A Study of RO5024048 in Combination With Ritonavir-Boosted Danoprevir and Pegasys/Copegus in Patients With Chronic Hepatitis C Genotype 1 Who Have Failed Prior HCV Protease Inhibitor Treatment

NCT ID: NCT01579019

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2014-03-31

Brief Summary

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This randomized, double blind, phase II study will evaluate the efficacy and safety of two doses of RO5024048 in combination with ritonavir-boosted danoprevir and Pegasys (peginterferon alpha-2a) and Copegus (ribavirin) in patients who failed a prior protease inhibitor containing regimen with or without pegylated interferon. Patients will be randomized to receive either a 2-week lead-in of RO5024048 (1500 mg or 1000 mg orally twice daily) in combination with Pegasys (180 mcg subcutaneously weekly) and Copegus (1000 mg or 1200 mg orally daily) followed by 24 weeks of therapy with RO5024048 in combination with danoprevir (100 mg orally twice daily) plus ritonavir (100 mg orally twice daily) and Pegasys and Copegus (QUAD therapy), or 24 weeks of therapy with RO5024048 in combination with danoprevir plus ritonavir and Pegasys and Copegus (QUAD therapy). Anticipated time on study treatment is 24 or 26 weeks, with a treatment-free follow-up of 24 weeks.

Detailed Description

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Conditions

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Hepatitis C, Chronic

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1000 mg 24 weeks

Group Type ACTIVE_COMPARATOR

RO5024048

Intervention Type DRUG

1000 mg po bid, 24 or 26 weeks

danoprevir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

180 mcg sc qw, 24 or 26 weeks

ribavirin [Copegus]

Intervention Type DRUG

1000 mg or 1200 mg po daily, 24 or 26 weeks

1000 mg 26 weeks

Group Type ACTIVE_COMPARATOR

RO5024048

Intervention Type DRUG

1000 mg po bid, 24 or 26 weeks

danoprevir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

180 mcg sc qw, 24 or 26 weeks

ribavirin [Copegus]

Intervention Type DRUG

1000 mg or 1200 mg po daily, 24 or 26 weeks

ritonavir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

1500 mg 24 weeks

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

1500 mg po bid, 24 or 26 weeks

danoprevir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

180 mcg sc qw, 24 or 26 weeks

ribavirin [Copegus]

Intervention Type DRUG

1000 mg or 1200 mg po daily, 24 or 26 weeks

ritonavir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

1500 mg 26 weeks

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

1500 mg po bid, 24 or 26 weeks

danoprevir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

peginterferon alfa-2a [Pegasys]

Intervention Type DRUG

180 mcg sc qw, 24 or 26 weeks

ribavirin [Copegus]

Intervention Type DRUG

1000 mg or 1200 mg po daily, 24 or 26 weeks

ritonavir

Intervention Type DRUG

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

Interventions

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RO5024048

1500 mg po bid, 24 or 26 weeks

Intervention Type DRUG

RO5024048

1000 mg po bid, 24 or 26 weeks

Intervention Type DRUG

danoprevir

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

Intervention Type DRUG

peginterferon alfa-2a [Pegasys]

180 mcg sc qw, 24 or 26 weeks

Intervention Type DRUG

ribavirin [Copegus]

1000 mg or 1200 mg po daily, 24 or 26 weeks

Intervention Type DRUG

ritonavir

100 mg po bid, Weeks 1 to 24 or Weeks 3 to 26

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, \>/= 18 years of age
* Hepatitis C genotype 1 infection
* Serum HCV quantifiable by Roche COBAS TaqMan HCV Test v2.0
* Liver biopsy (within 24 months) or Fibroscan (within 12 months) before first administration of study drug consistent with chronic hepatitis C and demonstrating absence of liver cirrhosis
* Documented failed prior treatment with protease inhibitor (evidenced by viral breakthrough or partial response while on treatment or relapse after treatment), including documentation on treatment with other direct-acting antiviral agents and other HCV antiviral treatment
* Patients must have discontinued prior HCV treatment at least 24 weeks prior to first dose of study drug in this trial

Exclusion Criteria

* Infection with any HCV genotype other than genotype 1
* Evidence of any variants associated with protease inhibitor resistance at screening
* Body mass index (BMI) \<18 or \>/=36 kg/m2
* Positive for hepatitis A or hepatitis B infection
* Use of any systemic antiviral therapy with perceived activity against HCV \</=1 month prior to first dose of study drug
* History or evidence of a medical condition associated with chronic liver disease other than chronic hepatitis C
* Pregnant or breastfeeding women
* Males with female partners who are pregnant
* History of immunologically mediated disease; patients with rheumatoid arthritis requiring only intermittent non-steroidal anti-inflammatory medications or with celiac disease will be allowed
* History or evidence of decompensated liver disease
* History or evidence of renal disease; patients with history of nephrolithiasis will be allowed
* Uncontrolled Type 1 or 2 diabetes
* History or evidence of chronic pulmonary disease associated with functional limitation
* History of severe cardiac disease History of any neoplastic disease within the last 5 years, except for localized or in situ carcinoma of the skin (e.g. basal or squamous cell carcinoma)
* Evidence of excessive alcohol, drug or substance abuse (excluding marijuana use) within 1 year of the first dose of study drug
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

Countries

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Australia Austria Canada Germany Italy Mexico New Zealand Poland Spain United Kingdom United States

Other Identifiers

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2010-022659-41

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NV22877

Identifier Type: -

Identifier Source: org_study_id