The Effects of Adding TCM-700C on the Standard Combination Treatment for HCV Genotype 1 Patients(Phase III)

NCT ID: NCT01890200

Last Updated: 2017-04-28

Basic Information

• Recruitment Status: WITHDRAWN
• Clinical Phase: PHASE3
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-06-30
• Study Completion Date: 2018-06-30

Brief Summary

This is a randomized, double blind, multi-center, placebo controlled, three parallel arms, Phase IIb/III clinical study to evaluate the effects of adding a TCM-700C with a low or high dose onto the combination treatment (PegIFN plus RBV) for subjects with naive genotype 1 HCV infection.

This will be demonstrated by a higher sustained virologic response rate, defined as the absence of detectable HCV RNA 24 weeks after the termination of combination treatment, compared with the placebo add-on.

Detailed Description

Eligible subjects with written informed consent will be stratified according to their baseline HCV RNA (≤800,000 IU/mL versus>800,000 IU/mL), stage of liver fibrosis (METAVIR system fibrosis score of 0 1 versus 2 3).

During the 48 week Treatment Period and 24 week Follow up Period, subjects will be assessed at regular intervals for efficacy and safety at Weeks 2, 4, 8, 12, 16 and then every 8 weeks thereafter until study completion. If possible, subjects who prematurely discontinue the study during the Treatment Period will have samples taken for hematology, biochemistry and urinalysis in the same week of discontinuation as well as 24 weeks after discontinuation.

Conditions

Chronic Hepatitis C

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

TCM-700C (low dose)

an add-on drug (t.i.d) to conventional treatment(Peginterferon alfa-2a + ribavirin) of Hepatitis C

Group Type: EXPERIMENTAL

Peginterferon alfa-2a

Intervention Type: DRUG

conventional treatment of Hepatitis C

Ribavirin

Intervention Type: DRUG

conventional treatment of Hepatitis C

TCM-700C

Intervention Type: DRUG

An add-on drug to conventional treatment of Hepatitis C

TCM-700C (high dose)

an add-on drug (t.i.d) to conventional treatment(Peginterferon alfa-2a + ribavirin) of Hepatitis C

Group Type: EXPERIMENTAL

Peginterferon alfa-2a

Intervention Type: DRUG

conventional treatment of Hepatitis C

Ribavirin

Intervention Type: DRUG

conventional treatment of Hepatitis C

TCM-700C

Intervention Type: DRUG

An add-on drug to conventional treatment of Hepatitis C

Placebo

placebo add on(t.i.d) to conventional treatment(Peginterferon alfa-2a + ribavirin) of Hepatitis C

Group Type: PLACEBO_COMPARATOR

Peginterferon alfa-2a

Intervention Type: DRUG

conventional treatment of Hepatitis C

Ribavirin

Intervention Type: DRUG

conventional treatment of Hepatitis C

Placebo

Intervention Type: DRUG

Placebo, without acting ingredient.

Interventions

Peginterferon alfa-2a

conventional treatment of Hepatitis C

Intervention Type: DRUG

Ribavirin

conventional treatment of Hepatitis C

Intervention Type: DRUG

TCM-700C

An add-on drug to conventional treatment of Hepatitis C

Intervention Type: DRUG

Placebo

Placebo, without acting ingredient.

Intervention Type: DRUG

Other Intervention Names

Pegasys; Rebetol; Placebo, without acting ingredient.

Eligibility Criteria

Inclusion Criteria

• Adult subjects who are 20 to 65 years old (inclusive), of either gender and in any ethnical group in Asia.
• Chronic hepatitis C, positive with both antibody to hepatitis C virus (anti HCV) and HCV RNA assays.
• Confirmed HCV genotype 1.
• Subjects who are indicated to have combination treatment of PegIFNα 2a and RBV at the discretion of the investigator.
• All fertile males and females receiving RBV must be using two forms of effective contraception during treatment with study drugs and 6 months post treatment completion.
• Subjects must voluntarily give written informed consent indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
• Subjects must be able to comply with the assessments during the study.
• Subjects must be able to understand study QoL questionnaires.

Exclusion Criteria

• Prior treatment with any IFN α or any medicines that contain Cordyceps.
• Prior treatment of hepatitis C with any other antiviral or immune modulators.
• Investigational therapy administered within 4 weeks, or within a time interval less than at least 5 half lives of the investigational agent, whichever is longer, prior to the first scheduled day of dosing in this study.
• Subjects diagnosed with hepatocellular carcinoma (HCC) by biopsy or α fetoprotein (AFP) serology and radiology (helical computed tomography [CT] and/or magnetic resonance imaging [MRI]) within 5 years of signing the informed consent form.
• Evidence of hepatic decompensation (history or current evidence of ascites, bleeding varices or hepatic encephalopathy).
• History or evidence of other liver diseases other than chronic HCV infection.
• Subjects with known allergy or hypersensitivity to any ingredient of the study drug or placebo.
• Pregnant, planning on becoming pregnant, or breastfeeding female subject or male subject whose partner is pregnant or planning on becoming pregnant.
• Subject with any of the following laboratory abnormalities:

1. Platelet count <90,000/mm3;

2. Absolute neutrophil count <1500 cells/mm3;

3. Hemoglobin <12 g/dL for women and <13 g/dL for men;

4. Creatinine >1.5 mg/dL;

5. Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) >10 x upper limit of normal (ULN);

6. Total serum bilirubin >1.5 x ULN;

7. Subjects without cirrhosis and AFP >50 ng/mL must have an ultrasound between the screening and baseline visit with no findings suspicious for HCC.

• Medical conditions which are contraindications for PegIFNα 2a or RBV therapy:

1. Psychiatric disorders;

2. Organ transplant (other than cornea or hair transplant or skin graft);

3. Severe concurrent medical disease such as severe hypertension, significant coronary heart disease, poorly controlled diabetes mellitus (glycated hemoglobin A1c [HbA1c] >8.5%), not adequately controlled thyroid dysfunction, chronic obstructive pulmonary disease, severe infections (bacterial, viral, fungal, including acute tuberculosis), or hemoglobinopathies (thalassemia major or sickle cell anemia);

4. Autoimmune hepatitis or other autoimmune conditions known to be exacerbated by PegIFNα 2a and RBV.

• History of a severe seizure disorder or current anticonvulsant use.
• Evidence of severe retinopathy (e.g., cytomegalovirus retinitis, macular degeneration) or clinically relevant ophthalmological disorder (e.g., due to diabetes mellitus or hypertension).
• Other cases judged by the investigator to be ineligible for participation in the study.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

TCM Biotech International Corp.

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

I-Shyan Sheen, MD

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Lai Wei, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital

Locations

Peking University People's Hospit

Beijing, Beijing Municipality, China

Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Countries

China; Taiwan

Other Identifiers

TCM-700-02-01

Identifier Type: -

Identifier Source: org_study_id