The Individualized Management With Pegylated-interferon Alfa-2a (Pegasys) and Ribavirin (Copegus) Offering Viral Eradication: A Study of Pegylated-interferon Alfa-2a Plus Ribavirin in Participants With Chronic Hepatitis C (CHC) Non-genotype 2/3 (IMPROVE)

NCT ID: NCT00483938

Last Updated: 2017-01-23

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

236 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2010-05-31

Brief Summary

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This study will compare the efficacy and safety of treatment with pegylated-interferon alfa-2a plus ribavirin in participants with non-genotype 2/3 CHC who, after 12 weeks of study treatment, have undetectable hepatitis C virus (HCV)-ribonucleic acid (RNA) or a greater than or equal to (\>=) 2 log10 drop in HCV-RNA. Participants will be randomized to receive pegylated-interferon alfa-2a 180 micrograms subcutaneously weekly plus ribavirin (1000-1400 milligram \[mg\]) orally daily for the specified duration, followed by 24 weeks of treatment-free follow-up. Participants with detectable HCV-RNA and less than (\<) 2 log10 drop in HCV-RNA at week 12 will discontinue therapy.

Detailed Description

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Conditions

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Hepatitis C, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pegylated-interferon Alfa-2a + Ribavirin (Group A)

Participants with HCV RNA levels greater than (\>) 15 international units per milliliter (IU/mL) at Week 4, HCV RNA greater than or equal to (\>=) 15 IU/mL at Week 8, and either HCV RNA less than (\<) 15 IU/mL or \>=2 times logarithmic (2 log10) drop at Week 12, will receive pegylated-interferon alfa-2a (Pegasys) 180 micrograms (mcg) subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 milligrams (mg) orally daily for 48 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group B)

Participants with HCV RNA levels \>15 IU/mL at Week 4, HCV RNA \>=15 IU/mL at Week 8, and either HCV RNA \<15 IU/mL or \>=2 log10 drop at Week 12, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 72 weeks, and ribavirin 1000 to 1400 mg orally daily for 72 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group C)

Participants with HCV-RNA levels \>15 IU/mL at Week 4, and HCV-RNA \<15 IU/mL at Week 8, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 36 weeks, and ribavirin 1000 to 1400 mg orally daily for 36 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group D)

Participants with HCV-RNA levels \>15 IU/mL at Week 4, and HCV-RNA \<15 IU/mL at Week 8, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group E)

Participants with HCV-RNA levels \<15 IU/mL at Week 4, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 24 weeks, and ribavirin 1000 to 1400 mg orally daily for 24 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group F)

Participants with HCV-RNA levels \<15 IU/mL at Week 4, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Pegylated-interferon Alfa-2a + Ribavirin (Group NR)

Participants who do not have any change in HCV-RNA levels at Weeks 4, 8, and 12 will not be randomized (NR) to any of the other groups. Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.

Group Type EXPERIMENTAL

Pegylated-interferon Alfa-2a

Intervention Type DRUG

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Ribavirin

Intervention Type DRUG

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Interventions

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Pegylated-interferon Alfa-2a

Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.

Intervention Type DRUG

Ribavirin

Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.

Intervention Type DRUG

Other Intervention Names

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Pegasys Copegus

Eligibility Criteria

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Inclusion Criteria

* evidence of CHC;
* evidence of hepatitis C non-genotype 2 or 3;
* compensated liver disease.

Exclusion Criteria

* infection with HCV genotype 2 or 3;
* history of having received systemic antiviral therapy with activity against CHC \<=3 months prior to start of study;
* hepatitis A, hepatitis B or human immunodeficiency virus (HIV) infection;
* history or evidence of a medical condition associated with chronic liver disease other than CHC.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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Milwaukee, Wisconsin, United States

Site Status

Calgary, Alberta, Canada

Site Status

Edmonton, Alberta, Canada

Site Status

Edmonton, Alberta, Canada

Site Status

Abbotsford, British Columbia, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

Vernon, British Columbia, Canada

Site Status

Victoria, British Columbia, Canada

Site Status

Halifax, Nova Scotia, Canada

Site Status

East York, Ontario, Canada

Site Status

Hamilton, Ontario, Canada

Site Status

Kingston, Ontario, Canada

Site Status

London, Ontario, Canada

Site Status

Mississauga, Ontario, Canada

Site Status

Ottawa, Ontario, Canada

Site Status

Toronto, Ontario, Canada

Site Status

Toronto, Ontario, Canada

Site Status

Toronto, Ontario, Canada

Site Status

Woodbridge, Ontario, Canada

Site Status

Montreal, Quebec, Canada

Site Status

Montreal, Quebec, Canada

Site Status

Saskatoon, Saskatchewan, Canada

Site Status

Countries

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United States Canada

References

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Lee SS, Sherman M, Ramji A, Greenbloom S, Elkashab M, Pluta H, Hilzenrat N, Balshaw R, Usaty C, Myers RP. Randomised clinical trial: the efficacy of treatment, guided by a shorter duration of response, using peginterferon alfa-2a plus ribavirin for hepatitis C virus other than genotypes 2 or 3. Aliment Pharmacol Ther. 2012 Jan;35(1):37-47. doi: 10.1111/j.1365-2036.2011.04911.x. Epub 2011 Nov 2.

Reference Type DERIVED
PMID: 22050141 (View on PubMed)

Other Identifiers

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ML21035

Identifier Type: -

Identifier Source: org_study_id

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