A Study of Danoprevir/Ritonavir and Copegus With RO5024048 and/or Pegasys in Patients With Chronic Hepatitis C

NCT ID: NCT01331850

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

381 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2013-01-31

Brief Summary

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This randomized, open-label, multi-center study will evaluate the sustained virological response, pharmacokinetics and safety of various combinations of danoprevir/ritonavir with Copegus plus RO5024048 and/or Pegasys in patients with chronic hepatitis C infection. Patients will be divided into 2 separate cohorts. Cohort A, previous partial responders, will be randomized to Groups 1-3 and cohort B, previous null responders, will be randomized to Groups 4-6. Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Groups 1 and 4 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks; Group 2 will receive Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks; Groups 3, 5 and 6 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks. In addition, patients in Group 6 will receive another 24 weeks of Pegasys plus Copegus treatment.

Detailed Description

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Conditions

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Hepatitis C, Chronic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Previous null responders (Cohort B): Group 4

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 4 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 24 weeks

RO5024048

Intervention Type DRUG

1000 mg oral doses twice a day for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Previous null responders (Cohort B): Group 5

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 5 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 24 weeks

Pegasys

Intervention Type DRUG

180 microgram subcutaneously once weekly for 24 weeks

RO5024048

Intervention Type DRUG

1000 mg oral doses twice a day for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Previous null responders (Cohort B): Group 6

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 6 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks. In addition, patients in Group 6 will receive another 24 weeks of Pegasys plus Copegus treatment.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 48 weeks

Pegasys

Intervention Type DRUG

180 microgram subcutaneously once weekly for 48 weeks

RO5024048

Intervention Type DRUG

1000 mg oral doses twice a day for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Previous partial responders (Cohort A): Group 1

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 1 will receive RO5024048 1000 mg twice a day and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 24 weeks

RO5024048

Intervention Type DRUG

1000 mg oral doses twice a day for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Previous partial responders (Cohort A): Group 2

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. In addition, Group 2 will receive Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 24 weeks

Pegasys

Intervention Type DRUG

180 microgram subcutaneously once weekly for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Previous partial responders (Cohort A): Group 3

Patients in all groups will receive danoprevir 100 mg twice a day and ritonavir 100 mg twice a day for 24 weeks. Group 3 will receive RO5024048 1000 mg twice a day, Pegasys 180 microgram subcutaneously once weekly and Copegus 1000 mg or 1200 mg twice a day for 24 weeks.

Group Type EXPERIMENTAL

Copegus

Intervention Type DRUG

1000 mg or 1200 mg daily oral doses for 24 weeks

Pegasys

Intervention Type DRUG

180 microgram subcutaneously once weekly for 24 weeks

RO5024048

Intervention Type DRUG

1000 mg oral doses twice a day for 24 weeks

danoprevir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

ritonavir

Intervention Type DRUG

100 mg oral doses twice a day for 24 weeks

Interventions

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Copegus

1000 mg or 1200 mg daily oral doses for 24 weeks

Intervention Type DRUG

Copegus

1000 mg or 1200 mg daily oral doses for 48 weeks

Intervention Type DRUG

Pegasys

180 microgram subcutaneously once weekly for 24 weeks

Intervention Type DRUG

Pegasys

180 microgram subcutaneously once weekly for 48 weeks

Intervention Type DRUG

RO5024048

1000 mg oral doses twice a day for 24 weeks

Intervention Type DRUG

danoprevir

100 mg oral doses twice a day for 24 weeks

Intervention Type DRUG

ritonavir

100 mg oral doses twice a day for 24 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, age 18 years and older
* Presence of hepatitis C infection, genotype 1a or 1b
* Documentation of previous treatment failure after receiving approved doses of peginterferon plus ribavirin for at least 12 weeks
* Patients must have discontinued prior hepatitis C treatment at least 12 weeks prior to study start

Exclusion Criteria

* Infection with any hepatitis C genotype or subtype other than genotype 1a or 1b
* Patients with cirrhosis
* Patients who were discontinued from previous peginterferon plus ribavirin therapy due to reasons other than insufficient therapeutic response
* Co-infection with hepatitis B or human immunodeficiency virus (HIV)
* History or evidence of chronic liver disease other than hepatitis C
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hoffmann-La Roche

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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La Jolla, California, United States

Site Status

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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Aurora, Colorado, United States

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Orlando, Florida, United States

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Decatur, Georgia, United States

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Chicago, Illinois, United States

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New Orleans, Louisiana, United States

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Detroit, Michigan, 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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Chapel Hill, North Carolina, United States

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Medford, Oregon, United States

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Providence, Rhode Island, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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San Antonio, Texas, United States

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Darlinghurst, New South Wales, Australia

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Kingswood, New South Wales, Australia

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Westmead, New South Wales, Australia

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Adelaide, South Australia, Australia

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Melbourne, Victoria, Australia

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Melbourne, Victoria, Australia

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Vienna, , Austria

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Porto Alegre, Rio Grande do Sul, Brazil

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Ribeirão Preto, São Paulo, Brazil

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Vancouver, British Columbia, Canada

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Vancouver, British Columbia, Canada

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Vancouver, British Columbia, Canada

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London, Ontario, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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La Tronche, , 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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Essen, , Germany

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Kiel, , Germany

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Tübingen, , Germany

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Napoli, Campania, Italy

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Milan, Lombardy, Italy

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Pavia, Lombardy, Italy

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Pisa, Tuscany, Italy

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Guadalajara, , Mexico

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Guadalajara, , Mexico

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Bydgoszcz, , Poland

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Czeladź, , Poland

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Kielce, , Poland

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Lodz, , Poland

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Warsaw, , Poland

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San Juan, , Puerto Rico

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Badalona, Barcelona, Spain

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Barcelona, Barcelona, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Seville, Sevilla, Spain

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Birmingham, , United Kingdom

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Dundee, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

Site Status

Countries

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United States Australia Austria Brazil Canada France Germany Italy Mexico Poland Puerto Rico Spain United Kingdom

Other Identifiers

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2010-019585-90

Identifier Type: -

Identifier Source: secondary_id

WV21913

Identifier Type: -

Identifier Source: org_study_id