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

2015년 7월 3일 업데이트: 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

연구 개요

연구 유형

중재적

등록 (실제)

131

단계

  • 3단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

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

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

20년 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 더블

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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
BI 201335 low dose with PegIFN/RBV
실험적: 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
BI 201335 high dose with PegIFN/RBV
실험적: 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
BI 201335 high dose with PegIFN/RBV
실험적: 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
BI 201335 high dose with PegIFN/RBV

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Number of Patients With Investigator Defined Drug-related Adverse Events
기간: 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

2차 결과 측정

결과 측정
측정값 설명
기간
Sustained Virological Response (SVR12), Defined as Plasma HCV RNA Undetectable at 12 Weeks After End of Treatment (EOT)
기간: 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)
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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)

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여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

유용한 링크

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2012년 4월 1일

기본 완료 (실제)

2013년 12월 1일

연구 완료 (실제)

2013년 12월 1일

연구 등록 날짜

최초 제출

2012년 4월 12일

QC 기준을 충족하는 최초 제출

2012년 4월 17일

처음 게시됨 (추정)

2012년 4월 18일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2015년 8월 3일

QC 기준을 충족하는 마지막 업데이트 제출

2015년 7월 3일

마지막으로 확인됨

2015년 7월 1일

추가 정보

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

C 형 간염에 대한 임상 시험

BI 201335 low dose에 대한 임상 시험

구독하다