Trial Outcomes & Findings for Peg-Intron/Ribavirin in G 1 HCV for Non-Extended Versus 24 Week Extended Treatment After 24 Weeks (Study P04144)(COMPLETED) (NCT NCT00202839)

NCT ID: NCT00202839

Last Updated: 2017-04-06

Results Overview

Sustained virologic response was defined as hepatitis C virus ribonucleic acid \[HCV-RNA\] levels below assay detection 24 weeks after termination of anti-HCV therapy

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

160 participants

Primary outcome timeframe

24 weeks of follow-up after either 24 or 48 weeks of anti-HCV therapy

Results posted on

2017-04-06

Participant Flow

Participant milestones

Participant milestones
Measure
24-Week Treatment
Genotype 1 hepatitis C virus \[HCV\] subjects treated for a total of 24 weeks, during the pilot treatment program (immediately before randomization)
48-Week Treatment
Genotype 1 HCV subjects treated for a total of 48 weeks: 24 weeks during the pilot treatment program (immediately before randomization) plus 24 weeks during the extended treatment program (immediately after randomization)
Overall Study
STARTED
78
82
Overall Study
COMPLETED
54
72
Overall Study
NOT COMPLETED
24
10

Reasons for withdrawal

Reasons for withdrawal
Measure
24-Week Treatment
Genotype 1 hepatitis C virus \[HCV\] subjects treated for a total of 24 weeks, during the pilot treatment program (immediately before randomization)
48-Week Treatment
Genotype 1 HCV subjects treated for a total of 48 weeks: 24 weeks during the pilot treatment program (immediately before randomization) plus 24 weeks during the extended treatment program (immediately after randomization)
Overall Study
Adverse Event
1
5
Overall Study
Physician Decision
12
0
Overall Study
Withdrawal by Subject
6
2
Overall Study
Protocol Violation
2
1
Overall Study
Lost to Follow-up
3
2

Baseline Characteristics

Peg-Intron/Ribavirin in G 1 HCV for Non-Extended Versus 24 Week Extended Treatment After 24 Weeks (Study P04144)(COMPLETED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
24-Week Treatment
n=78 Participants
Genotype 1 hepatitis C virus \[HCV\] subjects treated for a total of 24 weeks, during the pilot treatment program (immediately before randomization)
48-Week Treatment
n=82 Participants
Genotype 1 HCV subjects treated for a total of 48 weeks: 24 weeks during the pilot treatment program (immediately before randomization) plus 24 weeks during the extended treatment program (immediately after randomization)
Total
n=160 Participants
Total of all reporting groups
Age, Continuous
50.63 years
STANDARD_DEVIATION 10.6 • n=5 Participants
50.46 years
STANDARD_DEVIATION 10.93 • n=7 Participants
50.55 years
STANDARD_DEVIATION 10.74 • n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
39 Participants
n=7 Participants
59 Participants
n=5 Participants
Sex: Female, Male
Male
58 Participants
n=5 Participants
43 Participants
n=7 Participants
101 Participants
n=5 Participants
Region of Enrollment
Taiwan, Province Of China
78 participants
n=5 Participants
82 participants
n=7 Participants
160 participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks of follow-up after either 24 or 48 weeks of anti-HCV therapy

Population: Intention to treat \[ITT\] population defined as participants who received at least one dose of study medication.

Sustained virologic response was defined as hepatitis C virus ribonucleic acid \[HCV-RNA\] levels below assay detection 24 weeks after termination of anti-HCV therapy

Outcome measures

Outcome measures
Measure
24-Week Treatment
n=78 Participants
Genotype 1 hepatitis C virus \[HCV\] subjects treated for a total of 24 weeks, during the pilot treatment program (immediately before randomization)
48-Week Treatment
n=82 Participants
Genotype 1 HCV subjects treated for a total of 48 weeks: 24 weeks during the pilot treatment program (immediately before randomization) plus 24 weeks during the extended treatment program (immediately after randomization)
The Percentage of Participants Who Achieved a Sustained Virologic Response (SVR)
56.41 Percentage of participants
67.07 Percentage of participants

SECONDARY outcome

Timeframe: 48 weeks after randomization (with 24 weeks of treatment immediately before randomization and either 0 or 24 weeks of treatment immediately after randomization)

Population: Intention to treat \[ITT\] population

Virologic response was defined as undetectable HCV-RNA level in the blood.

Outcome measures

Outcome measures
Measure
24-Week Treatment
n=78 Participants
Genotype 1 hepatitis C virus \[HCV\] subjects treated for a total of 24 weeks, during the pilot treatment program (immediately before randomization)
48-Week Treatment
n=82 Participants
Genotype 1 HCV subjects treated for a total of 48 weeks: 24 weeks during the pilot treatment program (immediately before randomization) plus 24 weeks during the extended treatment program (immediately after randomization)
The Percentage of Participants Who Achieved a Virologic Response 48 Weeks After Randomization.
57.69 Percentage of Participants
67.07 Percentage of Participants

Adverse Events

24-Week Treatment

Serious events: 5 serious events
Other events: 29 other events
Deaths: 0 deaths

48-Week Treatment

Serious events: 8 serious events
Other events: 47 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
24-Week Treatment
n=78 participants at risk
48-Week Treatment
n=82 participants at risk
Ear and labyrinth disorders
EAR PAIN
0.00%
0/78
1.2%
1/82 • Number of events 1
Gastrointestinal disorders
ABDOMINAL PAIN LOWER
0.00%
0/78
1.2%
1/82 • Number of events 1
Gastrointestinal disorders
DYSPEPSIA
0.00%
0/78
1.2%
1/82 • Number of events 1
Gastrointestinal disorders
PANCREATITIS ACUTE
0.00%
0/78
1.2%
1/82 • Number of events 1
General disorders
LOCAL SWELLING
0.00%
0/78
1.2%
1/82 • Number of events 1
General disorders
NODULE
1.3%
1/78 • Number of events 1
0.00%
0/82
Hepatobiliary disorders
CHOLECYSTITIS
1.3%
1/78 • Number of events 1
0.00%
0/82
Hepatobiliary disorders
CHOLELITHIASIS
0.00%
0/78
2.4%
2/82 • Number of events 2
Infections and infestations
TONSILLITIS
1.3%
1/78 • Number of events 1
0.00%
0/82
Injury, poisoning and procedural complications
HEAD INJURY
1.3%
1/78 • Number of events 1
0.00%
0/82
Injury, poisoning and procedural complications
LIMB INJURY
1.3%
1/78 • Number of events 1
0.00%
0/82
Investigations
BLOOD GLUCOSE ABNORMAL
1.3%
1/78 • Number of events 1
0.00%
0/82
Investigations
SEVERE THROMBOCYTOPENIA
0.00%
0/78
1.2%
1/82 • Number of events 1
Musculoskeletal and connective tissue disorders
FISTULA DISCHARGE
0.00%
0/78
1.2%
1/82 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
HEPATIC NEOPLASM MALIGNANT
0.00%
0/78
1.2%
1/82 • Number of events 1
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
1.3%
1/78 • Number of events 1
0.00%
0/82

Other adverse events

Other adverse events
Measure
24-Week Treatment
n=78 participants at risk
48-Week Treatment
n=82 participants at risk
Endocrine disorders
THYROID DISORDER
2.6%
2/78 • Number of events 3
6.1%
5/82 • Number of events 8
General disorders
FATIGUE
5.1%
4/78 • Number of events 4
6.1%
5/82 • Number of events 7
General disorders
INFLUENZA LIKE ILLNESS
0.00%
0/78
9.8%
8/82 • Number of events 9
General disorders
MALAISE
3.8%
3/78 • Number of events 3
6.1%
5/82 • Number of events 7
General disorders
PYREXIA
0.00%
0/78
9.8%
8/82 • Number of events 11
Infections and infestations
NASOPHARYNGITIS
5.1%
4/78 • Number of events 5
2.4%
2/82 • Number of events 2
Investigations
ALANINE AMINOTRANSFERASE ABNORMAL
6.4%
5/78 • Number of events 8
1.2%
1/82 • Number of events 1
Investigations
ALANINE AMINOTRANSFERASE INCREASED
5.1%
4/78 • Number of events 5
1.2%
1/82 • Number of events 1
Investigations
ASPARTATE AMINOTRANSFERASE INCREASED
5.1%
4/78 • Number of events 5
1.2%
1/82 • Number of events 1
Investigations
HAEMOGLOBIN ABNORMAL
0.00%
0/78
11.0%
9/82 • Number of events 9
Metabolism and nutrition disorders
ANOREXIA
0.00%
0/78
6.1%
5/82 • Number of events 5
Metabolism and nutrition disorders
TYPE 2 DIABETES MELLITUS
7.7%
6/78 • Number of events 6
1.2%
1/82 • Number of events 1
Nervous system disorders
HEADACHE
3.8%
3/78 • Number of events 3
7.3%
6/82 • Number of events 7
Psychiatric disorders
INSOMNIA
10.3%
8/78 • Number of events 8
13.4%
11/82 • Number of events 16
Respiratory, thoracic and mediastinal disorders
COUGH
3.8%
3/78 • Number of events 3
7.3%
6/82 • Number of events 6
Skin and subcutaneous tissue disorders
PRURITUS
2.6%
2/78 • Number of events 2
11.0%
9/82 • Number of events 10
Skin and subcutaneous tissue disorders
RASH
0.00%
0/78
7.3%
6/82 • Number of events 7

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp

Results disclosure agreements

  • Principal investigator is a sponsor employee Principal Investigator and Institution further agree to provide forty-five (45) days written notice to Sponsor prior to submission for publication or presentation to permit Sponsor to review drafts of abstracts and manuscripts for publication.
  • Publication restrictions are in place

Restriction type: OTHER