A Study to Treat Subjects With Telaprevir, Ribavirin, and Peginterferon Who Are Coinfected With HIV and Hepatitis C Virus (HCV)

NCT ID: NCT01467479

Last Updated: 2015-03-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

185 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-12-31

Study Completion Date

2014-02-28

Brief Summary

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The purpose of this study is to treat human immunodeficiency virus (HIV) and Hepatitis C Virus (HCV) co-infected subjects with telaprevir, pegylated interferon alfa-2a (Peg-IFN-alfa-2a), and ribavirin (RBV) to achieve undetectable hepatitis C virus ribonucleic acid (HCV RNA) 12 weeks after the last planned dose of study drug.

Detailed Description

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Conditions

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Hepatitis C

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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T/PR + HAART Regimen (ATV/r-Based)

Participants who were receiving atazanavir/ritonavir (ATV/r) based highly active antiretroviral therapy (HAART) at baseline, received Telaprevir (T)1125 milligram (mg) tablet twice daily for 12 weeks in combination with pegylated interferon alfa 2a (P) (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (R) (RBV) tablet orally twice daily at a dose of 800 milligram per day (mg/day) for 24 or 48 weeks, depending on individual response to telaprevir treatment. Participants continued their HAART, as per standard practice and investigator discretion.

Group Type EXPERIMENTAL

Telaprevir

Intervention Type DRUG

Tablet

Ribavirin

Intervention Type DRUG

Tablet

Pegylated Interferon Alfa-2a

Intervention Type BIOLOGICAL

Subcutaneous Injection

Highly Active Antiretroviral Therapy (HAART)

Intervention Type DRUG

Atazanavir/ritonavir (ATV/r) based HAART, Efavirenz (EFV) based HAART, or Raltegravir (RAL) based HAART, as per standard practice. HAART medications were not considered study drugs.

T/PR + HAART Regimen (EFV-Based)

Participants who were receiving efavirenz (EFV) based highly active antiretroviral therapy (HAART) at baseline, received Telaprevir (T)1125 milligram (mg) tablet three times a day for 12 weeks in combination with pegylated interferon alfa 2a (P) (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (R) (RBV) tablet orally twice daily at a dose of 800 milligram per day (mg/day) for 24 or 48 weeks, depending on individual response to telaprevir treatment. Participants continued their HAART, as per standard practice and investigator discretion.

Group Type EXPERIMENTAL

Telaprevir

Intervention Type DRUG

Tablet

Ribavirin

Intervention Type DRUG

Tablet

Pegylated Interferon Alfa-2a

Intervention Type BIOLOGICAL

Subcutaneous Injection

Highly Active Antiretroviral Therapy (HAART)

Intervention Type DRUG

Atazanavir/ritonavir (ATV/r) based HAART, Efavirenz (EFV) based HAART, or Raltegravir (RAL) based HAART, as per standard practice. HAART medications were not considered study drugs.

T/PR + HAART Regimen (RAL-Based)

Participants who were receiving raltegravir (RAL) based highly active antiretroviral therapy (HAART) at baseline, received Telaprevir (T)1125 milligram (mg) tablet twice daily for 12 weeks in combination with pegylated interferon alfa 2a (P) (Peg-IFN-alfa-2a) 180 microgram per week (mcg/week) subcutaneous injection and ribavirin (R) (RBV) tablet orally twice daily at a dose of 800 milligram per day (mg/day) for 24 or 48 weeks, depending on individual response to telaprevir treatment. Participants continued their HAART, as per standard practice and investigator discretion.

Group Type EXPERIMENTAL

Telaprevir

Intervention Type DRUG

Tablet

Ribavirin

Intervention Type DRUG

Tablet

Pegylated Interferon Alfa-2a

Intervention Type BIOLOGICAL

Subcutaneous Injection

Highly Active Antiretroviral Therapy (HAART)

Intervention Type DRUG

Atazanavir/ritonavir (ATV/r) based HAART, Efavirenz (EFV) based HAART, or Raltegravir (RAL) based HAART, as per standard practice. HAART medications were not considered study drugs.

Interventions

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Telaprevir

Tablet

Intervention Type DRUG

Ribavirin

Tablet

Intervention Type DRUG

Pegylated Interferon Alfa-2a

Subcutaneous Injection

Intervention Type BIOLOGICAL

Highly Active Antiretroviral Therapy (HAART)

Atazanavir/ritonavir (ATV/r) based HAART, Efavirenz (EFV) based HAART, or Raltegravir (RAL) based HAART, as per standard practice. HAART medications were not considered study drugs.

Intervention Type DRUG

Other Intervention Names

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VX-950 Copegus® RBV Pegasys® Peg-IFN-Alfa-2a

Eligibility Criteria

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Inclusion Criteria

* Participants must have chronic, genotype 1a or 1b, hepatitis C with HCV RNA greater than (\>) 1000 international units per milliliter (IU/mL)
* Population A: HCV Pegylated interferon (Peg-IFN)/RBV treatment naive (received no prior HCV therapy)or Peg-IFN/RBV prior treatment with relapse
* Population B: Peg-IFN/RBV prior null or partial responder
* Participants must not have achieved undetectable HCV RNA 24 weeks after the last planned dose of study drug (SVR24) after at least 1 prior course of Peg IFN/RBV therapy of standard duration
* Participant must have positive HIV antibody at Screening
* Participant must have a diagnosis of HIV-1 infection \>6 months before Screening
* Participants should be taking 1 of the following permissible highly active antiretroviral therapy (HAART) regimens for HIV continuously for 12 weeks prior to screening:

* Atripla® or equivalent components (efavirenz, tenofovir, emtricitabine)
* Efavirenz plus Epzicom® (abacavir, lamivudine) or equivalent components
* Boosted atazanavir (atazanavir with ritonavir) plus Truvada® (tenofovir, emtricitabine) or equivalent components
* Boosted atazanavir plus Epzicom®, or equivalent components
* Raltegravir plus Truvada®, or equivalent components
* Raltegravir plus Epzicom®, or equivalent components
* Cluster of differentiation 4 (CD4) counts and human immunodeficiency virus Type 1 (HIV-1) ribonucleic acid (RNA) meeting acceptable criteria at Screening as specified in the protocol
* Laboratory values within acceptable ranges at Screening as specified in the protocol

Exclusion Criteria

* Subjects anticipating a need to switch HAART regimens within 14 weeks after Day 1 or any switches occurring 12 weeks prior to Day 1
* Use of azidothymidine (AZT), didanosine (ddI) or stavudine (d4T) nucleosides
* Contraindications to any planned HAART component as per the respective drug labeling information
* Contraindications to Peg-IFN or RBV
* Evidence of hepatic decompensation
* Clinical suspicion of acute hepatitis
* Any other cause of liver disease in addition to hepatitis C
* History of organ transplantation (except cornea and skin)
* Autoimmune-mediated disease
* Participated in any investigational drug study within 90 days before Day 1
* Previous treatment with an HCV protease inhibitor
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vertex Pharmaceuticals Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Vertex Pharmaceuticals Incorporated

Locations

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Alabama

Birmingham, Alabama, United States

Site Status

California

Bakersfield, California, United States

Site Status

California

Beverly Hills, California, United States

Site Status

California

Coronado, California, United States

Site Status

California

Los Angeles, California, United States

Site Status

California

Oakland, California, United States

Site Status

California

Palo Alto, California, United States

Site Status

California

Sacremento, California, United States

Site Status

California

San Diego, California, United States

Site Status

California

San Francisco, California, United States

Site Status

Connecticut

New Haven, Connecticut, United States

Site Status

DC

Washington D.C., District of Columbia, United States

Site Status

Washington, DC

Washington D.C., District of Columbia, United States

Site Status

Florida

Bay Pines, Florida, United States

Site Status

Florida

Jacksonville, Florida, United States

Site Status

Florida

Miami, Florida, United States

Site Status

Florida

Orlando, Florida, United States

Site Status

Florida

West Palm Beach, Florida, United States

Site Status

Georgia

Atlanta, Georgia, United States

Site Status

Georgia

Decatur, Georgia, United States

Site Status

Illinois

Chicago, Illinois, United States

Site Status

Maine

Portland, Maine, United States

Site Status

Maryland

Baltimore, Maryland, United States

Site Status

Maryland

Lutherville, Maryland, United States

Site Status

Massachusetts

Springfield, Massachusetts, United States

Site Status

Michigan

Detroit, Michigan, United States

Site Status

Minnesota

Minneapolis, Minnesota, United States

Site Status

Missouri

Kansas City, Missouri, United States

Site Status

Missouri

St Louis, Missouri, United States

Site Status

New Jersey

Newark, New Jersey, United States

Site Status

New Mexico

Santa Fe, New Mexico, United States

Site Status

New York

New York, New York, United States

Site Status

New York

Rochester, New York, United States

Site Status

New York

The Bronx, New York, United States

Site Status

North Carolina

Durham, North Carolina, United States

Site Status

Ohio

Cincinnati, Ohio, United States

Site Status

Ohio

Cleveland, Ohio, United States

Site Status

Oregon

Portland, Oregon, United States

Site Status

Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Rhode Island

Providence, Rhode Island, United States

Site Status

South Carlonia

Columbia, South Carolina, United States

Site Status

Texas

Dallas, Texas, United States

Site Status

Texas

Houston, Texas, United States

Site Status

Utah

Salt Lake City, Utah, United States

Site Status

Virginia

Richmond, Virginia, United States

Site Status

Washington

Seattle, Washington, United States

Site Status

Edmonton

Edmonton, Alberta, Canada

Site Status

Vancouver

Vancouver, British Columbia, Canada

Site Status

Hamilton

Hamilton, Ontario, Canada

Site Status

Toronto

Toronto, Ontario, Canada

Site Status

Montreal

Montreal, Quebec, Canada

Site Status

Bonn

Bonn, , Germany

Site Status

Essen

Essen, , Germany

Site Status

Hamburg

Hamburg, , Germany

Site Status

Munchen

München, , Germany

Site Status

Puerto Rico

San Juan, , Puerto Rico

Site Status

Spain

Badalona, , Spain

Site Status

Barcelona

Barcelona, , Spain

Site Status

Madrid

Madrid, , Spain

Site Status

Countries

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United States Canada Germany Puerto Rico Spain

Other Identifiers

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VX11-950-115

Identifier Type: -

Identifier Source: org_study_id

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