A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS Plus COPEGUS Compared With PEGASYS Plus COPEGUS in Patients With Chronic Hepatitis C Genotype 1 Infection.

NCT ID: NCT00517439

Last Updated: 2016-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

516 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-12-31

Study Completion Date

2010-01-31

Brief Summary

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This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.

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

DOUBLE

Participants Investigators

Study Groups

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Group 1

Group 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

180 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

1000mg po bid for 24 weeks

Group 2

Group 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

180 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

500mg po bid for 24 weeks

Group 3

Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

180 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

500mg po bid for 24 weeks

Group 4

Group 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

90 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

1500mg po bid for 24 weeks

Group 5

Group 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

90 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

1000mg po bid for 24 weeks

Group 6

Group 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

90 micrograms sc weekly for 24 weeks

RO4588161

Intervention Type DRUG

500mg po bid for 24 weeks

Group 7

Standard of care (SOC)

Group Type ACTIVE_COMPARATOR

Copegus

Intervention Type DRUG

1000/1200mg po daily for 24 weeks

Pegasys

Intervention Type DRUG

180 micrograms sc weekly for 24 weeks

Interventions

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Copegus

1000/1200mg po daily for 24 weeks

Intervention Type DRUG

Pegasys

180 micrograms sc weekly for 24 weeks

Intervention Type DRUG

Pegasys

90 micrograms sc weekly for 24 weeks

Intervention Type DRUG

RO4588161

1000mg po bid for 24 weeks

Intervention Type DRUG

RO4588161

500mg po bid for 24 weeks

Intervention Type DRUG

RO4588161

1500mg po bid for 24 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* adult patients, 18-65 years of age;
* chronic hepatitis C, genotype 1;
* chronic liver disease consistent with CHC;
* compensated liver disease.

Exclusion Criteria

* infection with any HCV genotype other than genotype 1;
* previous treatment for CHC;
* medical condition associated with chronic liver disease other than CHC;
* HIV, hepatitis A, hepatitis B infection.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 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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Phoenix, Arizona, United States

Site Status

La Jolla, California, United States

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Long Beach, California, United States

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Sacramento, California, United States

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San Diego, California, United States

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San Diego, California, United States

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San Francisco, California, United States

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Aurora, Colorado, United States

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Englewood, Colorado, United States

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Bradenton, Florida, United States

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Gainesville, Florida, United States

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Miami, Florida, United States

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Chicago, Illinois, United States

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Baltimore, Maryland, United States

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Plymouth, Minnesota, United States

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Manhasset, New York, United States

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New York, New York, United States

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The Bronx, New York, United States

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Chapel Hill, North Carolina, United States

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Cincinnati, Ohio, United States

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Portland, Oregon, United States

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Hershey, Pennsylvania, United States

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Providence, Rhode Island, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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Fort Sam Houston, Texas, United States

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San Antonio, Texas, United States

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Salt Lake City, Utah, United States

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Fairfax, Virginia, United States

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Richmond, Virginia, United States

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Adelaide, , Australia

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Greenslopes, , Australia

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Melbourne, , Australia

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Sydney, , Australia

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Sydney, , Australia

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Vienna, , Austria

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Calgary, Alberta, Canada

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Vancouver, British Columbia, Canada

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Vancouver, British Columbia, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Clichy, , France

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Créteil, , France

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Marseille, , France

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Paris, , France

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Paris, , France

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Pessac, , France

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Vandœuvre-lès-Nancy, , France

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Berlin, , Germany

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Cologne, , Germany

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Frankfurt am Main, , Germany

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Freiburg im Breisgau, , Germany

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Hamburg, , Germany

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Hanover, , Germany

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Bologna, , Italy

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Napoli, , Italy

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Torino, , Italy

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Santurce, , Puerto Rico

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Badalona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Seville, , Spain

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Valencia, , Spain

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Countries

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United States Australia Austria Canada France Germany Italy Puerto Rico Spain

References

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Nelson DR, Zeuzem S, Andreone P, Ferenci P, Herring R, Jensen DM, Marcellin P, Pockros PJ, Rodriguez-Torres M, Rossaro L, Rustgi VK, Sepe T, Sulkowski M, Thomason IR, Yoshida EM, Chan A, Hill G. Balapiravir plus peginterferon alfa-2a (40KD)/ribavirin in a randomized trial of hepatitis C genotype 1 patients. Ann Hepatol. 2012 Jan-Feb;11(1):15-31.

Reference Type DERIVED
PMID: 22166557 (View on PubMed)

Other Identifiers

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NV19865

Identifier Type: -

Identifier Source: org_study_id