Trial Outcomes & Findings for Peginterferon Alpha-2a and Ribavirin to Treat Hepatitis C in HIV-infected Patients (NCT NCT00085917)

NCT ID: NCT00085917

Last Updated: 2011-06-27

Results Overview

SVR \[ Sustained virological response\] SVR was defined as HCV RNA levels below the limit of detection 24 weeks after the end of treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

72 weeks

Results posted on

2011-06-27

Participant Flow

Recruitment period was over a period of 3 yrs from 2004 - 2007. Participants were recruited and screened through the OP8 clinic of the NIAID.

There were no significant events or approaches following participant enrollment prior to group assignments. However if enrolled participants subsequently developed exclusion criteria such as active alcohol or drug abuse, they were excluded from the study.

Participant milestones

Participant milestones
Measure
Pegasys Single Dose
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Overall Study
STARTED
15
14
Overall Study
COMPLETED
11
11
Overall Study
NOT COMPLETED
4
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Pegasys Single Dose
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Overall Study
Adverse Event
4
3

Baseline Characteristics

Peginterferon Alpha-2a and Ribavirin to Treat Hepatitis C in HIV-infected Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pegasys Single Dose
n=15 Participants
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=14 Participants
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Total
n=29 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
48 years
STANDARD_DEVIATION 6.402 • n=5 Participants
46 years
STANDARD_DEVIATION 5.93 • n=7 Participants
47 years
STANDARD_DEVIATION 6.109 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
10 Participants
n=7 Participants
21 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
14 participants
n=7 Participants
29 participants
n=5 Participants

PRIMARY outcome

Timeframe: 72 weeks

SVR \[ Sustained virological response\] SVR was defined as HCV RNA levels below the limit of detection 24 weeks after the end of treatment.

Outcome measures

Outcome measures
Measure
Pegasys Single Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Number of Participants With Sustained Virologic Response (SVR)
11 participants
11 participants

SECONDARY outcome

Timeframe: week 24, week 48, week 72

normalization of liver enzymes :Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) Alanine aminotransferase (ALT): Normal 6 - 41 U/L Aspartate aminotransferase (AST) : Normal 9 - 34 U/L

Outcome measures

Outcome measures
Measure
Pegasys Single Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Number of Participants With Normalization of Liver Enzymes
11 participants
11 participants

SECONDARY outcome

Timeframe: 48 weeks

Adverse Events \- Anemia, Neutropenia and Psychiatric adverse events

Outcome measures

Outcome measures
Measure
Pegasys Single Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=11 Participants
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Number of Participants With Adverse Events
11 participants
11 participants

Adverse Events

Pegasys Single Dose

Serious events: 4 serious events
Other events: 9 other events
Deaths: 0 deaths

Pegasys Double Dose

Serious events: 7 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pegasys Single Dose
n=11 participants at risk
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=11 participants at risk
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Blood and lymphatic system disorders
Neutropenia
18.2%
2/11 • Number of events 2 • 2 YEARS
54.5%
6/11 • Number of events 6 • 2 YEARS
Psychiatric disorders
Depression
9.1%
1/11 • Number of events 1 • 2 YEARS
9.1%
1/11 • Number of events 1 • 2 YEARS
Blood and lymphatic system disorders
Anemia
9.1%
1/11 • Number of events 1 • 2 YEARS
9.1%
1/11 • Number of events 1 • 2 YEARS

Other adverse events

Other adverse events
Measure
Pegasys Single Dose
n=11 participants at risk
pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) \- Treatment for 48 weeks
Pegasys Double Dose
n=11 participants at risk
pegylated interferon alfa -2a 180 mcg/twice week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 4 weeks then pegylated interferon alfa -2a 180 mcg/week and weight based Ribavirin (1000daily for weight\<75kg, 1200mg daily for weight \>75kg) for 44 weeks \- Total Treatment for 48 weeks
Blood and lymphatic system disorders
Anemia
54.5%
6/11 • Number of events 6 • 2 YEARS
63.6%
7/11 • Number of events 7 • 2 YEARS
Psychiatric disorders
Depression/anxiety
54.5%
6/11 • Number of events 6 • 2 YEARS
54.5%
6/11 • Number of events 6 • 2 YEARS
Blood and lymphatic system disorders
Neutropenia
81.8%
9/11 • Number of events 9 • 2 YEARS
72.7%
8/11 • Number of events 9 • 2 YEARS
General disorders
Fatigue
18.2%
2/11 • Number of events 2 • 2 YEARS
27.3%
3/11 • Number of events 3 • 2 YEARS
General disorders
Weight loss
18.2%
2/11 • Number of events 2 • 2 YEARS
27.3%
3/11 • Number of events 3 • 2 YEARS
Blood and lymphatic system disorders
Thrombocytopenia
36.4%
4/11 • Number of events 4 • 2 YEARS
36.4%
4/11 • Number of events 4 • 2 YEARS
Hepatobiliary disorders
Elevated transaminases
72.7%
8/11 • Number of events 8 • 2 YEARS
54.5%
6/11 • Number of events 6 • 2 YEARS

Additional Information

John Tierney

RCHSPB

Phone: 301-451-5136

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place