Trial Outcomes & Findings for DAA Based Therapy for Recently Acquired Hepatitis C (DARE-C) (NCT NCT01743521)

NCT ID: NCT01743521

Last Updated: 2017-03-29

Results Overview

Proportion of subjects achieving SVR 12 (negative qualitative HCV RNA 12 weeks after therapy completion)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

14 participants

Primary outcome timeframe

12 weeks post-treatment

Results posted on

2017-03-29

Participant Flow

Participant milestones

Participant milestones
Measure
Group A - 8 Weeks Total Therapy
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
No Group Allocated
Early treatment discontinuation or non-responder (participants in whom therapy was terminated at week 4 due to HCV RNA \>1000 IU/mL or week 8 due to detectable HCV RNA)
Overall Study
STARTED
7
3
2
2
Overall Study
COMPLETED
7
3
2
2
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

DAA Based Therapy for Recently Acquired Hepatitis C (DARE-C)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
No Group Allocated
n=2 Participants
Early treatment discontinuation or non-responder
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
49 years
n=5 Participants
45 years
n=7 Participants
44 years
n=5 Participants
57 years
n=4 Participants
48 years
n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
14 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
14 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Estimated Duration of infection at baseline
39 weeks
n=5 Participants
46 weeks
n=7 Participants
50 weeks
n=5 Participants
33 weeks
n=4 Participants
40.9 weeks
n=21 Participants
HIV infection
5 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
2 participants
n=4 Participants
11 participants
n=21 Participants

PRIMARY outcome

Timeframe: 12 weeks post-treatment

Proportion of subjects achieving SVR 12 (negative qualitative HCV RNA 12 weeks after therapy completion)

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
SVR12 (Sustain Virological Response, HCV RNA Undetectable 12 Weeks Post-treatment)
71 percentage of participants
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: 24 weeks post-treatment

To evaluate the proportion of patients with undetectable HCV RNA 24 weeks after therapy completion (SVR24)

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
SVR24
43 percentage of participants
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

To evaluate the proportion of patients with undetectable HCV RNA at end of treatment (ETR)

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Undetectable HCV RNA (ETR)
100 percentage of participants
100 percentage of participants
100 percentage of participants

SECONDARY outcome

Timeframe: Week 1 of therapy

To evaluate the proportion of patients with undetectable HCV RNA at week 1 of therapy.

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Undetectable HCV RNA (Week 1)
71.43 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Week 2 of therapy

To evaluate the proportion of patients with undetectable HCV RNA at week 1 of therapy.

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Undectectable HCV RNA (Week 2)
100 percentage of participants
0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Week 3 of therapy

Population: Missing data carried forward if previously \<LLoQ (lower limit of quantification)

To evaluate the proportion of patients with undetectable HCV RNA at week 3 of therapy.

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=5 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=2 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Undetectable HCV RNA (Week 3)
100 percentage of participants
33.33 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Week 4 of therapy

Population: Missing data carried forward if previously \<LLoQ

To evaluate the proportion of patients with undetectable HCV RNA at week 4 of therapy.

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=5 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Undetectable HCV RNA (Week 4)
100 percentage of participants
66.67 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Decrease in Absolute Neutrophil Count (ANC) ≤0.75
1 participants
1 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Decrease in Platelets <50
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

To evaluate indicators of toxicity during telaprevir based therapy

Outcome measures

Outcome measures
Measure
Group A - 8 Weeks Total Therapy
n=7 Participants
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 Participants
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 Participants
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Change in Hemoglobin at End of Treatment
-31 g/L
Interval -43.0 to -15.0
-53 g/L
Interval -63.0 to -47.0
-17.5 g/L
Interval -21.0 to -14.0

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Population: Resistance-associated variants analysis have not yet been performed. These are planned to be performed at a later date.

To examine the emergence of resistance-associated variants during telaprevir based therapy for early chronic infection

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Population: Baseline resistance-associated variants analysis have not yet been performed. These are planned to be performed at a later date.

To correlate the presence and frequency of baseline resistance-associated variants (RAVs) with the response of Telaprevir based therapy for early chronic HCV infection.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Population: Ribavirin concentration have not yet been performed. These are planned to be performed at a later date.

To correlate plasma ribavirin levels with treatment outcome and changes in haemoglobin during therapy

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Wk 8 (Group A), Wk 12 (Group B), Wk 24 (Group C)

Population: This data will not be analysed.

In HIV positive participants to evaluate changes in CD4 counts and HIV RNA during telaprevir based therapy

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline

Population: IL28B polymorphisms have not yet been performed. These are planned to be performed at a later date.

To examine treatment outcome by IL28B polymorphism

Outcome measures

Outcome data not reported

Adverse Events

Group A - 8 Weeks Total Therapy

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Group B - 12 Weeks Total Therapy

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Group C - 24 Weeks Total Therapy

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A - 8 Weeks Total Therapy
n=7 participants at risk
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 participants at risk
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 participants at risk
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin cancer
14.3%
1/7 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/3 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Infections and infestations
Axillary Abscess
14.3%
1/7 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/3 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Gastrointestinal disorders
Appendicitis
0.00%
0/7 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
33.3%
1/3 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.

Other adverse events

Other adverse events
Measure
Group A - 8 Weeks Total Therapy
n=7 participants at risk
8 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 2 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group B - 12 Weeks Total Therapy
n=3 participants at risk
12 weeks total therapy of TPV/PEG-IFN/RBV if undetectable HCV RNA after 4 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
Group C - 24 Weeks Total Therapy
n=2 participants at risk
24 weeks total therapy - TPV/PEG-IFN/RBV for 12 weeks + PEG-IFN/RBV for 12 weeks if undetectable HCV RNA after 8 weeks of therapy TPV/PEG-IFN/RBV: Drug Telaprevir (TPV): dosed 1125mg twice daily (given as three 375 mg film-coated tablets) orally, except in the situation where a patient is on efavirenz in which case the dose of telaprevir will be 1125mg three times daily. Drug Ribavirin (RBV): 1000mg or 1200mg p.o daily in split doses (1000mg for patients weighing \<75kg and 1200mg for patients weighing ≥ 75kg). Drug PEG-IFN (other name: Pegasys): 180mcg in 0.5ml (pre-filled syringes) administered subcutaneously once weekly.
General disorders
Fatigue
57.1%
4/7 • Number of events 4 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
100.0%
2/2 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Skin and subcutaneous tissue disorders
Rash
57.1%
4/7 • Number of events 4 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
50.0%
1/2 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Nervous system disorders
Headache
14.3%
1/7 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
100.0%
3/3 • Number of events 3 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
50.0%
1/2 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Psychiatric disorders
Insomnia
57.1%
4/7 • Number of events 4 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Skin and subcutaneous tissue disorders
Pruritus
42.9%
3/7 • Number of events 3 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
33.3%
1/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
100.0%
2/2 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Psychiatric disorders
Change in mood
28.6%
2/7 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
50.0%
1/2 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Gastrointestinal disorders
Nausea
28.6%
2/7 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
33.3%
1/3 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
100.0%
2/2 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Musculoskeletal and connective tissue disorders
Myalgia
28.6%
2/7 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/3 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Gastrointestinal disorders
Abdominal pain
0.00%
0/7 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
33.3%
1/3 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
50.0%
1/2 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
General disorders
Injection site reaction
14.3%
1/7 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
33.3%
1/3 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
Gastrointestinal disorders
Perianal pain
14.3%
1/7 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
0.00%
0/2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
General disorders
Irritability
0.00%
0/7 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
66.7%
2/3 • Number of events 2 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.
50.0%
1/2 • Number of events 1 • Adverse events encountered during treatment and for 24 weeks after treatment discontinuation were reported for each participant.

Additional Information

A/Prof Gail Matthews

Kirby Institute

Phone: +61 (0)2 9385 0900

Results disclosure agreements

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