Trial Outcomes & Findings for Influence of Ribavirin on the Initial Virological Response in Treatment Naïve Patients With Hepatitis C Genotype 1 Infection (NCT NCT02716779)

NCT ID: NCT02716779

Last Updated: 2016-08-22

Results Overview

To investigate possible action mechanisms, three different models were fitted to viruskinetic data and evaluated using related log-likelihood function values. These models were designed assuming individual effects with respect to infectiousness (model 1), virus production (model 2) or degradation of infected cells rate (model 3). The following viruskinetic parameters were fitted in each model: initial viral load, loss rate of infected cells (delta), effectivity of interferon with respect to a pharmacokinetic-pharmacodynamic model. A lower log likelihood function value indicates a lesser fit for the model.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

68 participants

Primary outcome timeframe

Up to Day 126

Results posted on

2016-08-22

Participant Flow

Enrollment was 68: 1 participant withdrew during the screening phase and 67 participants were randomized.

Participant milestones

Participant milestones
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg orally (PO) (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Placebo
Participants with chronic hepatitis C, genotype 1, received ribavirin matching placebo for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Placebo: Ribavirin matching placebo orally (PO) twice daily for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg orally (PO) (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Monotherapy
STARTED
14
26
27
Monotherapy
COMPLETED
14
25
26
Monotherapy
NOT COMPLETED
0
1
1
Combination Therapy
STARTED
14
25
26
Combination Therapy
COMPLETED
14
23
25
Combination Therapy
NOT COMPLETED
0
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg orally (PO) (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Placebo
Participants with chronic hepatitis C, genotype 1, received ribavirin matching placebo for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Placebo: Ribavirin matching placebo orally (PO) twice daily for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40 kilodalton \[KD\]) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg orally (PO) (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Monotherapy
Adverse Event
0
1
1
Combination Therapy
Adverse Event
0
2
1

Baseline Characteristics

Influence of Ribavirin on the Initial Virological Response in Treatment Naïve Patients With Hepatitis C Genotype 1 Infection

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Placebo
n=26 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin matching placebo for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Placebo: Ribavirin matching placebo orally (PO) twice daily for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=27 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total
n=67 Participants
Total of all reporting groups
Age, Continuous
45.8 years
STANDARD_DEVIATION 14.4 • n=5 Participants
48.2 years
STANDARD_DEVIATION 15.4 • n=7 Participants
50.2 years
STANDARD_DEVIATION 12.9 • n=5 Participants
48.5 years
STANDARD_DEVIATION 14.1 • n=4 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
18 Participants
n=7 Participants
17 Participants
n=5 Participants
42 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
10 Participants
n=5 Participants
25 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to Day 126

Population: Per Protocol (PP) population: participants with 6 weeks of monotherapy and at least 4 weeks combination therapy as well as three quantitative HCV-RNA measurements (baseline, period 1, period 2), no major protocol violations, no treatment interruption and no dose reduction below 80% of the planned medication within the first 10 therapy weeks.

To investigate possible action mechanisms, three different models were fitted to viruskinetic data and evaluated using related log-likelihood function values. These models were designed assuming individual effects with respect to infectiousness (model 1), virus production (model 2) or degradation of infected cells rate (model 3). The following viruskinetic parameters were fitted in each model: initial viral load, loss rate of infected cells (delta), effectivity of interferon with respect to a pharmacokinetic-pharmacodynamic model. A lower log likelihood function value indicates a lesser fit for the model.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=13 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=61 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Log Likelihood Median Values of Hepatitis C-Virus (HCV) Kinetic Models for Quantitative HCV Ribonucleic Acid (RNA) Measurement With Various Assumptions of Ribavirin Mechanism of Action
Model 1= infectiousness
-27.0 log likelihood function value
Interval -34.5 to -14.0
-21.4 log likelihood function value
Interval -24.7 to -15.2
-22.2 log likelihood function value
Interval -26.0 to -19.3
Log Likelihood Median Values of Hepatitis C-Virus (HCV) Kinetic Models for Quantitative HCV Ribonucleic Acid (RNA) Measurement With Various Assumptions of Ribavirin Mechanism of Action
Model 2= virus production
-28.2 log likelihood function value
Interval -35.0 to -14.3
-23.8 log likelihood function value
Interval -27.5 to -21.6
-23.9 log likelihood function value
Interval -27.4 to -21.6
Log Likelihood Median Values of Hepatitis C-Virus (HCV) Kinetic Models for Quantitative HCV Ribonucleic Acid (RNA) Measurement With Various Assumptions of Ribavirin Mechanism of Action
Model 3= degradation rate
-27.1 log likelihood function value
Interval -33.2 to -14.0
-20.7 log likelihood function value
Interval -25.5 to -16.0
-23.1 log likelihood function value
Interval -26.5 to -18.4

SECONDARY outcome

Timeframe: At screening (Days -56 to -1), at end of monotherapy (Week 6) and at end of combination therapy (Week 18)

Population: Intent-to-treat (ITT) population includes all randomized participants who received at least one dose of study drug. Here, 'n' is the number of evaluable participants.

SF-36 is a psychometric scale to quantify health conditions. This psychometric scale has 8 dimensions of the subjective health status and consists of 36 individual items that have a varying number of related item scores (ranging from "yes/no" up to a 6-point scale). At first the raw scores were determined by summation over all items and weighted accordingly. Afterwards the raw scores were transformed to ranges of 0-100 with 100 being the highest level of health and compared to published reference scales. The following eight dimensions of subjective health conditions were considered: physical functioning index, role physical index, pain, general health perception, vitality, social functioning index, role emotional index and mental health index. The SF36 questionnaire had to be answered by the patients at screening before monotherapy, after monotherapy and at the end of the study (=end of combination therapy).

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=6 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=11 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=17 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Pain: End of combination therapy
72.3 units on a scale
Standard Deviation 32.2
56.0 units on a scale
Standard Deviation 11.8
60.1 units on a scale
Standard Deviation 34.8
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Social functioning index: End of monotherapy
72.9 units on a scale
Standard Deviation 22.9
68.2 units on a scale
Standard Deviation 24.0
80.1 units on a scale
Standard Deviation 22.6
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Mental health index: End of monotherapy
61.3 units on a scale
Standard Deviation 12.3
62.8 units on a scale
Standard Deviation 14.0
61.5 units on a scale
Standard Deviation 19.7
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Physical functioning index: Screening
95.6 units on a scale
Standard Deviation 5.2
76.5 units on a scale
Standard Deviation 20.2
79.7 units on a scale
Standard Deviation 28.7
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Physical functioning index: End of monotherapy
90.8 units on a scale
Standard Deviation 9.2
72.3 units on a scale
Standard Deviation 28.1
68.4 units on a scale
Standard Deviation 27.7
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Physical functioning index: End of comb. therapy
67.1 units on a scale
Standard Deviation 20.7
73.0 units on a scale
Standard Deviation 14.0
53.4 units on a scale
Standard Deviation 31.5
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role physical index: Screening
75.0 units on a scale
Standard Deviation 41.8
55.6 units on a scale
Standard Deviation 41.0
62.5 units on a scale
Standard Deviation 40.8
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role physical index: End of monotherapy
66.7 units on a scale
Standard Deviation 34.2
56.8 units on a scale
Standard Deviation 43.4
50.5 units on a scale
Standard Deviation 40.5
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role physical index: End of combination therapy
25.0 units on a scale
Standard Deviation 38.7
40.0 units on a scale
Standard Deviation 35.7
29.7 units on a scale
Standard Deviation 40.0
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Pain: Screening
89.3 units on a scale
Standard Deviation 17.0
70.3 units on a scale
Standard Deviation 26.8
70.0 units on a scale
Standard Deviation 30.8
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Pain: End of monotherapy
73.2 units on a scale
Standard Deviation 23.3
61.5 units on a scale
Standard Deviation 27.4
66.0 units on a scale
Standard Deviation 29.6
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
General health perception: Screening
58.6 units on a scale
Standard Deviation 12.9
53.6 units on a scale
Standard Deviation 14.5
62.9 units on a scale
Standard Deviation 14.5
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
General health perception: End of monotherapy
58.2 units on a scale
Standard Deviation 7.6
59.2 units on a scale
Standard Deviation 16.9
54.3 units on a scale
Standard Deviation 18.0
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
General health perception: End of comb. therapy
60.0 units on a scale
Standard Deviation 14.3
55.2 units on a scale
Standard Deviation 15.0
47.1 units on a scale
Standard Deviation 20.6
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Vitality: Screening
54.2 units on a scale
Standard Deviation 9.2
52.8 units on a scale
Standard Deviation 21.5
50.9 units on a scale
Standard Deviation 18.9
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Vitality: End of monotherapy
45.0 units on a scale
Standard Deviation 15.2
44.1 units on a scale
Standard Deviation 16.3
41.8 units on a scale
Standard Deviation 20.1
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Vitality: End of combination therapy
40.8 units on a scale
Standard Deviation 14.6
32.5 units on a scale
Standard Deviation 12.1
39.8 units on a scale
Standard Deviation 16.1
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Social functioning index: Screening
75.0 units on a scale
Standard Deviation 23.7
79.2 units on a scale
Standard Deviation 24.2
83.8 units on a scale
Standard Deviation 20.6
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Social functioning index: End of comb. therapy
68.8 units on a scale
Standard Deviation 23.4
61.3 units on a scale
Standard Deviation 19.9
56.3 units on a scale
Standard Deviation 25.8
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role emotional index: Screening
55.6 units on a scale
Standard Deviation 50.2
66.7 units on a scale
Standard Deviation 50.0
62.5 units on a scale
Standard Deviation 43.7
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role emotional index: End of monotherapy
55.6 units on a scale
Standard Deviation 50.2
69.7 units on a scale
Standard Deviation 45.8
53.3 units on a scale
Standard Deviation 51.6
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Role emotional index: End of combination therapy
33.3 units on a scale
Standard Deviation 51.6
50.0 units on a scale
Standard Deviation 42.3
35.4 units on a scale
Standard Deviation 39.4
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Mental health index: Screening
68.5 units on a scale
Standard Deviation 9.1
63.1 units on a scale
Standard Deviation 18.1
64.5 units on a scale
Standard Deviation 15.4
Score in Quality of Life Assessed Using Short Form-36 (SF-36) Health Questionnaire
Mental health index: End of combination therapy
72.2 units on a scale
Standard Deviation 9.0
61.6 units on a scale
Standard Deviation 13.2
47.7 units on a scale
Standard Deviation 23.0

SECONDARY outcome

Timeframe: Up to Day 126

Population: All evaluable participants of the Intent-to-Treat (ITT) population, who were documented for a total of 126 days of the treatment period.

HCV-RNA level was measured at each visit by a central laboratory. Treatment response was estimated applying the following definitions of response/non-response: 1) Adequate first phase decline: HCV RNA decline ≥ 0.5 log10 International Units/milliliter (IU/mL) from time 0 to 48 hours of PEG-IFN treatment (PEG-IFN arm: day 0 - day 2; placebo and ribavirin arm: day 42-day 44), 2) Rapid virologic response: HCV RNA \< 15 IU/mL (=detection limit) on day 70, 3) Complete early virologic response: HCV RNA \< 15 IU/mL on day 126, 4) Partial early virologic response (log decrease): HCV RNA decrease ≥ 2 log10 IU/mL from day 0 to day 126, 5) Partial early virologic response (cut off): HCV RNA \<30000 IU/mL on day 126, 6) Non-response: HCV RNA decrease \<2 log10 IU/mL from day 0 to day 126, 7) Null-response: HCV RNA decrease \<1 log10 IU/mL from day 0 to day 28 and from day 0 to day 70 for PEG-IFN arm and placebo / ribavirin arm, respectively.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Percentage of Participants With Treatment Response
Adequate first phase decline
79 percentage of participants
65 percentage of participants
72 percentage of participants
Percentage of Participants With Treatment Response
Rapid virologic response
43 percentage of participants
30 percentage of participants
20 percentage of participants
Percentage of Participants With Treatment Response
Complete early virologic response
64 percentage of participants
48 percentage of participants
72 percentage of participants
Percentage of Participants With Treatment Response
Partial early virologic response (log decrease)
79 percentage of participants
78 percentage of participants
84 percentage of participants
Percentage of Participants With Treatment Response
Partial early virologic response (cut off)
79 percentage of participants
78 percentage of participants
84 percentage of participants
Percentage of Participants With Treatment Response
Non-response
21 percentage of participants
22 percentage of participants
16 percentage of participants
Percentage of Participants With Treatment Response
Null responder
36 percentage of participants
26 percentage of participants
12 percentage of participants

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Evaluation of ribavirin arm after Day 0. Evaluation of placebo and PEG-IFN arms after Day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=13 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Area Under the Concentration-Time Curve (AUC) of Ribavirin
186.6 (microgram/milliliter)*day ([mcg/ml]*d)
Interval 142.3 to 201.4
179.4 (microgram/milliliter)*day ([mcg/ml]*d)
Interval 142.6 to 203.8
290.1 (microgram/milliliter)*day ([mcg/ml]*d)
Interval 257.6 to 370.5

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Cmax was obtained directly from the concentration-time data. Evaluation of ribavirin arm after day 0. Evaluation of placebo and PEG-IFN arms after day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=13 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Maximum Concentration (Cmax) of Ribavirin
2.95 mcg/ml
Interval 2.79 to 3.6
2.83 mcg/ml
Interval 2.34 to 3.26
3.37 mcg/ml
Interval 2.93 to 4.19

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Tmax was obtained directly from the concentration-time data. Evaluation of ribavirin arm after day 0. Evaluation of placebo and PEG-IFN arms after day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=13 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Time to Maximum Concentration (Tmax) of Ribavirin
6.0 weeks
Interval 4.0 to 12.0
8.0 weeks
Interval 6.0 to 12.0
6.4 weeks
Interval 6.1 to 8.0

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 24 hr, 48 hr and 72 hr, Day 42 at 0 hr and 24 hr and at approximately every other visit up to Day 126

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Evaluation of PEG-IFN arm after Day 0. Evaluation of ribavirin and placebo arms after Day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=22 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Area Under the Concentration-Time Curve (AUC) of PEG-IFN
2097.9 (nanogram/milliliter)*day ([ng/ml]*d)
Interval 1763.5 to 2997.3
1270.4 (nanogram/milliliter)*day ([ng/ml]*d)
Interval 931.8 to 1572.0
1164.9 (nanogram/milliliter)*day ([ng/ml]*d)
Interval 925.2 to 1461.3

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 24 hr, 48 hr and 72 hr, Day 42 at 0 hr and 24 hr and at approximately every other visit up to Day 126

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Cmax was obtained directly from the concentration-time data. Evaluation of PEG-IFN arm after day 0. Evaluation of ribavirin and placebo arms after day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=22 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Maximum Concentration (Cmax) of PEG-IFN
28.77 ng/ml
Interval 22.8 to 32.38
20.36 ng/ml
Interval 16.92 to 25.83
19.8 ng/ml
Interval 15.8 to 22.3

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 24 hr, 48 hr and 72 hr, Day 42 at 0 hr and 24 hr and at approximately every other visit up to Day 126

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Tmax was obtained directly from the concentration-time data. Evaluation of PEG-IFN arm after day 0. Evaluation of ribavirin and placebo arms after day 42.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=22 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Time to Maximum Concentration (Tmax) of PEG-IFN
6.3 weeks
Interval 6.1 to 8.0
12.0 weeks
Interval 6.0 to 12.0
6.0 weeks
Interval 6.0 to 12.0

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Area Under the Concentration-Time Curve (AUC) of Glutamate-Pyruvate Transaminase (GPT)
5078.3 (Units/liter)*day ([U/L]*d)
Interval 4358.3 to 6576.5
7233.5 (Units/liter)*day ([U/L]*d)
Interval 5337.3 to 8656.3
5231.3 (Units/liter)*day ([U/L]*d)
Interval 3917.0 to 5852.5

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Cmax was obtained directly from the concentration-time data.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Maximum Concentration (Cmax) of GPT
68.5 U/L
Interval 59.0 to 112.0
88.0 U/L
Interval 67.0 to 123.0
75.0 U/L
Interval 56.0 to 110.0

SECONDARY outcome

Timeframe: From Day 0 at 0 hour (hr), 12 hr, 24 hr, 36 hr, 48 hr, 60 hr and 72 hr, Day 42 at 0 hr, 12 hr, 24 hr and 36 hr and at each visit up to Day 126.

Population: All evaluable participants of the ITT population, who were documented for a total of 126 days of the treatment period.

Tmax was obtained directly from the concentration-time data.

Outcome measures

Outcome measures
Measure
Pegylated Interferon (PEG-IFN) Alfa-2a
n=14 Participants
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Ribavirin
n=23 Participants
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks. Thereafter, all participants received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks during monotherapy and/or 12 weeks during combination therapy. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks during monotherapy and/or 12 weeks during combination therapy.
Total Participant Group
n=25 Participants
Combined group of PEG IFN alfa-2a, matching placebo and ribavirin arms.
Time to Maximum Concentration (Tmax) of GPT
2.8 days
Interval 2.0 to 28.0
14.0 days
Interval 10.0 to 42.5
3.0 days
Interval 2.0 to 7.0

Adverse Events

PEG-IFN Alfa-2a, Period 1 Monotherapy

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo, Period 1 Monotherapy

Serious events: 1 serious events
Other events: 9 other events
Deaths: 0 deaths

Ribavirin, Period 1 Monotherapy

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

PEG-IFN Alfa-2a, Period 2 Combination Therapy

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Placebo, Period 2 Combination Therapy

Serious events: 2 serious events
Other events: 23 other events
Deaths: 0 deaths

Ribavirin, Period 2 Combination Therapy

Serious events: 2 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PEG-IFN Alfa-2a, Period 1 Monotherapy
n=14 participants at risk
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks in period 1. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks.
Placebo, Period 1 Monotherapy
n=26 participants at risk
Participants with chronic hepatitis C, genotype 1, received placebo PO for 6 weeks in period 1. Placebo: Ribavirin matching placebo orally (PO) twice daily for 6 weeks.
Ribavirin, Period 1 Monotherapy
n=27 participants at risk
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks in period 1. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
PEG-IFN Alfa-2a, Period 2 Combination Therapy
n=14 participants at risk
In period 2 participants, who received PEG-IFN monotherapy in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Placebo, Period 2 Combination Therapy
n=25 participants at risk
In period 2 participants, who received placebo in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Ribavirin, Period 2 Combination Therapy
n=26 participants at risk
In period 2 participants, who received ribavirin monotherapy in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Psychiatric disorders
Depression
0.00%
0/14 • Up to Day 126
3.8%
1/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Eye disorders
Retinal haemorrhage
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Infections and infestations
Otitis media
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Infections and infestations
Urinary tract infection
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Surgical and medical procedures
Psychotherapy
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
3.8%
1/26 • Up to Day 126

Other adverse events

Other adverse events
Measure
PEG-IFN Alfa-2a, Period 1 Monotherapy
n=14 participants at risk
Participants with chronic hepatitis C, genotype 1, received pegylated interferon (PEG-IFN) alfa-2a monotherapy for 6 weeks in period 1. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks.
Placebo, Period 1 Monotherapy
n=26 participants at risk
Participants with chronic hepatitis C, genotype 1, received placebo PO for 6 weeks in period 1. Placebo: Ribavirin matching placebo orally (PO) twice daily for 6 weeks.
Ribavirin, Period 1 Monotherapy
n=27 participants at risk
Participants with chronic hepatitis C, genotype 1, received ribavirin monotherapy for 6 weeks in period 1. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
PEG-IFN Alfa-2a, Period 2 Combination Therapy
n=14 participants at risk
In period 2 participants, who received PEG-IFN monotherapy in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Placebo, Period 2 Combination Therapy
n=25 participants at risk
In period 2 participants, who received placebo in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Ribavirin, Period 2 Combination Therapy
n=26 participants at risk
In period 2 participants, who received ribavirin monotherapy in period 1, received combination therapy with PEG-IFN alfa-2a plus ribavirin for 12 weeks. Pegylated Interferon (PEG-IFN) alfa-2a: Pegylated Interferon (PEG-IFN) alfa-2a (40KD) 180 microgram (mcg) subcutaneously (SC) weekly, for 6 weeks. Ribavirin: Ribavirin, 1000 mg PO (400 mg in the morning \[=2 tablets\] and 600 mg in the evening \[=3 tablets\]) in participants with a body weight less than 75 kilogram (kg) or 1200 mg PO (600 mg at each time =3 tablets, in the morning and evening, respectively) in participants with a body weight greater than or equal to 75 kg, PO daily for 6 weeks.
Respiratory, thoracic and mediastinal disorders
Dyspnoea exertional
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Blood and lymphatic system disorders
Leukopenia
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Blood and lymphatic system disorders
Neutropenia
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Blood and lymphatic system disorders
Anaemia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
7.7%
2/26 • Up to Day 126
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Eye disorders
Keratoconjunctivitis sicca
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Eye disorders
Vision blurred
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Gastrointestinal disorders
Nausea
14.3%
2/14 • Up to Day 126
7.7%
2/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
28.6%
4/14 • Up to Day 126
32.0%
8/25 • Up to Day 126
19.2%
5/26 • Up to Day 126
Gastrointestinal disorders
Diarrhoea
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
20.0%
5/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Gastrointestinal disorders
Abdominal pain lower
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Gastrointestinal disorders
Abdominal pain upper
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Gastrointestinal disorders
Toothache
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Gastrointestinal disorders
Dry mouth
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Gastrointestinal disorders
Constipation
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
General disorders
Fatigue
21.4%
3/14 • Up to Day 126
3.8%
1/26 • Up to Day 126
14.8%
4/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
36.0%
9/25 • Up to Day 126
23.1%
6/26 • Up to Day 126
General disorders
Chills
14.3%
2/14 • Up to Day 126
3.8%
1/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
12.0%
3/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
General disorders
Influenza like illness
21.4%
3/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
20.0%
5/25 • Up to Day 126
34.6%
9/26 • Up to Day 126
General disorders
Asthenia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
7.4%
2/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
General disorders
Pyrexia
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
12.0%
3/25 • Up to Day 126
11.5%
3/26 • Up to Day 126
Infections and infestations
Nasopharyngitis
0.00%
0/14 • Up to Day 126
7.7%
2/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Infections and infestations
Cystitis
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Infections and infestations
Ear infection
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Infections and infestations
Pharyngitis
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Metabolism and nutrition disorders
Decreased appetite
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
16.0%
4/25 • Up to Day 126
11.5%
3/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/14 • Up to Day 126
7.7%
2/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Pain in extremity
14.3%
2/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
3.7%
1/27 • Up to Day 126
14.3%
2/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
15.4%
4/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Bone pain
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
20.0%
5/25 • Up to Day 126
7.7%
2/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
12.0%
3/25 • Up to Day 126
7.7%
2/26 • Up to Day 126
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Nervous system disorders
Headache
14.3%
2/14 • Up to Day 126
15.4%
4/26 • Up to Day 126
14.8%
4/27 • Up to Day 126
14.3%
2/14 • Up to Day 126
40.0%
10/25 • Up to Day 126
19.2%
5/26 • Up to Day 126
Nervous system disorders
Dizziness
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
19.2%
5/26 • Up to Day 126
Nervous system disorders
Disturbance in attention
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
7.7%
2/26 • Up to Day 126
Psychiatric disorders
Sleep disorder
0.00%
0/14 • Up to Day 126
3.8%
1/26 • Up to Day 126
7.4%
2/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
16.0%
4/25 • Up to Day 126
7.7%
2/26 • Up to Day 126
Psychiatric disorders
Mood swings
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
3.8%
1/26 • Up to Day 126
Psychiatric disorders
Depression
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Psychiatric disorders
Initial insomnia
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
4.0%
1/25 • Up to Day 126
15.4%
4/26 • Up to Day 126
Skin and subcutaneous tissue disorders
Dry skin
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Skin and subcutaneous tissue disorders
Night sweats
7.1%
1/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
0.00%
0/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
20.0%
5/25 • Up to Day 126
15.4%
4/26 • Up to Day 126
Skin and subcutaneous tissue disorders
Rash
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
14.3%
2/14 • Up to Day 126
8.0%
2/25 • Up to Day 126
15.4%
4/26 • Up to Day 126
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
0.00%
0/26 • Up to Day 126
Vascular disorders
Hypertension
0.00%
0/14 • Up to Day 126
0.00%
0/26 • Up to Day 126
0.00%
0/27 • Up to Day 126
7.1%
1/14 • Up to Day 126
0.00%
0/25 • Up to Day 126
3.8%
1/26 • Up to Day 126

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800 821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER