ANNAPURNA: A Study of The Combination of RO5466731, RO5190591, Ritonavir and Copegus (Ribavirin) With or Without RO5024048 in Patients With Chronic Hepatitis C Who Are Either Treatment-Naïve or Have Previously Experienced a Null Response to Interferon-Based Treatment

NCT ID: NCT01628094

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

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2013-11-30

Brief Summary

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This randomized, open-label, multicenter study will evaluate the safety , efficacy and tolerability of the combination treatment RO5466731, RO5190591, ritonavir and Copegus (ribavirin) with or without RO5024048 in patients with chronic hepatitis C genotype 1. In Part 1, treatment-naïve patients will be randomized to receive treatment with RO5466731, RO5190591 plus ritonavir, and Copegus, with or without RO5024048. In Part 2, further treatment-naïve patients will receive a successful regimen from Part 1, or a reduced intensity regimen, and patients who have previously experienced null response to interferon-based treatment will be added to the study.

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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A: GT1a 3DAA

including RO5466731, RO5190591, ritonavir, ribavirin \[Copegus\] and RO5024048

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

B: GT1a 3DAA

including RO5466731, RO5190591, ritonavir, ribavirin \[Copegus\] and RO5024048

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

C: GT1a 2DAA

including RO5466731, RO5190591, ritonavir and ribavirin \[Copegus\]

Group Type EXPERIMENTAL

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

D: GT1b 3DAA

including RO5466731, RO5190591, ritonavir, ribavirin \[Copegus\] and RO5024048

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

E: GT1b 2DAA

including RO54664731, RO5190591, ritonavir and ribavirin \[Copegus\]

Group Type EXPERIMENTAL

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

Part II

Group Type EXPERIMENTAL

RO5024048

Intervention Type DRUG

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

Interventions

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RO5024048

Intervention Type DRUG

RO5190591

Intervention Type DRUG

RO5466731

Intervention Type DRUG

ribavirin [Copegus]

Intervention Type DRUG

ritonavir

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, \>/= 18 years of age
* Chronic hepatitis C genotype 1 of \>/= 6 months duration at screening
* Part 1 and Part 2: Naïve to treatment with interferon (pegylated or non-pegylated). Patients who have participated in studies investigating a direct-acting antiviral agent with or without interferon are excluded
* Part 2: Treatment experienced patients having a previous null response to treatment with interferon containing regimen
* Liver biopsy or non-invasive (e.g. Fibroscan) evaluation in the past 24 calendar months showing absence of cirrhosis or incomplete/transition to cirrhosis
* Body mass index (BMI) 18 to 35 kg/m2 inclusive and body weight \>/= 45 kg

Exclusion Criteria

* Pregnant or lactating women or males with female partners who are pregnant or lactating
* Decompensated liver disease or impaired liver function (as defined by protocol)
* Cirrhosis or incomplete/transition to cirrhosis
* Non- hepatitis C chronic liver disease
* Positive for hepatitis B or HIV infection
* History of pre-existing renal disease
* History of severe cardiac disease
* History of neoplastic disease within the last 5 years, except for localized or in situ carcinoma of the skin
* History of drug abuse within the last year; history of cannabinoid use is not excluded
* Evidence of alcohol abuse within 1 year of screening and consumption of more than 2 units of alcohol per day
* Medical condition that requires use of systemic corticosteroids
* Received warfarin or other anticoagulants during the 21 days immediately prior to screening or is expected to require warfarin or other anticoagulants during the study
* Anticipated use or need for significant medical treatment during the study or use of concomitant medications or nutrients that are excluded by protocol (e.g. drugs that are contraindicated with ritonavir, hormonal methods of contraception)
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

Englewood, Colorado, United States

Site Status

South Miami, Florida, United States

Site Status

Marietta, Georgia, United States

Site Status

Honolulu, Hawaii, United States

Site Status

Chicago, Illinois, United States

Site Status

Kansas City, Kansas, United States

Site Status

Detroit, Michigan, United States

Site Status

Saint Louise, Missouri, United States

Site Status

Asheville, North Carolina, United States

Site Status

Dallas, Texas, United States

Site Status

Houston, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

San Antonio, Texas, United States

Site Status

Vancouver, Washington, United States

Site Status

Kingswood, New South Wales, Australia

Site Status

Sydney, New South Wales, Australia

Site Status

Westmead, New South Wales, Australia

Site Status

Herston, Queensland, Australia

Site Status

Parkville, Victoria, Australia

Site Status

Berlin, , Germany

Site Status

Frankfurt am Main, , Germany

Site Status

Hamburg, , Germany

Site Status

Hanover, , Germany

Site Status

Dunedin, , New Zealand

Site Status

Grafton, , New Zealand

Site Status

Hamilton, , New Zealand

Site Status

Bialystok, , Poland

Site Status

Chorzów, , Poland

Site Status

Lodz, , Poland

Site Status

Mysłowice, , Poland

Site Status

Countries

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United States Australia Germany New Zealand Poland

References

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Jensen DM, Brunda M, Elston R, Gane EJ, George J, Glavini K, Hammond JM, Le Pogam S, Najera I, Passe S, Piekarska A, Rodriguez I, Zeuzem S, Chu T; ANNAPURNA study investigators. Interferon-free regimens containing setrobuvir for patients with genotype 1 chronic hepatitis C: a randomized, multicenter study. Liver Int. 2016 Apr;36(4):505-14. doi: 10.1111/liv.12997. Epub 2015 Dec 12.

Reference Type DERIVED
PMID: 26519669 (View on PubMed)

Other Identifiers

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2012-000638-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NP28266

Identifier Type: -

Identifier Source: org_study_id