Trial Outcomes & Findings for An Efficacy, Safety and Tolerability Study of TMC435 in Genotype 1 Hepatitis C-infected Patients Who Relapsed After Previous Therapy (NCT NCT01281839)

NCT ID: NCT01281839

Last Updated: 2014-04-23

Results Overview

The table below shows the percentage of participants in each treatment group who achieved a SVR12, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

394 participants

Primary outcome timeframe

Week 36 or Week 60

Results posted on

2014-04-23

Participant Flow

The study was conducted from 18 January 2011 to 4 February 2013. The study was conducted at 81 sites in 14 countries.

394 participants were randomly allocated to the 2 treatment arms. 393 participants received at least 1 dose of study medication and were included in the intent-to-treat analysis set.

Participant milestones

Participant milestones
Measure
TMC435 150mg 12Wks PR24/48
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
Overall Study
STARTED
260
133
Overall Study
COMPLETED
250
119
Overall Study
NOT COMPLETED
10
14

Reasons for withdrawal

Reasons for withdrawal
Measure
TMC435 150mg 12Wks PR24/48
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
Overall Study
Lost to Follow-up
6
3
Overall Study
Withdrawal by Subject
4
10
Overall Study
Reason not specified
0
1

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
Total
n=393 Participants
Total of all reporting groups
Age, Continuous
52 years
n=5 Participants
52 years
n=7 Participants
52 years
n=5 Participants
Sex: Female, Male
Female
81 Participants
n=5 Participants
54 Participants
n=7 Participants
135 Participants
n=5 Participants
Sex: Female, Male
Male
179 Participants
n=5 Participants
79 Participants
n=7 Participants
258 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 36 or Week 60

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who achieved a SVR12, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid 12 weeks after planned end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Sustained Virologic Response 12 Weeks After the Planned End of Treatment (SVR12)
36.1 Percentage of participants
79.2 Percentage of participants

SECONDARY outcome

Timeframe: Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who achieved a SVRW72, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels at end of treatment (EOT) and at Week 72.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Sustained Virologic Response at Week 72 (SVRW72)
33.8 Percentage of Participants
76.5 Percentage of Participants

SECONDARY outcome

Timeframe: Week 48 or Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who achieved a SVR24, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 24 weeks after planned end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Who Achieved a Sustained Virologic Response 24 Weeks After the Planned End of Treatment (SVR24)
33.8 Percentage of Participants
77.3 Percentage of Participants

SECONDARY outcome

Timeframe: Week 28 or Week 52

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who achieved a SVR4, defined as the percentage of participants with undetectable plasma Hepatitis C virus ribonucleic acid levels 4 weeks after planned end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Who Achieved a Sustained Virologic Response 4 Weeks After the Planned End of Treatment (SVR4)
48.1 Percentage of Participants
88.5 Percentage of Participants

SECONDARY outcome

Timeframe: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows change from baseline in log10 HCV RNA levels.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Day 3
-1.039 log10 IU/mL
Standard Error 0.072
-3.537 log10 IU/mL
Standard Error 0.042
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 1
-1.099 log10 IU/mL
Standard Error 0.073
-4.535 log10 IU/mL
Standard Error 0.040
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 4
-2.638 log10 IU/mL
Standard Error 0.125
-5.295 log10 IU/mL
Standard Error 0.049
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 12
-4.476 log10 IU/mL
Standard Error 0.113
-5.404 log10 IU/mL
Standard Error 0.049
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 24
-5.373 log10 IU/mL
Standard Error 0.070
-5.449 log10 IU/mL
Standard Error 0.036
Change From Baseline in log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 48
-5.473 log10 IU/mL
Standard Error 0.068
-5.635 log10 IU/mL
Standard Error 0.212

SECONDARY outcome

Timeframe: Day 3, Week 1, Week 4, Week 12, Week 24, and Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows actual values of log10 HCV RNA levels. From Week 4 onwards, most participants in TMC 435 150mg 12Wks PR24/48 group had plasma HCV RNA levels below the limit of detection of the HCV RNA assay.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Day 3
5.445 log10 IU/mL
Standard Error 0.084
2.884 log10 IU/mL
Standard Error 0.049
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 1
5.376 log10 IU/mL
Standard Error 0.084
1.889 log10 IU/mL
Standard Error 0.041
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 4
3.838 log10 IU/mL
Standard Error 0.130
1.128 log10 IU/mL
Standard Error 0.034
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 12
2.005 log10 IU/mL
Standard Error 0.109
1.018 log10 IU/mL
Standard Error 0.034
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 24
1.108 log10 IU/mL
Standard Error 0.042
0.956 log10 IU/mL
Standard Error 0.002
Actual Values of log10 Hepatitis C Virus (HCV) Ribonucleic Acid (RNA)
Week 48
0.995 log10 IU/mL
Standard Error 0.013
0.954 log10 IU/mL
Standard Error 0.000

SECONDARY outcome

Timeframe: Day 3, Week 1, Week 2, Week 8, Week 16, Week 20, Week 28, Week 36, and Week 42

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants with HCV ribonucleic acid (RNA plasma levels below the limit of detection (ie, \<25 IU/mL undetectable), the percentage of participants with a HCV RNA plasma level below the limit of quantification (ie, less than \[\<\] 25 IU/mL detectable or undetectable), the percentage of participants with plasma levels of HCV RNA \<100 IU/mL, the percentage of participants with virologic responses of a greater than or equal to 2 log10 change from baseline in plasma levels of HCV RNA.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 20:> or = 2 log10 change from baseline
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 28:> or = 2 log10 change from baseline
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 36:> or = 2 log10 change from baseline
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 42:> or = 2 log10 change from baseline
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Day 3:<25 IU/mL undetectable
0.8 Percentage of Participants
0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 1:<25 IU/mL undetectable
0 Percentage of Participants
3.9 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 2:<25 IU/mL undetectable
0.8 Percentage of Participants
28.3 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 8:<25 IU/mL undetectable
15.0 Percentage of Participants
95.7 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 16:<25 IU/mL
47.4 Percentage of Participants
98.4 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 20:<25 IU/mL
65.5 Percentage of Participants
99.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 28:<25 IU/mL
84.5 Percentage of Participants
88.9 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 36:<25 IU/mL
91.9 Percentage of Participants
90.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 42:<25 IU/mL
91.7 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Day 3:<25 IU/mL undetectable/detectable
0.8 Percentage of Participants
3.1 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 1:<25 IU/mL undetectable/detectable
0.8 Percentage of Participants
35.9 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 2:<25 IU/mL undetectable/detectable
1.5 Percentage of Participants
82.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 8:<25 IU/mL undetectable/detectable
27.6 Percentage of Participants
98.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 16:<25 IU/mL undetectable/detectable
77.6 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 20:<25 IU/mL undetectable/detectable
89.4 Percentage of Participants
99.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 28:<25 IU/mL undetectable/detectable
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 36:<25 IU/mL undetectable/detectable
99.0 Percentage of Participants
90.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 42:<25 IU/mL undetectable/detectable
97.9 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Day 3:<100 IU/mL
0.8 Percentage of Participants
9.1 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 1:<100 IU/mL
0.8 Percentage of Participants
62.2 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 2:<100 IU/mL
2.3 Percentage of Participants
92.2 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 8:<100 IU/mL
37.0 Percentage of Participants
98.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 16:<100 IU/mL
84.5 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 20:<100 IU/mL
93.8 Percentage of Participants
99.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 28:<100 IU/mL
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 36:<100 IU/mL
100.0 Percentage of Participants
90.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 42:<100 IU/mL
100.0 Percentage of Participants
100.0 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Day 3:> or = 2 log10 change from baseline
14.1 Percentage of Participants
97.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 1:> or = 2 log10 change from baseline
13.7 Percentage of Participants
99.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 2:> or = 2 log10 change from baseline
35.4 Percentage of Participants
99.6 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 8:> or = 2 log10 change from baseline
87.4 Percentage of Participants
98.4 Percentage of Participants
The Percentage of Participants With On-treatment Virologic Response at All Time Points
Week 16:> or = 2 log10 change from baseline
100.0 Percentage of Participants
100.0 Percentage of Participants

SECONDARY outcome

Timeframe: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who achieved a RVR, defined as having undetectable plasma Hepatitis C virus ribonucleic acid levels after receiving 4 weeks of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Rapid Virologic Response (RVR)
3.1 Percentage of Participants
77.2 Percentage of Participants

SECONDARY outcome

Timeframe: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants who achieved an EVR, defined as having a change from baseline in plasma Hepatitis C virus ribonucleic acid of greater than or equal to 2 log10 at Week 12.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Early Virologic Response (EVR)
95.2 Percentage of Participants
98.8 Percentage of Participants

SECONDARY outcome

Timeframe: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who had a cEVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 12.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Complete Early Virologic Response (cEVR)
27.4 Percentage of Participants
98.0 Percentage of Participants

SECONDARY outcome

Timeframe: Week 4 and Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group who had a eRVR, defined as having undetectable plasma Hepatitis C Virus ribonucleic acid levels at Week 4 and 12.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Achieving a Extended Rapid Virologic Response (eRVR)
1.6 Percentage of Participants
77.6 Percentage of Participants

SECONDARY outcome

Timeframe: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group with \<1 log10 HCV RNA decrease at Week 4.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With <1 log10 Decrease in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) From Baseline at Week 4
9.3 Percentage of Participants
0.8 Percentage of Participants

SECONDARY outcome

Timeframe: Week 4

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in each treatment group with HCV RNA levels \>1000 IU/mL at Week 4.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Percentage of Participants With in Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) Levels >1000 IU/mL at Week 4
69.9 Percentage of Participants
1.9 Percentage of Participants

SECONDARY outcome

Timeframe: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants with null response, defined as \<2 log10 reduction in Hepatitis C virus ribonucleic acid at Week 12 compared to baseline.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Null Response
4.8 Percentage of Participants
1.2 Percentage of Participants

SECONDARY outcome

Timeframe: Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants with partial response, defined as =\>2 log10 reduction in Hepatitis C virus (HCV) ribonucleic acid (RNA) at Week 12 compared to baseline, but not achieving undetectable HCV RNA while on treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Partial Response
0 Percentage of Participants
10.5 Percentage of Participants

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma Hepatitis C virus (HCV) ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Viral Breakthrough
2.3 Percentage of Participants
0.0 Percentage of Participants

SECONDARY outcome

Timeframe: Up to Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants with viral relapse, defined as having confirmed detectable plasma level of Hepatitis C virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (less than 25 IU/mL undetectable) at the end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Viral Relapse
50.5 Percentage of Participants
18.9 Percentage of Participants

SECONDARY outcome

Timeframe: Week 24

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants in the TMC435 treatment group who met the treatment duration rule (ie, having hepatitis C virus \[HCV\] ribonucleic acid \[RNA\] levels \<25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA levels at Week 12) and completed treatment with PegIFNα-2a and RBV for 24 weeks. Participants in the TMC435 treatment group not meeting RGT criteria and participants in the placebo group were treated with PegIFNα-2a and RBV treatment for 48 weeks.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants Who Completed All Study Treatment at Week 24 Because of the Treatment Duration Rule
0 Percentage of Participants
90.0 Percentage of Participants

SECONDARY outcome

Timeframe: Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows percentage of participants with on-treatment failure defined as confirmed detectable Hepatitis C virus ribonucleic acid levels at actual end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With On-treatment Failure
27.1 Percentage of Participants
3.1 Percentage of Participants

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean time in days to reach HCV RNA levels \<25 IU/mL undetectable or detectable.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable
141 Days
Interval 113.0 to 167.0
28 Days
Interval 28.0 to 29.0

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean time in days to reach HCV RNA levels \<25 IU/mL undetectable or detectable.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <25 IU/mL Undetectable or Detectable
110 Days
Interval 85.0 to 113.0
14 Days
Interval 14.0 to 15.0

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean time in days to reach HCV RNA levels \<100 IU/mL.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <100 IU/mL
85 Days
Interval 83.0 to 85.0
8 Days
95% CI were not calculated because the number of censored values was very low (\<5%) and the response occurred very rapidly in the responders (85% of the subjects had HCV RNA\<100 IU/mL at Week 2).

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean time in days to reach HCV RNA levels \<1000 IU/mL.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Time to Reach Hepatitis C Virus (HCV) Ribonucleic Acid (RNA) <1000 IU/mL
57 Days
Interval 57.0 to 58.0
4 Days
Interval 3.0 to 4.0

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the percentage of participants at different time points with viral breakthrough, defined as a confirmed increase of greater than 1 log10 IU/mL in plasma HCV ribonucleic acid (RNA) level from the lowest level reached (ie, lowest value measured in between baseline and current value), or a confirmed plasma HCV RNA level of greater than 100 IU/mL in participants whose plasma HCV RNA had previously been below the limit of quantification (25 IU/mL detectable) or undetectable (\<25 IU/mL undetectable).

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Viral Breakthrough at Different Time Points
=<12 weeks
0.0 Percentage of Participants
1.9 Percentage of Participants
The Percentage of Participants With Viral Breakthrough at Different Time Points
>12-=<24 weeks
0.0 Percentage of Participants
0.0 Percentage of Participants
The Percentage of Participants With Viral Breakthrough at Different Time Points
>24 weeks
0.0 Percentage of Participants
10.0 Percentage of Participants

SECONDARY outcome

Timeframe: Up to Week 72

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the mean number of days to viral relapse, defined as participants having confirmed detectable plasma level of Hepatitis C Virus (HCV) ribonucleic acid (RNA) during the follow-up period in participants with undetectable plasma HCV RNA (\<25 IU/mL undetectable) at the end of treatment.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Time From End-of-treatment to Viral Relapse
115.22 Days
Standard Error 6.72
284.09 Days
Standard Error 6.56

SECONDARY outcome

Timeframe: Up to Week 48

Population: Participants with baseline ALT values out of normal range were used for this analysis from intent-to treat population (defined as all participants who were randomized and received at least one dose of study medication).

The percentage of participants analyzed were those with baseline ALT values out of the normal range (ie, 156 of 260 participants in the TMC435 treatment group and 84 of 133 participants in the Placebo group had ALT values at baseline that were out of the normal range.). Normalization of ALT values means that ALT values out of the normal range returned to within the normal range.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=84 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=156 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
The Percentage of Participants With Normalization of Alanine Aminotransferase (ALT)
69.0 Percentage of Participants
69.9 Percentage of Participants

SECONDARY outcome

Timeframe: Up to Week 48

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows the median time to normalization of ALT levels.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
n=133 Participants
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=260 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Median Time to Normalization of Alanine Aminotransferase (ALT) Levels
8.00 Weeks
Interval 4.14 to 15.86
7.86 Weeks
Interval 2.14 to 16.14

SECONDARY outcome

Timeframe: From the time of administration up to 24 hours after dosing through Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean (standard deviation) values of the area under the plasma concentration-time curve from time of administration to 24 hours (AUC 24hr) after dosing for TMC435. To calculate the mean AUC 24 for the study, AUC 24 hr values were derived for each participant at each visit and then the median of AUC value across visits for each participant was used to calculate the mean AUC 24 hr for the study.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=259 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Plasma Concentration of TMC435: Area Under the Plasma Concentration-time Curve From the Time of Administration to 24 Hours After Dosing (AUC24h)
60987 ng*h/mL
Standard Deviation 67577.4 • Interval 2.14 to 16.14

SECONDARY outcome

Timeframe: Before administration of TMC435 through Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean (standard deviation) of C0h values of TMC435. To calculate the mean C0h for the study, C0h values were derived for each participant at each visit and then the median of C0h values across visits for each participant was used to calculate the mean C0h for the study.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=259 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Plasma Concentration of TMC435: Predose Plasma Concentration (C0h)
2081 ng/mL
Standard Deviation 2807.6 • Interval 2.14 to 16.14

SECONDARY outcome

Timeframe: From the time of administration through Week 12

Population: The intent-to-treat population (defined as all participants who were randomized and received at least one dose of study medication) was used for all analyses.

The table below shows mean (standard deviation) of CL values of TMC435. To calculate the mean CL for the study, CL values were derived for each participant at each visit and then the median of CL values across visits for each participant was used to calculate the mean CL for the study.

Outcome measures

Outcome measures
Measure
PBO 12Wks PR48
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
TMC435 150mg 12Wks PR24/48
n=259 Participants
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
Plasma Concentration of TMC435: Systemic Clearance (CL)
4.92 L/h
Standard Deviation 3.438 • Interval 2.14 to 16.14

Adverse Events

TMC435 150mg 12Wks PR24/48

Serious events: 14 serious events
Other events: 245 other events
Deaths: 0 deaths

PBO 12Wks PR48

Serious events: 11 serious events
Other events: 123 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TMC435 150mg 12Wks PR24/48
n=260 participants at risk
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
PBO 12Wks PR48
n=133 participants at risk
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
Infections and infestations
Pneumonia
0.77%
2/260 • 72 weeks
0.00%
0/133 • 72 weeks
Infections and infestations
Appendicitis
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Infections and infestations
Endocarditis
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Infections and infestations
Lower respiratory tract infection
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Infections and infestations
Septic shock
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Infections and infestations
Arthritis infective
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Infections and infestations
Bacterial prostatitis
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Infections and infestations
Bronchitis
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Infections and infestations
Infection
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Cardiac disorders
Angina pectoris
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Cardiac disorders
Bradycardia
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Cardiac disorders
Myocardial ischaemia
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Cardiac disorders
Atrial fibrillation
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Cardiac disorders
Pericarditis
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Blood and lymphatic system disorders
Anaemia haemolytic autoimmune
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Blood and lymphatic system disorders
Pancytopenia
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Hepatobiliary disorders
Cholelithiasis
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Hepatobiliary disorders
Hepatitis
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Nervous system disorders
Guillain-Barre syndrome
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Nervous system disorders
Presyncope
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Nervous system disorders
Headache
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Nervous system disorders
Neuropathy peripheral
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Psychiatric disorders
Confusional state
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Psychiatric disorders
Depression
0.38%
1/260 • 72 weeks
0.75%
1/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory acidosis
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Skin and subcutaneous tissue disorders
Photosensitivity reaction
0.77%
2/260 • 72 weeks
0.00%
0/133 • 72 weeks
Gastrointestinal disorders
Abdominal pain
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Gastrointestinal disorders
Inguinal hernia
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
General disorders
Pyrexia
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Reproductive system and breast disorders
Vaginal haemorrhage
0.38%
1/260 • 72 weeks
0.00%
0/133 • 72 weeks
Injury, poisoning and procedural complications
Head injury
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks
Metabolism and nutrition disorders
Hypercalcaemia
0.00%
0/260 • 72 weeks
0.75%
1/133 • 72 weeks

Other adverse events

Other adverse events
Measure
TMC435 150mg 12Wks PR24/48
n=260 participants at risk
Participants were given TMC435 150 mg once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 24 (PR24). Treatment was to be stopped at Week 24 for participants who achieved HCV RNA \< 25 IU/mL detectable or undetectable at Week 4 and undetectable HCV RNA at Week 12. Other participants continued PR until Week 48 (PR48).
PBO 12Wks PR48
n=133 participants at risk
Participants were given placebo (PBO) once daily plus peginterferon alpha-2a (PegIFN alpha-2a) and ribavirin (RBV) for 12 Weeks (Wks) followed by PegIFN alpha-2a (P) and RBV (R) until Week 48 (PR 48).
General disorders
Fatigue
33.5%
87/260 • 72 weeks
43.6%
58/133 • 72 weeks
General disorders
Influenza like illness
30.0%
78/260 • 72 weeks
20.3%
27/133 • 72 weeks
General disorders
Pyrexia
24.2%
63/260 • 72 weeks
22.6%
30/133 • 72 weeks
General disorders
Asthenia
21.9%
57/260 • 72 weeks
18.8%
25/133 • 72 weeks
General disorders
Injection site erythema
8.1%
21/260 • 72 weeks
6.8%
9/133 • 72 weeks
General disorders
Chills
6.5%
17/260 • 72 weeks
8.3%
11/133 • 72 weeks
Skin and subcutaneous tissue disorders
Pruritus
27.7%
72/260 • 72 weeks
27.8%
37/133 • 72 weeks
Skin and subcutaneous tissue disorders
Rash
12.7%
33/260 • 72 weeks
14.3%
19/133 • 72 weeks
Skin and subcutaneous tissue disorders
Alopecia
10.0%
26/260 • 72 weeks
12.8%
17/133 • 72 weeks
Skin and subcutaneous tissue disorders
Dry skin
9.2%
24/260 • 72 weeks
13.5%
18/133 • 72 weeks
Skin and subcutaneous tissue disorders
Eczema
5.4%
14/260 • 72 weeks
3.0%
4/133 • 72 weeks
Skin and subcutaneous tissue disorders
Erythema
2.7%
7/260 • 72 weeks
5.3%
7/133 • 72 weeks
Nervous system disorders
Headache
33.5%
87/260 • 72 weeks
36.1%
48/133 • 72 weeks
Nervous system disorders
Dizziness
5.4%
14/260 • 72 weeks
4.5%
6/133 • 72 weeks
Nervous system disorders
Dysgeusia
4.6%
12/260 • 72 weeks
5.3%
7/133 • 72 weeks
Nervous system disorders
Disturbance in attention
3.8%
10/260 • 72 weeks
5.3%
7/133 • 72 weeks
Gastrointestinal disorders
Nausea
22.7%
59/260 • 72 weeks
19.5%
26/133 • 72 weeks
Gastrointestinal disorders
Diarrhoea
13.8%
36/260 • 72 weeks
16.5%
22/133 • 72 weeks
Gastrointestinal disorders
Vomiting
6.9%
18/260 • 72 weeks
6.8%
9/133 • 72 weeks
Gastrointestinal disorders
Abdominal pain upper
3.8%
10/260 • 72 weeks
6.8%
9/133 • 72 weeks
Gastrointestinal disorders
Abdominal pain
3.5%
9/260 • 72 weeks
6.0%
8/133 • 72 weeks
Psychiatric disorders
Insomnia
18.8%
49/260 • 72 weeks
24.8%
33/133 • 72 weeks
Psychiatric disorders
Mood altered
9.6%
25/260 • 72 weeks
16.5%
22/133 • 72 weeks
Psychiatric disorders
Depression
8.5%
22/260 • 72 weeks
7.5%
10/133 • 72 weeks
Psychiatric disorders
Sleep disorder
5.8%
15/260 • 72 weeks
10.5%
14/133 • 72 weeks
Psychiatric disorders
Depressed mood
3.8%
10/260 • 72 weeks
6.0%
8/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Cough
13.1%
34/260 • 72 weeks
15.8%
21/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
10.0%
26/260 • 72 weeks
3.8%
5/133 • 72 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
6.2%
16/260 • 72 weeks
6.0%
8/133 • 72 weeks
Musculoskeletal and connective tissue disorders
Myalgia
15.0%
39/260 • 72 weeks
12.8%
17/133 • 72 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
10.0%
26/260 • 72 weeks
9.0%
12/133 • 72 weeks
Musculoskeletal and connective tissue disorders
Back pain
5.8%
15/260 • 72 weeks
6.0%
8/133 • 72 weeks
Blood and lymphatic system disorders
Anaemia
15.4%
40/260 • 72 weeks
18.0%
24/133 • 72 weeks
Blood and lymphatic system disorders
Neutropenia
14.2%
37/260 • 72 weeks
19.5%
26/133 • 72 weeks
Metabolism and nutrition disorders
Decreased appetite
13.5%
35/260 • 72 weeks
18.0%
24/133 • 72 weeks
Infections and infestations
Nasopharyngitis
1.9%
5/260 • 72 weeks
5.3%
7/133 • 72 weeks

Additional Information

Global Clinical Development Manager

Jan-Cil France

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60