Trial Outcomes & Findings for Effects of Pegylated Interferon Alfa-2b and Ribavirin After Orthotopic Liver Transplantation in Subjects With Chronic Hepatitis C Recurrence (P04590AM3)(COMPLETED) (NCT NCT00378599)

NCT ID: NCT00378599

Last Updated: 2017-04-06

Results Overview

Number of participants with SVR at 24-week follow up after treatment with PEG-Intron and Ribavirin in post-orthotopic liver transplant recipients with recurrent HCV.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

125 participants

Primary outcome timeframe

24 weeks after completion of up to 48 weeks of therapy

Results posted on

2017-04-06

Participant Flow

Participant milestones

Participant milestones
Measure
PEG-Intron Plus Ribavirin
PEG-Intron plus ribavirin treatment for up to 48 weeks with 24-week follow up
Overall Study
STARTED
125
Overall Study
COMPLETED
73
Overall Study
NOT COMPLETED
52

Reasons for withdrawal

Reasons for withdrawal
Measure
PEG-Intron Plus Ribavirin
PEG-Intron plus ribavirin treatment for up to 48 weeks with 24-week follow up
Overall Study
Adverse Event
38
Overall Study
Protocol Violation
2
Overall Study
Treatment failure
7
Overall Study
Withdrawal by Subject
5

Baseline Characteristics

Effects of Pegylated Interferon Alfa-2b and Ribavirin After Orthotopic Liver Transplantation in Subjects With Chronic Hepatitis C Recurrence (P04590AM3)(COMPLETED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PEG-Intron Plus Ribavirin
n=125 Participants
PEG-Intron plus ribavirin treatment for up to 48 weeks with 24-week follow up
Age, Continuous
54.2 years
STANDARD_DEVIATION 5.7 • n=5 Participants
Sex: Female, Male
Female
19 Participants
n=5 Participants
Sex: Female, Male
Male
106 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 24 weeks after completion of up to 48 weeks of therapy

Population: Intent to Treat (ITT) Data Set: All enrolled subjects who received at least one dose of any study medication (PEG-Intron or Rebetol (RBV)). Analysis of all primary and secondary efficacy endpoints and safety variables was based on the ITT population.

Number of participants with SVR at 24-week follow up after treatment with PEG-Intron and Ribavirin in post-orthotopic liver transplant recipients with recurrent HCV.

Outcome measures

Outcome measures
Measure
PEG-Intron Plus Ribavirin
n=125 Participants
PEG-Intron plus ribavirin treatment for up to 48 weeks with 24-week follow up
A Sustained Virologic Response (SVR), Defined as a Plasma HCV RNA Level Below the Lower Level of Quantitation (LLQ) at 24 Weeks Post-treatment
36 Participants
Interval 21.1 to 37.6

Adverse Events

Pegylated Interferon Alfa-2b and Ribavirin

Serious events: 32 serious events
Other events: 125 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Pegylated Interferon Alfa-2b and Ribavirin
n=125 participants at risk
Blood and lymphatic system disorders
ANAEMIA
4.0%
5/125 • Number of events 5
Blood and lymphatic system disorders
LEUKOPENIA
1.6%
2/125 • Number of events 2
Blood and lymphatic system disorders
NEUTROPENIA
0.80%
1/125 • Number of events 1
Blood and lymphatic system disorders
PANCYTOPENIA
0.80%
1/125 • Number of events 1
Blood and lymphatic system disorders
THROMBOCYTOPENIA
1.6%
2/125 • Number of events 2
Cardiac disorders
MYOCARDIAL INFARCTION
0.80%
1/125 • Number of events 1
Ear and labyrinth disorders
VERTIGO
0.80%
1/125 • Number of events 1
Gastrointestinal disorders
ABDOMINAL PAIN
0.80%
1/125 • Number of events 1
Gastrointestinal disorders
DIARRHOEA
1.6%
2/125 • Number of events 4
Gastrointestinal disorders
NAUSEA
1.6%
2/125 • Number of events 3
Gastrointestinal disorders
VOMITING
2.4%
3/125 • Number of events 4
General disorders
ASTHENIA
0.80%
1/125 • Number of events 1
General disorders
CHEST PAIN
2.4%
3/125 • Number of events 3
General disorders
CHILLS
0.80%
1/125 • Number of events 1
General disorders
MALAISE
1.6%
2/125 • Number of events 2
General disorders
PYREXIA
1.6%
2/125 • Number of events 2
Hepatobiliary disorders
AUTOIMMUNE HEPATITIS
0.80%
1/125 • Number of events 1
Hepatobiliary disorders
CHOLANGITIS
0.80%
1/125 • Number of events 1
Hepatobiliary disorders
HEPATIC FAILURE
0.80%
1/125 • Number of events 1
Immune system disorders
LIVER TRANSPLANT REJECTION
1.6%
2/125 • Number of events 3
Infections and infestations
APPENDICITIS
0.80%
1/125 • Number of events 1
Infections and infestations
CELLULITIS
2.4%
3/125 • Number of events 3
Infections and infestations
CLOSTRIDIUM DIFFICILE COLITIS
1.6%
2/125 • Number of events 2
Infections and infestations
GASTROENTERITIS
0.80%
1/125 • Number of events 1
Infections and infestations
GASTROENTERITIS VIRAL
0.80%
1/125 • Number of events 1
Infections and infestations
OSTEOMYELITIS
0.80%
1/125 • Number of events 1
Infections and infestations
PNEUMONIA
3.2%
4/125 • Number of events 4
Infections and infestations
SUBCUTANEOUS ABSCESS
0.80%
1/125 • Number of events 1
Infections and infestations
URINARY TRACT INFECTION
0.80%
1/125 • Number of events 1
Injury, poisoning and procedural complications
ANASTOMOTIC COMPLICATION
0.80%
1/125 • Number of events 1
Injury, poisoning and procedural complications
CONTUSION
0.80%
1/125 • Number of events 1
Injury, poisoning and procedural complications
POST PROCEDURAL DISCHARGE
0.80%
1/125 • Number of events 1
Investigations
HAEMOGLOBIN DECREASED
0.80%
1/125 • Number of events 1
Metabolism and nutrition disorders
DEHYDRATION
2.4%
3/125 • Number of events 3
Metabolism and nutrition disorders
HYPERKALAEMIA
0.80%
1/125 • Number of events 1
Metabolism and nutrition disorders
HYPONATRAEMIA
0.80%
1/125 • Number of events 1
Nervous system disorders
CONVULSION
0.80%
1/125 • Number of events 1
Nervous system disorders
HEADACHE
2.4%
3/125 • Number of events 3
Nervous system disorders
SYNCOPE
0.80%
1/125 • Number of events 1
Psychiatric disorders
DRUG ABUSE
0.80%
1/125 • Number of events 1
Psychiatric disorders
MENTAL STATUS CHANGES
0.80%
1/125 • Number of events 1
Psychiatric disorders
SUICIDAL IDEATION
0.80%
1/125 • Number of events 1
Renal and urinary disorders
RENAL FAILURE ACUTE
0.80%
1/125 • Number of events 1
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.80%
1/125 • Number of events 1
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
0.80%
1/125 • Number of events 1
Respiratory, thoracic and mediastinal disorders
PRODUCTIVE COUGH
0.80%
1/125 • Number of events 1
Social circumstances
TREATMENT NONCOMPLIANCE
0.80%
1/125 • Number of events 1
Surgical and medical procedures
LEG AMPUTATION
0.80%
1/125 • Number of events 1
Surgical and medical procedures
SPLENECTOMY
0.80%
1/125 • Number of events 1

Other adverse events

Other adverse events
Measure
Pegylated Interferon Alfa-2b and Ribavirin
n=125 participants at risk
Blood and lymphatic system disorders
ANAEMIA
72.8%
91/125 • Number of events 162
Blood and lymphatic system disorders
LEUKOPENIA
13.6%
17/125 • Number of events 25
Blood and lymphatic system disorders
NEUTROPENIA
31.2%
39/125 • Number of events 51
Blood and lymphatic system disorders
THROMBOCYTOPENIA
12.8%
16/125 • Number of events 20
Eye disorders
VISION BLURRED
8.8%
11/125 • Number of events 11
Gastrointestinal disorders
ABDOMINAL DISCOMFORT
9.6%
12/125 • Number of events 13
Gastrointestinal disorders
ABDOMINAL PAIN
10.4%
13/125 • Number of events 19
Gastrointestinal disorders
CONSTIPATION
6.4%
8/125 • Number of events 9
Gastrointestinal disorders
DIARRHOEA
40.8%
51/125 • Number of events 73
Gastrointestinal disorders
DRY MOUTH
8.8%
11/125 • Number of events 11
Gastrointestinal disorders
NAUSEA
47.2%
59/125 • Number of events 72
Gastrointestinal disorders
STOMATITIS
12.0%
15/125 • Number of events 15
Gastrointestinal disorders
VOMITING
25.6%
32/125 • Number of events 44
General disorders
ASTHENIA
8.0%
10/125 • Number of events 13
General disorders
CHILLS
22.4%
28/125 • Number of events 28
General disorders
FATIGUE
71.2%
89/125 • Number of events 112
General disorders
INFLUENZA LIKE ILLNESS
14.4%
18/125 • Number of events 22
General disorders
INJECTION SITE ERYTHEMA
12.8%
16/125 • Number of events 17
General disorders
INJECTION SITE RASH
5.6%
7/125 • Number of events 7
General disorders
IRRITABILITY
21.6%
27/125 • Number of events 27
General disorders
MALAISE
5.6%
7/125 • Number of events 11
General disorders
OEDEMA PERIPHERAL
7.2%
9/125 • Number of events 10
General disorders
PAIN
14.4%
18/125 • Number of events 20
General disorders
PYREXIA
28.0%
35/125 • Number of events 49
Infections and infestations
INFLUENZA
6.4%
8/125 • Number of events 8
Infections and infestations
SINUSITIS
5.6%
7/125 • Number of events 9
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
5.6%
7/125 • Number of events 8
Investigations
BLOOD CREATININE INCREASED
8.0%
10/125 • Number of events 13
Investigations
WEIGHT DECREASED
23.2%
29/125 • Number of events 30
Metabolism and nutrition disorders
ANOREXIA
12.0%
15/125 • Number of events 16
Metabolism and nutrition disorders
DECREASED APPETITE
26.4%
33/125 • Number of events 38
Metabolism and nutrition disorders
HYPERKALAEMIA
6.4%
8/125 • Number of events 9
Musculoskeletal and connective tissue disorders
ARTHRALGIA
20.8%
26/125 • Number of events 29
Musculoskeletal and connective tissue disorders
BACK PAIN
16.0%
20/125 • Number of events 22
Musculoskeletal and connective tissue disorders
MUSCLE SPASMS
8.8%
11/125 • Number of events 13
Musculoskeletal and connective tissue disorders
MYALGIA
16.8%
21/125 • Number of events 22
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
8.8%
11/125 • Number of events 11
Nervous system disorders
DIZZINESS
24.8%
31/125 • Number of events 36
Nervous system disorders
HEADACHE
63.2%
79/125 • Number of events 98
Nervous system disorders
HYPOAESTHESIA
6.4%
8/125 • Number of events 10
Nervous system disorders
TREMOR
5.6%
7/125 • Number of events 7
Psychiatric disorders
ANXIETY
15.2%
19/125 • Number of events 21
Psychiatric disorders
DEPRESSION
23.2%
29/125 • Number of events 36
Psychiatric disorders
INSOMNIA
31.2%
39/125 • Number of events 41
Respiratory, thoracic and mediastinal disorders
COUGH
14.4%
18/125 • Number of events 23
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
25.6%
32/125 • Number of events 37
Respiratory, thoracic and mediastinal disorders
DYSPNOEA EXERTIONAL
12.0%
15/125 • Number of events 17
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
9.6%
12/125 • Number of events 14
Respiratory, thoracic and mediastinal disorders
RESPIRATORY TRACT CONGESTION
5.6%
7/125 • Number of events 7
Skin and subcutaneous tissue disorders
ALOPECIA
10.4%
13/125 • Number of events 13
Skin and subcutaneous tissue disorders
DRY SKIN
9.6%
12/125 • Number of events 12
Skin and subcutaneous tissue disorders
PRURITUS
14.4%
18/125 • Number of events 19
Skin and subcutaneous tissue disorders
RASH
25.6%
32/125 • Number of events 41
Vascular disorders
HYPERTENSION
6.4%
8/125 • Number of events 8

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Results disclosure agreements

  • Principal investigator is a sponsor employee Lead investigator agrees not to publish or publicly present any interim results of the Study without prior written consent of the sponsor. Lead investigator further agrees to provide 45 days written notice to the sponsor prior to submission for publication or presentation to permit the sponsor to review copies of abstracts or manuscripts for publication, which report any results of the Study. Sponsor shall have the right to review and comment on any presentation, including editorial rights.
  • Publication restrictions are in place

Restriction type: OTHER