- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT01241760
VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection
A Randomized, Open-Label, Phase 3 Study of Telaprevir Administered Twice Daily or Every 8 Hours in Combination With Pegylated Interferon Alfa-2a and Ribavirin in Treatment-Naïve Subjects With Genotype 1 Chronic Hepatitis C Virus Infection
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
This is a randomized (study drug assigned by chance), open-label (all persons know the study drug assignment) multicenter study to evaluate the effectiveness of telaprevir administered orally as 1125 milligram (mg) twice daily versus 750mg every 8 hours in combination with Peg-IFN-alfa-2a, administered via intramuscular injection once a week, and ribavirin, administered as an oral tablet twice a day, in treatment-naïve study participants with chronic hepatitis C virus (HCV) genotype 1 infection.
Telaprevir will be given orally (by mouth) from Day 1 through Week 12 as 3 tablets (1125mg) twice daily or 2 tablets (750mg) every 8 hours. Peg-IFN-alfa-2a will be administered once a week as an injection under the skin (180 microgram/week) from Day 1 through Week 24 or 48 (based on the patient's treatment response on week 4). Ribavirin is administered orally (by mouth) twice daily from Day 1 through Week 24 or 48 (based on the participant's treatment response on week 4) as 1,000-1,200 mg per day. After the end of treatment (Week 24, Week 48, or at early discontinuation of all study drugs), participants with undetectable HCV RNA at end of treatment will be required to attend follow-up visits until Week 72 safety/tolerability assessments will be performed throughout the treatment period and during the follow-up period.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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Adelaide, Australien
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Camperdown, Australien
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Clayton, Australien
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Darlinghurst, Australien
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Fitzroy, Australien
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Greenslopes, Australien
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Melbourne, Australien
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Perth, Australien
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Antwerpen, Belgien
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Brussels, Belgien
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Genk, Belgien
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Gent, Belgien
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Leuven, Belgien
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Liege, Belgien
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Campinas, Brasilien
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Salvador, Brasilien
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Santo Andre, Brasilien
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Sao Paulo, Brasilien
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São Paulo, Brasilien
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Berlin, Deutschland
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Bochum, Deutschland
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Essen, Deutschland
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Frankfurt, Deutschland
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Hamburg, Deutschland
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Kiel, Deutschland
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Mainz, Deutschland
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Regensburg, Deutschland
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Clichy, Frankreich
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Creteil, Frankreich
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Grenoble, Frankreich
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Lille, Frankreich
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Lyon, Frankreich
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Paris, Frankreich
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Pessac, Frankreich
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Vandoeuvre Les Nancy, Frankreich
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Villejuif Cedex, Frankreich
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Dublin, Irland
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Dublin 9, Irland
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Mex Ctity, Mexiko
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Mexico, Mexiko
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Monterrey, Mexiko
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Bialystok, Polen
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Bydgoszcz, Polen
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Czeladz, Polen
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Kielce, Polen
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Krakow, Polen
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Warszawa, Polen
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Göteborg, Schweden
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Malmö, Schweden
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Stockholm, Schweden
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Barcelona, Spanien
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Barcelona N/A, Spanien
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Madrid, Spanien
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Malaga N/A, Spanien
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Santander N/A, Spanien
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Sevilla N/A, Spanien
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Valencia, Spanien
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California
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La Jolla, California, Vereinigte Staaten
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Los Angeles, California, Vereinigte Staaten
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San Diego, California, Vereinigte Staaten
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Colorado
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Aurora, Colorado, Vereinigte Staaten
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Connecticut
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New Haven, Connecticut, Vereinigte Staaten
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Florida
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Bradenton, Florida, Vereinigte Staaten
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Jacksonville, Florida, Vereinigte Staaten
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Georgia
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Atlanta, Georgia, Vereinigte Staaten
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Marietta, Georgia, Vereinigte Staaten
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Illinois
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Chicago, Illinois, Vereinigte Staaten
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Downers Grove, Illinois, Vereinigte Staaten
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Louisiana
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New Orleans, Louisiana, Vereinigte Staaten
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Maryland
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Lutherville, Maryland, Vereinigte Staaten
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Missouri
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Kansas City, Missouri, Vereinigte Staaten
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New Hampshire
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Lebanon, New Hampshire, Vereinigte Staaten
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New Jersey
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Egg Harbor Twp, New Jersey, Vereinigte Staaten
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New Mexico
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Santa Fe, New Mexico, Vereinigte Staaten
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New York
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New York, New York, Vereinigte Staaten
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North Carolina
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Charlotte, North Carolina, Vereinigte Staaten
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Durham, North Carolina, Vereinigte Staaten
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Statesville, North Carolina, Vereinigte Staaten
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Winston Salem, North Carolina, Vereinigte Staaten
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Ohio
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Cincinnati, Ohio, Vereinigte Staaten
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Pennsylvania
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Allentown, Pennsylvania, Vereinigte Staaten
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Hershey, Pennsylvania, Vereinigte Staaten
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Philadelphia, Pennsylvania, Vereinigte Staaten
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Pittsburgh, Pennsylvania, Vereinigte Staaten
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Rhode Island
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Providence, Rhode Island, Vereinigte Staaten
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South Carolina
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Charleston, South Carolina, Vereinigte Staaten
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Columbia, South Carolina, Vereinigte Staaten
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Texas
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Arlington, Texas, Vereinigte Staaten
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Dallas, Texas, Vereinigte Staaten
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Houston, Texas, Vereinigte Staaten
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San Antonio, Texas, Vereinigte Staaten
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Virginia
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Falls Church, Virginia, Vereinigte Staaten
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Norfolk, Virginia, Vereinigte Staaten
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Washington
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Seattle, Washington, Vereinigte Staaten
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Birmingham, Vereinigtes Königreich
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Edinburgh, Vereinigtes Königreich
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Glasgow, Vereinigtes Königreich
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London, Vereinigtes Königreich
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Manchester, Vereinigtes Königreich
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Graz N/A, Österreich
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Linz, Österreich
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Wien, Österreich
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Patient has chronic HCV infection genotype 1 with HCV RNA level > 1,000 IU/mL
- Patients should not have had any previous treatment for hepatitis C
- Patient must have documentation of a liver biopsy within 2 years before the screening visit or the patient must agree to have a biopsy performed within the screening period
- Patients with cirrhosis should have serum alpha-fetoprotein (AFP) <= 50 ng/mL. If AFP > 50 ng/mL, absence of a mass must be demonstrated by ultrasound within the screening period
- A female patient of childbearing potential and a nonvasectomized male patient who has a female partner of childbearing potential must agree to the use of 2 effective methods of birth control from screening until 6 months (female patient) or 7 months (male patient) after the last dose of RBV.
Exclusion Criteria:
- Patient is infected or co-infected with HCV of another genotype than genotype 1 and/or patient is infected with more than one genotype subtype
- Patient has a pre-existing psychiatric condition
- Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C
- Patient has human immunodeficiency virus (HIV) or hepatitis B virus (HBV) co-infection
- Patient has active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma).
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Experimental: 001 T(q8h) / PR
Telaprevir (T) 750 mg (2 oral tablets) every 8 hours for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
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Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4
1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks
180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4
750 mg (2 oral tablets) every 8 hours for 12 weeks
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Experimental: 002 T(b.i.d.) / PR
Telaprevir (T) 1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)
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Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4
1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks
180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4
750 mg (2 oral tablets) every 8 hours for 12 weeks
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After the Last Planned Dose of Study Drugs (SVR12 Planned)
Zeitfenster: End of trial, 12 weeks after last planned dose
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The table below shows the percentage of participants achieving Sustained Virologic Response 12 weeks after last planned dose of study medication (SVR12 planned).
SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL).
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End of trial, 12 weeks after last planned dose
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Percentage of Participants With Sustained Virologic Response 24 Weeks After the Last Planned Dose of Study Drugs (SVR24 Planned)
Zeitfenster: End of trial, 24 weeks after last planned dose
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The table below shows the percentage of participants achieving SVR 24 weeks after the last planned dose of study medication.
SVR was defined as having Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 international units/milliliter (IU/mL).
The response for T12(b.i.d)/PR group is higher than that after 12 weeks because HCV RNA data for two participants were missing for SVR assessment at that time.
Consequently, by definition of SVR12, they were counted as not having achieved SVR12.
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End of trial, 24 weeks after last planned dose
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Percentage of Participants With Sustained Virologic Response 72 Weeks After the Start of Study Medication (SVR72 Planned)
Zeitfenster: End of trial, 72 weeks after the start of study medication
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The table below shows the percentage of participants achieving SVR 72 weeks after the start of study medication (SVR72 planned).
SVR was defined as having plasma Hepatitis C Virus (HCV) ribonucleic acid (RNA) levels less than 25 IU/mL, target not detected, at end of treatment and up to 72 weeks after start of study medication (i.e., no confirmed detectable HCV RNA in between).
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End of trial, 72 weeks after the start of study medication
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Percentage of Participants Achieving Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Values of Less Than 25 IU/ml, Target Not Detected, at Different Time Points.
Zeitfenster: Baseline, Week 4 and Week 4+12.
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The table below shows the percentage of participants with undetectable hepatitis C virus (HCV) ribonucleic acid (RNA) levels, which means less than 25 IU/ml, target not detected, at different time points during the study.
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Baseline, Week 4 and Week 4+12.
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Percentage of Participants With On-treatment Virologic Failure Which Required Them to Permanently Discontinue All Study Drugs
Zeitfenster: Week 4, 12, 24, 32, 40
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The table below shows the percentage of participants who met a stopping rule, defined as having a hepatitis C virus (HCV) ribonucleic acid (RNA) value at Week 4 >1000 IU/mL and at Weeks 12, 24, 32 and 40 ≥25 IU/mL.
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Week 4, 12, 24, 32, 40
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Percentage of Participants Who Relapsed During Follow-up Period
Zeitfenster: During Follow-Up (24 weeks after the last dose of study drug)
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The table below shows the percentage of participants who relapsed (ie, those having confirmed detectable hepatitis C virus [HCV] ribonucleic acid [RNA] during the 12-week follow-up period after previous HCV RNA <25 IU/mL, target not detected, at end of treatment).
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During Follow-Up (24 weeks after the last dose of study drug)
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Percentage of Participants of Each IL28B Genotype Achieving Sustained Virologic Response 12 Weeks After the Last Planned Dose of Study Medication (SVR12 Planned)
Zeitfenster: End of trial, 12 weeks after the last planned dose
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The table below shows the effect of interleukin 28B (IL28B) gene's subtype (CC, CT or TT genotype) on the primary outcome measure: SVR12 planned.
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End of trial, 12 weeks after the last planned dose
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Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Sarrazin C, Dierynck I, Cloherty G, Ghys A, Janssen K, Luo D, Witek J, Buti M, Picchio G, De Meyer S. An OPTIMIZE study retrospective analysis for management of telaprevir-treated hepatitis C virus (HCV)-infected patients by use of the Abbott RealTime HCV RNA assay. J Clin Microbiol. 2015 Apr;53(4):1264-9. doi: 10.1128/JCM.03030-14. Epub 2015 Feb 4.
- Buti M, Agarwal K, Horsmans Y, Sievert W, Janczewska E, Zeuzem S, Nyberg L, Brown RS Jr, Hezode C, Rizzetto M, Parana R, De Meyer S, De Masi R, Luo D, Bertelsen K, Witek J. Telaprevir twice daily is noninferior to telaprevir every 8 hours for patients with chronic hepatitis C. Gastroenterology. 2014 Mar;146(3):744-753.e3. doi: 10.1053/j.gastro.2013.11.047. Epub 2013 Dec 4.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Erkrankungen des Verdauungssystems
- RNA-Virusinfektionen
- Infektionen
- Durch Blut übertragene Infektionen
- Übertragbare Krankheiten
- Leberkrankheiten
- Flaviviridae-Infektionen
- Hepatitis, viral, menschlich
- Enterovirus-Infektionen
- Picornaviridae-Infektionen
- Hepatitis
- Hepatitis A
- Hepatitis C
- Viruserkrankungen
- Hepatitis, chronisch
- Hepatitis C, chronisch
- Physiologische Wirkungen von Arzneimitteln
- Molekulare Mechanismen der pharmakologischen Wirkung
- Antiinfektiva
- Antivirale Mittel
- Antimetaboliten
- Antineoplastische Mittel
- Immunologische Faktoren
- Interferone
- Interferon-alpha
- Ribavirin
- Peginterferon alfa-2a
- Interferon alpha-2
Andere Studien-ID-Nummern
- CR013711
- OPTIMIZE-HCV (Andere Kennung: Janssen Infectious Diseases BVBA)
- VX-950-C211 (Andere Kennung: Janssen Infectious Diseases BVBA)
- 2010-021628-84 (EudraCT-Nummer)
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