The Individualized Management With Pegylated-interferon Alfa-2a (Pegasys) and Ribavirin (Copegus) Offering Viral Eradication: A Study of Pegylated-interferon Alfa-2a Plus Ribavirin in Participants With Chronic Hepatitis C (CHC) Non-genotype 2/3 (IMPROVE)
IMPROVE
1 other identifier
interventional
236
2 countries
23
Brief Summary
This study will compare the efficacy and safety of treatment with pegylated-interferon alfa-2a plus ribavirin in participants with non-genotype 2/3 CHC who, after 12 weeks of study treatment, have undetectable hepatitis C virus (HCV)-ribonucleic acid (RNA) or a greater than or equal to (\>=) 2 log10 drop in HCV-RNA. Participants will be randomized to receive pegylated-interferon alfa-2a 180 micrograms subcutaneously weekly plus ribavirin (1000-1400 milligram \[mg\]) orally daily for the specified duration, followed by 24 weeks of treatment-free follow-up. Participants with detectable HCV-RNA and less than (\<) 2 log10 drop in HCV-RNA at week 12 will discontinue therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Jun 2007
Typical duration for phase_3
23 active sites
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
June 1, 2007
CompletedFirst Submitted
Initial submission to the registry
June 7, 2007
CompletedFirst Posted
Study publicly available on registry
June 8, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2010
CompletedResults Posted
Study results publicly available
January 23, 2017
CompletedJanuary 23, 2017
November 1, 2016
2.9 years
June 7, 2007
November 25, 2016
November 25, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Sustained Virological Response (SVR) (Groups A and B)
SVR was defined as success if the participant had HCV RNA levels \<15 IU/mL as measured by COBAS AmpliPrep/COBAS TaqMan® HCV test at the 24-week untreated follow-up visit (HCV-RNA levels obtained at least 18 weeks after last dose of either pegylated-Interferon alfa-2a or ribavirin were considered if the 24-week untreated follow-up visit data were missing). Percentage of participants with SVR for Groups A and B was reported in this analysis.
At 24-week untreated follow-up visit (up to 72 weeks for Group A, up to 96 weeks for Group B)
Secondary Outcomes (2)
Percentage of Participants With SVR (Groups C, D, E, and F)
At 24-week untreated follow-up visit (up to 60, 72, 48, and 72 weeks for Groups C, D, E, and F, respectively)
Percentage of Participants With Virological Responses (Groups A, B, C, D, E, and F)
Week 12 (Groups C, D, E, and F), and end of treatment (Weeks 48, 72, 36, 48, 24, and 48 for Groups A, B, C, D, E, and F, respectively)
Study Arms (7)
Pegylated-interferon Alfa-2a + Ribavirin (Group A)
EXPERIMENTALParticipants with HCV RNA levels greater than (\>) 15 international units per milliliter (IU/mL) at Week 4, HCV RNA greater than or equal to (\>=) 15 IU/mL at Week 8, and either HCV RNA less than (\<) 15 IU/mL or \>=2 times logarithmic (2 log10) drop at Week 12, will receive pegylated-interferon alfa-2a (Pegasys) 180 micrograms (mcg) subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 milligrams (mg) orally daily for 48 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group B)
EXPERIMENTALParticipants with HCV RNA levels \>15 IU/mL at Week 4, HCV RNA \>=15 IU/mL at Week 8, and either HCV RNA \<15 IU/mL or \>=2 log10 drop at Week 12, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 72 weeks, and ribavirin 1000 to 1400 mg orally daily for 72 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group C)
EXPERIMENTALParticipants with HCV-RNA levels \>15 IU/mL at Week 4, and HCV-RNA \<15 IU/mL at Week 8, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 36 weeks, and ribavirin 1000 to 1400 mg orally daily for 36 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group D)
EXPERIMENTALParticipants with HCV-RNA levels \>15 IU/mL at Week 4, and HCV-RNA \<15 IU/mL at Week 8, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group E)
EXPERIMENTALParticipants with HCV-RNA levels \<15 IU/mL at Week 4, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 24 weeks, and ribavirin 1000 to 1400 mg orally daily for 24 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group F)
EXPERIMENTALParticipants with HCV-RNA levels \<15 IU/mL at Week 4, will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.
Pegylated-interferon Alfa-2a + Ribavirin (Group NR)
EXPERIMENTALParticipants who do not have any change in HCV-RNA levels at Weeks 4, 8, and 12 will not be randomized (NR) to any of the other groups. Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for 48 weeks, and ribavirin 1000 to 1400 mg orally daily for 48 weeks.
Interventions
Participants will receive pegylated-interferon alfa-2a 180 mcg subcutaneously once in a week for the specified duration.
Participants will receive ribavirin 1000 to 1400 mg orally daily for the specified duration.
Eligibility Criteria
You may qualify if:
- evidence of CHC;
- evidence of hepatitis C non-genotype 2 or 3;
- compensated liver disease.
You may not qualify if:
- infection with HCV genotype 2 or 3;
- history of having received systemic antiviral therapy with activity against CHC \<=3 months prior to start of study;
- hepatitis A, hepatitis B or human immunodeficiency virus (HIV) infection;
- history or evidence of a medical condition associated with chronic liver disease other than CHC.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (23)
Unknown Facility
Milwaukee, Wisconsin, 53210, United States
Unknown Facility
Calgary, Alberta, T2N 4Z6, Canada
Unknown Facility
Edmonton, Alberta, T5H 4B9, Canada
Unknown Facility
Edmonton, Alberta, T6G 2X8, Canada
Unknown Facility
Abbotsford, British Columbia, V2S 3N5, Canada
Unknown Facility
Vancouver, British Columbia, V5Z 1M9, Canada
Unknown Facility
Vancouver, British Columbia, V6Z 2K5, Canada
Unknown Facility
Vernon, British Columbia, V1T 1W9, Canada
Unknown Facility
Victoria, British Columbia, V8V 3P9, Canada
Unknown Facility
Halifax, Nova Scotia, B3H 2Y9, Canada
Unknown Facility
East York, Ontario, M4C 3E7, Canada
Unknown Facility
Hamilton, Ontario, L8L 2X2, Canada
Unknown Facility
Kingston, Ontario, K7L 5G2, Canada
Unknown Facility
London, Ontario, N6A 5A5, Canada
Unknown Facility
Mississauga, Ontario, L5M 4N4, Canada
Unknown Facility
Ottawa, Ontario, K1H 8L6, Canada
Unknown Facility
Toronto, Ontario, M5G 1L7, Canada
Unknown Facility
Toronto, Ontario, M5G 1X5, Canada
Unknown Facility
Toronto, Ontario, M6H 3M1, Canada
Unknown Facility
Woodbridge, Ontario, L4L 4Y7, Canada
Unknown Facility
Montreal, Quebec, H1T 2M4, Canada
Unknown Facility
Montreal, Quebec, H3A 1A1, Canada
Unknown Facility
Saskatoon, Saskatchewan, S7N 0W8, Canada
Related Publications (1)
Lee SS, Sherman M, Ramji A, Greenbloom S, Elkashab M, Pluta H, Hilzenrat N, Balshaw R, Usaty C, Myers RP. Randomised clinical trial: the efficacy of treatment, guided by a shorter duration of response, using peginterferon alfa-2a plus ribavirin for hepatitis C virus other than genotypes 2 or 3. Aliment Pharmacol Ther. 2012 Jan;35(1):37-47. doi: 10.1111/j.1365-2036.2011.04911.x. Epub 2011 Nov 2.
PMID: 22050141DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Communications
- Organization
- Hoffmann-La Roche
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- 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
June 7, 2007
First Posted
June 8, 2007
Study Start
June 1, 2007
Primary Completion
May 1, 2010
Study Completion
May 1, 2010
Last Updated
January 23, 2017
Results First Posted
January 23, 2017
Record last verified: 2016-11