Boceprevir With Peginterferon Alfa-2b and Ribavirin in the Treatment-naive Patients Infected With Genotype 4 Chronic Hepatitis C Infection

NCT ID: NCT01653236

Last Updated: 2014-12-30

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2015-12-31

Brief Summary

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Hypothesis Combination of Boceprevir with Ribavirin in treatment-naïve patients with genotype 4 chronic hepatitis C infection will increase the proportion of patients achieving sustained viral response compared to standard treatment alone.

Detailed Description

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Objectives:

The primary objective of this study is to assess the efficacy and safety of Boceprevir 800 mg three times per day (TID) orally (PO) (hereafter called Boceprevir) in combination with peginterferon alfa-2b 1.5 μg/kg once per week (QW) subcutaneously (SC) plus weight-based dosing (WBD) of ribavirin (800 to 1400 mg/day) compared to standard of care (SOC) (therapy with peginterferon alfa-2b (PEG)+ribavirin (RBV) WBD) in previously untreated adult subjects with chronic hepatitis C (CHC) genotype 4 infection.

Primary Trial Objectives:

\- The primary efficacy objective of this study is to assess the efficacy of Boceprevir in combination with PEG 1.5 μg/kg QW SC plus WBD of RBV (800 to 1400 mg/day) compared to the efficacy of SOC (therapy with PEG+RBV WBD) in the Control Arm in previously untreated adult subjects with CHC genotype 4 infection

Conditions

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Genotype 4 Chronic Hepatitis C Infection

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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Experimental Arm B

48 weeks of peginterferon alfa-2b and ribavirin Plus Boceprevir 800 mg

Group Type EXPERIMENTAL

Boceprevir

Intervention Type DRUG

Peginterferon alfa-2b

Intervention Type DRUG

ribavirin

Intervention Type DRUG

Control Arm

48 weeks of peginterferon alfa-2b and ribavirin

Group Type ACTIVE_COMPARATOR

Peginterferon alfa-2b

Intervention Type DRUG

ribavirin

Intervention Type DRUG

Interventions

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Boceprevir

Intervention Type DRUG

Peginterferon alfa-2b

Intervention Type DRUG

ribavirin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Genders Eligible for Study: Both


* Subject must be more than 18 years of age.
* Subject's weight must be more than 40 kg and less than 125 kg.
* Subject and subject's partner must each agree to use acceptable methods of contraception for at least 2 weeks prior to Day 1 and continue until at least 6 months after last dose of study medication, or longer if dictated by local regulations.
* Subjects must be willing to give written informed consent for the trial and for the pharmacogenetic testing.
* Subjects who are unwilling to provide written informed consent for pharmacogenetic testing may be included in the trial; however, pharmacogenetic samples must not be obtained.
* Subject must have previously documented CHC genotype 4 infection.
* Subjects with other or mixed genotypes are not eligible. The HCV-RNA result obtained from the central laboratory at the screening visit must confirm genotype 4 infection and be more10,000 IU per mL Previously untreated patients with Pegylated interferon
* Subject must have a liver biopsy or fibrotest and fibroscan with histology consistent with CHC and no other etiology.

Exclusion Criteria

* Subject who is coinfected with the human immunodeficiency virus (HIV) or hepatitis B virus.
* Prior treatment with interferon, ribavirin and/or investigational agent for hepatitis C.
* Prior treatments with herbal remedies with known hepatotoxicity are exclusionary.
* All herbal remedies used for hepatitis C treatment must be discontinued before Day 1.
* Treatment with any investigational drug within 30 days of the screening visit in this trial.
* Subject who received any of the following medication(s) within 2 weeks prior to the Day 1 visit that are highly dependent on CYP3A4.5 for clearance, and for which elevated plasma concentrations are associated with serious and or life-threatening events such as: orally administered midazolam, pimozide, amiodarone, flecainide, propafenone, quinidine and ergot derivatives (dihydroergotamine, ergonovine, ergotamine, methylergonovine).
* Evidence of decompensated liver disease including, but not limited to, a history or presence of clinical ascites, bleeding varices, or hepatic encephalopathy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Theodor Bilharz Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Mostafa Ibrahim

Vice President

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Theodor Bilharz Research Institute

Giza, , Egypt

Site Status RECRUITING

Countries

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Egypt

Facility Contacts

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Ibrahim Mostafa, PHD

Role: primary

References

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Poordad F, McCone J Jr, Bacon BR, Bruno S, Manns MP, Sulkowski MS, Jacobson IM, Reddy KR, Goodman ZD, Boparai N, DiNubile MJ, Sniukiene V, Brass CA, Albrecht JK, Bronowicki JP; SPRINT-2 Investigators. Boceprevir for untreated chronic HCV genotype 1 infection. N Engl J Med. 2011 Mar 31;364(13):1195-206. doi: 10.1056/NEJMoa1010494.

Reference Type BACKGROUND
PMID: 21449783 (View on PubMed)

Other Identifiers

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3034-108

Identifier Type: -

Identifier Source: org_study_id