A Study of Mericitabine in Combination With Telaprevir and Peginterferon Alfa-2a / Ribavirin in Participants With Chronic Hepatitis C
A Phase II, Randomized, Double-Blind, Multicenter, Parallel Group Study to Evaluate the Sustained Virologic Response of the HCV Polymerase Inhibitor Prodrug RO5024048 in Combination With Telaprevir and Pegasys®/Copegus® in Patients With Chronic Hepatitis C Genotype 1 Virus Infection Who Were Prior Null Responders to Treatment With Pegylated Interferon/Ribavirin
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Gordon & Leslie Diamond Health Care Centre; Dept. of Medicine - Division of Gastroenterology
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Vancouver, British Columbia, Canada, V6Z 2K5
- GI Research Institute; Gastroenterology & Hepatology
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Victoria, British Columbia, Canada, V8V 3P9
- PerCuro Clinical Research Ltd.
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Manitoba
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Winnipeg, Manitoba, Canada, R3A 1R9
- Winnipeg Regional Health Authority; Section of Hepatology
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Ontario
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Toronto, Ontario, Canada, M5G 1L7
- University Health Network - Toronto Western Hospital; Hepatology
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Woodbridge, Ontario, Canada, L4L 4Y7
- Toronto Digest. Disease Asso.
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Quebec
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Montreal, Quebec, Canada, H2X2P4
- McGill University, Montreal Chest Institute; Viral and other Infectious
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Dorset, Det Forenede Kongerige, BH7 7DW
- Royal Bournemouth Hospital, Gastroenterology
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London, Det Forenede Kongerige, SW17 0QT
- St George's Hospital
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London, Det Forenede Kongerige, SE5 9RS
- King'S College Hospital; Institute of Liver Studies
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London, Det Forenede Kongerige, W2 1NY
- Imperial College Healthcare NHS Trust; Hepatology Clinical Research Facility
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Alabama
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Birmingham, Alabama, Forenede Stater, 35209
- Birmingham Gastro Associates, P.C.
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California
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Long Beach, California, Forenede Stater, 90822
- VA Long Beach Healthcare System
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Sacramento, California, Forenede Stater, 95825
- Kaiser Permanente Sacramento Medical Center
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San Diego, California, Forenede Stater, 92103
- UCSD Antiviral Research Center
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Connecticut
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New Haven, Connecticut, Forenede Stater, 06510
- Yale University
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Florida
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Naples, Florida, Forenede Stater, 34102
- Gastroenterology Group of Naples
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Maryland
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Lutherville, Maryland, Forenede Stater, 21093
- John Hopkins Hospital
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Massachusetts
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Framingham, Massachusetts, Forenede Stater, 01702
- MetroWest Medical Center
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Missouri
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Saint Louis, Missouri, Forenede Stater, 63104
- Saint Louis University Gastroenterology & Hepatology; Clinical Research Unit
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New York
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New York, New York, Forenede Stater, 10021
- Weill Cornell Medical College
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North Carolina
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Statesville, North Carolina, Forenede Stater, 28677
- Carolina'S Center For Liver Disease
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45267-0595
- Uni of Cincinnati College of Medicine; Div. of Digestive Diseases
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Texas
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Dallas, Texas, Forenede Stater, 75246
- Baylor Uni Medical Center; Division Of Hepatology/Transplantation; Annette C. and Harold C. Simmons
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Virginia
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Richmond, Virginia, Forenede Stater, 23249
- McGuire; Veteran Affairs Med Ctr
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Washington
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Seattle, Washington, Forenede Stater, 98104
- Harborview Medical Center
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Lille, Frankrig, 59037
- Hopital Claude Huriez;Gastro Enterologie
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Marseille, Frankrig, 13285
- Fondation Hopital Saint Joseph; Gastro-Enterologie
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Toulouse, Frankrig, 31059
- Hopital Purpan;Gastro Enterologie Hepatologie
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Emilia-Romagna
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Bologna, Emilia-Romagna, Italien, 40138
- UNI DEGLI STUDI - POLICLINICA S. ORSOLA; Dipartimento Malattie dell'Apparato Digerente e Medicina In
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Lombardia
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Milano, Lombardia, Italien, 20162
- ASST GRANDE OSPEDALE METROPOLITANO NIGUARDA; Divisione Malattie Infettive
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Toscana
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Pisa, Toscana, Italien, 56124
- Ospedale Cisanello - Az. Osp. Pisana; Unità Operativa Di Gastroenterologia Ed Epatologia
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Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron; Departamento de Enfermedades Infecciosas
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Barcelona, Spanien, 08036
- Hospital Clinic I Provincial; Servicio de Digestivo
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Madrid, Spanien, 28029
- Hospital Carlos III; Laboratorio de Biologia Molecular
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Tenerife
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La Laguna, Tenerife, Spanien, 38320
- Hospital Universitario de Canarias; Servicio de Digestivo
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Frankfurt Am Main, Tyskland, 60590
- Klinik Johann Wolfgang von Goethe Uni; Zentrum der Inneren Medizin; Medizinische Klinik I
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Freiburg, Tyskland, 79106
- Uniklinik Freiburg; Abteilung Innere Medizin II
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Kiel, Tyskland, 24105
- Universitäts Klinikum; Schleswig-Holstein Kiel
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Chronic hepatitis C infection for at least 6 months duration
- Hepatitis C genotype 1a or 1b
- Participants must have discontinued prior hepatitis C treatment at least 12 weeks prior to enrollment in this study
- Participants showed a previous null response to therapy as defined by < 2 logarithm to the base 10 (log10) international units per milliliter (IU/mL) decrease in viral titer after at least 12 weeks of treatment with PEG-IFN/RBV
Exclusion Criteria:
- Hepatitis C infection with a genotype other than genotype 1a or 1b
- Body mass index < 18 or >= 36 kilograms per square meters (kg/m^2)
- Hepatitis A, hepatitis B, or human immunodeficiency virus (HIV) infection
- Herbal remedies <=1 month prior to the first dose of study drug
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: TVR (12 Weeks), MCB (24 Weeks), PEG-IFN/RBV (24 Weeks)
Twelve weeks of therapy with MCB, TVR, and PEG-IFN/RBV, followed by 12 weeks of therapy with MCB and PEG-IFN/RBV (total treatment duration of 24 weeks).
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Participants will receive a total daily dose of 1000 milligrams (mg) (for participants weighing less than [<] 75 kg) or 1200 mg (for participants weighing greater than or equal to [>=] 75 kg) orally for 24 or 48 weeks.
Andre navne:
Participants will receive mericitabine 1000 mg orally twice daily.
Participants will receive 180 micrograms (mcg) subcutaneous injection once weekly.
Andre navne:
Participants will receive telaprevir 750 mg orally three times daily.
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Eksperimentel: TVR (12 Weeks), MCB (24 Weeks), PEG-IFN/RBV (48 Weeks)
Twelve weeks of therapy with MCB, TVR, and PEG-IFN/RBV, followed by 12 weeks of therapy with MCB and PEG-IFN/RBV and then 12 weeks of therapy with PEG-IFN/RBV (total treatment duration of 48 weeks).
|
Participants will receive a total daily dose of 1000 milligrams (mg) (for participants weighing less than [<] 75 kg) or 1200 mg (for participants weighing greater than or equal to [>=] 75 kg) orally for 24 or 48 weeks.
Andre navne:
Participants will receive mericitabine 1000 mg orally twice daily.
Participants will receive 180 micrograms (mcg) subcutaneous injection once weekly.
Andre navne:
Participants will receive telaprevir 750 mg orally three times daily.
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Eksperimentel: TVR, MCB, Placebo MCB( each for 12Weeks),PEG-IFN/RBV(48 Weeks)
Twelve weeks of therapy with MCB, TVR, and PEG-IFN/RBV, followed by 12 weeks of therapy with placebo matching to MCB and PEG-IFN/RBV, and then 24 weeks of therapy with PEG-IFN/RBV (total treatment duration of 48 weeks).
|
Participants will receive a total daily dose of 1000 milligrams (mg) (for participants weighing less than [<] 75 kg) or 1200 mg (for participants weighing greater than or equal to [>=] 75 kg) orally for 24 or 48 weeks.
Andre navne:
Participants will receive mericitabine 1000 mg orally twice daily.
Participants will receive 180 micrograms (mcg) subcutaneous injection once weekly.
Andre navne:
Participants will receive telaprevir 750 mg orally three times daily.
Participants will receive placebo matching to mericitabine orally twice daily.
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Aktiv komparator: TVR(12 Weeks), Placebo MCB (24 Weeks), PEG-IFN/RBV(48 Weeks)
Twelve weeks of therapy with placebo matching to MCB, TVR, PEG-IFN/RBV, will be followed by 12 weeks of therapy with placebo matching to MCB along with PEG-IFN/RBV , following 24 weeks of therapy with PEG-IFN/RBV (total treatment duration of 48 weeks).
|
Participants will receive a total daily dose of 1000 milligrams (mg) (for participants weighing less than [<] 75 kg) or 1200 mg (for participants weighing greater than or equal to [>=] 75 kg) orally for 24 or 48 weeks.
Andre navne:
Participants will receive 180 micrograms (mcg) subcutaneous injection once weekly.
Andre navne:
Participants will receive telaprevir 750 mg orally three times daily.
Participants will receive placebo matching to mericitabine orally twice daily.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Percent of Participants With Sustained Virological Response 12 Weeks After End of Treatment (SVR12), as Determined by Polymerase Chain Reaction (PCR) Using Roche COBAS TaqMan Hepatitis C Virus (HCV) Test
Tidsramme: 12 weeks after end of treatment (up to Week 60)
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12 weeks after end of treatment (up to Week 60)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Percentage of Participants With Sustained Virological Response 4 Weeks After End of Treatment (SVR-4), as Determined by PCR Using Roche COBAS TaqMan HCV Test
Tidsramme: 4 weeks after end of treatment (up to Week 52)
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4 weeks after end of treatment (up to Week 52)
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Percentage of Participants With Sustained Virological Response 24 Weeks After End of Treatment (SVR-24), as Determined by PCR Using Roche COBAS TaqMan HCV Test
Tidsramme: 24 weeks after end of treatment (up to Week 72)
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24 weeks after end of treatment (up to Week 72)
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Percentage of Participants With Virological Response Over Time From Week 2 to Week 48, as Determined by PCR Using Roche COBAS TaqMan HCV Test
Tidsramme: Weeks 2, 4, 12, 24, and 48
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Weeks 2, 4, 12, 24, and 48
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Percentage of Participants With Treatment- Resistant Mutations, as Determined Using Standard Sequencing Technology
Tidsramme: Baseline up to Week 60
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Baseline up to Week 60
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Change From Baseline in HCV Ribonucleic Acid (RNA) Levels
Tidsramme: Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24, 30, 36, 42, 48, 52, 60, and 72
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Baseline, Weeks 1, 2, 4, 8, 12, 16, 20, 24, 30, 36, 42, 48, 52, 60, and 72
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Percentage of Participants With Adverse Event
Tidsramme: Baseline up to Week 72
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Baseline up to Week 72
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Trough Concentration of RO4995855 (Parent Drug of Mericitabine)
Tidsramme: Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Trough Concentration of Metabolite of RO4995855 (RO5012433)
Tidsramme: Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Trough Concentration of Telaprevir
Tidsramme: Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Pre-dose (-0.5 hour) on Day 1 and Week 8; 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 12 hour post dose in Week 8
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- RNA-virusinfektioner
- Virussygdomme
- Infektioner
- Blodbårne infektioner
- Overførbare sygdomme
- Leversygdomme
- Flaviviridae infektioner
- Hepatitis, viral, menneskelig
- Enterovirus infektioner
- Picornaviridae infektioner
- Hepatitis, kronisk
- Hepatitis
- Hepatitis A
- Hepatitis C
- Hepatitis C, kronisk
- Molekylære mekanismer for farmakologisk virkning
- Anti-infektionsmidler
- Antivirale midler
- Antimetabolitter
- Ribavirin
- Peginterferon alfa-2a
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NV27779
- 2011-002715-28 (EudraCT nummer)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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