A Phase Ⅱ Dose-escalating Study of PEG-IFN-SA and Ribavirin in IFN Naive Patients With Chronic Hepatitis C

NCT ID: NCT01908335

Last Updated: 2014-10-20

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

212 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-07-31

Brief Summary

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This dose-escalating study is to evaluate the efficacy and the safety of different doses of a new bio-product Pegylated Recombinant Consensus Interferon Variant Solution for Injection (PEG-IFN-SA) and Ribavirin(RBV) in the treatment of Chronic hepatitis C who have not been previously treated with Interferon(IFN) by exploring the dose-effect relationship, while identity the optimal dose for phase Ⅲ study. In addition, population pharmacokinetic method is adopted to assess the pharmacokinetic behavior, individuals / intra-individual variability, and the possible factors for further study.

Detailed Description

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Total 200 subjects will be randomized and enrolled into four groups proportionally receiving experimental drug of high dose, middle dose, low dose and positive-control drug. Treatment duration will be 24 or 48 weeks corresponding to different HCV genotype, genotype 2,3 and non-genotype2,3.

Conditions

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Chronic Hepatitis C

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 (PEG-IFN-SA /RBV low dose)

PEG-IFN-SA 0.75μg/kg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW\<75kg,1000mg/d;BW≥75kg,1200mg/d)

Group Type EXPERIMENTAL

PEG-IFN-SA /RBV low dose

Intervention Type DRUG

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

B (PEG-IFN-SA /RBV middle dose)

PEG-IFN-SA 1.5μg/kg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW\<75kg,1000mg/d;BW≥75kg,1200mg/d)

Group Type EXPERIMENTAL

PEG-IFN-SA /RBV middle dose

Intervention Type DRUG

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

C (PEG-IFN-SA /RBV high dose)

PEG-IFN-SA 2.0μg/kg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW\<75kg,1000mg/d;BW≥75kg,1200mg/d)

Group Type EXPERIMENTAL

PEG-IFN-SA /RBV high dose

Intervention Type DRUG

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

D (Pegasys /RBV)

Pegasys 180μg/week and RBV 1000mg-1200mg/d bid depending on body weight(BW),(BW\<75kg,1000mg/d;BW≥75kg,1200mg/d)

Group Type ACTIVE_COMPARATOR

Pegasys /RBV

Intervention Type DRUG

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

Interventions

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PEG-IFN-SA /RBV low dose

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

Intervention Type DRUG

PEG-IFN-SA /RBV middle dose

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

Intervention Type DRUG

PEG-IFN-SA /RBV high dose

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

Intervention Type DRUG

Pegasys /RBV

24 weeks for genotype 2,3 and 48 weeks for non-genotype2,3

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age 18- 65 years
* Body Mass Index (BMI) 18-30
* Chronic hepatitis C , diagnosed according to Chinese guideline of Hepatitis C (year 2004)
* Detectable serum HCV-RNA by quantitative polymerase chain reaction assay and positive anti-HCV antibody
* Female subjects of childbearing age with no history of menopause and negative pregnancy test, both female and male( including their partners ) subjects were required to conduct adequate contraception since screening until the 6 months after treatment
* Volunteered to participate in this study, understood and signed an informed consent

Exclusion Criteria

* Previous IFN treated patients
* Co-infection with HAV, HBV, HEV, EBV, CMV and HIV
* Evidences of hepatic decompensation, including but not limited to serum total bilirubin\> 2 times the upper limit of normal (ULN); serum albumin \<35g/L; prothrombin activity (PTA) \<60%; ascites, upper gastrointestinal bleeding and hepatic encephalopathy; Child-Pugh score B/C grade
* Hepatotoxic drugs was used for a long time within past 6 months
* Diagnosed with primary hepatocellular carcinoma or supported by evidences including but not limited to AFP\> l00ng/ml, suspicious liver nodules by imaging examinations
* Liver diseases from causes other than HCV infection, including alcoholic liver disease, non-alcoholic steatohepatitis, drug-induced hepatitis, autoimmune hepatitis (antinuclear antibody titer higher than 1:100), hepatolenticular degeneration (Wilson's disease) and hemochromatosis, etc.
* White blood cell count \<3×109/L; Neutrophil count\<1.5×109/L; platelet count\<90×109/L; hemoglobin below the lower limit of normal
* Serum creatinine not within the normal range
* Serum creatine kinase\> 3 ULN
* Positive thyroid antibodies (A-TPO, A-TG)
* Therapy with potent immunomodulatory agents such as adrenocorticotropic hormone, thymosin α1 etc. within past 6 months or an anticipated usage during the period of study
* Allergies or severe allergies, especially allergic to study drugs or any ingredients of the study drugs
* Severe autoimmune diseases; psychiatric and nervous system disorders, including history of Psychiatric illness or with family history (especially depression, depressive tendencies, epilepsy and hysteria, etc.); Serious blood disorders (all kinds of anemia, hemophilia, etc.); Severe kidney disease (chronic kidney disease, renal insufficiency, etc.); poorly controlled digestive diseases; endocrine disorders such as thyroid disease and diabetes; severe respiratory disease (pneumonia, chronic obstructive pulmonary disease, interstitial lung disease, etc.); cardiovascular diseases (hypertension, uncontrolled coronary atherosclerotic heart disease, heart failure, etc.); retinal disease; malignancies; or unsuitable for study considered by clinician
* Function organs transplant
* Evidence of alcohol or drug abuse (average alcohol consumption male\> 40g / day, female\> 20g / day)
* Pregnant or lactating women
* Usage of prohibition drugs in this study
* Participated in other clinical trials 3 months prior to the screening
* Unwilling to sign the informed consent and adhere to treatment requirements
* Other conditions not suitable for study judged by investigators
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing Kawin Technology Share-Holding Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Cheng jun

vice president

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cheng jun, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Beijing Ditan Hospital

Locations

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The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status

First Affiliated Hospital of Lanzhou University

Lanzhou, Gansu, China

Site Status

Guangdong General Hospital

Guangzhou, Guangdong, China

Site Status

Guangzhou Eighth People's Hospital

Guangzhou, Guangdong, China

Site Status

Nanfang Hospital Southern Medical Unbiversity

Guangzhou, Guangdong, China

Site Status

The third people's hospital of Shenzhen

Shenzhen, Guangdong, China

Site Status

The First Affiliated Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status

Third Affiliated Hospital, Hebei Medical University

Shijiazhuang, Hebei, China

Site Status

The First Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Site Status

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Site Status

The First Affiliated Hospital of Xinxiang Medical University

Xinxiang, Henan, China

Site Status

First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status

Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology

Wuhan, Hubei, China

Site Status

Union hospital, Tongji Medical College Huazhong University of Science & Technology

Wuhan, Hubei, China

Site Status

Zhongnan Hospital of Wuhan University

Wuhan, Hubei, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Xiangya Hospital Central-South University

Changsha, Hunan, China

Site Status

Jiangsu province hospital

Nanjing, Jiangsu, China

Site Status

The Second Hospital of Nanjing

Nanjing, Jiangsu, China

Site Status

The first affiliated hospital of suzhou university

Suzhou, Jiangsu, China

Site Status

First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status

The First Affiliated Hospital of Jilin University

Changchun, Jilin, China

Site Status

Yanbian University Hospital (Yanbian Hospital)

Yanji, Jilin, China

Site Status

The Sixth People's Hospital of Shenyang

Shenyang, Liaoning, China

Site Status

First Affiliated Hospital Of Medical College of Xian Jiaotong University

Xi'an, Shaanxi, China

Site Status

Second Affiliated Hospital Of Medical College of Xian Jiaotong University

Xi'an, Shaanxi, China

Site Status

Tangdu Hospital , , Fourth Military Medical University

Xi'an, Shaanxi, China

Site Status

Jinan Infectious Disease Hospital

Jinan, Shandong, China

Site Status

Qilu Hospital of Shandong university

Jinan, Shandong, China

Site Status

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status

Qingdao Municipal Hospital

Qingdao, Shandong, China

Site Status

The First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Sichuan Academy of Medical Science &Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

The First Teaching Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status

Xixi Hospital of Hangzhou

Hangzhou, Zhejiang, China

Site Status

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status

302 Military Hospital of China

Beijing, , China

Site Status

Beijing Ditan Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Youan Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Youyi Hospital, capital Medical University

Beijing, , China

Site Status

General Hospital of Beijing Military Region

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Peking University First Hospital

Beijing, , China

Site Status

Peking University People's Hospital

Beijing, , China

Site Status

Chongqing Southwest Hospital

Chongqing, , China

Site Status

Daping Hospital, Research Institute of Surgery Third Military Medical University

Chongqing, , China

Site Status

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, , China

Site Status

Ruijing Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Shanghai Public Health Clinical Center

Shanghai, , China

Site Status

Tianjin Infectious Disease Hospital

Tianjin, , China

Site Status

Countries

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China

Other Identifiers

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KAWIN-002-1

Identifier Type: -

Identifier Source: org_study_id

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