Trial Outcomes & Findings for A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) in Combination With Copegus (Ribavirin) in Patients With Chronic Hepatitis C (CHC) Enrolled in a Methadone Maintenance Treatment Program. (NCT NCT00087594)

NCT ID: NCT00087594

Last Updated: 2016-03-04

Results Overview

TCR is defined as the number of participants who completed the prescribed duration of the study treatment. TCR for G1 participants is defined as the number of participants who had a missing value or \>= 2-log10 decrease in Hepatitis C virus-ribonucleic acid (HCV RNA) at Week 12 and completed 48 weeks of study treatment or had a \< 2-log10 decrease from baseline at Week 12 and completed at least 12 weeks of study treatment. TCR for G2/ 3 participants is defined as the number of participants who completed 24 weeks of study treatment.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

48 participants

Primary outcome timeframe

Up to 24 weeks for G2/3; up to 48 weeks for G1

Results posted on

2016-03-04

Participant Flow

A total of 48 participants were screened at 6 study sites in the United States (U.S) between 20 November 2003 and 25 September 2006.

Participant milestones

Participant milestones
Measure
Direct Observed Therapy
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 microgram (mcg) (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 milligram (mg)/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Overall Study
STARTED
24
24
Overall Study
COMPLETED
16
12
Overall Study
NOT COMPLETED
8
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Direct Observed Therapy
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 microgram (mcg) (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 milligram (mg)/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Overall Study
Adverse Event
2
3
Overall Study
Lost to Follow-up
0
2
Overall Study
Withdrawal by Subject
4
2
Overall Study
Lack of Efficacy
2
5

Baseline Characteristics

A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) in Combination With Copegus (Ribavirin) in Patients With Chronic Hepatitis C (CHC) Enrolled in a Methadone Maintenance Treatment Program.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 microgram (mcg) (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 milligram (mg)/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Total
n=48 Participants
Total of all reporting groups
Age, Continuous
47.9 years
STANDARD_DEVIATION 10.50 • n=5 Participants
46.8 years
STANDARD_DEVIATION 9.45 • n=7 Participants
47.4 years
STANDARD_DEVIATION 9.90 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
16 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 24 weeks for G2/3; up to 48 weeks for G1

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

TCR is defined as the number of participants who completed the prescribed duration of the study treatment. TCR for G1 participants is defined as the number of participants who had a missing value or \>= 2-log10 decrease in Hepatitis C virus-ribonucleic acid (HCV RNA) at Week 12 and completed 48 weeks of study treatment or had a \< 2-log10 decrease from baseline at Week 12 and completed at least 12 weeks of study treatment. TCR for G2/ 3 participants is defined as the number of participants who completed 24 weeks of study treatment.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Treatment Completion Rate (TCR)
G1 (n = 13, 16)
9 participants
10 participants
Number of Participants With Treatment Completion Rate (TCR)
G1, 2 log drop at Week 12 (n = 4, 9)
4 participants
5 participants
Number of Participants With Treatment Completion Rate (TCR)
G1, non 2 log drop at Week 12 (n = 4, 4)
4 participants
4 participants
Number of Participants With Treatment Completion Rate (TCR)
G1, missing HCV-RNA at Week 12 (n = 5, 3)
1 participants
1 participants
Number of Participants With Treatment Completion Rate (TCR)
G2/3 (n = 11, 8)
11 participants
7 participants

SECONDARY outcome

Timeframe: Week 48 for G2/3 and Week 72 for G1

Population: ITT Population included all enrolled participants who received at least one dose of study medication. n = number of participants at indicated time points for each arm.

SVR is defined as the number of participants with undetectable HCV-RNA (\< 10 international unit per milliliter \[IU/mL\]) at 24 weeks post treatment completion.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Sustained Virological Response (SVR) Rate at 24 Weeks Post Treatment (Week 48 for G2/3 and Week 72 for G1)
G1 (n = 13, 16)
4 participants
5 participants
Number of Participants With Sustained Virological Response (SVR) Rate at 24 Weeks Post Treatment (Week 48 for G2/3 and Week 72 for G1)
G2/3 (n = 11, 8)
10 participants
2 participants

SECONDARY outcome

Timeframe: Weeks 12, 24, and 48 for G1 and Weeks 12 and 24 for G2/3; 12 and 24 weeks after EOT for G1 (Weeks 60 and 72) and G2/3 (Weeks 36 and 48)

Population: ITT Population included all enrolled participants who received at least one dose of study medication. n = number of participants at indicated time points for each arm.

Virological Response Rate is defined as the number of participants with undetectable HCV-RNA (\< 10 IU/mL). Treatment completion (end of treatment \[EOT\]) for G1 was Week 48 and for G2 or 3 was Week 24.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
Week 12 (G1), (n = 13, 16)
3 participants
5 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
Week 24 (G1), (n = 13, 16)
5 participants
8 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
Week 48 (EOT) (G1), (n = 13, 16)
5 participants
8 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
12 weeks after EOT (G1), (n = 13, 16)
5 participants
4 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
Week 12 (G2/3), (n = 11, 8)
11 participants
8 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
Week 24 (EOT) (G2/3), (n = 11, 8)
11 participants
7 participants
Number of Participants With Virological Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 Weeks After Treatment Completion
12 Weeks after EOT (G2/3), (n = 11, 8)
9 participants
3 participants

SECONDARY outcome

Timeframe: Weeks 12, 24, and 48 for G1 and Weeks 12 and 24 for G2/3; 12 and 24 weeks after EOT for G1 (Weeks 60 and 72) and G2/3 (Weeks 36 and 48)

Population: ITT Population included all enrolled participants who received at least one dose of study medication. n = number of participants at indicated time points for each arm.

Biochemical response is defined as the number of participants with a normal serum alanine aminotransferase (ALT) concentration (i.e., ALT \< 30 U/L). EOT for G1 was Week 48 and for G2/3 was Week 24.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
Week 12 (G1), (n = 13, 16)
3 participants
13 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
Week 24 (G1), (n = 13, 16)
5 participants
13 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
Week 48/EOT (G1), (n = 13, 16)
4 participants
5 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
12 Weeks after EOT (G1), (n = 13, 16)
6 participants
8 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
24 Weeks after EOT (G1), (n = 13, 16)
4 participants
7 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
Week 12 (G2/3), (n = 11, 8)
10 participants
2 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
Week 24/EOT (G2/3), (n = 11, 8)
10 participants
4 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
12 Weeks after EOT (G2/3), (n = 11, 8)
10 participants
4 participants
Number of Participants With Biochemical Response Rate at Weeks 12, 24, and 48 (G1 Only) During Treatment and at 12 and 24 Weeks After Treatment Completion
24 Weeks after EOT (G2/3), (n = 11, 8)
11 participants
3 participants

SECONDARY outcome

Timeframe: Week 12

Population: ITT Population included all enrolled participants who received at least one dose of study medication. n = number of participants at indicated time points for each arm.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With > =2 Log Drop From Baseline or Undetectable HCV-RNA (<10 IU/mL) at Week 12
Week 12 (G1), (n = 13, 16)
4 participants
9 participants
Number of Participants With > =2 Log Drop From Baseline or Undetectable HCV-RNA (<10 IU/mL) at Week 12
Week 12 (G2/3), (n = 11, 8)
11 participants
8 participants

SECONDARY outcome

Timeframe: Baseline (Day -30 to -1), EOT visit (Week 24 for G2/3 and Week 48 for G1), and end of study (EOS) visit (Week 48 for G2/3 and Week 72 for G1).

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

BDI-II is 21-item self-report instrument to assess severity of symptoms of depression. There is a four-point scale for each item ranging from 0 to 3. Degrees of depression defined by the total BDI-II score as: minimal (0 to 13), mild (14 to 19), moderate (20 to 28), and severe depression (\>= 29). Higher scores reflective of greater severity (worse outcome).

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Mean Absolute Score of Beck Depression Inventory, Second Edition (BDI-II)
Baseline, (n = 24, 24)
8.7 units on a scale
Standard Error 1.2
8.6 units on a scale
Standard Error 0.9
Mean Absolute Score of Beck Depression Inventory, Second Edition (BDI-II)
EOT (Week 24/48), (n = 18, 13)
13.6 units on a scale
Standard Error 2.4
22.8 units on a scale
Standard Error 3.0
Mean Absolute Score of Beck Depression Inventory, Second Edition (BDI-II)
EOS (Week 48/72), (n = 22, 19)
8.6 units on a scale
Standard Error 2.0
13.4 units on a scale
Standard Error 2.4

SECONDARY outcome

Timeframe: Baseline (Day -30 to -1), EOT visit (Week 24 for G2/3 and Week 48 for G1), and end of study (EOS) visit (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

BDI-II is 21-item self-report instrument to assess severity of symptoms of depression. There is a four-point scale for each item ranging from 0 to 3. Degrees of depression defined by the total BDI-II score as: minimal (0 to 13), mild (14 to 19), moderate (20 to 28), and severe depression (\>= 29). Higher scores reflective of greater severity (worse outcome).

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Mean Change From Baseline in BDI-II Score to EOT (Week 24/48) and EOS (Week 48/72) Visits
EOT (Week 24/48), (n = 18, 13)
6.1 units on a scale
Standard Error 2.2
13.5 units on a scale
Standard Error 3.2
Mean Change From Baseline in BDI-II Score to EOT (Week 24/48) and EOS (Week 48/72) Visits
EOS (Week 48/72), (n = 22, 19)
0.4 units on a scale
Standard Error 1.8
4.5 units on a scale
Standard Error 2.4

SECONDARY outcome

Timeframe: Up to Week 72

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

Participants with degrees of depression as defined by the BDI-II Score were reported. BDI-II is 21-item self-report instrument to assess severity of symptoms of depression. There is a four-point scale for each item ranging from 0 to 3. Degrees of depression defined by the total BDI-II score as: minimal (0 to 13), mild (14 to 19), moderate (20 to 28), and severe depression (\>= 29). Higher scores reflective of greater severity (worse outcome).

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Baseline, none-mild
22 participants
24 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Baseline, moderate
2 participants
0 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Highest post-baseline, none-mild
16 participants
9 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Highest post-baseline, moderate
5 participants
11 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Highest post-baseline, severe
3 participants
3 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Last post-baseline, none-mild
20 participants
18 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Last post-baseline, moderate
3 participants
3 participants
Number of Participants With Degrees of Depression as Defined by the BDI-II Score
Last post-baseline, severe
1 participants
2 participants

SECONDARY outcome

Timeframe: Baseline (Day -30 to -1), 24 weeks after EOT visit (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

The HQLQ is a multiple-choice questionnaire includes the eight individual qualify-of-life scales of the Medical Outcomes Study 36-item Short-form Health Survey as: Social functioning (SF), role limitations due to emotional problems (RE), vitality (VT), general mental health (MH), physical functioning (PF), role limitations due to physical problems (RP), freedom from bodily pain (BP), and general health (GH). In addition, two other generic scales (positive well-being \[PWB\] and health distress \[HD\]) and two hepatitis-specific scales (limitations because of chronic hepatitis C \[HLIM\] and health distress because of chronic hepatitis C \[HHD\]) were included. Scores were scaled to a 0 to 100 range, with 0 = bad and 100 = good. A higher score indicates an improvement.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HHD at Baseline (n = 23, 23)
62.8 units on a scale
Standard Error 5.5
69.8 units on a scale
Standard Error 5.7
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HLIM at EOT, (n = 15, 12)
59.1 units on a scale
Standard Error 7.4
40.0 units on a scale
Standard Error 8.7
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HLIM at 24 Weeks after EOT, (n = 16, 15)
84.2 units on a scale
Standard Error 5.6
68.9 units on a scale
Standard Error 9.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HHD at EOT, (n = 15, 12)
58.7 units on a scale
Standard Error 8.2
50.4 units on a scale
Standard Error 7.4
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HHD at 24 Weeks after EOT, (n = 16, 15)
81.6 units on a scale
Standard Error 6.0
67.3 units on a scale
Standard Error 7.3
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
SF at Baseline (n = 23, 24)
70.7 units on a scale
Standard Error 4.1
75.5 units on a scale
Standard Error 5.2
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
SF at EOT, (n = 15, 12)
50.0 units on a scale
Standard Error 7.0
35.4 units on a scale
Standard Error 8.9
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
SF at 24 Weeks after EOT, (n = 17, 15)
72.8 units on a scale
Standard Error 6.8
59.2 units on a scale
Standard Error 8.4
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RE at Baseline (n = 23, 24)
55.1 units on a scale
Standard Error 9.0
75.0 units on a scale
Standard Error 7.0
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RE at EOT, (n = 14, 12)
47.6 units on a scale
Standard Error 12.0
36.1 units on a scale
Standard Error 12.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RE at 24 Weeks after EOT, (n = 17, 15)
74.5 units on a scale
Standard Error 9.7
62.2 units on a scale
Standard Error 11.7
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
MH at Baseline (n = 23, 24)
63.7 units on a scale
Standard Error 3.4
73.5 units on a scale
Standard Error 3.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
MH at EOT, (n = 15, 12)
53.6 units on a scale
Standard Error 5.9
51.7 units on a scale
Standard Error 5.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
MH at 24 Weeks after EOT, (n = 17, 15)
67.5 units on a scale
Standard Error 6.1
57.9 units on a scale
Standard Error 4.7
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PF at Baseline (n = 23, 24)
74.6 units on a scale
Standard Error 4.9
80.0 units on a scale
Standard Error 4.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PF at EOT, (n = 15, 12)
59.0 units on a scale
Standard Error 8.4
52.9 units on a scale
Standard Error 8.3
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PF at 24 Weeks after EOT, (n = 17, 14)
75.9 units on a scale
Standard Error 6.0
62.9 units on a scale
Standard Error 8.8
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RP at Baseline (n = 23, 24)
62.0 units on a scale
Standard Error 8.1
59.4 units on a scale
Standard Error 8.8
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RP at EOT, (n = 15, 12)
26.7 units on a scale
Standard Error 9.6
16.7 units on a scale
Standard Error 7.1
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
RP at 24 Weeks after EOT, (n = 17, 14)
66.2 units on a scale
Standard Error 9.3
55.4 units on a scale
Standard Error 11.5
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
BP at Baseline (n = 23, 24)
67.0 units on a scale
Standard Error 4.6
72.2 units on a scale
Standard Error 4.1
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
BP at EOT, (n = 14, 12)
55.9 units on a scale
Standard Error 5.6
47.8 units on a scale
Standard Error 6.9
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
BP at 24 Weeks after EOT, (n = 17, 15)
66.7 units on a scale
Standard Error 6.0
68.1 units on a scale
Standard Error 7.3
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
GH at Baseline (n = 23, 24)
56.3 units on a scale
Standard Error 2.8
60.8 units on a scale
Standard Error 4.0
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
GH at EOT, (n = 15, 12)
54.0 units on a scale
Standard Error 5.3
37.2 units on a scale
Standard Error 4.4
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
GH at 24 Weeks after EOT, (n = 17, 15)
58.7 units on a scale
Standard Error 6.5
46.6 units on a scale
Standard Error 5.4
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
VT at Baseline (n = 23, 24)
48.0 units on a scale
Standard Error 4.2
52.7 units on a scale
Standard Error 3.8
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
VT at EOT, (n = 15, 12)
29.0 units on a scale
Standard Error 4.6
20.0 units on a scale
Standard Error 4.8
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
VT at 24 Weeks after EOT, (n = 17, 15)
54.4 units on a scale
Standard Error 6.9
41.3 units on a scale
Standard Error 5.9
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HD at Baseline (n = 23, 24)
65.7 units on a scale
Standard Error 4.9
76.9 units on a scale
Standard Error 4.5
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HD at EOT, (n = 15, 12)
62.3 units on a scale
Standard Error 5.7
43.3 units on a scale
Standard Error 7.8
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HD at 24 Weeks after EOT, (n = 17, 15)
73.8 units on a scale
Standard Error 6.8
52.7 units on a scale
Standard Error 7.3
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PWB at Baseline (n = 23, 24)
50.0 units on a scale
Standard Error 4.4
40.2 units on a scale
Standard Error 4.3
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PWB at EOT, (n = 15, 12)
65.3 units on a scale
Standard Error 5.5
63.8 units on a scale
Standard Error 5.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
PWB at 24 Weeks after EOT, (n = 17, 15)
45.3 units on a scale
Standard Error 6.7
47.0 units on a scale
Standard Error 6.6
Mean Absolute Scores for Hepatitis Quality-of-Life Questionnaire (HQLQ) at EOT (Week 24/48) Visit and 24 Weeks After EOT Visit
HLIM at Baseline (n = 23, 23)
74.5 units on a scale
Standard Error 6.0
76.8 units on a scale
Standard Error 6.1

SECONDARY outcome

Timeframe: Up to Week 24 for G 2/3; up to Week 48 for G1

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

Participants with compliance to the prescribed treatment regimen for peginterferon alfa-2a and ribavirin was reported. Compliance was calculated as (total cumulative dose taken) / (total cumulative original dose prescribed for the entire study) x 100. Total treatment duration = Maximum doses of peginterferon alfa-2a and ribavirin in days / (48\*7) for G1, total treatment duration = Maximum doses of peginterferon alfa-2a and ribavirin in days / (24\*7) for G2/3.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Compliance to the Prescribed Treatment Regimen
Peginterferon alfa-2a, 0-60%
8 participants
8 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Peginterferon alfa-2a, >60-80%
0 participants
1 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Peginterferon alfa-2a, >80-97%
1 participants
4 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Peginterferon alfa-2a, >97%
15 participants
11 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Ribavirin, 0-60%
8 participants
10 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Ribavirin, >60-80%
4 participants
1 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Ribavirin, >80-97%
5 participants
7 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Ribavirin, >97%
7 participants
6 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Total Treatment Duration, 0-60%
8 participants
8 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Total Treatment Duration, >60-80%
0 participants
1 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Total Treatment Duration, >80-97%
1 participants
3 participants
Number of Participants With Compliance to the Prescribed Treatment Regimen
Total Treatment Duration, >97%
15 participants
12 participants

SECONDARY outcome

Timeframe: Up to 24 weeks of treatment-free follow-up visit (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

Vital Signs included systolic blood pressures (SBP), diastolic blood pressures (DBP), and pulse rate (PR). Abnormal vital signs were reported as low or high abnormal. It was defined as \< 85 mm Hg or \> 180 mm Hg with a change from baseline of \> 20%; DBP as \> 110 mm Hg with a change from baseline of \> 20%; and PR as \< 50 bpm and \> 120 bpm with a change from baseline of \> 20%.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Abnormal Vital Signs
SBP - High
1 participants
0 participants
Number of Participants With Abnormal Vital Signs
SBP - Low
1 participants
0 participants
Number of Participants With Abnormal Vital Signs
DBP - High
2 participants
0 participants
Number of Participants With Abnormal Vital Signs
PR - Low
1 participants
1 participants

SECONDARY outcome

Timeframe: Up to 24 weeks post treatment (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

Hematology included hematocrit (fraction), hemoglobin, platelets count, Red blood cells (RBC), White blood cell (WBC), eosinophils, lymphocytes, monocytes, neutrophils, Partial Thromboplastin time (PTT), Prothrombin Time International Normalized Ratio (PT INR). Laboratory values falling outside the marked reference range as defined by Roche's "International Guideline for the Handling and Reporting of Laboratory Data", and were clinically relevant change from baseline were considered marked laboratory abnormalities. It was reported as low or high abnormal.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Hemoglobin - Low (n = 24, 24)
10 participants
16 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Platelets - Low (n = 24, 24)
11 participants
10 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
RBC - Low (n = 24, 24)
14 participants
18 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
PTT - High (n = 22, 23)
2 participants
3 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
PT INR (ratio) - High (n = 22, 23)
0 participants
2 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Hematocrit (fraction) - Low (n = 24, 24)
10 participants
11 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
WBC - High (n = 24, 24)
0 participants
1 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
WBC - Low (n = 24, 24)
18 participants
19 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Eosinophils - High (n = 24, 24)
0 participants
1 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Lymphocytes - Low (n = 24, 24)
8 participants
10 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Monocytes - High (n = 24, 24)
0 participants
1 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Neutrophils - High (n = 24, 24)
0 participants
4 participants
Number of Participants With Marked Laboratory Abnormalities (Hematology)
Neutrophils - Low (n = 24, 24)
19 participants
20 participants

SECONDARY outcome

Timeframe: Up to 24 weeks post treatment (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

Laboratory values falling outside the marked reference range as defined by Roche's "International Guideline for the Handling and Reporting of Laboratory Data", and were clinically relevant change from baseline were considered marked laboratory abnormalities. It was reported as low or high abnormal.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Albumin - Low (n = 24, 24)
0 participants
4 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Aspartate aminotransferase - High (n = 24, 24)
2 participants
8 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Alanine aminotransferase - High (n = 24, 24)
2 participants
4 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Total protein - High (n = 24, 24)
1 participants
1 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Total protein - Low (n = 24, 24)
0 participants
1 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Chloride - Low (n = 24, 24)
2 participants
3 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Sodium - Low (n = 24, 24)
3 participants
2 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Calcium - Low (n = 24, 24)
0 participants
5 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Phosphate - High (n = 24, 24)
1 participants
2 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Phosphate - Low (n = 24, 24)
6 participants
7 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Glucose random - High (n = 24, 24)
1 participants
2 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Triglycerides - High (n = 24, 24)
9 participants
6 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Thyroxine (T4) - High (n = 22, 22)
4 participants
2 participants
Number of Participants With Marked Laboratory Abnormalities (Biochemistry)
Thyroid-Stimulating Hormone - High (n = 22, 22)
0 participants
3 participants

SECONDARY outcome

Timeframe: Up to 24 weeks post treatment (Week 48 for G2/3 and Week 72 for G1)

Population: Safety Population included all participants who received at least one dose of study treatment and have at least one post-baseline safety assessment (adverse event, laboratory/vital sign, physical examination; Beck Depression Inventory; Hepatitis Quality-of-Life Questionnaire). n = number of participants at indicated time points for each arm.

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered to be related to the medicinal product. An SAE is any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or results in a congenital anomaly/birth defect. Reason for discontinuation was categorized as safety and non-safety, where safety reasons included abnormality of laboratory tests, AEs, and death; and non-safety reasons included insufficient therapeutic response, early improvement, violation of selection criteria at entry, other protocol violation, refused treatment, failure to return and other. Participants who discontinued the study with any reason were recorded.

Outcome measures

Outcome measures
Measure
Direct Observed Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 Participants
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
Any AEs
24 participants
24 participants
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
Any SAEs
3 participants
3 participants
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
AEs
2 participants
3 participants
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
Study discontinuation due to Insufficient Response
2 participants
5 participants
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
Study discontinuation due to Refused Treatment
4 participants
2 participants
Number of Participants With Any Adverse Events (AEs), Any Serious Adverse Events (SAEs), and Study Discontinuation
Study discontinuation due to Failure to Return
0 participants
2 participants

Adverse Events

Direct Observed Therapy

Serious events: 3 serious events
Other events: 24 other events
Deaths: 0 deaths

Self-Administration Therapy

Serious events: 3 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Direct Observed Therapy
n=24 participants at risk
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 participants at risk
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Psychiatric disorders
Psychotic disorder
4.2%
1/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Psychiatric disorders
Suicidal ideation
4.2%
1/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Asthma
4.2%
1/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Injury, poisoning and procedural complications
Heat stroke
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Injury, poisoning and procedural complications
Overdose
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Gastrointestinal disorders
Abdominal pain
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
General disorders
Drug withdrawal syndrome
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Hepatobiliary disorders
Bile duct stone
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Infections and infestations
Cellulitis
0.00%
0/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72

Other adverse events

Other adverse events
Measure
Direct Observed Therapy
n=24 participants at risk
Participants received the peginterferon alfa-2a plus ribavirin at the clinic as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for Genotype 2 or 3 (G2/3), and for 48 weeks for Genotype 1 (G1); oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
Self-Administration Therapy
n=24 participants at risk
Participants received the peginterferon alfa-2a plus ribavirin at home as: subcutaneous peginterferon alfa-2a 180 mcg (once in a week) for 24 weeks for G2/3, and for 48 weeks for G1; oral ribavirin 800 mg/day (twice in a day) for 24 weeks for G2/3, and 1000 or 1200 mg/day (twice in a day) for 48 weeks for G1.
General disorders
Fatigue
66.7%
16/24 • From baseline to Week 72
79.2%
19/24 • From baseline to Week 72
General disorders
Irritability
33.3%
8/24 • From baseline to Week 72
37.5%
9/24 • From baseline to Week 72
General disorders
Chills
25.0%
6/24 • From baseline to Week 72
29.2%
7/24 • From baseline to Week 72
General disorders
Pyrexia
20.8%
5/24 • From baseline to Week 72
33.3%
8/24 • From baseline to Week 72
General disorders
Injection site erythema
16.7%
4/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
General disorders
Asthenia
12.5%
3/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
General disorders
Influenza like illness
4.2%
1/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Gastrointestinal disorders
Nausea
54.2%
13/24 • From baseline to Week 72
58.3%
14/24 • From baseline to Week 72
Gastrointestinal disorders
Vomiting
25.0%
6/24 • From baseline to Week 72
37.5%
9/24 • From baseline to Week 72
Gastrointestinal disorders
Dry mouth
12.5%
3/24 • From baseline to Week 72
20.8%
5/24 • From baseline to Week 72
Gastrointestinal disorders
Abdominal pain upper
12.5%
3/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Gastrointestinal disorders
Constipation
12.5%
3/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Gastrointestinal disorders
Abdominal pain
8.3%
2/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Gastrointestinal disorders
Diarrhoea
8.3%
2/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Gastrointestinal disorders
Stomatitis
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Gastrointestinal disorders
Toothache
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Gastrointestinal disorders
Gastritis
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Psychiatric disorders
Depression
37.5%
9/24 • From baseline to Week 72
41.7%
10/24 • From baseline to Week 72
Psychiatric disorders
Insomnia
33.3%
8/24 • From baseline to Week 72
41.7%
10/24 • From baseline to Week 72
Psychiatric disorders
Anxiety
12.5%
3/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Psychiatric disorders
Confusional state
8.3%
2/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Psychiatric disorders
Agitation
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Skin and subcutaneous tissue disorders
Rash
50.0%
12/24 • From baseline to Week 72
25.0%
6/24 • From baseline to Week 72
Skin and subcutaneous tissue disorders
Dry skin
20.8%
5/24 • From baseline to Week 72
16.7%
4/24 • From baseline to Week 72
Skin and subcutaneous tissue disorders
Alopecia
12.5%
3/24 • From baseline to Week 72
25.0%
6/24 • From baseline to Week 72
Skin and subcutaneous tissue disorders
Rash papular
8.3%
2/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Nervous system disorders
Headache
37.5%
9/24 • From baseline to Week 72
41.7%
10/24 • From baseline to Week 72
Nervous system disorders
Dysgeusia
12.5%
3/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Nervous system disorders
Dizziness
12.5%
3/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Nervous system disorders
Hypoaesthesia
8.3%
2/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Nervous system disorders
Lethargy
4.2%
1/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Nervous system disorders
Mental impairment
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Nervous system disorders
Paraesthesia
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Musculoskeletal and connective tissue disorders
Arthralgia
37.5%
9/24 • From baseline to Week 72
37.5%
9/24 • From baseline to Week 72
Musculoskeletal and connective tissue disorders
Myalgia
16.7%
4/24 • From baseline to Week 72
33.3%
8/24 • From baseline to Week 72
Musculoskeletal and connective tissue disorders
Pain in extremity
12.5%
3/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Musculoskeletal and connective tissue disorders
Back pain
12.5%
3/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Blood and lymphatic system disorders
Neutropenia
33.3%
8/24 • From baseline to Week 72
33.3%
8/24 • From baseline to Week 72
Blood and lymphatic system disorders
Anaemia
16.7%
4/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Blood and lymphatic system disorders
Thrombocytopenia
16.7%
4/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Cough
12.5%
3/24 • From baseline to Week 72
16.7%
4/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Dyspnoea
12.5%
3/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
0.00%
0/24 • From baseline to Week 72
16.7%
4/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Epistaxis
4.2%
1/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Nasal congestion
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Infections and infestations
Upper respiratory tract infection
12.5%
3/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Infections and infestations
Bronchitis
8.3%
2/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Infections and infestations
Urinary tract infection
4.2%
1/24 • From baseline to Week 72
12.5%
3/24 • From baseline to Week 72
Infections and infestations
Nasopharyngitis
4.2%
1/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Infections and infestations
Rhinitis
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Infections and infestations
Cellulitis
4.2%
1/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Metabolism and nutrition disorders
Decreased appetite
20.8%
5/24 • From baseline to Week 72
41.7%
10/24 • From baseline to Week 72
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Injury, poisoning and procedural complications
Excoriation
8.3%
2/24 • From baseline to Week 72
4.2%
1/24 • From baseline to Week 72
Injury, poisoning and procedural complications
Joint sprain
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Eye disorders
Vision blurred
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Surgical and medical procedures
Tooth extraction
0.00%
0/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72
Investigations
Blood pressure increased
8.3%
2/24 • From baseline to Week 72
0.00%
0/24 • From baseline to Week 72
Investigations
Drug screen positive
29.2%
7/24 • From baseline to Week 72
16.7%
4/24 • From baseline to Week 72
Investigations
Haemoglobin decreased
8.3%
2/24 • From baseline to Week 72
8.3%
2/24 • From baseline to Week 72

Additional Information

Roche Trial Information Hotline

F. Hoffmann-La Roche AG

Phone: +41 61 6878333

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER