An Efficacy, Safety and Tolerability Study of TMC435 in Genotype 1 Hepatitis C-infected Patients Who Relapsed After Previous Therapy

NCT ID: NCT01281839

Last Updated: 2014-04-23

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

394 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2013-02-28

Brief Summary

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The purpose of this study is to investigate the effectiveness and safety of TMC435 compared with placebo in patients who are infected with genotype 1 hepatitis C virus who relapsed after previous interferon-based therapy. Patients will also receive peginterferon alfa-2a and ribavirin as part of their treatment.

Detailed Description

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This is a randomized, double-blind (neither physician nor patients knows the name of the assigned drug), placebo-controlled study of TMC435 in patients who are infected with genotype 1 hepatitis C virus who relapsed after previous interferon-based therapy. Patients in this study will also receive two other drugs for their infection called peginterferon alfa-2a and ribavirin. The purpose of the study is to investigate if TMC435 is superior to placebo in reducing hepatitis C virus to an undetectable level 24 weeks after the end of treatment. For the first 12 weeks, patients will take TMC435 or placebo, plus peginterferon alfa-2a and ribavirin. For the next 12 weeks, patients will take peginterferon alfa-2a and ribavirin only. After that, some patients will continue to take peginterferon alfa-2a and ribavirin for up to 24 additional weeks. Other patients will stop taking peginterferon alfa-2a and ribavirin. The study doctor will inform each patient about how to take their study medication and when they should stop taking it. After a patient stops taking study medication, they will continue to come to the doctor's office for study visits until a total of 72 weeks after they enroll in the study. The total duration of the study is 78 weeks (including screening). Patients will be monitored for safety throughout the study. Study assessments at each study visit may include but are not limited to: blood and urine collection for testing, ECG assessments (a measurement of the electrical activity of your heart), patient questionnaires, and physical examinations TMC435 will be taken as an oral capsule of 150 mg once per day. Peginterferon (Pegasys ®) will be given as an injection of 180 µg once each week. Ribavirin (Copegus ®) will be taken as a tablet twice each day and the dose will depend on your body weight.

Conditions

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Hepatitis C

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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TMC435

TMC435 150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 24 or 48 weeks

Group Type EXPERIMENTAL

TMC435

Intervention Type DRUG

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 24 or 48 weeks

Peginterferon alpha-2a (PegIFN alpha-2a)

Intervention Type DRUG

One subcutaneous (under the skin) injection containing 0.5 mL solution with 180 mcg PegIFN alpha-2a once weekly for up to 48 weeks.

Ribavirin (RBV)

Intervention Type DRUG

200-mg tablets of RBV (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.

Placebo

Placebo 150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 48 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 48 weeks

Peginterferon alpha-2a (PegIFN alpha-2a)

Intervention Type DRUG

One subcutaneous (under the skin) injection containing 0.5 mL solution with 180 mcg PegIFN alpha-2a once weekly for up to 48 weeks.

Ribavirin (RBV)

Intervention Type DRUG

200-mg tablets of RBV (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.

Interventions

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TMC435

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 24 or 48 weeks

Intervention Type DRUG

Placebo

150 mg capsule once daily for 12 weeks in addition to peginterferon alfa-2a and ribavirin for 48 weeks

Intervention Type DRUG

Peginterferon alpha-2a (PegIFN alpha-2a)

One subcutaneous (under the skin) injection containing 0.5 mL solution with 180 mcg PegIFN alpha-2a once weekly for up to 48 weeks.

Intervention Type DRUG

Ribavirin (RBV)

200-mg tablets of RBV (body-weight adjusted dose) taken orally (by mouth) twice daily for up to 48 weeks.

Intervention Type DRUG

Other Intervention Names

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Pegasys Copegus

Eligibility Criteria

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Inclusion Criteria

* Genotype 1 hepatitis C infection (confirmed at screening)
* Have previously received peginterferon-based therapy for at least 24 weeks with documented HCV RNA at last measurement and relapsed within 1 year of last taking medication
* Liver biopsy within 3 years before screening (or between the screening and baseline visit) showing chronic hepatitis C infection
* Must agree to use 2 forms of effective contraception throughout study (both males and females)

Exclusion Criteria

* Infection with HIV or non-genotype 1 hepatitis C
* Liver disease not related to hepatitic C infection
* Hepatic decompensation
* Significant laboratory abnormalities or other active diseases
* Pregnant or planning to become pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen R&D Ireland

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen R&D Ireland Clinical Trial

Role: STUDY_DIRECTOR

Janssen R&D Ireland

Locations

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Bakersfield, California, United States

Site Status

Aurora, Colorado, United States

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Jacksonville, Florida, United States

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Orlando, Florida, United States

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Atlanta, Georgia, United States

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Crestview Hills, Kentucky, United States

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Saint Paul, Minnesota, United States

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Jackson, Mississippi, United States

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Germantown, Tennessee, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Adelaide, , Australia

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Kingswood, , Australia

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Melbourne, , Australia

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Sydney, , Australia

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Woolloongabba, , Australia

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Vienna, , Austria

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Antwerp, , Belgium

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Bruges, , Belgium

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Brussels, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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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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Montreal, Quebec, Canada

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Créteil, , France

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Grenoble, , France

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Lyon, , France

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Nice, , France

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Paris, , France

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Rennes, , France

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Vandœuvre-lès-Nancy, , France

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Berlin, , Germany

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Düsseldorf, , Germany

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Frankfurt, , Germany

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Freiburg im Breisgau, , Germany

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Halle, , Germany

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Hamburg, , Germany

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Kiel, , Germany

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Leipzig, , Germany

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München, , Germany

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Würzburg, , Germany

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Auckland, , New Zealand

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Christchurch, , New Zealand

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Hamilton, , New Zealand

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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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Ponce Pr, , Puerto Rico

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San Juan, , Puerto Rico

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Moscow, , Russia

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Saint Petersburg, , Russia

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Samara, , Russia

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Smolensk, , Russia

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Stavropol, , Russia

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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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Birmingham, , United Kingdom

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Derby, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Plymouth, , United Kingdom

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Countries

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United States Australia Austria Belgium Canada France Germany New Zealand Poland Puerto Rico Russia Spain United Kingdom

References

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Lenz O, Verbinnen T, Fevery B, Tambuyzer L, Vijgen L, Peeters M, Buelens A, Ceulemans H, Beumont M, Picchio G, De Meyer S. Virology analyses of HCV isolates from genotype 1-infected patients treated with simeprevir plus peginterferon/ribavirin in Phase IIb/III studies. J Hepatol. 2015 May;62(5):1008-14. doi: 10.1016/j.jhep.2014.11.032. Epub 2014 Nov 28.

Reference Type DERIVED
PMID: 25445400 (View on PubMed)

Forns X, Lawitz E, Zeuzem S, Gane E, Bronowicki JP, Andreone P, Horban A, Brown A, Peeters M, Lenz O, Ouwerkerk-Mahadevan S, Scott J, De La Rosa G, Kalmeijer R, Sinha R, Beumont-Mauviel M. Simeprevir with peginterferon and ribavirin leads to high rates of SVR in patients with HCV genotype 1 who relapsed after previous therapy: a phase 3 trial. Gastroenterology. 2014 Jun;146(7):1669-79.e3. doi: 10.1053/j.gastro.2014.02.051. Epub 2014 Mar 3.

Reference Type DERIVED
PMID: 24602923 (View on PubMed)

Other Identifiers

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TMC435HPC3007

Identifier Type: OTHER

Identifier Source: secondary_id

2010-021113-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR017371

Identifier Type: -

Identifier Source: org_study_id

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