NCT00081770

Brief Summary

The objective is to compare the safety and efficacy of the following three treatment regimens in previously untreated adult subjects with chronic hepatitis C infected with Genotype 1: (1) PegIntron 1.5 µg/kg/wk in combination with weight based REBETOL (800-1400 mg/day); (2) PegIntron 1µg/kg/wk in combination with weight based REBETOL (800-1400 mg/day); and (3) PEGASYS 180 µg/wk plus COPEGUS 1000-1200 mg/day.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4,469

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Mar 2004

Typical duration for phase_3

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2004

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 20, 2004

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 22, 2004

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2007

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2007

Completed
2 years until next milestone

Results Posted

Study results publicly available

October 30, 2009

Completed
Last Updated

April 4, 2017

Status Verified

March 1, 2017

Enrollment Period

3.7 years

First QC Date

April 20, 2004

Results QC Date

November 3, 2008

Last Update Submit

March 7, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sustained Virologic Response (SVR) Rate

    SVR rate is the percentage of participants with undetectable hepatitis C virus ribonucleic acid (HCV-RNA) at the end of the 24-week post-treatment follow-up.

    Assessed at the end of a 24-week post-treatment follow-up

Secondary Outcomes (3)

  • Mean Change From Baseline in the Log Viral Load at Treatment Week 4

    Assessed at Baseline and Treatment Week 4

  • Virologic Response Rate at Treatment Week 12

    Assessed at Treatment Week 12

  • Mean Change From Baseline in the Log Viral Load at Treatment Week 2

    Assessed at Baseline and Treatment Week 2

Study Arms (3)

PegIntron 1.5 ug/kg/wk plus REBETOL

EXPERIMENTAL

PegIntron (peginterferon alfa-2b; SCH 54031) 1.5 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up

Biological: PegIntron (peginterferon alfa-2b; SCH 54031)Drug: REBETOL (ribavirin; SCH 18908)

PegIntron 1.0 ug/kg/wk plus REBETOL

EXPERIMENTAL

PegIntron (peginterferon alfa-2b; SCH 54031) 1.0 ug/kg/week in combination with weight-based REBETOL (ribavirin; SCH 18908) 800-1400 mg/day administered for 48 weeks with 24-week post-treatment follow-up

Biological: PegIntron (peginterferon alfa-2b; SCH 54031)Drug: REBETOL (ribavirin; SCH 18908)

PEGASYS 180 ug/wk Plus COPEGUS

ACTIVE COMPARATOR

PEGASYS (peginterferon alfa-2a) 180 ug/week plus COPEGUS (ribavirin) 1000-1200 mg/day administered for 48 weeks with 24-week post-treatment follow-up

Biological: PEGASYS (peginterferon alfa-2a)Drug: COPEGUS (ribavirin)

Interventions

1.5 ug/kg/week subcutaneously (SC) for 48 weeks

Also known as: PegIntron
PegIntron 1.5 ug/kg/wk plus REBETOL

weight based dose 800-1400 mg/day orally (PO) for 48 weeks

Also known as: REBETOL [the Schering-Plough brand name for ribavirin]
PegIntron 1.0 ug/kg/wk plus REBETOLPegIntron 1.5 ug/kg/wk plus REBETOL

180 ug/week SC administered for 48 weeks

Also known as: PEGASYS
PEGASYS 180 ug/wk Plus COPEGUS

1000-1200 mg/day PO for 48 weeks

Also known as: COPEGUS [the Hoffman-La Roche brand name for ribavirin]
PEGASYS 180 ug/wk Plus COPEGUS

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Previously untreated adults with chronic hepatitis C (hepatitis C virus ribonucleic acid \[HCV RNA\] quantitative polymerase chain reaction \[qPCR\] plasma positive)
  • Individuals with HCV genotype 1 (mixed 1a/1b is acceptable)
  • Compensated liver disease
  • Pretreatment liver biopsy slides available
  • Adults aged 18-70
  • Individuals weighing 88-275 pounds (40-125 kg)
  • Free from substance abuse for past 2 years
  • Those suffering from diabetes and/or hypertension must have normal eye exams and retinal photographs (these will be done as part of the study before hepatitis C treatment is given)
  • Patients and partners of patients willing to use adequate contraception during the course of the study
  • Hematology laboratory results of:
  • Hemoglobin (HGB) ≥ 12 g/dL for females or ≥ 13g/dL for males
  • White Blood Cell Count (WBC) ≥ 3,000/mm\^3
  • Neutrophils ≥ 1,500/mm\^3
  • Platelets ≥ 80,000/mm\^3
  • Chemistry laboratory results of:
  • +3 more criteria

You may not qualify if:

  • Previous hepatitis C treatment
  • Pregnant women or partners of pregnant women
  • Patients or partners of patients who intend to become pregnant any time during the 48 weeks
  • Women who are breastfeeding
  • Individuals with liver disease not caused by hepatitis C
  • Individuals infected with the hepatitis B virus and/or human immunodeficiency virus (HIV)
  • Patients with a history of liver cancer (hepatocellular carcinoma)
  • Known blood disorders such as hemoglobinopathy, coagulopathy, or glucose-6-phosphate dehydrogenase \[G6PD\] deficiency
  • Body organ transplant
  • Any known or suspected cancer within the past 5 years
  • Individuals who currently use epoetin \[EPO\], granulocyte colony stimulating factor \[G-CSF\] and/or granulocyte monocyte colony stimulating factor \[GM-CSF\]
  • Those having a history of or active clinical gout
  • Individuals who have chronic pulmonary disease
  • Individuals who have a medical condition that would likely require systemic steroids
  • Those with a history of central nervous system (CNS trauma) or seizure disorders
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (2)

  • McHutchison JG, Lawitz EJ, Shiffman ML, Muir AJ, Galler GW, McCone J, Nyberg LM, Lee WM, Ghalib RH, Schiff ER, Galati JS, Bacon BR, Davis MN, Mukhopadhyay P, Koury K, Noviello S, Pedicone LD, Brass CA, Albrecht JK, Sulkowski MS; IDEAL Study Team. Peginterferon alfa-2b or alfa-2a with ribavirin for treatment of hepatitis C infection. N Engl J Med. 2009 Aug 6;361(6):580-93. doi: 10.1056/NEJMoa0808010. Epub 2009 Jul 22.

  • Melia MT, Muir AJ, McCone J, Shiffman ML, King JW, Herrine SK, Galler GW, Bloomer JR, Nunes FA, Brown KA, Mullen KD, Ravendhran N, Ghalib RH, Boparai N, Jiang R, Noviello S, Brass CA, Albrecht JK, McHutchison JG, Sulkowski MS; IDEAL Study Team. Racial differences in hepatitis C treatment eligibility. Hepatology. 2011 Jul;54(1):70-8. doi: 10.1002/hep.24358.

MeSH Terms

Conditions

Hepatitis C, Chronic

Interventions

peginterferon alfa-2bRibavirinpeginterferon alfa-2a

Condition Hierarchy (Ancestors)

Hepatitis CBlood-Borne InfectionsCommunicable DiseasesInfectionsHepatitis, Viral, HumanVirus DiseasesFlaviviridae InfectionsRNA Virus InfectionsHepatitis, ChronicHepatitisLiver DiseasesDigestive System DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

RibonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Results Point of Contact

Title
Senior Vice President, Global Clinical Development
Organization
Merck Sharp & Dohme Corp.

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 20, 2004

First Posted

April 22, 2004

Study Start

March 1, 2004

Primary Completion

November 1, 2007

Study Completion

November 1, 2007

Last Updated

April 4, 2017

Results First Posted

October 30, 2009

Record last verified: 2017-03

Data Sharing

IPD Sharing
Will share

http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final\_Updated%20July\_9\_2014.pdf http://engagezone.msd.com/ds\_documentation.php