A Study of Hepatitis C Virus (HCV) Polymerase Inhibitor Pro-Drug in Combination With PEGASYS Plus COPEGUS Compared With PEGASYS Plus COPEGUS in Patients With Chronic Hepatitis C Genotype 1 Infection.
A Randomized, Double-blinded Study to Evaluate the Safety and Effect on Sustained Virological Response of HCV Polymerase Inhibitor Pro-drug in Combination With PEGASYS Plus Copegus, Compared With the Currently Approved Combination of PEGASYS Plus Copegus, in Treatment-naïve Patients With Chronic he
1 other identifier
interventional
516
8 countries
62
Brief Summary
This 7 arm study will determine the optimal treatment combination, based on efficacy and safety. Patients with chronic hepatitis C (CHC), genotype 1, will be randomized to one of 7 treatment groups. Groups 1, 2, 4, 5 and 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (at doses of 500, 1000 or 1500mg po bid) plus PEGASYS (90 or 180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd). Group 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks. Group 7 will receive standard of care (SOC) for 48 weeks. There will be a 24 week period of treatment-free follow-up for all treatment groups. The anticipated time on study treatment is 3-12 months, and the target sample size is 100-500 individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2007
62 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
First Submitted
Initial submission to the registry
August 16, 2007
CompletedFirst Posted
Study publicly available on registry
August 17, 2007
CompletedStudy Start
First participant enrolled
December 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2010
CompletedNovember 2, 2016
November 1, 2016
2.1 years
August 16, 2007
November 1, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Sustained virological response (SVR)
24 weeks post treatment end (ie weeks 48 or 72)
Secondary Outcomes (4)
Virological response over time
Throughout study
SVR
12 weeks post treatment end (ie weeks 36 or 60)
Relapse rate
End of treatment (ie weeks 24 or 48)
Adverse events (AEs), laboratory parameters.
Throughout treatment
Study Arms (7)
Group 1
EXPERIMENTALGroup 1 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 2
EXPERIMENTALGroup 2 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (180 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 3
EXPERIMENTALGroup 3 will receive HCV polymerase inhibitor pro-drug 500mg po bid plus PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd for 24 weeks; after 24 weeks, those achieving a rapid virological response (RVR) will stop all medication, and non-RVR patients will remain on triple combination for an additional 24 weeks.
Group 4
EXPERIMENTALGroup 4 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 5
EXPERIMENTALGroup 5 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (1000 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 6
EXPERIMENTALGroup 6 will receive triple combination treatment with HCV polymerase inhibitor pro-drug (500 mg po bid) plus PEGASYS (90 micrograms sc weekly) plus Copegus (1000 or 1200mg po qd) for 24 weeks, followed by 24 weeks of open label Standard of Care (PEGASYS 180 micrograms sc weekly plus Copegus 1000/1200mg po qd).
Group 7
ACTIVE COMPARATORStandard of care (SOC)
Interventions
Eligibility Criteria
You may qualify if:
- adult patients, 18-65 years of age;
- chronic hepatitis C, genotype 1;
- chronic liver disease consistent with CHC;
- compensated liver disease.
You may not qualify if:
- infection with any HCV genotype other than genotype 1;
- previous treatment for CHC;
- medical condition associated with chronic liver disease other than CHC;
- HIV, hepatitis A, hepatitis B infection.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (63)
Unknown Facility
Phoenix, Arizona, 85054, United States
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La Jolla, California, 92037-1030, United States
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Long Beach, California, 90822, United States
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Sacramento, California, 95817, United States
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San Diego, California, 92103-8465, United States
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San Diego, California, 92154, United States
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San Francisco, California, 94115, United States
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Aurora, Colorado, 80045, United States
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Englewood, Colorado, 80110, United States
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Bradenton, Florida, 34209, United States
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Gainesville, Florida, 32610-0214, United States
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Miami, Florida, 33136-1051, United States
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Chicago, Illinois, 60637, United States
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Baltimore, Maryland, 21287, United States
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Plymouth, Minnesota, 55446, United States
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Manhasset, New York, 11030, United States
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New York, New York, 10021, United States
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The Bronx, New York, 10468, United States
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Chapel Hill, North Carolina, 27599-7584, United States
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Cincinnati, Ohio, 45267-0595, United States
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Portland, Oregon, 97239, United States
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Hershey, Pennsylvania, 17033, United States
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Providence, Rhode Island, 02905, United States
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Nashville, Tennessee, 37211, United States
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Dallas, Texas, 75203, United States
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Fort Sam Houston, Texas, 78234-3879, United States
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San Antonio, Texas, 78215, United States
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Salt Lake City, Utah, 84121, United States
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Fairfax, Virginia, 22031, United States
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Richmond, Virginia, 23249, United States
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Adelaide, 5000, Australia
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Greenslopes, 4120, Australia
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Melbourne, 3004, Australia
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Sydney, 2050, Australia
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Sydney, 2145, Australia
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Vienna, 1090, Austria
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Calgary, Alberta, T2N 4N1, Canada
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Vancouver, British Columbia, V5Z 1H2, Canada
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Vancouver, British Columbia, V5Z 1M9, Canada
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Ottawa, Ontario, K1H 8L6, Canada
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Toronto, Ontario, M5G 1L7, Canada
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Clichy, 92118, France
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Créteil, 94010, France
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Marseille, 13285, France
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Paris, 75014, France
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Paris, 75651, France
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Pessac, 33604, France
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Vandœuvre-lès-Nancy, 54511, France
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Berlin, 13353, Germany
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Cologne, 50937, Germany
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Frankfurt am Main, 60590, Germany
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Freiburg im Breisgau, 79106, Germany
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Hamburg, 20246, Germany
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Hanover, 30625, Germany
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Bologna, 40138, Italy
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Napoli, 80131, Italy
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Torino, 10126, Italy
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Santurce, 00909, Puerto Rico
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Badalona, 08915, Spain
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Barcelona, 08003, Spain
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Madrid, 28222, Spain
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Seville, 41014, Spain
Unknown Facility
Valencia, 46014, Spain
Related Publications (1)
Nelson DR, Zeuzem S, Andreone P, Ferenci P, Herring R, Jensen DM, Marcellin P, Pockros PJ, Rodriguez-Torres M, Rossaro L, Rustgi VK, Sepe T, Sulkowski M, Thomason IR, Yoshida EM, Chan A, Hill G. Balapiravir plus peginterferon alfa-2a (40KD)/ribavirin in a randomized trial of hepatitis C genotype 1 patients. Ann Hepatol. 2012 Jan-Feb;11(1):15-31.
PMID: 22166557DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Clinical Trials
Hoffmann-La Roche
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 16, 2007
First Posted
August 17, 2007
Study Start
December 1, 2007
Primary Completion
January 1, 2010
Study Completion
January 1, 2010
Last Updated
November 2, 2016
Record last verified: 2016-11