Trial Outcomes & Findings for A Study to Assess the Safety, Tolerability and Efficacy of TMC435 Along With Pegylated Interferon Alpha-2a (Pegasys) and Ribavirin (Copegus) Triple Therapy in Chronic Hepatitis C Genotype-1 Infected Patients Co-infected With Human Immunodeficiency Virus-Type 1 (NCT NCT01479868)

NCT ID: NCT01479868

Last Updated: 2014-10-29

Results Overview

The SVR 12 was defined as hepatitis C virus (HCV) ribonucleic acid (RNA) levels less than (\<) 25 international unit per milliliter (IU/mL) undetectable at the actual end of treatment (EOT), and HCV RNA levels \<25 IU/mL undetectable or HCV RNA levels \<25 IU/mL detectable at 12 Weeks after end of treatment.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

109 participants

Primary outcome timeframe

12 weeks after end of treatment (Week 24 or 48)

Results posted on

2014-10-29

Participant Flow

Participant milestones

Participant milestones
Measure
TMC435 150mg 12Wks PR24/48
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Overall Study
STARTED
106
Overall Study
COMPLETED
97
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
TMC435 150mg 12Wks PR24/48
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Overall Study
Adverse Event
1
Overall Study
Lost to Follow-up
4
Overall Study
Protocol Violation
1
Overall Study
Withdrawal by Subject
1
Overall Study
Sponsor's Decision
1
Overall Study
Initiation of new HCV Therapy
1

Baseline Characteristics

A Study to Assess the Safety, Tolerability and Efficacy of TMC435 Along With Pegylated Interferon Alpha-2a (Pegasys) and Ribavirin (Copegus) Triple Therapy in Chronic Hepatitis C Genotype-1 Infected Patients Co-infected With Human Immunodeficiency Virus-Type 1

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TMC435 150mg 12Wks PR24/48
n=106 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Age, Continuous
48 years
n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
Sex: Female, Male
Male
90 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks after end of treatment (Week 24 or 48)

Population: Intent to treat (ITT) population included all participants who received at least 1 dose of study drug.

The SVR 12 was defined as hepatitis C virus (HCV) ribonucleic acid (RNA) levels less than (\<) 25 international unit per milliliter (IU/mL) undetectable at the actual end of treatment (EOT), and HCV RNA levels \<25 IU/mL undetectable or HCV RNA levels \<25 IU/mL detectable at 12 Weeks after end of treatment.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=106 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Sustained Virologic Response at Week 12 (SVR 12)
73.6 percentage of participants
Interval 65.1 to 82.1

SECONDARY outcome

Timeframe: 24 weeks after end of treatment (Week 24 or 48)

Population: The ITT population included all perticipants who had at least 1 dose of study drug.

The SVR 24 was defined as hepatitis C virus (HCV) ribonucleic acid (RNA) levels less than (\<) 25 international unit per milliliter (IU/mL) undetectable at the actual end of treatment (EOT), and HCV RNA levels \<25 IU/mL undetectable or HCV RNA levels \<25 IU/mL detectable at 24 weeks after end of treatment.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=106 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Sustained Virologic Response at Week 24 (SVR 24)
72.6 percentage of participants
Interval 64.0 to 81.3

SECONDARY outcome

Timeframe: Week 4, 12, 24, 36, and 48

Population: ITT population included all participants who had at least 1 dose of study drug. Here, "N" (number of participants analyzed) is the number of participants analyzed for this outcome measure, "n" is the number of participants analyzed for this outcome measure at specific time points.

Percentage of participants with HCV RNA less than (\<) 25 IU/mL undetectable (undet.) or detectable (det.)/undetectable at specific time points were observed.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=105 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 4: < 25 IU/mL HCV-RNA undet. (n=105)
65.7 percentage of participants
Interval 56.5 to 74.9
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 4:< 25 IU/mL HCV-RNA det./undet. (n=105)
88.6 percentage of participants
Interval 82.4 to 94.8
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 12:< 25 IU/mL HCV-RNA undet. (n=97)
94.8 percentage of participants
Interval 90.4 to 99.3
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 12:< 25 IU/mL HCV-RNA det./undet. (n=97)
97.9 percentage of participants
Interval 95.1 to 97.9
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 24:< 25 IU/mL HCV-RNA undet. (n=90)
90.0 percentage of participants
Interval 83.7 to 96.3
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 24:< 25 IU/mL HCV-RNA det./undet. (n=90)
93.3 percentage of participants
Interval 88.1 to 98.6
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 48:< 25 IU/mL HCV-RNA undet. (n=20)
100 percentage of participants
Interval 100.0 to 100.0
Percentage of Participants With Hepatitis C Virus Ribonucleic Acid (HCV-RNA) Less Than (<) 25 International Units (IU/mL) Undetectable or Detectable/Undetectable
Week 48:< 25 IU/mL HCV-RNA det./undet. (n=20)
100 percentage of participants
Interval 100.0 to 100.0

SECONDARY outcome

Timeframe: Week 1 to 48

Population: The ITT population included all participants who received at least 1 dose of study drug.

Participants were considered as an on-treatment failure if, at actual end of treatment (EOT), there was confirmed detectable HCV RNA levels.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=106 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With On-treatment Failure
17 percentage of participants

SECONDARY outcome

Timeframe: Week 1 to 48

Population: The ITT population included all participants who received at least 1 dose of study drug.

Confirmed increase of more than 1 log10 IU per mL in HCV RNA level from the lowest level reached, or a confirmed HCV RNA level of more than 100 IU per mL in participants whose HCV RNA levels had previously been below the limit of quantification (less than 25 IU per mL detectable) or undetectable (less than 25 IU per mL undetectable), while on study therapy.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=105 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Viral Breakthrough
11.4 percentage of participants

SECONDARY outcome

Timeframe: Week 1 to 72

Population: The ITT population included all participants who received at least 1 dose of study drug. Here, "N" (number of participants analyzed) is the number of participants analyzed for this outcome measure.

Participants were considered to have a viral relapse when, at actual end of treatment, HCV RNA levels were less than 25 IU per mL undetectable; and during the follow-up period, HCV RNA levels were more than or equal to 25 IU per mL.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=87 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Viral Relapse
10.3 percentage of participants

SECONDARY outcome

Timeframe: Baseline up to Week 72

Population: The ITT population included all participants who received at least 1 dose of study drug. Here "N" signifies participants evaluable for this measure.

Participants with normalized alanine aminotransferase levels observed whose alanine aminotransferase levels were out of range at Baseline.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=65 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Participants With Normalized Alanine Aminotransferase Levels
81.5 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Week 72.

Population: Participants who received potent anti-HIV treatment with a combination of more than 3 anti-antiretroviral therapies to reduce HIV RNA viral load to undetectable levels were analyzed.

Participants had confirmed HIV virologic failure if HIV viral load values were greater than or equal to 50 or 200 copies/mL among those who previously had less than 50 copies/mL.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=93 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Percentage of Human Immunodeficiency Virus (HIV) Participants With Virologic Failure
Greater than or equal to 50 copies/mL
5.4 percentage of participants
Percentage of Human Immunodeficiency Virus (HIV) Participants With Virologic Failure
Greater than or equal to 200 copies/mL
2.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 2, 4, 8, 12, 16, 20, 24, 28, 36, 42, 48, 52, 60 and 72

Population: Participants who received potent anti-HIV treatment with a combination of more than 3 antiretroviral therapies to reduce HIV RNA viral load to undetectable levels were analyzed. Here "n" signifies participants evaluable for this measure at specified time point.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=93 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 4 (n=93)
-0.0704 copies per milliliter
Standard Deviation 0.25817
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 8 (n=92)
-0.0442 copies per milliliter
Standard Deviation 0.40974
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 12 (n=90)
-0.0655 copies per milliliter
Standard Deviation 0.30510
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 16 (n=88)
-0.0829 copies per milliliter
Standard Deviation 0.23986
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 20 (n=86)
-0.0847 copies per milliliter
Standard Deviation 0.25111
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Baseline (n=93)
1.3726 copies per milliliter
Standard Deviation 0.25796
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 2 (n=91)
-0.0724 copies per milliliter
Standard Deviation 0.23857
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 24 (n=88)
-0.0689 copies per milliliter
Standard Deviation 0.24785
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 28 (n=82)
-0.0564 copies per milliliter
Standard Deviation 0.26319
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 36 (n=85)
0.0004 copies per milliliter
Standard Deviation 0.24395
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 42 (n=35)
-0.0623 copies per milliliter
Standard Deviation 0.29365
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 48 (n=79)
-0.0041 copies per milliliter
Standard Deviation 0.36177
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 52 (n=36)
0.0011 copies per milliliter
Standard Deviation 0.20767
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 60 (n=40)
-0.0184 copies per milliliter
Standard Deviation 0.20940
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at Week 72 (n=38)
-0.0265 copies per milliliter
Standard Deviation 0.18323
Mean Change From Baseline in Log10 Plasma Human Immunodeficiency Virus (HIV) Viral Load
Change at End of study (n=93)
0.0099 copies per milliliter
Standard Deviation 0.33435

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 2, 4, 8, 12, 16, 20, 24, 28, 36, 42, 48, 52, 60 and 72

Population: Participants who received potent anti-HIV treatment with a combination of more than 3 antiretroviral therapies to reduce HIV RNA viral load to undetectable levels were analyzed. Here, "n" is the number of participants analyzed for this outcome measure at spcific time points.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=93 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Mean Change From Baseline in CD4+ Cell Count
Change at Week 8 (n=92)
-244.2 cell counts per microliter
Standard Deviation 185.04
Mean Change From Baseline in CD4+ Cell Count
Change at Week 12 (n=91)
-271.7 cell counts per microliter
Standard Deviation 194.49
Mean Change From Baseline in CD4+ Cell Count
Change at Week 16 (n=88)
-275.5 cell counts per microliter
Standard Deviation 183.96
Mean Change From Baseline in CD4+ Cell Count
Change at Week 20 (n=84)
-283.5 cell counts per microliter
Standard Deviation 175.27
Mean Change From Baseline in CD4+ Cell Count
Change at Week 24 (n=89)
-288.8 cell counts per microliter
Standard Deviation 202.31
Mean Change From Baseline in CD4+ Cell Count
Change at Week 28 (n=82)
-252.3 cell counts per microliter
Standard Deviation 203.45
Mean Change From Baseline in CD4+ Cell Count
Baseline (n=93)
640.3 cell counts per microliter
Standard Deviation 243.11
Mean Change From Baseline in CD4+ Cell Count
Change at Week 2 (n=89)
-95.0 cell counts per microliter
Standard Deviation 190.34
Mean Change From Baseline in CD4+ Cell Count
Change at Week 4 (n=91)
-171.5 cell counts per microliter
Standard Deviation 170.67
Mean Change From Baseline in CD4+ Cell Count
Change at Week 36 (n=83)
-198.7 cell counts per microliter
Standard Deviation 225.62
Mean Change From Baseline in CD4+ Cell Count
Change at Week 42 (n=33)
-336.8 cell counts per microliter
Standard Deviation 240.64
Mean Change From Baseline in CD4+ Cell Count
Change at Week 48 (n=77)
-166.6 cell counts per microliter
Standard Deviation 248.25
Mean Change From Baseline in CD4+ Cell Count
Change at Week 52 (n=35)
-202.7 cell counts per microliter
Standard Deviation 222.89
Mean Change From Baseline in CD4+ Cell Count
Change at Week 60 (n=40)
-90.6 cell counts per microliter
Standard Deviation 189.74
Mean Change From Baseline in CD4+ Cell Count
Change at Week 72 (n=38)
-62.9 cell counts per microliter
Standard Deviation 175.61
Mean Change From Baseline in CD4+ Cell Count
Change at End of Study (n=93)
-51.1 cell counts per microliter
Standard Deviation 178.20

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 2, 4, 8, 12, 16, 20, 24, 28, 36, 42, 48, 52, 60 and 72

Population: Participants who received potent anti-HIV treatment with a combination of more than 3 antiretroviral therapies to reduce HIV RNA viral load to undetectable levels were analyzed. Here, "n" is the number of participants analyzed for this outcome measure at spcific time points.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=93 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 28 (n=82)
3.79 percentage of lymphocyte
Standard Deviation 6.759
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 36 (n=83)
2.75 percentage of lymphocyte
Standard Deviation 6.492
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 42 (n=33)
6.41 percentage of lymphocyte
Standard Deviation 6.213
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 48 (n=77)
2.09 percentage of lymphocyte
Standard Deviation 7.356
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 52 (n=35)
3.26 percentage of lymphocyte
Standard Deviation 6.838
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 60 (n=40)
0.25 percentage of lymphocyte
Standard Deviation 5.296
Change From Baseline in CD4+ Cell Count in Percentage
Baseline (n=93)
31.65 percentage of lymphocyte
Standard Deviation 8.390
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 2 (n=89)
0.42 percentage of lymphocyte
Standard Deviation 6.490
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 4 (n=91)
2.50 percentage of lymphocyte
Standard Deviation 5.943
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 8 (n=92)
3.85 percentage of lymphocyte
Standard Deviation 5.930
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 12 (n=91)
3.93 percentage of lymphocyte
Standard Deviation 6.264
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 16 (n=88)
5.47 percentage of lymphocyte
Standard Deviation 6.301
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 20 (n=84)
5.27 percentage of lymphocyte
Standard Deviation 6.961
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 24 (n=89)
5.50 percentage of lymphocyte
Standard Deviation 7.029
Change From Baseline in CD4+ Cell Count in Percentage
Change at Week 72 (n=38)
0.70 percentage of lymphocyte
Standard Deviation 4.406
Change From Baseline in CD4+ Cell Count in Percentage
Change at End of study (n=93)
0.13 percentage of lymphocyte
Standard Deviation 6.169

SECONDARY outcome

Timeframe: Week 1 to Week 72

Population: Safety population included all participants who received at least 1 dose of study drug.

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between administration of study drug and up to Day 126 that were absent before treatment or that worsened relative to pre-treatment state.

Outcome measures

Outcome measures
Measure
TMC435 150mg 12Wks PR24/48
n=106 Participants
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
TEAEs
102 participants
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
TESAEs
6 participants

Adverse Events

TMC435 150mg 12Wks PR24/48

Serious events: 11 serious events
Other events: 103 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TMC435 150mg 12Wks PR24/48
n=106 participants at risk
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.9%
2/106 • Week 1 to Week 72
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.94%
1/106 • Week 1 to Week 72
Gastrointestinal disorders
Anal haemorrhage
0.94%
1/106 • Week 1 to Week 72
Gastrointestinal disorders
Colitis
0.94%
1/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.94%
1/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.94%
1/106 • Week 1 to Week 72
Psychiatric disorders
Mental status changes
0.94%
1/106 • Week 1 to Week 72
Psychiatric disorders
Psychotic disorder
0.94%
1/106 • Week 1 to Week 72
Blood and lymphatic system disorders
Anaemia
0.94%
1/106 • Week 1 to Week 72
Cardiac disorders
Angina pectoris
0.94%
1/106 • Week 1 to Week 72
General disorders
General physical health deterioration
0.94%
1/106 • Week 1 to Week 72
Hepatobiliary disorders
Hyperbilirubinaemia
0.94%
1/106 • Week 1 to Week 72
Infections and infestations
Catheter site infection
0.94%
1/106 • Week 1 to Week 72
Injury, poisoning and procedural complications
Thoracic vertebral fracture
0.94%
1/106 • Week 1 to Week 72
Investigations
Aspartate aminotransferase increased
0.94%
1/106 • Week 1 to Week 72
Metabolism and nutrition disorders
Malnutrition
0.94%
1/106 • Week 1 to Week 72

Other adverse events

Other adverse events
Measure
TMC435 150mg 12Wks PR24/48
n=106 participants at risk
Participants received TMC435, 150 mg once daily plus peginterferon alfa-2a (PegIFN alfa-2a) and ribavirin (RBV) for 12 Weeks, followed by PegIFN alfa-2a (P) and RBV (R) until Week 24/48 (PR24/48). Treatment was to be stopped at Week 24 for HCV treatment-naïve and prior HCV relapsers who met the response guided therapy criteria, and who did not have cirrhosis. All prior HCV non-responders (null and partial), participants with cirrhosis, and HCV treatment-naïve and prior HCV relapsers who did not meet the response guided therapy criteria had a 48-week treatment period.
General disorders
Fatigue
45.3%
48/106 • Week 1 to Week 72
General disorders
Influenza like illness
23.6%
25/106 • Week 1 to Week 72
General disorders
Asthenia
22.6%
24/106 • Week 1 to Week 72
General disorders
Pyrexia
11.3%
12/106 • Week 1 to Week 72
General disorders
Chills
8.5%
9/106 • Week 1 to Week 72
General disorders
Injection site reaction
7.5%
8/106 • Week 1 to Week 72
General disorders
Pain
6.6%
7/106 • Week 1 to Week 72
General disorders
Injection site erythema
5.7%
6/106 • Week 1 to Week 72
Psychiatric disorders
Insomnia
25.5%
27/106 • Week 1 to Week 72
Psychiatric disorders
Mood altered
18.9%
20/106 • Week 1 to Week 72
Psychiatric disorders
Depression
17.9%
19/106 • Week 1 to Week 72
Psychiatric disorders
Anxiety
12.3%
13/106 • Week 1 to Week 72
Psychiatric disorders
Sleep disorder
5.7%
6/106 • Week 1 to Week 72
Gastrointestinal disorders
Nausea
29.2%
31/106 • Week 1 to Week 72
Gastrointestinal disorders
Diarrhoea
23.6%
25/106 • Week 1 to Week 72
Gastrointestinal disorders
Vomiting
13.2%
14/106 • Week 1 to Week 72
Gastrointestinal disorders
Constipation
11.3%
12/106 • Week 1 to Week 72
Blood and lymphatic system disorders
Neutropenia
31.1%
33/106 • Week 1 to Week 72
Blood and lymphatic system disorders
Anaemia
28.3%
30/106 • Week 1 to Week 72
Blood and lymphatic system disorders
Thrombocytopenia
5.7%
6/106 • Week 1 to Week 72
Nervous system disorders
Headache
33.0%
35/106 • Week 1 to Week 72
Nervous system disorders
Dizziness
12.3%
13/106 • Week 1 to Week 72
Skin and subcutaneous tissue disorders
Pruritus
17.9%
19/106 • Week 1 to Week 72
Skin and subcutaneous tissue disorders
Dry skin
15.1%
16/106 • Week 1 to Week 72
Skin and subcutaneous tissue disorders
Eczema
7.5%
8/106 • Week 1 to Week 72
Skin and subcutaneous tissue disorders
Alopecia
6.6%
7/106 • Week 1 to Week 72
Skin and subcutaneous tissue disorders
Rash
6.6%
7/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Myalgia
16.0%
17/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Arthralgia
14.2%
15/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Back pain
7.5%
8/106 • Week 1 to Week 72
Musculoskeletal and connective tissue disorders
Pain in extremity
5.7%
6/106 • Week 1 to Week 72
Respiratory, thoracic and mediastinal disorders
Cough
10.4%
11/106 • Week 1 to Week 72
Respiratory, thoracic and mediastinal disorders
Dyspnoea
9.4%
10/106 • Week 1 to Week 72
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
8.5%
9/106 • Week 1 to Week 72
Metabolism and nutrition disorders
Decreased appetite
19.8%
21/106 • Week 1 to Week 72
Investigations
Weight decreased
12.3%
13/106 • Week 1 to Week 72
Investigations
Neutrophil count decreased
5.7%
6/106 • Week 1 to Week 72
Infections and infestations
Nasopharyngitis
6.6%
7/106 • Week 1 to Week 72
Infections and infestations
Upper respiratory tract infection
6.6%
7/106 • Week 1 to Week 72

Additional Information

Director & Study Responsible Scientist

Janssen Research & Development

Results disclosure agreements

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

Restriction type: LTE60