A Study of Pegasys (Peginterferon Alfa-2a) Versus Untreated Control in Children With HBeAg Positive Chronic Hepatitis B

NCT ID: NCT01519960

Last Updated: 2022-11-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

165 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-11

Study Completion Date

2021-10-18

Brief Summary

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This parallel group, open label study will evaluate the safety and efficacy of Pegasys (peginterferon alfa-2a) versus untreated control in children (age 3 years to \<18 years at baseline) with HBeAg positive chronic hepatitis B. Children without advanced fibrosis and without cirrhosis will be randomized 2:1 to treatment Group A, receiving Pegasys 45-180 mcg subcutaneously weekly for 48 weeks, or to the untreated control Group B. Children with advanced fibrosis will be assigned to treatment group C and receive 48 weeks of treatment with Pegasys. Children in the untreated control Group B who have not experienced seroconversion 48 weeks after randomization may enter the Switch Arm to receive 48 weeks of Pegasys treatment. This offer will be available for 1 year following 48 weeks from randomization. Anticipated time on study treatment is 48 weeks. All subjects will be followed up for 5 years after the end of treatment (A,C,Switch)/principal observation (B) period.

Detailed Description

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Conditions

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Hepatitis B, 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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A Pegasys

Group Type EXPERIMENTAL

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, Weeks 1- 48

B Untreated Control

Group Type NO_INTERVENTION

No interventions assigned to this group

C Fibrosis non-randomized

Group Type EXPERIMENTAL

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, Weeks 1- 48

Switch

Group Type EXPERIMENTAL

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, after Week 48 for Group B patients who have not experienced HBeAg seroconversion

Interventions

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peginterferon alfa-2a [Pegasys]

Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, Weeks 1- 48

Intervention Type DRUG

peginterferon alfa-2a [Pegasys]

Body surface area adapted doses of 45-180 mcg subcutaneously weekly for 48 weeks, after Week 48 for Group B patients who have not experienced HBeAg seroconversion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients, 3 years to \<18 years of age at baseline
* Positive HBsAg for more than 6 months
* Positive HBeAg and detectable HBV DNA at screening
* A liver biopsy obtained within the past 2 years prior to baseline (and more than 6 months after the end of previous therapy for hepatitis B) to confirm the presence of advanced fibrosis or exclude cirrhosis
* Compensated liver disease (Child-Pugh Class A)
* Elevated serum alanine transferase (ALT)
* Normal thyroid gland function at screening

Exclusion Criteria

* Subjects with cirrhosis
* Subjects must not have received investigational drugs or licensed treatments with anti-HBV activity within 6 months of baseline. Subjects who are expected to need systemic antiviral therapy other than that provided by the study at any time during their participation in the study are also excluded
* Known hypersensitivity to peginterferon
* Positive test results at screening for hepatitis A, hepatitis C, hepatitis D or HIV infection
* History or evidence of medical condition associated with chronic liver disease other than chronic hepatitis B
* History or evidence of bleeding from esophageal varices
* Decompensated liver disease (e.g. ascites, Child-Pugh Class B or C)
* History of immunologically mediated disease
* Pregnant or lactating females
Minimum Eligible Age

3 Years

Maximum Eligible Age

17 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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Univ of California SF, Benioff Children's Hospital; Pediatrics, Gastro, Hepatology & Nutrition

San Francisco, California, United States

Site Status

Johns Hopkins Hospital - Pediatric Gastroenterology

Baltimore, Maryland, United States

Site Status

Children's Hospital Boston-Harvard Medical School; Division of Gastoenterology

Boston, Massachusetts, United States

Site Status

St. Louis University - Cardinal Glennon Children's Medical Center

St Louis, Missouri, United States

Site Status

Texas Children's Hospital

Houston, Texas, United States

Site Status

Seattle Children's Hospital

Seattle, Washington, United States

Site Status

Womens and Childrens Hospital; Department of Gastroenterology

North Adelaide, South Australia, Australia

Site Status

Royal Children's Hospital; Department of Gastroenterology

Melbourne, Victoria, Australia

Site Status

Cliniques Universitaires St-Luc

Brussels, , Belgium

Site Status

UZ Gent

Ghent, , Belgium

Site Status

Specialized Hospital for Active Treatment of Pediatrics Diseases; Clinic of Gastroenterology

Sofia, , Bulgaria

Site Status

University Hospital "St. Marine"; Dept. of Pediatrics

Varna, , Bulgaria

Site Status

Beijing 302 Hospital; No. 2 Infectious Disease Section

Beijing, , China

Site Status

Beijing You An Hospital; Digestive Dept

Beijing, , China

Site Status

the First Hospital of Jilin University

Changchun, , China

Site Status

Southwest Hospital , Third Military Medical University

Chongqing, , China

Site Status

The Eighth People's Hospital of Guangzhou

Guangzhou, , China

Site Status

The Third Affiliated Hospital of Sun Yat-Sen University

Guangzhou, , China

Site Status

The First Affilliated Hospital of Kunming Medical College

Kunming, , China

Site Status

Xinjiang Uygur Autonomous Region Hospital of Chinese Traditional Medicine

Urumqi (乌鲁木齐), , China

Site Status

Tongji Hosp, Tongji Med. Col, Huazhong Univ. of Sci. & Tech

Wuhan, , China

Site Status

First Affiliated Hospital of Medical College of Xi'an Jiaotong University

Xi'an, , China

Site Status

HELIOS Klinikum Wuppertal, Zentrum für Kinder- und Jugendmedizin, Universität Witten-Herdecke

Wuppertal, , Germany

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Hadassah University Hospital - Ein Kerem

Jerusalem, , Israel

Site Status

Western Galilee Hospital - Nahariya

Nahariya, , Israel

Site Status

Uni Degli Studi Di Bologna - Policlinica S. Orsola; Inst. Di Malattie Infettive

Bologna, Emilia-Romagna, Italy

Site Status

Wojewodzki Szpital Obserwacyjno-Zakazny; Oddział Pediatrii, Chorób Infekcyjnych i Hepatologii

Bydgoszcz, , Poland

Site Status

Krakowski Szpital Specjalistyczny im Jana Pawła II; Oddział Chorób Infekcyjnych Dzieci

Krakow, , Poland

Site Status

Wojewodzki Specjalistyczny Szpital im. Dr W.Bieganskiego; Oddział Obserwacyjno-Zakażny dla Dzieci

Lodz, , Poland

Site Status

SFI Sceintific Research institute of nutrition of RAMS

Moscow, , Russia

Site Status

SI Sceintific children health center RAMS

Moscow, , Russia

Site Status

FSI Scientific research Institute of children's infections

Saint Petersburg, , Russia

Site Status

MC Gepatolog

Samara, , Russia

Site Status

Kyiv Children's Clinical Infectious Diseases Hospital

Kyiv, , Ukraine

Site Status

SI Institute of the pediatrics, obstetrics and gynecology

Kyiv, , Ukraine

Site Status

Birmingham Children'S Hopsital; Liver Unit

Birmingham, , United Kingdom

Site Status

Kings College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status

Imperial College Healthcare Trust

London, , United Kingdom

Site Status

Countries

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United States Australia Belgium Bulgaria China Germany Israel Italy Poland Russia Ukraine United Kingdom

References

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Wirth S, Zhang H, Hardikar W, Schwarz KB, Sokal E, Yang W, Fan H, Morozov V, Mao Q, Deng H, Huang Y, Yang L, Frey N, Nasmyth-Miller C, Pavlovic V, Wat C. Efficacy and Safety of Peginterferon Alfa-2a (40KD) in Children With Chronic Hepatitis B: The PEG-B-ACTIVE Study. Hepatology. 2018 Nov;68(5):1681-1694. doi: 10.1002/hep.30050. Epub 2018 Oct 8.

Reference Type DERIVED
PMID: 29689122 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2011-002732-70

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

YV25718

Identifier Type: -

Identifier Source: org_study_id

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