VX-950-C211 - A Dosing Regimen Study (Twice Daily Versus Every 8 Hours) of Telaprevir in Treatment-naïve Participants With Genotype 1 Chronic Hepatitis C Virus Infection

NCT ID: NCT01241760

Last Updated: 2014-06-04

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

744 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-11-30

Brief Summary

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The purpose of this study is to evaluate the effectiveness of telaprevir administered twice daily versus every 8 hours in combination with Peg-IFN-alfa-2a and ribavirin in treatment-naïve participants with chronic HCV genotype 1 infection.

Detailed Description

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This is a randomized (study drug assigned by chance), open-label (all persons know the study drug assignment) multicenter study to evaluate the effectiveness of telaprevir administered orally as 1125 milligram (mg) twice daily versus 750mg every 8 hours in combination with Peg-IFN-alfa-2a, administered via intramuscular injection once a week, and ribavirin, administered as an oral tablet twice a day, in treatment-naïve study participants with chronic hepatitis C virus (HCV) genotype 1 infection.

Telaprevir will be given orally (by mouth) from Day 1 through Week 12 as 3 tablets (1125mg) twice daily or 2 tablets (750mg) every 8 hours. Peg-IFN-alfa-2a will be administered once a week as an injection under the skin (180 microgram/week) from Day 1 through Week 24 or 48 (based on the patient's treatment response on week 4). Ribavirin is administered orally (by mouth) twice daily from Day 1 through Week 24 or 48 (based on the participant's treatment response on week 4) as 1,000-1,200 mg per day. After the end of treatment (Week 24, Week 48, or at early discontinuation of all study drugs), participants with undetectable HCV RNA at end of treatment will be required to attend follow-up visits until Week 72 safety/tolerability assessments will be performed throughout the treatment period and during the follow-up period.

Conditions

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Genotype 1 Chronic Hepatitis C Treatment Naive

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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001 T(q8h) / PR

Telaprevir (T) 750 mg (2 oral tablets) every 8 hours for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)

Group Type EXPERIMENTAL

Ribavirin

Intervention Type DRUG

Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4

Pegylated interferon alfa-2a

Intervention Type DRUG

180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4

Telaprevir

Intervention Type DRUG

750 mg (2 oral tablets) every 8 hours for 12 weeks

002 T(b.i.d.) / PR

Telaprevir (T) 1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks, in combination with pegylated interferon (P) and ribavirin (R)

Group Type EXPERIMENTAL

Ribavirin

Intervention Type DRUG

Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4

Telaprevir

Intervention Type DRUG

1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks

Pegylated interferon alfa-2a

Intervention Type DRUG

180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4

Interventions

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Ribavirin

Ribavirin (RBV) 1000-1200 milligram (mg) per day (weight dependent) twice daily regimen oral tablets for 24 or 48 weeks depending on the patient's treatment response at week 4

Intervention Type DRUG

Telaprevir

1125 mg (3 oral tablets) twice a day (every 10-14 hours) for 12 weeks

Intervention Type DRUG

Pegylated interferon alfa-2a

180 microgram (µg) per week, subcutaneous injection, for 24 or 48 weeks Pegylated interferon alfa-2a 180 microgram (µg) per week subcutaneous injection for 24 or 48 weeks depending on the patient's treatment response at week 4

Intervention Type DRUG

Telaprevir

750 mg (2 oral tablets) every 8 hours for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patient has chronic HCV infection genotype 1 with HCV RNA level \> 1,000 IU/mL
* Patients should not have had any previous treatment for hepatitis C
* Patient must have documentation of a liver biopsy within 2 years before the screening visit or the patient must agree to have a biopsy performed within the screening period
* Patients with cirrhosis should have serum alpha-fetoprotein (AFP) \<= 50 ng/mL. If AFP \> 50 ng/mL, absence of a mass must be demonstrated by ultrasound within the screening period
* A female patient of childbearing potential and a nonvasectomized male patient who has a female partner of childbearing potential must agree to the use of 2 effective methods of birth control from screening until 6 months (female patient) or 7 months (male patient) after the last dose of RBV.

Exclusion Criteria

* Patient is infected or co-infected with HCV of another genotype than genotype 1 and/or patient is infected with more than one genotype subtype
* Patient has a pre-existing psychiatric condition
* Patient has history of decompensated liver disease or shows evidence of significant liver disease in addition to hepatitis C
* Patient has human immunodeficiency virus (HIV) or hepatitis B virus (HBV) co-infection
* Patient has active malignant disease or history of malignant disease within the past 5 years (with the exception of treated basal cell carcinoma).
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vertex Pharmaceuticals Incorporated

INDUSTRY

Sponsor Role collaborator

Janssen Infectious Diseases BVBA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Infectious Diseases BVBA Clinical Trial

Role: STUDY_DIRECTOR

Janssen Infectious Diseases BVBA

Locations

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La Jolla, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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Aurora, Colorado, United States

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New Haven, Connecticut, United States

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Bradenton, Florida, United States

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Jacksonville, Florida, United States

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Atlanta, Georgia, United States

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Marietta, Georgia, United States

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Chicago, Illinois, United States

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Downers Grove, Illinois, United States

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New Orleans, Louisiana, United States

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Lutherville, Maryland, United States

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Kansas City, Missouri, United States

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Lebanon, New Hampshire, United States

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Egg Harbor Twp, New Jersey, United States

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Santa Fe, New Mexico, United States

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New York, New York, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Statesville, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Allentown, Pennsylvania, United States

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Hershey, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Charleston, South Carolina, United States

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Columbia, South Carolina, United States

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Arlington, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Falls Church, Virginia, United States

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Norfolk, Virginia, United States

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Seattle, Washington, United States

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Adelaide, , Australia

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Camperdown, , Australia

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Clayton, , Australia

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Darlinghurst, , Australia

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Fitzroy, , Australia

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Greenslopes, , Australia

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Melbourne, , Australia

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Perth, , Australia

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Graz, , Austria

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Linz, , Austria

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Vienna, , Austria

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Antwerp, , Belgium

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Brussels, , Belgium

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Genk, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Campinas, , Brazil

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Salvador, , Brazil

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Santo André, , Brazil

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São Paulo, , Brazil

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Clichy, , France

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Créteil, , France

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Grenoble, , France

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Lille, , France

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Lyon, , 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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Villejuif, , France

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Berlin, , Germany

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Bochum, , Germany

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Essen, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Kiel, , Germany

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Mainz, , Germany

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Regensburg, , Germany

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Dublin, , Ireland

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Mex Ctity, , Mexico

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México, , Mexico

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Monterrey, , Mexico

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Bialystok, , Poland

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Bydgoszcz, , Poland

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Czeladź, , Poland

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Kielce, , Poland

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Krakow, , Poland

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Warsaw, , Poland

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Barcelona, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Santander, , Spain

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Seville, , Spain

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Valencia, , Spain

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Gothenburg, , Sweden

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Malmo, , Sweden

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Stockholm, , Sweden

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Birmingham, , United Kingdom

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Edinburgh, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Countries

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United States Australia Austria Belgium Brazil France Germany Ireland Mexico Poland Spain Sweden United Kingdom

References

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Sarrazin C, Dierynck I, Cloherty G, Ghys A, Janssen K, Luo D, Witek J, Buti M, Picchio G, De Meyer S. An OPTIMIZE study retrospective analysis for management of telaprevir-treated hepatitis C virus (HCV)-infected patients by use of the Abbott RealTime HCV RNA assay. J Clin Microbiol. 2015 Apr;53(4):1264-9. doi: 10.1128/JCM.03030-14. Epub 2015 Feb 4.

Reference Type DERIVED
PMID: 25653396 (View on PubMed)

Buti M, Agarwal K, Horsmans Y, Sievert W, Janczewska E, Zeuzem S, Nyberg L, Brown RS Jr, Hezode C, Rizzetto M, Parana R, De Meyer S, De Masi R, Luo D, Bertelsen K, Witek J. Telaprevir twice daily is noninferior to telaprevir every 8 hours for patients with chronic hepatitis C. Gastroenterology. 2014 Mar;146(3):744-753.e3. doi: 10.1053/j.gastro.2013.11.047. Epub 2013 Dec 4.

Reference Type DERIVED
PMID: 24316262 (View on PubMed)

Other Identifiers

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OPTIMIZE-HCV

Identifier Type: OTHER

Identifier Source: secondary_id

VX-950-C211

Identifier Type: OTHER

Identifier Source: secondary_id

2010-021628-84

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR013711

Identifier Type: -

Identifier Source: org_study_id

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