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Efficacy and Safety Study of PEG-IFN-SA and Ribavirin to Treat Chronic Hepatitis C

24 septembre 2015 mis à jour par: Cheng jun, Beijing Kawin Technology Share-Holding Co., Ltd.

Multi-center, Randomized, Open-label, Parallel-group, Active Controlled Study for the Efficacy and Safety of Pegylated Recombinant Consensus Interferon Variant Solution for Injection in the Treatment of Chronic Hepatitis C

This study is to confirm the potential effects and assess the safety of a new bio-product Pegylated Recombinant Consensus Interferon Variant Solution for Injection (PEG-IFN-SA) and Ribavirin（RBV） in the treatment of Chronic hepatitis C who have not been previously treated with Interferon.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

Total 720 subjects are divided into two groups and treated separately according to the HCV genotype（genotype 2,3 and non-genotype 2,3). With 2:1 ratio between experimental group and positive-control group (Peginterferon alfa-2a (Pegasys) plus RBV), 216 subjects for genotype 2,3 and 504 subjects for non-genotype2,3 will be enrolled. Accordingly, PEG-IFN-SA once weekly and RBV twice a day (bid) are given for 24 weeks and 48 weeks respectively to the HCV genotype 2,3 and the HCV non-genotype 2,3 .

Type d'étude

Interventionnel

Inscription (Réel)

719

Phase

  • Phase 3

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Chine
      • Beijing, Chine
        • Peking University First Hospital
      • Beijing, Chine
        • Beijing Ditan Hospital, Capital Medical University
      • Beijing, Chine
        • Beijing Youan Hospital, Capital Medical University
      • Beijing, Chine
        • Peking University People's Hospital
      • Beijing, Chine
        • 302 Military Hospital of China
      • Beijing, Chine
        • Beijing Youyi Hospital, capital Medical University
      • Beijing, Chine
        • General Hospital of Beijing Military Region
      • Chongqing, Chine
        • The Second Affiliated Hospital of Chongqing Medical University
      • Chongqing, Chine
        • Chongqing Southwest Hospital
      • Shanghai, Chine
        • Shanghai Public Health Clinical Center
      • Tianjin, Chine
        • Tianjin Infectious Disease Hospital
    • Gansu
      • Lanzhou, Gansu, Chine
        • First Affiliated Hospital of Lanzhou University
    • Guangdong
      • Guangzhou, Guangdong, Chine
        • Guangzhou Eighth People's Hospital
      • Guangzhou, Guangdong, Chine
        • Nanfang Hospital Southern Medical Unbiversity
    • Guangxi
      • Nanning, Guangxi, Chine
        • The First Affiliated Hospital of Guangxi Medical University
    • Hebei
      • Shijiazhuang, Hebei, Chine
        • Third Affiliated Hospital, Hebei Medical University
    • Heilongjiang
      • Harbin, Heilongjiang, Chine
        • The Second Affiliated Hospital of Harbin Medical University
    • Henan
      • Xinxiang, Henan, Chine
        • The First Affiliated Hospital of Xinxiang Medical University
      • Zhengzhou, Henan, Chine
        • Henan Provincial People's Hospital
    • Hubei
      • Wuhan, Hubei, Chine
        • Tongji Hospital, Tongji Medical College Huazhong University of Science ＆ Technology
      • Wuhan, Hubei, Chine
        • Zhongnan Hospital of Wuhan University
      • Wuhan, Hubei, Chine
        • Union hospital, Tongji Medical College Huazhong University of Science ＆ Technology
    • Hunan
      • Changsha, Hunan, Chine
        • The Second Xiangya Hospital of Central South University
      • Changsha, Hunan, Chine
        • Xiangya Hospital Central-South University
    • Jiangsu
      • Nanjing, Jiangsu, Chine
        • Jiangsu Province Hospital
      • Nanjing, Jiangsu, Chine
        • The Second Hospital of Nanjing
    • Jiangxi
      • Nanchang, Jiangxi, Chine
        • First Affiliated Hospital of Nanchang University
    • Jilin
      • Changchun, Jilin, Chine
        • The first Affiliated Hospital of Jilin University
      • Yanji, Jilin, Chine
        • Yanbian University Hospital (Yanbian Hospital)
    • Liaoning
      • Shenyang, Liaoning, Chine
        • The Sixth People's Hospital of Shenyang
    • Shaanxi
      • Xi'an, Shaanxi, Chine
        • First Affiliated Hospital of Medical College of Xian jiaotong University
      • Xi'an, Shaanxi, Chine
        • Second Affiliated Hospital Of Medical College of Xian Jiaotong University
      • Xi'an, Shaanxi, Chine
        • Tangdu hospital,fourth military medical university
    • Shandong
      • Jinan, Shandong, Chine
        • Qilu Hospital of Shandong University
      • Jinan, Shandong, Chine
        • Jinan Infectious Disease Hospital
      • Qingdao, Shandong, Chine
        • Qingdao Municipal Hospital
    • Shanxi
      • Taiyuan, Shanxi, Chine
        • The First Hospital of Shanxi Medical University
    • Sichuan
      • Chengdu, Sichuan, Chine
        • West China Hospital, Sichuan University
      • Chengdu, Sichuan, Chine
        • Sichuan Academy of Medical Science ＆Sichuan Provincial People's Hospital
    • Xinjiang
      • Urumqi, Xinjiang, Chine
        • The First Teaching Hospital of Xinjiang Medical University
    • Zhejiang
      • Wenzhou, Zhejiang, Chine
        • The First Affiliated Hospital of Wenzhou Medical University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans à 65 ans (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Age 18- 65 years
  • Body Mass Index (BMI) 18-30
  • Chronic hepatitis C , diagnosed according to Chinese guideline of Hepatitis C (year 2004)
  • Detectable serum HCV-RNA by quantitative polymerase chain reaction assay and positive anti-HCV antibody
  • Female subjects of childbearing age with no history of menopause and negative pregnancy test, both female and male( including their partners ) subjects were required to conduct adequate contraception since screening until the 6 months after treatment
  • Volunteered to participate in this study, understood and signed an informed consent

Exclusion Criteria:

  • Previous IFN treated patients
  • Hepatotoxic drugs was systematically used more than two weeks within past 6 months
  • Systemic therapy with potent immunomodulatory agents such as adrenocorticotropic hormone, thymosin α1, etc more than two weeks within past 6 months, not including corticosteroid nasal sprays, inhaled steroids and / or topical steroids
  • Co-infection with HAV, HBV, HEV, EBV, CMV and HIV
  • Evidences of hepatic decompensation, including but not limited to serum total bilirubin> 2 times the upper limit of normal (ULN); serum albumin <35g/L; prothrombin activity (PTA) <60%; ascites, upper gastrointestinal bleeding and hepatic encephalopathy; Child-Pugh score B/C grade
  • Diagnosed with primary hepatocellular carcinoma or supported by evidences including but not limited to AFP> l00ng/ml, suspicious liver nodules by imaging examinations
  • Liver diseases from causes other than HCV infection, including alcoholic liver disease, non-alcoholic steatohepatitis, drug-induced hepatitis, autoimmune hepatitis (antinuclear antibody titer higher than 1:100), hepatolenticular degeneration (Wilson's disease) and hemochromatosis, etc.
  • White blood cell count <3×109/L; Neutrophil count<1.5×109/L; platelet count<90×109/L; hemoglobin below the lower limit of normal
  • Serum creatinine above the ULN
  • Serum creatine kinase> 3 ULN
  • Diabetes mellitus or Poorly controlled Thyroid Diseases
  • Poorly controlled hypertension (systolic blood pressure> 140mmHg, or diastolic blood pressure> 90 mmHg) with hypertension -related retinal lesions
  • Immunodeficiency or autoimmune diseases including but not limited to inflammatory bowel disease, systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, scleroderma, Sjogren's syndrome, autoimmune thrombocytopenia, etc.
  • Psychiatric and nervous system disorders, including history of Psychiatric illness or with family history (especially depression, depressive tendencies, epilepsy and hysteria, etc.)
  • Severe cardiovascular diseases (New York Heart Association functional class (NYHA) Ⅲ level and above, myocardial infarction occurred within past 6 months or PTCA performed within past 6 months, unstable angina, uncontrolled arrhythmias)
  • Serious blood disorders (all kinds of anemia, hemophilia, etc.)
  • Severe kidney disease (chronic kidney disease, renal insufficiency, etc.)
  • Serious digestive diseases (gastrointestinal ulcers, colitis, etc.)
  • Severe respiratory disease (pneumonia, chronic obstructive pulmonary disease, interstitial lung disease, etc.)
  • Retinal disease (retinal exfoliation, macular hole, retinal tumors, etc.)
  • Malignancies
  • Function organs transplant
  • Allergies or severe allergies, especially allergic to study drugs or any ingredients of the study drugs
  • Evidence of alcohol or drug abuse (average alcohol consumption male> 40g / day, female> 20g / day)
  • Pregnant or lactating women
  • Usage of prohibition drugs in this study
  • Participated in other clinical trials 3 months prior to the screening
  • Unwilling to sign the informed consent and adhere to treatment requirements
  • Other conditions not suitable for study judged by investigators

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: PEG-IFN-SA /RBV T1(Genotype2,3)
PEG-IFN-SA/RBV, 1.5μg/kg/week im and RBV 1000mg-1200mg/d po bid（BW<75kg,1000mg/d; BW≥75kg, 1200mg/d）,24 weeks
Médicament: PEG-IFN-SA /RBV
Comparateur actif: Pegasys /RBV C1(Genotype 2,3)
Pegasys 180μg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),（BW<75kg，1000mg/d；BW≥75kg，1200mg/d）for 24 weeks
Médicament: Pegasys /RBV
Expérimental: PEG-IFN-SA /RBV T2(Non-genotype 2,3)
PEG-IFN-SA 1.5μg/kg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),（BW<75kg，1000mg/d；BW≥75kg，1200mg/d）for 48 weeks
Médicament: PEG-IFN-SA /RBV
Comparateur actif: Pegasys /RBV C2(Non-genotype 2,3)
Pegasys 180μg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),（BW<75kg，1000mg/d；BW≥75kg，1200mg/d）for 48 weeks
Médicament: Pegasys /RBV

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
SVR (sustained virologic response)
Délai: 24 weeks after 24 or 48 weeks of study therapy
defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at 24 weeks after the end of SVR (sustained virologic response) defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at 24 weeks after the end of treatment
24 weeks after 24 or 48 weeks of study therapy

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
RVR(rapid virologic response)
Délai: weeks 4 of study therapy
defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 4
weeks 4 of study therapy
cEVR (complete early virologic response)
Délai: weeks 12 of study therapy
defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 12
weeks 12 of study therapy
ETVR( end of treatment virologic response)
Délai: weeks 24 of study therapy for genotype 2,3, and weeks 48 of study therapy for non-genotype 2,3
defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at the end of treatment
weeks 24 of study therapy for genotype 2,3, and weeks 48 of study therapy for non-genotype 2,3
eRVR ( extended rapid virologic response)
Délai: weeks 4 and 12 of study therapy
defined as the proportion of patients who had undetectable plasma HCV RNA (HCV RNA < 15 IU/mL) at weeks 4 and 12
weeks 4 and 12 of study therapy
No-responses
Délai: weeks 12 or weeks 24 of study therapy
defined as the proportion of patients who had less than a <2 log IU/ml plasma HCV RNA decline at weeks 12 or had detectable plasma HCV RNA at weeks 24
weeks 12 or weeks 24 of study therapy
Breakthrough
Délai: weeks 12, 24 of study therapy for genotype 2,3, and weeks 12, 24 and 48 of study therapy for non-genotype 2,3
defined as the proportion of patients who had detectable plasma HCV RNA at any point during treatment after virological response( undetectable plasma HCV RNA)
weeks 12, 24 of study therapy for genotype 2,3, and weeks 12, 24 and 48 of study therapy for non-genotype 2,3
Relapse
Délai: 12 and 24 weeks after 24 or 48 weeks of study therapy
defined as the proportion of patients who had undetectable HCV RNA at the end of treatment, but reappearance of HCV RNA after the then
12 and 24 weeks after 24 or 48 weeks of study therapy

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Beijing Kawin Technology Share-Holding Co., Ltd.

Les enquêteurs

  • Chercheur principal: Cheng jun, MD, PhD, Beijing Ditan Hospital

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 juin 2013

Achèvement primaire (Réel)

1 août 2015

Achèvement de l'étude (Réel)

1 août 2015

Dates d'inscription aux études

Première soumission

17 juillet 2013

Première soumission répondant aux critères de contrôle qualité

17 juillet 2013

Première publication (Estimation)

19 juillet 2013

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Estimation)

25 septembre 2015

Dernière mise à jour soumise répondant aux critères de contrôle qualité

24 septembre 2015

Dernière vérification

1 septembre 2015

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • KAWIN-002-2

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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