between treatment groups.
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Baseline to Week 60 and Week 72
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Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Impairment in Daily Activities Due to Hepatitis C Virus (HCV) Infection and Its Treatment
Time Frame: Baseline to Week 60 and Week 72
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Impairment in daily activity was measured using the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire, Question 6.
The possible impairment in WPAI daily activity score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in daily activities.
The average WPAI impairment in daily activity score from baseline to Week 72 was calculated for each participant and then the average of those values were calculated to show the average WPAI impairment in daily activity score for each treatment group.
The null hypothesis was there is no statistically significant difference between the treatment arms in the AUC for the change from baseline to Week 72 (AUC72) in WPAI impairment in daily activity scores.
The Table below shows the WPAI Impairment in daily activity scores at Week 72 (as well as at Week 60) and the statistical analysis between treatment groups.
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Baseline to Week 60 and Week 72
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Area Under the Curve From Baseline to Week 60 (AUC60) and Week 72 (AUC72) for Time Missed From Work Due to Hepatitis C Virus (HCV) Infection and Its Treatment
Time Frame: Baseline to Week 60 and Week 72
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Hours missed from work because of HCV infection or its treatment was assessed by measuring the change from baseline in the Work Productivity and Activity Impairment (WPAI): Hepatitis C questionnaire Absenteeism score (time missed from work).
The possible WPAI WPAI absenteeism score range from baseline to Week 60 was 0-6000 and to Week 72 was 0-7200, with the higher scores indicating more impairment in WPAI absenteeism.
The average WPAI absenteeism score from baseline to Week 60/72 was calculated for each participant and then the average of those values calculated for each treatment group.
The area under the curve (AUC60/AUC72) over time from baseline to Week 60/72 was derived from a piecewise-linear model allowing the slopes to change at Week 4, 12, 24, 36, 48 and 60.
The null hypothesis was there is no statistically significant difference between the treatment arms in the area under the curve (AUC) from baseline to Week 72 (AUC72) in WPAI absenteeism score.
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Baseline to Week 60 and Week 72
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Lenz O, Verbinnen T, Fevery B, Tambuyzer L, Vijgen L, Peeters M, Buelens A, Ceulemans H, Beumont M, Picchio G, De Meyer S. Virology analyses of HCV isolates from genotype 1-infected patients treated with simeprevir plus peginterferon/ribavirin in Phase IIb/III studies. J Hepatol. 2015 May;62(5):1008-14. doi: 10.1016/j.jhep.2014.11.032. Epub 2014 Nov 28.
- Manns M, Marcellin P, Poordad F, de Araujo ES, Buti M, Horsmans Y, Janczewska E, Villamil F, Scott J, Peeters M, Lenz O, Ouwerkerk-Mahadevan S, De La Rosa G, Kalmeijer R, Sinha R, Beumont-Mauviel M. Simeprevir with pegylated interferon alfa 2a or 2b plus ribavirin in treatment-naive patients with chronic hepatitis C virus genotype 1 infection (QUEST-2): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet. 2014 Aug 2;384(9941):414-26. doi: 10.1016/S0140-6736(14)60538-9. Epub 2014 Jun 4. Erratum In: Lancet. 2016 Apr 30;387(10030):1816.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- RNA Virus Infections
- Virus Diseases
- Infections
- Blood-Borne Infections
- Communicable Diseases
- Liver Diseases
- Flaviviridae Infections
- Hepatitis, Viral, Human
- Enterovirus Infections
- Picornaviridae Infections
- Hepatitis
- Hepatitis A
- Hepatitis C
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites
- Protease Inhibitors
- Ribavirin
- Peginterferon alfa-2a
- Peginterferon alfa-2b
- Simeprevir
Other Study ID Numbers
Other Study ID Numbers
- CR017380
- TMC435-TiDP16-C216 (Other Identifier: Janssen R&D Ireland)
- 2010-021174-11 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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