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Japanese Pegylated Interferon (PegIFN) Alfa-2b/Ribavirin (RBV) Combination Trial

3. července 2015 aktualizováno: Boehringer Ingelheim

Safety, Efficacy and Pharmacokinetics of BI 201335 NA in Patient With Genotype 1 Chronic Hepatitis C Virus Infection in Combination With Pegylated Interferon Alfa-2b and Ribavirin - Cohort 1 for Treatment-naive Patients: Randomised, Double-blind Part of BI 201335 NA for 12 or 24 Weeks - Cohort 2 for Treatment-experienced Patients: Open-label Part of BI 201335 NA for 24 Weeks

The aim of this trial is to evaluate the safety and efficacy of BI 201335 given for 12 or 24 weeks in combination with PegIFN alfa-2b/RBV given for 24 or 48 weeks in chronic genotype 1 hepatitis C virus infected treatment-naïve and treatment-experienced Japanese patients

Přehled studie

Postavení

Dokončeno

Podmínky

Intervence / Léčba

Typ studie

Intervenční

Zápis (Aktuální)

131

Fáze

  • Fáze 3

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní místa

  • Japonsko
      • Chuo-ku, Chiba, Japonsko
        • 1220.54.08104 Boehringer Ingelheim Investigational Site
      • Chuo-ku, Kobe, Hyogo, Japonsko
        • 1220.54.08118 Boehringer Ingelheim Investigational Site
      • Fukui, Fukui, Japonsko
        • 1220.54.08108 Boehringer Ingelheim Investigational Site
      • Gifu, Gifu, Japonsko
        • 1220.54.08110 Boehringer Ingelheim Investigational Site
      • Itabashi-ku, Tokyo, Japonsko
        • 1220.54.08105 Boehringer Ingelheim Investigational Site
      • Izunokuni, Shizuoka, Japonsko
        • 1220.54.08112 Boehringer Ingelheim Investigational Site
      • Kanazawa, Ishikawa, Japonsko
        • 1220.54.08107 Boehringer Ingelheim Investigational Site
      • Kita-gun, Kagawa, Japonsko
        • 1220.54.08120 Boehringer Ingelheim Investigational Site
      • Kofu, Yamanashi, Japonsko
        • 1220.54.08109 Boehringer Ingelheim Investigational Site
      • Kurume, Fukuoka, Japonsko
        • 1220.54.08123 Boehringer Ingelheim Investigational Site
      • Mtsuyama, Ehime, Japonsko
        • 1220.54.08121 Boehringer Ingelheim Investigational Site
      • Nagoya, Aichi, Japonsko
        • 1220.54.08113 Boehringer Ingelheim Investigational Site
      • Nishinomiya, Hyogo, Japonsko
        • 1220.54.08117 Boehringer Ingelheim Investigational Site
      • Ogaki, Gifu, Japonsko
        • 1220.54.08111 Boehringer Ingelheim Investigational Site
      • Oo mura, Nagasaki,, Japonsko
        • 1220.54.08124 Boehringer Ingelheim Investigational Site
      • Osaka, Osaka, Japonsko
        • 1220.54.08115 Boehringer Ingelheim Investigational Site
      • Osakasayama, Osaka, Japonsko
        • 1220.54.08116 Boehringer Ingelheim Investigational Site
      • Sapporo, Hokkaido, Japonsko
        • 1220.54.08101 Boehringer Ingelheim Investigational Site
      • Sendai, Miyagi, Japonsko
        • 1220.54.08102 Boehringer Ingelheim Investigational Site
      • Tanabe, Wakayama, Japonsko
        • 1220.54.08119 Boehringer Ingelheim Investigational Site
      • Toyama,Toyama, Japonsko
        • 1220.54.08106 Boehringer Ingelheim Investigational Site
      • Tsu, Mie, Japonsko
        • 1220.54.08114 Boehringer Ingelheim Investigational Site
      • Yahatanishi-ku, Kitakyusyu, Fukuoka, Japonsko
        • 1220.54.08122 Boehringer Ingelheim Investigational Site
      • Yamagata, Yamagata, Japonsko
        • 1220.54.08125 Boehringer Ingelheim Investigational Site

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

20 let až 70 let (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ne

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion criteria:

  1. Chronic hepatitis C infection, diagnosed by positive anti-HCV antibodies and detected HCV RNA at screening in addition to:

    • positive anti-HCV antibodies or detected HCV RNA at least 6 months before screening; or,
    • liver biopsy consistent with chronic HCV infection.
  2. HCV genotype 1 infection confirmed by genotypic testing at screening
  3. (For Cohort 1 only) Therapy-naïve to interferon, pegylated interferon, and ribavirin (For Cohort 2 only) Confirmed prior virological failure (null response, partial response, breakthrough or relapse) with an approved dose of PegIFN alfa/RBV or IFN beta/RBV for at least 12 weeks and with an 8-week washout period before screening
  4. HCV RNA = 100,000 IU/mL at screening
  5. Documentation of a liver biopsy within 3 years or fibroscan within 6 months before randomization (Visit 2)
  6. Age 20 to 70 years

  7. Female patients who are infertile or who are of childbearing potential with a negative pregnancy test and agreeing to use one accepted method of birth control in addition to the use of a condom by their male partners.

    or Male patients who are infertile, who are without pregnant female partners or who consistently and correctly use condoms.

  8. Signed informed consent form before trial participation

Exclusion criteria:

  1. HCV infection of mixed genotype (1/2, 1/3, and 1/4) diagnosed by genotypic testing at screening,
  2. Evidence of acute or chronic liver disease due to causes other than chronic HCV infection. Steatosis diagnosed incidentally (e.g. by biopsy) without clinical relevance is not an exclusion criterion.
  3. HIV co-infection,
  4. Hepatitis B virus (HBV) infection based on presence of hepatitis B surface antigen (HBsAg),
  5. Active malignancy, or history of malignancy within the last 5 years prior to screening (with an exception of appropriately treated basal cell carcinoma of the skin or in situ carcinoma of the uterine cervix),
  6. Active or, history of alcohol or illicit drug abuse within the past 12 months,
  7. A condition that is defined as one which in the opinion of investigator may put the patient at risk because of participation in this study, may influence the results of this study, or limit the patient's ability to participate in this study,
  8. Usage of any investigational drugs within 30 days prior to screening, or planned usage of an investigational drug during the course of this study,
  9. Received concomitant systemic antiviral, hematopoietic growth factor, or immunomodulatory treatment within 30 days prior to screening. Patients being treated with oral antivirals such as acyclovir, famciclovir or valacyclovir for recurrent herpes simplex infection; or with oseltamivir or zanamivir for influenza A infection, may be screened,
  10. Received silymarin (milk thistle), glycyrrhizin (Stronger Neo-Minophagen C; SNMC), or Sho-saiko-to (SST) within 28 days prior to randomization (Visit 2) and throughout the treatment phase of this trial,
  11. (For Cohort 2 only) Patients who have been previously treated with at least one dose of any antiviral or immunomodulatory drug other than (pegylated) interferon alfa, interferon beta or ribavirin for acute or chronic HCV infection including and not restricted to protease or polymerase inhibitors,
  12. Known hypersensitivity to any ingredient of the study drugs,
  13. Alpha fetoprotein value >100 ng/mL at screening; if >20 ng/mL and =100 ng/mL, patients may be included if there is no evidence of liver cancer in an appropriate imaging study (e.g., ultrasound, CT scan, or MRI) within last 6 months prior to randomization (Visit 2),

Other exclusion criteria related to pegylated interferon and/or ribavirin restrictions are not listed here.

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Léčba
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Dvojnásobek

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: 1. BI 201335 low dose plus PegIFN/RBV
low dose BI 201335 NA once daily for 12 or 24 weeks combined with PegIFN/RBV for 24 or 48 weeks in treatment-naive patients
Lék: BI 201335 low dose
BI 201335 low dose with PegIFN/RBV
Experimentální: 2. BI 201335 high dose plus PegIFN/RBV
high dose BI 201335 NA once daily for 12 weeks combined with PegIFN/RBV for 24 or 48 weeks in treatment-naive patients
Lék: BI 201335 high dose
BI 201335 high dose with PegIFN/RBV
Experimentální: 3. BI 201335 high dose plus PegIFN/RBV
high dose BI 201335 NA once daily for 24 weeks combined with PegIFN/RBV for 24 or 48 weeks in treatment-experienced (relapser) patients
Lék: BI 201335 high dose
BI 201335 high dose with PegIFN/RBV
Experimentální: 4. BI 201335 high dose plus PegIFN/RBV
high dose BI 201335 NA once daily for 24 weeks combined with PegIFN/RBV for 48 weeks in treatment-experienced (null responder, partial responder, breakthrough) patients
Lék: BI 201335 high dose
BI 201335 high dose with PegIFN/RBV

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Number of Patients With Investigator Defined Drug-related Adverse Events
Časové okno: Up to 52 weeks
Drug-related AEs were defined as those whose causal relationship with any one of the investigational products was considered by the investigator.
Up to 52 weeks

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Sustained Virological Response (SVR12), Defined as Plasma HCV RNA Undetectable at 12 Weeks After End of Treatment (EOT)
Časové okno: EOT (up to Week 24 or 48) and 12 weeks after the EOT (up to Week 36 or 60)
Plasma hepatitis C virus (HCV) ribonucleic acid (RNA) level <25 IU/mL (undetected) 12 weeks after the originally planned treatment duration
EOT (up to Week 24 or 48) and 12 weeks after the EOT (up to Week 36 or 60)
Sustained Virological Response (SVR24), Defined as Plasma HCV RNA Undetectable at 24 Weeks After End of Treatment (EOT)
Časové okno: EOT (up to Week 24 or 48) and 24 weeks after the EOT (up to Week 48 or 72)
Plasma HCV RNA level <25 IU/mL (undetected) 24 weeks after the originally planned treatment duration
EOT (up to Week 24 or 48) and 24 weeks after the EOT (up to Week 48 or 72)
Early Treatment Success (ETS), Defined as Plasma HCV RNA <25 IU/mL at Week 4 and HCV RNA Undetectable at Week 8
Časové okno: up to 8 weeks
Plasma HCV RNA level <25 IU/mL (detected or undetected) at Week 4 and HCV RNA <25 IU/mL (undetected) at Week 8
up to 8 weeks
Alanine Aminotransferase (ALT) Normalisation: ALT in Normal Range at End of Treatment (EOT) When SVR12=YES
Časové okno: EOT (up to Week 24 or 48)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
EOT (up to Week 24 or 48)
Alanine Aminotransferase (ALT) Normalisation: ALT in Normal Range at End of Treatment (EOT) When SVR12= NO
Časové okno: EOT (up to Week 24 or 48)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
EOT (up to Week 24 or 48)
Alanine Aminotransferase (ALT) Normalisation: ALT in Normal Range at Sustained Virological Response 12 Weeks Post-treatment (SVR12) Visit, When SVR12=YES
Časové okno: 12 weeks after the EOT (up to Week 36 or 60)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
12 weeks after the EOT (up to Week 36 or 60)
Alanine Aminotransferase (ALT) Normalisation: ALT in Normal Range at Sustained Virological Response 12 Weeks Post-treatment (SVR12) Visit, When SVR12=NO
Časové okno: 12 weeks after the EOT (up to Week 36 or 60)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
12 weeks after the EOT (up to Week 36 or 60)
Aspartate Aminotransferase (AST) Normalisation: AST in Normal Range at End of Treatment (EOT) When SVR12=YES
Časové okno: EOT (up to Week 24 or 48)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
EOT (up to Week 24 or 48)
Aspartate Aminotransferase (AST) Normalisation: AST in Normal Range at End of Treatment (EOT) When SVR12=NO
Časové okno: EOT (up to Week 24 or 48)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
EOT (up to Week 24 or 48)
Aspartate Aminotransferase (AST) Normalisation: AST in Normal Range at Sustained Virological Response 12 Weeks Post-treatment (SVR12) Visit, When SVR12=YES
Časové okno: 12 weeks after the EOT (up to Week 36 or 60)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
12 weeks after the EOT (up to Week 36 or 60)
Aspartate Aminotransferase (AST) Normalisation: AST in Normal Range at Sustained Virological Response 12 Weeks Post-treatment (SVR12) Visit, When SVR12=NO
Časové okno: 12 weeks after the EOT (up to Week 36 or 60)
This will be presented as the number of patients. SVR12 means Sustained virological response 12 weeks post-treatment. BL = Baseline
12 weeks after the EOT (up to Week 36 or 60)

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Boehringer Ingelheim

Publikace a užitečné odkazy

Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.

Obecné publikace

Užitečné odkazy

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia

1. dubna 2012

Primární dokončení (Aktuální)

1. prosince 2013

Dokončení studie (Aktuální)

1. prosince 2013

Termíny zápisu do studia

První předloženo

12. dubna 2012

První předloženo, které splnilo kritéria kontroly kvality

17. dubna 2012

První zveřejněno (Odhad)

18. dubna 2012

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Odhad)

3. srpna 2015

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

3. července 2015

Naposledy ověřeno

1. července 2015

Více informací

Termíny související s touto studií

Další relevantní podmínky MeSH

Další identifikační čísla studie

  • 1220.54

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .

Klinické studie na Hepatitida C

Klinické studie na BI 201335 low dose

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Podmínky

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Místa

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